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ac�cv� LSl'� F1 �.C1�� F'ti�L'�� �1:iv� F,� <br />�` j µ . <br />� '� <br />'"` ,,;K:e-_-, Date:���PermiL��4��_O� <br />. ,�: C'Fi, 4 ����. Lr[J <br />� Contreclor: <br />Site <br />ELECTRIGAL <br />❑ Temo Service <br />❑ Gmuntiv�orlc <br />❑ SIah/Conduit <br />❑ Rough In <br />❑ Servica <br />[j Grounding <br />❑ Ccilln� Grid <br />❑ L��CQi ItOi llil�l <br />SITE WORI< <br />❑ Footing�drains <br />❑ Rco(dralns <br />Ol"I1FR OR <br />Owner: <br />TYPE OF If <br />BUILDING <br />❑ UFER ground <br />❑ �ooting <br />❑ Founaation <br />❑ Structural Slab <br />❑ framing <br />❑ Insulatlon <br />❑ �rywail Nalling <br />❑ Shcar Nailing <br />❑ Roof Nailing <br />❑ Ceiling Grid <br />❑ 3:nilding EIrta7 <br />,� <br />I I�JN REQUESTED <br />MECHAIJICAL � <br />❑ Grountlwork/Slab <br />❑ Rough In <br />❑ Ce�ling Gnd <br />❑ OK to insulate <br />❑ Rooftop Units <br />❑ I'.q=chanical FI ;al <br />GAS PIPC <br />❑ Raugh In/Scrvice <br />❑ Relrigeration <br />❑ Gzs Pi�e �ir.ai <br />PLUR181NG <br />❑ Groundwork/Slab <br />❑ Roughln <br />❑ Cciling Grld <br />❑ OK to insulate <br />❑ VUater Service <br />❑ I\6P.AIWI G35 <br />❑ Flu-ibing Fln.;l <br />Hot Wa(er Tanlc <br />❑ Rough In <br />❑ tiVYi' F�ZaI <br />u ��rrr,UVAL ❑ p�RTIAL�PPROVAL r �,r o � <br />❑ 01: FOR i'.C.O. ❑ CORR[CTION P,EQUESTED F���� ' g'• FRO\Af. � ii:S (+ERIYiI i <br />❑ OY. FGR C,O. ❑ VIOLqTION Q=� <br />❑ LhA6L[ TO PCRFOR67 INSPECTION: h_. <br />❑ �AL� (A7.5� 257•O6Q? �.riR Rti:NSPF_CBIQ\ -c4 havr no:ic: reyu�;seQ <br />�—l. CJ�Ntl i�+�.�-� ,. ---- --- ---- <br />� <br />