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=.r .� • �. � . i .,.. :; i <br />Date � ��' Permit: - ._ ;_:� � �- � , <br />Contractor: <br />r _ <br />Owner: ` ` - <br />. :. <br />Site Address: �'� - � A� <br />TYPE OF INSPECTION REQUESTED <br />ELECTRICAL [3UILDING MECHANICAL PLUMBING <br />I� T2mp Service ❑ UFER ground ❑ Groundwork/Slab ❑ Groundwork/Slab <br />❑ Groundwork ❑ Footing ❑ Rough In ❑ Rough In <br />❑ Siab/Conduit ❑ Foundation ❑ Ceiling Grid ❑ Ceiling Grid <br />❑ P,ough In ❑ Structural Slab ❑ OK to insulate � <br />❑ OK to insulate <br />❑ Service ❑ Framiny ❑ Rooftop Units ❑ Water Service <br />❑ Grounding ❑ Insulation ❑ Mechanical Final ❑ Medical Gas <br />❑ Ceiiing Grid ❑ Drywall Nailing ❑ Plaarrebing Firaal <br />❑�=iecti�ac�l Fsit�! ❑ Shear Nailing GAS PIPE <br />SITE 1NORI� ❑ Roof Nailing ❑ Rough In/Service Hot Water Tanl< <br />❑ Fociing drains ,�] Cei!ing Grid ❑ Refrigeration ❑ Rough In <br />❑ P.00i drains �;�:¢3uiBdirag Final ❑ Gas 1'ipe Fin�,l ❑ H1(UT F'snal <br />QTHER OR CONSULTATION: ? ` � '''� ` ' ,- � <br />❑ P,FF'ROVAL ❑, PP,RTIAL APPROVAL F@�f�,L F-�u���OpJR�L �'H9� P���P�il�' <br />❑ 0� FOR-.C.O. Q„CORRECTION REQUESTED <br />❑ OK FGR C.O. ❑ VIOLATION <br />� U�IABLF I O PERFORM INSPECTION <br />❑ w.��6_ {���) ?�7-�881 F�R �EIP��PECTIOI� - 24 hour natice requir�d <br />_ t <br />... ,,. .. ,. . , , ,; , , <br />, _..� . ; p � �..,. <br />. _ .. r - — f ..._ .. . .. , r � �.t.. _ <br />iS„ t �' <br />' . . . _� . :� ' e .. , ... <br />. d'... . Y .f : k ' � f i i ' f � _ <br />.. 1 � P'" �e.. .. <br />.. -. .�.. , ' • , ,�, <br />,. .� . f .._ . � �.. � .. „% „ <br />� : <br />. ,.. �_. � . . <br />,- . , . � .,. . ,' • :• <br />G <br />�rIAS�A�liii�. . - <br />EIR (4/09) ,. <br />—y, ; ' S� <br />t'�! � <br />Date: - ' <br />��N/1T{_('7ZE FORMS & PROMOTIONS • J25/4tit1-115U0 <br />Q <br />