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- ., <br />., �'.�`1J'�'' <br />Site Addi�ess <br />ELCCTRICAL <br />❑ Temp Service <br />�Groia� �d��worl< <br />'� I��/Cbntl�dit <br />� f3vugh In <br />❑ Service <br />❑ Girounding <br />❑ Ceiling Grid <br />❑ Electrical Pinal <br />SITE WORK <br />❑ Footing drains <br />❑ Roof drains <br />�L'� � � � '. ��G� �i f„� �'t <br />� N� IP�1�`T'1(� W� � IP `� 1, <br />W �' �� � ��—lr ;a . <br />�j �� � i:� :� �'� � }� r � ��� i" .. <br />Date � Permit-: ; '- 3 - <br />- --- - <br />Contractoi : �� ___ _ U �' �-____ ��U 4' l9r✓�`� <br />� <br />� <br />Owner: <br />� r� e`Z. —_�2� <br />- --- — <br />s��- S'e. d �/`�V���'�'�, �"�-;�� .� <br />TYPE OF INSPFCTIOf�I f;EQU�STED <br />BUILDING M�CHANICAL <br />❑ UFER ground ❑ Groundworl</Slab <br />❑ Footing ❑ (iough In <br />❑ Foundation ❑ Ceiling Grid <br />❑ Structural Slab ❑ OfC io insulate <br />❑ Framing ❑ Rooftop Units <br />� Insulation$�l„�� ❑ IVlecha�7ical f"ii��:V <br />❑ Diywall Nailing <br />PLUMBING <br />❑ Ground�n�orl:/Siab <br />❑ I�ouyh In <br />❑ Ceiliny Grid <br />❑ OI< io insulale <br />❑ Wat�r Service <br />❑ Plledical Gas <br />❑ r'lumbirry I-ir�r,l <br />❑ Shear Nailing GAS i'IPE <br />❑ Roof Nailiny ❑ Rough In/Servicc i lot Waler T�r�l: <br />❑ Ceiliny Grid ❑ 13efric�eration �_] Rough in <br />❑ f3uildir�g Pinal ❑ Gas �'ine Pin�al ❑ IlUV�!" Y=iri_,! <br />(�TI-IEf� OR CONSULTATION: _jl_ <br />r�_���� �.�G�Cc� ���;�� n <br />❑ APPROVAL �-- PARTIALAPPROVF\L Y-1f�JaL �AI��l-�d-si.��V;;N_ 1"r�I°> k��R�_Ctaiil�s <br />❑ OI< FOR T.C.O. CORRECTIOIV R1=ClU�S-I ED i �I <br />❑ Of< FOR C.O. VIOLATION `� � �� <br />❑ UI�IABLE I O PLR�ORM II�SPCCTIOIV: <br />-___ _ _--- -- ---- ---- - -- -- <br />❑ C,�1LL (=i25) 2;%-IIIIt31 1-0ri I�iCI1VSl'LC-I IOIV -"E Irt�tri' iii�liv;e raqi�irecl <br />-- -- � — ----- - -- <br />°'���m �_� �L`��-��`�= <br />m� <br />1-��� 1�---�� �! � <br />�_���� :� � i� ,�,--, ,�J. <br />��� i'` � l 1�� <br />� <br />I�isper,toi: �_ Daie: <br />- �_ <br />EIR (loroc) � ,�'� onra�ai3, u�iC <br />