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�o �c� �f� LL P <br /> INSPEG'T'ION REPOR'T / <br /> d� /� /� /, / <br /> Date: � Permit: 1,,���LY � "v�/ <br /> Contractor: <br /> Owner: <br /> Site Address:__ . ������/��� �� r� - .�/� ��( <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 ! !Str��ctural Slab ❑ OK to insulate ❑OK to insulate <br /> ❑Service 'rr,�rning ❑ Rooftop Units ❑Water Service <br /> ❑Grounding �l."�s,�;ation ❑ Mechanical Final ❑Medical Gas <br /> ❑Ceiling Grid � ,Dn��,vall Nailing ❑Plumbing Final <br /> ❑Electrical Final ;_j Shear Nailing GAS PIPE <br /> SITE WORK ❑Roof Nailing ❑Rough In/Service Hot Water Tank <br /> ❑Footing drafns ❑Ceiling Grid ❑Refrigeration ��1 Rough !n <br /> �I Roof dr�ins ❑Building Final ❑Gas Pipe Final �Fi�1'T�i��z�1 <br /> ! CONSULTATION: 'I Z� � ��7�� ��(C'�j <br /> I v '�L ❑ PARTIAL APPROVAL <br /> I I.C.O. ❑ CORRECTION REQUESTED � �"� <br /> ';.0. ❑ V�OLATION �_� <br /> � � " �;FORM W`' <br /> 481 F^� TIO� -24 hour notice reausred <br /> ���/�(���C..�� ,c�S` /�'J %�� <br /> �=- <br /> _��U(J�-��t �--_�G�'�`� � _ _ �_r�►J U C-�B-��a w <br /> --��� _C���1_l��_��t�_ .-�-- � <br /> � --��- �-- <br /> ��,��� - _ ��a�w�-. - - -- <br />/ --`�`�zt��= — �N_ - e����;�tic <br /> � ` `.` - -, , ��-� — <br /> � 1 ! ! <br /> - - _ —_%i /�GdG�� <br /> C�i L.�� G��_ <br /> ��>��- -- <br /> � �} _ S- <br /> Inspecto^� �e �� ��� �✓�-- � <br /> EIR(4/09) '----- � <br />