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r. INSPECTlON REPORT <br /> Date:� �2�� Permit:� �� � ' <br /> � <br /> Contractor: <br /> Owner: <br /> SiteAddress: �� ` <br /> TYPE OF INSPECTION REQUESTED <br /> ELECTRICAL BUILDING MECHANICAL PLUMBING <br /> []Temp Service ❑UFER ground ❑C�roundworklSlab ❑Groundwork/Slab <br /> ❑Groundwork ❑Fooling .�Rough In ❑Rough In <br /> ❑SIablConduit ❑Foundalion ❑Ceiling Grid ❑Ceiling Grid <br /> ❑Rough In ❑Stmctural Slab ❑OK to insulate ❑OK�o insulate <br /> ❑Service ❑Freming ❑Rooflop Unils ❑Waler Service <br /> ❑Grounding ❑Insulation ❑MechaNcal Final ❑Medical Gas <br /> ❑Ceiling Grid ❑Drywall Nailing ❑Plumbinp Flnal <br /> ❑Elechical Final ❑Shear Nailing GAS PIPE <br /> SITE WORK ❑Roo�Nailing ❑Rough InlService Hol Water Tank <br /> ❑Fooling drains ❑Ceiling Grid ❑Retrigeration �] Rough In <br /> �_]Rool drains ❑Bu:lding Final ❑Gas Pipe Final ❑NNlT Final <br /> OTHER OR CONSULTATION: <br /> APPROVAL ❑ PARTIALAPPROV�L FINALAPPROVALTHISPERMIT <br /> K FOR T.CA. ❑ CORRECTION REOUESTED ❑ <br /> f� OK FOR C.O. ❑ VIOLATION <br /> j �] UNA6LE- TO PERFORM INSPECTION: _ <br /> ❑ CALL(425)257-8881 FOR REINSPECTION -24 hour nolfce requlred <br /> � �— � <br /> � <br /> ���__�� � <br /> ��s�ea: <br /> � o.�:� — 3—�/ <br /> EIR(4/09) �"—�rcrrm�nnrotmw>.�i�iwa�ae <br />