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�� <br />� � <br />��/,�� J. <br />G� �2s��7rli <br />_.� �,,� <br />:1'd�`.ic1=%��SLTS L.����3 'J��u����!.' <br />Date:_��� permit F I�{"I D^ �' g_ <br />Contractor: <br />Oovner: <br />Site P,ddress: � I�� a l/�i1�^�/y� `�'1.�-Q. <br />� TYPE OF I�dSFECT10N RE4+UESTED <br />ELECTRICAL <br />❑Temp Service <br />❑ Groundwork <br />❑ SIxb/Conduit <br />❑ Rough In <br />❑ Service <br />❑ Grcunding <br />❑ Ceiling Grid <br />C Elec¢rical Fina1 <br />SITE WORK <br />❑ Footing�drains <br />❑ P,00f drains <br />BUIL�ING <br />,rj UFER graund <br />!] Foating <br />❑ Foundation <br />❑ Stmcturel Slab <br />❑ Framing <br />❑ Insutation <br />❑ Drywall Nailing <br />❑ Shear Nailing <br />❑ Root Nailing <br />❑ Ceiling Grid <br />❑ Euilding Final <br />i�.7ECHANICAL <br />❑ Groundw.orWSlab <br />❑ Rough In <br />❑ Ceiling Grid <br />❑ OK to insulate <br />❑ Ronftop Unit, <br />❑ ts�chanical Final <br />GAS PIPE <br />❑ Rough InlService <br />❑ Refrigeration <br />❑ Gas t�ipe Final <br />?LUMBING <br />❑ Gmur.dwork/Slab <br />❑ Raugh In <br />❑ Ceiling Grid <br />Q oK to insulate <br />� N'ater Service <br />� Medical Gas <br />❑ Plumbin� Final <br />Hot Water Tanl< <br />❑ Rough In <br />❑ HWT Final <br />JTHER OR CONSULTATION: �% j0 �y LQ ,� ��IJI �(/I (e{� <br />�/1PPROVAL ❑ PARTIALAPPROVAL FiF�C.:f>P�RO\54:TF:iSFcRfJiIT <br />❑ OI( POR T.C.O. ❑ CORRECTION REQUESTED � <br />❑ OI i FOR C.O. ❑ VIOLATIOiV . �� <br />[�j U�A�LE TO PERFORR4 INSPFCTION: <br />❑ C@L! (d25) 75F-pE99 P6ft REINSPeCTION •?.A houe no2ice ecquired <br />� �2Nti ���-o.ii <br />Inspecfor: _ 1 J"l �„?e: <br />