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_-�_--°,�, <br />� f� 5� <br />�� <br />�� <br />���������� ������ <br />D��te 1('/ ��� ��P��rn,it -__ �Q�/�_�c-��� <br />_ <br />Contractor: _ __ _ __ _�_ ���,��'��-- <br />Own�r: — ------��-� Gi.:'G'.-�k!�CL�' ----- <br />7 _--- - - - � -- - <br />Site Address ___. _ ��� �C�" �� _�� <br />TYPE OF INSPECTION REQUESTED <br />ELECTRICAL BUILDING MECHANICAL PWMBING <br />❑ Temp Service ❑ UFER ground ❑ Groundwork/Slab ❑ Groundwork/Slab <br />❑ Groundwork ❑ Footing ❑ Rough In ❑ Rough In <br />❑ Slab/Conduit ❑ Foundation ❑ Ceiling Grid ❑ Ceiling Grid <br />❑ Rough in ❑ Structural Slab ❑ OK to insulate ❑ OK to insulate <br />❑ Service ❑ Framing ❑ Rooftop Units ❑ Water Service <br />❑ Grounding ❑ Insulation ❑ Mechanical Final ❑ Medical Gas <br />❑ Ceiling Grid ❑ Drywall Nailing ❑ Plumbing Final <br />❑ Electrical Final j� Shear Nailing GAS PIPE <br />SITE WORK � i;�oof Nailing [ � Rough In/Service Hot Water Tank <br />❑ Footing dr �i; �r- j( e i!ing Grid [ � Refrigeratioii I�ough In <br />❑ Roof drains �1;iiding Fi��,i I �� Ga� Pi��� ��.�: :�_; '` ' - ,�,>f <br />OTHER OR C�,I�'����.�, �� „, � �Cl��� ����/ / ��� <br />❑ APPROVAL r �. ; �;,.� ��,,,� . .:�•`.,v� . .._.. :'icRMIT <br />� I OK FOR T.C.0 !/ JN REQUESTED ❑ <br />I�..O � � ��N <br />; E TO I''� � InN� <br />�-°'"' �� hour notice required <br />1� / <br />-,/_- /%' �,/��'C % �r ,n - /�i�✓ R L' — -- <br />a -- <br />_ - . -� � <br />�l%E� L� __ ,� L �.`' C' % f:'r G` i� L- �' /.v,�'L- �; % <br />,_ - <br />:. jYJ�t /�1�,,��C��� � _ — -- — r — - <br />- <br />Zr <br />�` ,�Lur,G'�N(,T <br />-- - --- -- _-- J,— <br />r ► �� C� �,r��,� �' < < �� <br />. �:- --- - - - -- - <br />J��� ��% L'l�i�" c��. _S'F����,�` �iu,�.�✓�..�.��,,� _ <br />� I" iN ,�L 1 E TT.�_.s- <br />_ _._.._.. <br />�I15(JECtin.._. �� ,1 _ _ - _ _ _ _ _ �� � ��� f� _ <br />� f <br />EIR (4/09) v�'��=C,= � ��,n�� <br />