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_ <br />�—�� ; 'ni����-��� �E�oRT <br />�:� - , - �� � <br />� c i <br />Date � Permit: � � 1 � <br />� . ,, <br />``— Contractor: �' �r �� <br />�, <br />Owner: <br />Site Address: � � � � �. �� V � ����— �;� <br />TYPE OF INSPECTION REQUESTED <br />rLECTRICAL <br />I � Temp Service <br />�_ ] Groundwork <br />I i Slab/Conduit <br />❑ Rough In <br />❑ Service <br />[� Grounding <br />❑ Ceiling Grid <br />❑ Electrical Final <br />SITE WORK <br />❑ Footing drains <br />❑ Roof drains <br />BUILDING MECHANICAL PLUMBING <br />❑ UFER ground ❑ Groundwork/Slab ❑ Groundwork/Slab <br />❑ Footing ❑ Rough In ❑ Rough In <br />❑ Foundation ❑ Ceiling Grid ❑ Ceiling Grid <br />❑ Structural Slab ❑ OK to insufate ❑ OK to insul�:i� <br />❑ Framing ❑ Rooftop Units ❑ Water Service <br />❑ I ulation ❑ Mechanical Final ❑ Medical Gas <br />Drywall Nailing ❑ Plumbing Fi�ra, <br />❑ Shear Nailing GAS PIPE <br />❑ Roof Nailing ❑ Rough In/Service Hot Water Taiil; <br />❑ Ceiling Grid ❑ Refrigeration ❑ Rough in <br />❑ Builc�io?g F'snal �� Gas Pape �inal n FIINT �i¢ia9 <br />OTHER OR CONSULTATION <br />OVAL ❑ PAI;iItiLAI'PIiGVi�L i=ii�f�tiL;at'�{ivVN��HIS��ki11ViP� <br />�J OK FOR T.C.O. ❑ CORRECTION REQUESTED 9 <br />❑ OK FOR C.O. ❑ VIOLATION u <br />❑ UNABLE TO PERFORM INSPECTION: <br />❑ CA! L(4251 257-88�1 FOR REI�aSP�CTION - 24 hour notece required <br />- _ � � � ��. <br />_ _ _ _ ___ � <br />Inspector: <br />EIH (10/06) <br />- — Date: - �— 9 — / � _ <br />1��1�I3AR, W�:. <br />