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� INSPECTION REPORT � <br /> Date:,(�'�'�� Permit: � /OD3 ' D�� � <br /> Contractor: <br /> P� Owner:— L'�/°'�-"�"-^'�' <br /> SiteAddress: �03� /1DC,C1Pr,2�i�or"' <br /> TYP[OF INSPECTION RE�UESTED <br /> ELECTRICAL BUILDING MECHANICAL PIUMBING <br /> ❑Temp Service ❑UFER ground ❑Groundwork/Slab ❑Groundwork/Slab <br /> ❑Groundwork ❑Fooling ❑Rough In ❑Rough In <br /> ❑SIablConduil ❑Foundation ❑Ceiling Grid ❑Ceiling Grid <br /> ❑Rough In ❑Slmr.tural Slab� ❑OK to insulate ❑OK to insulale <br /> [-]Service �}�Pfaming � ❑Rooltop Unils ❑Waier Service <br /> �_]Grounding ;yi�MSulation ❑Mechanical Flnal ❑Medical Gas <br /> ❑Ceiling Grid ❑Drywall Nailing ❑Plumbing Final <br /> ❑Electrical Final ❑Shcar Nailing GAS PIPE <br /> SITE WORK ❑Roof Nailing ❑Rough INServi;,e Hol Water Tank <br /> ❑Footing drains ❑Ceiling Grid ❑Relrigeralian ❑ Rough In <br /> ❑Roof drains �Building Final ❑Gas Pipe Rnal ❑HWT Final <br /> OTHER OR CONSULTATION: <br /> L� PROVAL ❑ PAn?IALAPPROVAL FINALAPPROVALTHISPERMIT <br /> ❑ OK FOR TC.O. ❑ CORRECTION REQUESTED ❑ <br /> ❑ OK FOR C.O. O VIOLATION <br /> ❑ UNABLE TO PERFORM INSPECTION�. <br /> ❑ CALL(425)257-8881 FOR REINSPECTION•24 hour noqcc reqWred <br /> /U.f�'�pi �r�,�j,, ; n�l� �AYt,/LEa�l;n� '—�'/�v�r <br /> � J <br /> y <br /> ��d— � <br /> �"/"1✓�l �'�f�✓'� — <br /> QD LU ED: � � LETE <br /> �f��Y�sG <br /> /'�.�. �v�- ��/� <br /> Inspector:� / • Date: <br /> EIR 14/09) Y�-wi^a.sx rpsu A nowuncN+s•�+slusa.r <br />