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��/ � - <br />%' <br />� � <br />• , 'i • - <br />� . : � <br />Date: �/' 3� /3 �c�� i��ii: � Q _ �---. <br />--- _ _ __ / � G� � � <br />; ;ontractor: <br />owner: _��1��( J (�'y��� S <br />, ;;te Address: ���- �a�� �R. �_— Ur E _ _,�3' <br />TYPE OF INSPECTION REQUESTED <br />E_LECTRICAL BUILDING MECHANICAL PLUMBW� <br />', Temp Service ❑ UFER ground ❑ Groundwork/Slab ❑ Ground•�.-:�� I'' ._ <br />I_ i Groundwork ❑ Footing ❑ Rough In ❑ Rough In <br />! � Slab/Conduit ❑ Foundation ❑ Ceiling Grid ❑ Ceiling Gric' <br />i; Rough In ❑ Structural Slab ❑ OK to insulate ❑ OK to insul,a : <br />' I Service ❑ Framing ❑ Rooftop Units ❑ Water Servi r <br />' Grounding ❑ Insulation ❑ Mechanical Final ❑ Medical Ga <br />I Ceiting Grid ❑ Drywall Nailing ❑ Plumbin <br />9 �_ � . <br />;�Iectrical Final ❑ Shear Nailing GAS PIPE <br />!TE WORK ❑ Roof Nailing ❑ Rough INService Hot WaterT�,: ' <br />Footing drains ❑ Ceiling Grid ❑ Refrigeration ❑ Rough In <br />Roof drains ❑ Buildin Final ❑ Gas Pipe Final I] HWT Finai <br />�]STul��si�c R/l�ek <br />CONSULTATION: __ r.. � ' ��Q'�Q' _�L9 S - .� �%,IS� <br />�`%AL ❑ PARTIAL APPROVAL FINAL APPROVAL THiS "�'i!�! ; <br />T.C.O. ❑ CORRECTION REQUESTED <br />K 1-UK C.O. ❑ VIOLATION � <br />UNABLE TO PERFORM INSPECTION: <br />`?^84 �C)R REINSPECTtON - 24 hour notice required <br />--- <br />- __ <br />�/ Gr� �� __ /Q,�'s—='- _ <br />----- <br />__ <br />---- � c��_r ���, �- � �'�� �L,Ba%s_ !/ <br />_ Dafie: �"� / 3-- �3 <br />!-. ��T_RE F()kMS & 1'ROMUI�I(lNti . .115/40II-il'�I.. <br />