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,5 INSPECTION REPCURT <br /> Date:_ �p ! PermiL• EIZ�O � �Z(o <br /> Ca l l � Contractor. f�011�-r � _ <br /> ��5� Owner:_ ��p�'l0. � �MP�Gt .�LG <br /> Site Address:���J l.Ol i36 V� 1 w <br /> TVPE OF INSPECTION REOUESTED <br /> ELECTRICAL BUILDING MECHANICAL PLUMBING <br /> �]Temp Service ❑UFFR ground ❑GroundwnrWSlab ❑Groundwo�k/Slab <br /> (�]GrounAwork ❑Pooling ��Rough In ❑Rough In <br /> ��SIablConduit �-]Poundatiun ❑Cailing Grid ❑Ceiling Grid <br /> �]Rouoh u� ❑Slmctural Siab ❑OK to Insulate ❑OK lo insutate <br /> /��y�oervice �]Frammg ❑Roollop Unils ❑Weler Scrvice <br /> � �Rounding ❑Insulation ❑Mechenleel Finsl ❑Modical Ga� <br /> �.]Ceiling Gnd L�Drywnll Nniling ❑Plumbing Fleal <br /> ;]Elecfrical Flnel ❑a�:��r r:mm�g GAS Plf'E <br /> SITE VPORK [j R�^f Nailing ❑Rough INServic�t Hol Water Tank <br /> � J Fooliny drains ❑Ceiling GriO ❑Re6igeralwn ❑ Rough In <br /> � I Rool Arains �]Bullding Final '1 Ges Plpe Flnel ❑HWT Fh�al <br /> OTHER OR CONSULTA110N�. �ZS' S Z7 • Z�OO 1 _ <br /> �K�IPPROVAL ❑ PARTIALAPPROVAL FINALAPPROVALTHISP�RMIT <br /> � � OK FOF T.C.O ❑ CORRECTION REOIiESTED � <br /> f � OK FOH CA. ❑ VIOLAiION <br /> ( � UNAl7LE TO PERFORM INSPECTION�. <br /> � � CALI.(425)257•BE81 FOR REINSPECTION-21 ho�r nollca requlrod <br /> _- � <br /> 1��c� � J�'f�. ✓/ cA <br /> --�d�"� —_-�� !`� .r�`o�.r� �l ool f ��u�'1 <br /> Inspector:_ __�_V --1 _ Dats: � � <br /> LIRIA�On! Y.je=�• n�u� •nmu� �v�. usr�u�wo <br />