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/� <br />`,�te Address <br />�:��ISPECT101� RERORT <br />Date: � / ' � /j� Permit: �-/ / � � � � � L ( I <br />Contrac'tor: <br />Owner: <br />� <br />TYPE OF INSPECTION REQUESTED <br />LECTRICAL BUILDING MECHANICAL PLUMBING <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 />�=lectrical Final ❑ Shear Nailing GAS PIPE <br />! �E WORK �-1 Roof Nailinc� ❑ Rough In/Service Hot Water Tank <br />Footing drains I� Coiling Gricl !�J Refrigeration ❑ Rougl, �� <br />�:oof drains `� tii:di��e `�� '! Gas Pipe F�; ���i � I H��iT ''� <br />� � � C�ON�.��Ji_ ���I.CaN�.__ ��� ��� 3 � � � <br />���JAL ❑ PAf�, � _ . � , i��,L_- -- � ,� , <br />� � � CC.O. ❑ CORRL-� ��,:r,;:�� ClUL57I�:-D <br />� �� r�'�� C.O. ❑ VIOLATI ��d ��/l <br />i INABLE TO PERFORM INSPECTI( �� /j''7 _L,� <br />� . r .. ... , . ,. . _�n� .._ . - � . . - <br />