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�T1�` <br />Daie: �� � P �rmii: __ � �,j Q ! <br />Contractor: _ (� � � _ <br />� �, � �V �� Owner: - - ` l <br />�, __ _ P od � _� rQ � - <br />r'PE OF INSPECTION REQUESTED <br />LECTRICAL �,'_uING MECHANICAL <br />Temp Service ❑ UFER ground ❑ Groundwork/Slab <br />Groundwork ❑ Footing ❑ Rough In <br />Slab/Conduit �� Foundati�❑ ❑ Ceiling Grid <br />i2ough In "'"""'-�.,; ❑ OK to insulate <br />Service �--- ' ❑ Rooftop Units <br />Groundin�:, ❑ Mechanical Final <br />Ceiling G��-, � � <br />�o ��2, <br />PLUMEI <br />❑ Groui�,� <br />❑ Rough In <br />❑ Ceiling Grl <br />❑ OK to ins�!. <br />❑ Water Ser <br />❑ Medical G <br />❑ Plumbin_c, <br />�-lectrical Fiiia� �_� �i�ear N�iliny GAS PIPE <br />TE WORK ❑ Roof Nailing ❑ Rough In/Service Hot Wa� <br />i"ooting drains ❑ Ceiliny Grid [j Refrigeration ;_I Roucl <br />i�oof drains ❑ Building Final ;,,^as Pi�*� F�:�+,,8 I�;-�1111'� <br />� I-iER OR CONSULTATI���'��'��aQQ� �� �S�Lf%(irlOL( _ <br />/�PPROVAL <br />OK FOR T.C.O. <br />(�K FOR C.O. _ �,fk"` <br />UNABLE TO PERFORM INSPEC f y <br />� � v (�.�r} �r_��_�q(j� �'iF� �E=0�*�����'- . . . <br />�� ��d �� <br />i;' <br />'�?j�� - ,� �S ' ���' ,�_ <br />� /�'��i�?,,� <br />1r1��'��r C?� i L� ��-- �-- --� 1`� <br />- <br />- - - — - -- <br />_ <br />—__ <br />— ��---- u Cf�'�� <br />— � <br />le,spact� � �/ �'f� � <br />I-11�� (4/OS <br />% <br />