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_ INSPECTION REPORY <br />Da��� ��(� PermiC (� �rQ�� olVi <br />/ <br />Coniractor: <br />Owner: <br />Site Address: �r} �C �(,,�_ f����/���/ %�� <br />TYP[ OF INSPECTION REOUESTED <br />ELECTRICAL BUILDING MEGHANICAL PLU�.i81NG <br />L] Temp Service j] UFER �mund ❑ GroundworkiSlab �__I Gwundwoik5lab <br />❑ Groundwoik ❑ Foo�ing ❑ Rouph In ❑ Rouc�h In <br />❑ Slab/Conduit [ j Fountlation ❑ Ccilinp Grid j i Cciling Grid <br />❑ Rough In � SlmcWral Slah ❑ OK Io insuUie �_ � OK �0 msulate <br />❑ Service ❑ Frammg ❑ Pooftop Unds I, ? 6Yater Service <br />❑ Grounding �_� Insulauon ❑ MechaNtal Final ' i A4utllcal Gas <br />❑ Ccilin� Gritl ❑ Drywili Nailing � i PIum6ing Final <br />[jEleclritalFinal �]ShearNoiiing GASPIPE <br />SITE WORK �_) Fool Nailing I] Rough hiSen�ir,u Hrn 11SYri Tnn'� <br />[j Fo0ling dimns ; Cailing Gnd I' Fb,�nrp,i ;tion �� Rnuipi �.n <br />I J Roof dmins ;� Building Finnl �� Gas Pipe Final i' HIYT Final <br />OTHER O� r.,, �i n reT�' � __ �L /V ��/C� /� �C/O� . _- <br />L� APPROVAL � �• PA�� �,. 4PPIiU. ��.i l FRJ�L APPROVAL THIS PERh11T <br />[]OKFORTCO �.UHI�i ilil•:I;L�:�L51i.D � <br />L1 OK FOR C O � VIC�. ��i'�:r: <br />❑ UNh�Lf i�l PG�{i-0!i1.1 I�d ;I`! (' I I_)': <br />l CALL (�1,^.51 2�7-DBBi FOR R[INSPE�:TIO�J �� 2�1 hnu; tollrc fequlfed <br />�f'�' 2r�a ° ` _ _- - -- - - <br />�s- �--- - - <br />_�- � x �� ���s��� <br />�. ��-� ��G� A -, -- <br />- - ��� �z �'r���s'�7�--- <br />- - S -- - - <br />Inspec�or. _ . <br />(l�i �'0 �'i. <br />-- - - lD <br />�-�--_ - _ <br />� UntAf'r 11 :t . <br />