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-� INSPECTION REPORT <br /> Date�li��'• Permit: �l`�'�/ —Q <br /> Contractor: <br /> Owner: <br /> Site Address:��LS�C�Q_,_'C� 7"�,�G <br /> TY�E OF INSPECTION RE�UESTEO <br /> ELECTNICAL BUILDING MECHANICAL PLUMBING <br /> ❑TempService ❑UfERground ❑Groundwork/Slab ❑GmundworWSlab <br /> ❑Groundwork ❑Footing ❑Rough In �Rough In <br /> ❑SlablConduit ❑Foundalion ❑Ceihng Grid ❑Ceiling Grid <br /> ❑Roug�In ❑Structural Slab ❑OK to insulate ❑OK to insulale <br /> ❑Service ❑Fremmg ❑Rooltop Unils ❑Waler Service <br /> ❑Grounding ❑Insutalion ❑Mechaniesl Final ❑Medical Gas <br /> �❑ iling Grid ❑Orywall Nading ❑Plumbing Final <br /> ectrical Final ❑Shear Naihng GAS PIPE <br /> (SITE WORK ❑Rool Nailing ❑flough In/Servite Ho�Wa�er Tank <br /> �Footing dreins ❑Ceil�ng Gnd ❑Relrigeretion ❑Rough in <br /> ❑Rool drains ❑Building Final ❑Gas Pipe Final ❑HWT Final <br /> OTHER OR CONSULTATION: <br /> APPROVAL ❑ PARTIALAPPROVAL FINALAPPROVALTHISPERMIT <br /> K FOR LC.O. ❑ CORRECTION REOUESTED ^�—�� <br /> ❑ OK POR C,O. ❑ VIOLATION j�� <br /> ❑ UNABLE TO PERFORM INSPECTION: _ / <br /> ❑ CALL(125)257•8881 FOR REINSPECTION-24 hour noNoe required <br /> �� _ ��� <br /> Inspector: Dete: � �_ <br /> EIR�10N61 DATA[�AR,INC. <br />