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.. <br />INSPECTIOr: REPORT <br />T I / r ' <br />a Date: I ZS Permit. l�O' ^ D � <br />� Contractor: �_�1 ) � <br />Owner: <br />/_ !�'�' Q.11.- <br />Site Address: <br />7 Z�� Z N� c_ 1 aU-qal� fh�- <br />TYPE OF INSPECTION REOUESTED <br />eLECTRICAL BUILDING h1ECHANICAL � PLUMBING <br />❑ Temo Servicc ❑ UFER grountl �] GroundworWS!ab �� GrountlworMJS'ab <br />❑ Groundwork ❑ FooUng ❑ Roughln ❑ Roughln <br />❑ SIablCo�tlw1 ❑ Fountla��on ❑ Ceihng Gnd ❑ Ce�hng Gnd <br />❑ Rough In ❑ SlrucN��� Slab ❑ OK lo msulate ❑ OK lo �nsulate <br />❑ Service ❑ Fram�ng ❑ Rooflop Unds �ler Serv�ce <br />❑ Grountl�ng ❑ InsulaGon ❑ Mechanical Final ❑ � 1ed�cal Gas <br />❑ Cei'�ing Gnd ❑ Orywa�l Nading I� Plumhing Final <br />❑ Electrical Final ❑ Shear Na••ing GAS PIPE <br />SITE WORK (� Roof Na�hng ❑ Roug� INService Ho1 Waler Tank <br />❑ Fom�ng tlrains ❑ Ceiling Gnd ❑ RMrigerauon ❑ Rough in <br />❑ Roof drains ❑ Building Final ❑ G�s Pipc Final ❑ HWT Final <br />OTHER OR CONSULTATION �`���! "' � � <br />[] APPROVAI ❑ P�RTIAL APPROVAL FINAL APPROVAL THIS PERMIT <br />❑ OK POR TC C ❑ CORRECTION RE�UESTED � <br />❑ OK FOR C O. ❑ VIOLATION <br />�J UNA6L[ TO P[RFOR�d INSPECTION� <br />ri r n� i �e�si �S�.ABBt FOR REINSPECTION • 24 hour notice required <br />Inspector: <br />EiR �4i09) <br />_ Date: ���' <br />tiuucwlusc� �aua� w ��xn.,ovo.. . ,. � ,.x n.�, <br />