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INSP�CT��N REP�I11����� <br />Date: `l i_2.�_ f'ermifi _�� lPC1 �" l� <br />6 t_' Pci F' � S S � 1 � k i t Y � S S c i� <br />Contractor: � ��'��l' l �i1T\� �}-Z5, lo� 2 , L�`l � �� <br />Owr�er: �1�i1�G� i�U�iVlSU� <br />SiteAddress: �D�� � `� T"�� V�J <br />TYPE OF INSPECTION REQUESTED <br />ELECTRICAL BUILDING MECHANICAL PLUMBING <br />❑ Temp Service ❑ UFER ground ❑ Groundwork/Slab ❑ Groundwork/Slab <br />❑ Groundwork ❑ Footing ❑ Rough In ❑ Rough In <br />❑ Slab/Conduit ❑ Foundation ❑ Ceiling Grid ❑ Ceiling Grid <br />❑ Rough In ❑ Structural Slab ❑ OK to insulate ❑ OK to insulate <br />I—I Sc�r i� ❑ Framing ❑ Rooftop Units ❑ Water Service <br />❑ Insulation ❑ Mechanical Final ❑ Medical Gas <br />(�/- � ❑ Drywall Nailing ❑ Plumbing Final <br />� ` Fyhal ❑ Shear Nailing GAS PIPE <br />� ❑ Roof Nailing [] Rou h In/Service Hot Water Tank <br />9 <br />��� diaii�s ❑ Ceiling Grid ❑ Refrigeration ❑ Rough In <br />i__; i<uui dralns ❑ Building Final �� Gas Pipe Final ❑ HWT Final <br />OTHER OR CONSULTATION: <br />❑ APPROVAL ❑ PARTIALAPPROVAL FINA!_P«PE'ROVA�TN," ` <br />❑ OK FOR T.C.O. ❑ CORRECTION REQUEST -` i %��4 <br />❑ OK FOR C.O. n VIOLATION �� <br />❑ UNABLE TO PERF : 'C:CTION: � <br />�I C6�i i_ rn25) �57..^ : NSpFCT��N ?4 ;� : „�i� �d <br />— _ _ _ _ <br />� �,� �-v,'��-- ��� � n..a c.l�c- _ <br />Inspector �`\_j,�� (��� _ `� a� � <br />1 <br />EIR (4/09) ;'�_r<,_ a;�. ,�,.,., iiio <br />