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1[V�P���'IOIV R�PO�t`T �1�'�'' ��. <br />� <br />i +—� <br />Date: _� 11�-- Permit �_l v1_t I_� � I J------ <br />, - fit�m�� �� ��i � � , <br />concra�tor: �Q�_ G �CjS_�l, <br />+ ��I f_—__ _ _ _— <br />Owner: �,) l �� V�V l,Y�!'V� <br />Site Address� _ v�}�� _� ����_� JL� <br />� -- <br />ELECTRICAL <br />❑ Temp Service <br />❑ Groundwork <br />❑ Slab/Conduit <br />❑ Rough In <br />❑ Service <br />❑ Grounding <br />❑ Ceiling Grid <br />❑ Electrical Final <br />SITE WORK <br />❑ Footing drains <br />❑ Roof drains <br />TYPE OF INSPECTION REQUESTED <br />BUtLDING MECHANICAL <br />❑ UFER ground ❑ Groundwork/Slab <br />❑ Footing ❑ Rough In <br />❑ Foundation ❑ Ceiliny Grid <br />❑ Structural Slab ❑ OK to insulate <br />❑ Framing ❑ Rooftop Units <br />❑ Insulation ❑ Mechanical Final <br />��Drywall Nailing <br />❑ She�r Nailing GAS PIPE <br />❑ Roof Nailing �_� Rough In/Service <br />❑ Ceiling Grid [J Refrigeration <br />❑ Building Final ❑ Gas Pipe Final <br />OTHER OR CONSUI I/\��i �f�; <br />PLUMBING <br />❑ Groundwork/Slab <br />❑ Rough In <br />❑ Ceiling Grid <br />❑ OK to insulate <br />❑ Water Service <br />❑ Medical Gas <br />❑ Plumbing Final <br />Hot Water Tank <br />❑ Rough In <br />❑ HWT Final <br />❑ APPROVAL /�• \RTIAL APPROVAL FINAL APPROVAL THIS PERMIT <br />❑ OK FOR T.C.O � ��RRECTION REQUESTED ❑ <br />❑ OK FOR C.O. VI(�LATION <br />[] UNABLE TO Pl�hl-�;1-'i��': INSPECTION: <br />L I CALL (Q?5� _..--._ �?�,,�SPECT�[�E�I '�„ �,,,. ;'a,.._ ,-r,qtnirecE <br />_ : __ _ — <br />— - -- <br />-- <br />_ _ <br />1 i� <br />- <br />_ ��_ !� � 1'-i �� E2 �- -- <br />''�'' � <br />—_ __ ___ _ _/��_ J �-��P_ , ! --_-��_ <br />/ " � <br />' – --- _ ----� — - - ---- -- = • <br />�A��� ; <br />..___ _ - �_ � � _. �vC•✓} - � - �'�I� 1 �-- <br />-_ �i _ � <br />--�"�.:��� _ �- � ,l� ____CALt � � <br />� , �� ___ _ <br />� —__ _ - - _ <br />InspecYor: <br />E_IR (4/091 <br />- - CSate: _ � <br />�/c ;N/1,1c�7�c _ i , � r, �� <br />� — <br />��_� r.___ <br />�l <br />1- -- <br />