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� INSPECTION REPORT <br /> Dat��(�CJ'�Permit: ��pc� y —� <br /> i <br /> Contractor: <br /> / � <br /> Owner: C (� / f <br /> 8ite Address: � 2 � <br /> - ----- ---r_-s����v_ -_--._ <br /> ------- -- _ _ <br /> T\PE OF INSPECTION REOUESTED <br /> ELECTRICAL F3UILDING 1dECHANICAL PI.UMBING <br /> (�)TompSnrvico I �UFERcJmund I �Gmundwork/Siub ( ]GroundworlJ5laU <br /> i IGmi�ndv:oik j iFoohn9 f 1Rau9h�n ❑Roughln <br /> � �Slnh'Condui� ( I Foundnhon � �Ceding Grid []Ceding GrW <br /> ! �Rough In ;S'�ur.Iwnl Slnh [ j OK to insulnto ��OK to Insulale <br /> . �Sorvic� " ;Fnmmg � 1 R[wllop Unds �_)Wntor Servico <br /> j �Groundiny ',Insulnhon � 1 MechenlCel Flnel []Modicnl Gns <br /> j 1 Coilni�Gud ; J Dryw�ll Nndmy L�Plumbing Flnal <br /> ', j Eleclrlcal Final ; 15henr Nniling GAS PIPE <br /> uITE WORK � 1 Rool Nndinp j �Rauyh In'Service Hol Wnlur Tank <br /> �, i Footing diams � I >iling Gnd j ;Rrlrigemiion � �R��ugh n. <br /> ', ;Rool dmn,s �Bullding Final ; '�,Gae Pipe Flnal I_�HWT Flnal . , <br /> OTHER OR COM�lfN+Mii64�L.i d�/y� R�� N�N Z�i/"G <br /> _ _,. _ -� -. --� - <br /> I ! APPROVAL '; I PARiIAIAPPROVAI� NALAPPROVAL HISP[RMIT <br /> � ; OK POR TC O � j CORRECTION REOUES7[D ❑ <br /> ; j OKFORCO �_� VIOLATION <br /> ! � UNABL[70 P[RFORM INSPECTION <br /> j � CALL(4Y5)257 8881 FOR PEINSPECTI -24 our nollte rcqulred <br /> _ -! _ — <br /> . . —. __— _._... . _.. _. <br /> ����� _��'-G�--- - <br /> ��r4-7l�S ` -- - - -- - <br /> , . . . <br /> �- ----- - — <br /> -�-�3i_/E�_ 11�� . <br /> -- - �-��_�-����,� <br /> _� ��---�_ _ <br /> -�� <br /> __ , <br /> Inspeetor:_ Data: -- <br /> l In I IUU6I wrliBM.INC <br />