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li' [. . . <br />.�. P� - I <br />�~ ����0-� <br />P����F���'^��Q'u� ������ h <br />Date: U� � � p�rmiL �"l � 3� I Q'-i � <br />Contractor: <br />Owner: <br />Site Address: �� 3 � V� �+ S E <br />TYPE OF IfJSPECTION REQUESTED <br />ELECTRICAL BUILDIIJG NiECHANICAL PLL'IVBING <br />❑ 7emp Service. ❑ UFER ground ❑ GroundwoddSlab ❑ Groundv✓odJSlao <br />❑ Gmundwork ❑ Footing ❑ Rough In ❑ Rou h In <br />❑ SIab/Conduit ❑ Founda!ion 9 <br />❑ Ceiling Grid ❑ Ceiling Grid <br />❑ Rough In �❑ Struclural Slab � OK to insuiate ❑ OK tn insulate <br />❑ Service ❑ Framing �� ❑ Rooftop Units ❑�Nater Service <br />❑ Grounding Q InsWalion ❑ ft4nchsnical Final ❑ Nledical Gas <br />❑�eiling Grid ❑ Drywall Nailing ❑ Piumbing Final <br />❑_lechical Final ❑ Shear Nailing GF�S PIPE <br />SITE WORK .❑ RooF Nailing ❑ Rouyh In/Service Hot 1�later TaNc <br />❑ Footing tlrains 0 Ceiling Grid ❑ Refri�cration [] Rough In <br />❑ RooF drains ❑ 8uilding Fin�l ❑�,as Piae F(na1 � i�UJS Final <br />OTHER OR CONSULTA'fION: ��g�� �, �`t l v,f/_ ��y <br />q AFPROVAL ❑ pqRTIALAPPROVl�L WIP!�1LkF2ROVR! TH18PErIPiff <br />❑ OK FOR T.C.O. ❑ C;pRRECTION P,cG1UESTED r� � <br />�� OK FOR C.O. ❑ VIOI.ATIOiJ L <br />❑ UNAE3LE TO PERFORN� INSPFC�IOIV: � <br />❑ CFl� !(42G) 257-880:� sQ�? Fq:6(v�$?r_CFEO(Q -2a, ho•er nofi:2 r2auired <br />�!-1 S��d Le•f�E� � <br />Inspector. _�� _ Dato: <br />