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� ��::�1 <br /> L VC:.:i�'�\:}' t ��VJV J. . <br /> ��e �� <br /> f <br /> ��.��ir��, � Date. 'L—=J._L_�Permit �� ( � �� <br /> :+4.• ..� — <br /> ' Contractor. <br /> Owner: <br /> 1 -------- <br /> Site,4ddress�l�'� � '�J��� l ,"r '� <br /> ------_ <br /> � IYPE OF INSPECTIOIv REQUESTED <br /> FLECTR!Ct1L BUILDInG iviECH/11�ICAL <br /> ❑Tecnp Se�v�ce ❑UFER ground PL11h181NG <br /> C]�,�undwor!c ❑Grounav.or!vSlab ❑Ground�:�crY.rS!ab <br /> ❑Focting ❑Rou <br /> ❑SizblConduit ❑Fountlation 9h�� ❑Rough Ir, <br /> ❑Rough In [Structural Slab �Ceiling Gritl ❑Ceiling Gr�a <br /> L Servica - ❑Framin �OK to insula;e ❑OK to insula!e <br /> ❑Grountling 9 ❑Rooflop Units ❑Watcr Service <br /> ❑Insulatlon ❑Meehanital Flnal <br /> ❑Ceiling Grid ❑Drytvall(Jai!ina ❑�JeCical Gas <br /> 'J c1eeP,-icel iinal ❑Shear Wailing GHS PIPE �P��'�tl��Flnel <br /> � r <br /> �'F E�o�K ❑Roo!�ailing �Rough INSen-ice � , <br /> [_� oo0ng drafnc ❑Cci6ng Gritl Not V�ater Tar�c <br /> ❑Refrigeratioo <br /> ❑Rcofdralns ❑B_il�ina�ine� �.� ❑ Roughln <br /> ❑Cas� i,.c Pinxl ❑HIKT Finel <br /> OTHER OP.COiJSULTATION: � ' <br /> �a0 �1DC �flFeU✓ <br /> O APFROVAL ❑ PqRT1ALAPPROVAL —'— <br /> ❑ OK FOR TC.O. F�N"�6,'arRO\�A=Ti?;S FEFiAIT <br /> ❑ OY.FOR C.O. � CORRECTION REQUESTED <br /> ❑ VIOLATION II�a <br /> ❑ UNA�L[TO PERPORM INSPECTION: � <br /> L C,NLL(435)257-8801 FCR R_;N3p��7��p�.Z4 hcur r.o:!ce;eqwrtd <br /> +a — <br /> _�_L_GJ`2N� �.,.G��� . <br /> ._�l—�_____ I _._ <br /> -,!_-- � �nd --�_(-;LY1� _ <br /> -�_ <br /> Insoecir,; <br /> - � ---__ S1ete: <br />