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' 00 <br />�i� <br />Site Address: _ <br />ELECTRICAL <br />❑ Temp Sarvice <br />❑ Groundwork <br />❑ SIablConduit <br />❑ Rough In <br />p 5ervice <br />❑ Grounding <br />❑ Ceiling Gnd <br />❑ Elachical Final <br />SITE WORK <br />❑ Fooling drains <br />❑ Roo1 drains <br />INSPECTION <br />Dat4���i��T'r' Per <br />Contractor: <br />Owner: <br />TYPE OF IN51%ECTION <br />BUILC'ING <br />❑ UFER ground <br />❑ FooUng <br />❑ Foundation <br />❑ Structural Slab <br />❑ Framirg <br />❑ Inwlation <br />❑ Drywall Neiling <br />❑ Sheai Nailing <br />❑ Roof Nailing <br />❑ Ceiling Grid <br />❑ Buildlny Final <br />. _ . _.�� .. _..��...- r�..a �wn .r . �\ <br />REPORT <br />MECHANICAL <br />� GroundwaklSlab <br />❑ Raph In <br />[] Cei�i�g Grid <br />❑ OK M insulata <br />�❑ op Unila <br />haniul FIMI <br />GAS PIPE <br />❑ Rough INService <br />❑ Retrigeration <br />� 6n Plp� Final <br />PLUMBING <br />❑ Groundwak/Slab <br />❑ Rough In <br />❑ Ceiling Grid <br />U OK ro insulale <br />❑ WaMr Servfce <br />❑ Medicai cas <br />❑ Plumbirq FInN <br />Hot Wete� Tank <br />❑ Raph In <br />❑ HWT Fln�l <br />OTHER OR CONSULTATION: <br />APPROVAL ❑ PARTIALAPPROVAL FINALAPPROVALTHISrE� <br />❑ OK FOR T.C.O. ❑ CORRECTION REQUESTED <br />❑ OK FOR C.O ❑ VIOLATION <br />� UNABLE TO PERFORM INSPECTION: <br />❑ CALL (42S) Y57�681 FOR REINSPECTION - 24 hour aotfc� nW��d <br />Inap�eEw: l�� — — ��� � ��-T <br />EIR (tAB) �1���°rr��� � <br />