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INSPECTION REPORT <br /> Date:�ll 1� 11 Permilpl��Q— (a'�� <br /> y� Comractor: <br /> 'h��"d�f/ �,U.�C�j �/1()� <br /> Owner: <br /> \ �p �� � r � <br /> SiteAddress:� ���' <br /> TYPE OF INSPECTION REOUESTED <br /> ELECTRICAL Bl11LDING MECHANICAL PLUMBING <br /> �Temp Service ❑UFER ground ❑GroundworWSlab ❑Gmundwork/Slab <br /> ❑GrounCwork ❑FooUng ❑Rough In ❑Rough In <br /> ❑SIablCondu�t �Foundation Q Ceding Gritl ❑CeiLng Gnd <br /> ❑Rough In ❑Structurai Stab ❑OK lo insulatc ❑OK lo insulale <br /> ❑Service ❑Framing ❑Roottop unils ❑watar Service <br /> ❑Ground�ng ❑InsulaGon ❑Meehanical Final �ee�cal Gas <br /> ❑Ceiling Gnd ❑Drywall NaAing Plum6ing Final <br /> ❑Electrioal Final ❑Shear Naihng GAS PIPE <br /> SITE WORK ❑Rool Nai�ing ❑Rough InlService Hot Water Tank <br /> ❑Fooling drains ❑Cedmg Grid ❑Relrigeralion ❑ Rough In <br /> ❑Rool drains ❑BuilAing Final ❑Gas Pipe Final �MWT Final <br /> OTHERORCONSULTATION.� 0��3_12�� _ <br /> � APPROVAL � ARTIALAPPROVAL FINALAPPROVALTHISPERMIT <br /> � OK FOR T.C.O � ORRECTION REQUESTED ❑ <br /> ❑ OK FOR C O ❑ VIOlAT10N <br /> � UNABLE TO PERFORM INSPECTION' <br /> Q CALL�125)257•8881 fOR REINSPECTION-24 hour notice required <br /> /v��7` �'� <br /> � <br /> a . � 11.�� <br /> �y <br /> �QZ� �S� <br /> /9--.�.ed��G�lae�e� �►�_�c�- <br /> -d , ✓� ��v <br /> �n���- <br /> Inspettor: � Date: 1 <br /> EIR(A/09) J(^y'C.•�.a._�-�p ius a r+oM mons •usNuasoo <br />