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/ <br /> J ;��VSPECTION REP����-� <br /> � Date: e Permit: ___ � �� �� <br /> Contractor: (/�i(i1� <br /> Owner: <br /> Site Address: �e' 1�� 7/Z� ���`/ � �C� <br /> TYPE OF INSPECTION REQUESTED <br /> ELECTRICAL 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 j_J Drywall Nailing ❑ Plumbing Final <br /> ❑Electrical Final ❑Shear Nailing GAS PIPE <br /> SITE WORK ❑Roof Nailing ❑Rough In/Service Hoi Water Tank <br /> ❑Footing drains ❑Ceiling Grid ❑Refrigeration ❑ Rough In <br /> ❑Roof drains ❑Building Final ❑Gas Pipe Final ❑HWT Final <br /> OTHER OR CONSULI, ' <br /> ❑ APPROVAL �RTIAL APPROVAL FINAL APPROVAL THIS PERMIT <br /> ❑ OK FOR T.C.O. �RRECTION REQUESTED ❑ <br /> ❑ OK FOR C.O. i� VIOLATION <br /> �I UNABLE TO PERFORM INSPECTION: <br /> „ � , , ,�„ — _.,., � �� n,,�_... r <br /> _ _ <br /> : <br /> �l��i 10�l:'_ '- ��,9�'T/,G�'� ' _��'��''C���- _ <br /> --— _—_ — -- ---���/ _ ��1��Z/1/"J �L�,�'-- <br /> . -- - - <br /> '_/, _�S�`�'� ___Cu�-_��� c� ,/� ��_`�� 'iZi�`'��-�'r�- <br /> _ <br /> - - � -- -- - - — — _ <br /> - <br /> . . . __ - <br /> � � �, c�r'L % � L�l.� �- ,� ��i�J ��i�;tr� <br /> � - -�=.._ _ - - —--- -- -� -�'E -�� � <br /> - _ ---- --- ?L� j��_ _ ���J i�����Z�'Kf�'_ __ <br /> �i --- —_ _ <br /> �.1J:�,l /'N�.�'brC'T l�✓ �-LU-,L�/1/�/- w�� <br /> ��I.i Fr'�%��� � - <br /> ;�,�r,��tor � _�� _ C— � �—��_ <br /> LII Z(4/09) y�,2L:h=VrLd��i�,.�, � � riuu <br />