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IN TION REPORT <br /> DaIE� � e��: ����J —�� � <br /> � <br /> Co actor: <br /> O/w�ner <br /> Site Address: � —" � � / �J� � `�t/ � <br /> TYPE OF INSPECTION REOU[STED <br /> ELECTRICAL BUILDING MECHANICAL PLUMBING <br /> ❑Temp 5¢rvice ❑UFER ground ❑Groundwork/Slab ❑Groundwork/SWb <br /> ❑Groundwork ❑Foolinc� ❑ Rough In ❑Rouyh In <br /> ❑SIablConduil ❑Foundalion ❑Ceding Gnd ❑Ceihng Gnd <br /> ❑Rough in ❑StrucWral Slab ❑OK to msulale ❑OK lo insulale <br /> ❑Sr.rvice ❑Prammg ��]Rooliop Umts ❑Water Service <br /> ❑Grounding ❑Insulalion ��Mechanical Final 0 Medical Gas <br /> ❑Cmlmg Grltl ❑D ailing ❑Plumbinq Final <br /> ❑Electrical Final ear NaAin� G�S PIPE <br /> SITE WORK ❑Rool Nailing ❑Rough In/Service Hol W��er Tanh <br /> ❑Footing tl�ains I_I CeJmg Gnd ❑Reingeralion ❑ Rouyh In <br /> ❑Rnof drams ❑9uildi�g Final L�Gas Pipe Final ❑HWT Final <br /> OTHER OR CONSULTATION _ <br /> ❑ l�PPROVAL P/1RTI�L APPROVAL FINAL APPROVA�THIS PERMIT <br /> � OK POR T C O. [I COHRf_CiION REOUESTED � <br /> ❑ OK FOR C O. � VIOIlQION <br /> ❑ UN�BL[ I�O P[RFORM INSPfC710N. <br /> ❑ CI1LL(425)257•8881 FOR REINSPECTION•24 hour notice required <br /> r <br /> � -�17'�� _ �-/ ��- <br /> _-�'� _ <br /> � <br /> --�-�- --- - - �- ��__� <br /> , _ <br /> _L��� '� _ �- oj� - <br /> _�c:S��s��� � -- - <br /> / Y � <br /> InsPectoc_,_ _ Date:_ _ — _ ' <br /> 171R(A/nJ) -- r-: - •^7uSG�n,r.,anrvnan,uw.. �r.l..r.+n�� <br />