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� <br />• I <br />Sde �ddress:� <br />INSPECTION REPORT <br />Date ��J�� Permit I �`� — O�U <br />Contracloc <br />Owner �1 I�, 1 V�I L� 7��1�� L�CC ( <br />b\j `�J � <br />TYPE OF INSPECTION REQUESiED <br />ELECTRICAL BUILDWG MECNANICAI. PWtd81NG <br />❑Temp Senice ❑ UfER ground ❑ Grountlwork/Slab <br />❑ Ground�..crv..'SIaC <br />❑ Groundwork ❑ Foot�ng ❑ Rough In ❑ Rough in <br />❑ S�ab/Condun ❑ FounCauon ❑ Ceiling Gntl ❑ Cedmg Gnd <br />❑ Rougn In ❑ Slructural Siab ❑ OK lo insutalc <br />❑ OK lo �nsu�a!a <br />❑Service ❑ Frammg ❑ Rooflop Umts ❑ Wafer SeM1��ce <br />❑ Grounding D InSulahD� j] Mechanical Final ❑ Medical Gas <br />❑ Cedmg Gntl ❑ Dry.Vall Nadmg ❑ Plumbing Finai <br />[I Electriaal Final ❑ Shear Nalhng GAS PiPE <br />SITE WOFK � Roof Ndilmg ❑ Rou^yh InlService Npi Water TnrA <br />❑ Fooung dr�ms' [ J Cetling Gnd ❑ Relnqeral�on ❑ Rougn In <br />0 Roo1 diains ❑ Building Final � Gas Pipc Final ❑ HWT Finai <br />OTHER OR CONSULTATION� S 1 U�� � VU� �) <br />� APPROVAL ❑ PARTIALAPPROVAL FINALAPPRO�AL THIS PERMIl <br />❑ OK fOR TC O � CORRECTION REOUESTED � <br />❑ OK POR C O ❑ VIOLFQION <br />❑ UNAOLf_ 70 P[RFORh1 INSPECTION: <br />❑ CALL (425) 257•8881 FOR REINSPECTION • 24 hour nolice required <br />Inspectur: <br />e�R la o9� <br />. � <br />— __ � <br />Dale: / ' � J � �� <br />��arsc���..,.. ���<�.�������ry, <br />