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-��� �� �� � i��� ���0�� <br />;�� <br />.:` � j�l <br />-� � S 0 1 C� �� <br />Date � l�� t erinit: 1, <br />�.ontractor: ��YY� ��� � <br />Owner: <br />Site Address: �^�1 � �1 ` <br />_—_ -__—��l.J 1�--- � __ _ ���-'� <br />TYPE OF INSPECTION REQUESTED <br />�A BUILDI MECHANICAL PLUMBING <br />❑ Temp Service R groun�L ❑ Groundwork/Slab ❑ Groundwork.�E'�I��,i� <br />❑ Groundwork ❑ Foo m`i G ❑ Rough In ❑ Rough In <br />❑ Slab/Conduit ❑ Foundation ❑ Ceiling Grid ❑ Ceiling Gr ici <br />❑ Rough In ❑ Structural Slah ❑ OK to insulate ❑ OK to insulab� <br />❑ Service ❑ Framing ❑ Rooftop Units ❑ Water Service= <br />❑ Grounding ❑ Insulation ❑ Mechanical Final ❑ Medical Gas <br />❑ Ceiling Grid ❑ Drywall Nailing ❑ Plumbing F���.�i <br />❑ Electrical Final ❑ Shear Nailing GAS PIPE <br />SITE WORK ❑ Roof Nailing ❑ Rough In/Service Hot Watc � 7�:,,�;1. <br />❑ Footing drains ❑ Ceiling Grid ❑ Refrigeration ❑ Rouyh i� � <br />❑ Roof drains ❑ Build�i�g Fie�af ❑ Gas Pipe Final �I HW� �=�s�->i <br />OTf Il :ii OR CONSULTATION. <br />�AL U I'P�R I IAL.Ar'ri;UVA- 1=1(Vi;L A�'r'ii"vdtiL i E-IfS �%ERI\�',R <br />❑ OK FOR T.C.O. ❑ CORRECTION REQUESTED ' <br />❑ OK FOR C.O. ❑ VIOLATION � <br />❑ UNABLE TO PERFORM INSPECTION: <br />j� ��!?_!_ (��5� ^57 Rs��t1 �rE? R4=9C�.l��" ^Tl,a�ng _;,.� Csc�•:_Er r�i��ace cetiav"sr;�e.R <br />Inspector <br />ri� iioro�;i <br />Q�t�: � � �� - � � <br />n:�,��,;,.sni;. i�"� � <br />