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�-: ._.. fldSPE�YION RER�F3T <br /> ,_: , - � <br /> � � <br /> �' —�; Date�� � _U�Permit �� ��T — �/ <br /> �, <br /> Contractor: <br /> S ti �i; --� <br /> ,�h���'� •�'�`�� Owner: �!'7rID✓G�� <br /> j� �� ) <br /> Stle Addre�s� �C��� � l�'C� !� � <br /> _ . __ _ ----- -- <br /> TYPE OF INSPi C��iO'J R[iIU��TED <br /> �-I CCTRICAL RUILDIfJG 1.1ECHAI�;ICl.L PLUI.161F;C� <br /> � I��mpScrvio� � �UFERaround ��urounvNorF;�Si�b �,]Groun.i�:. -- .. � <br /> � , ����und�vu�'._ � -�';�..>C�n9 L,P.cu�hln ❑Roughl� <br /> 'Slat�'ConU:..t ��indntion ❑Cellin�Gnd ❑Ceiling G�,t <br /> , ]Rouph In � ��vc;�ral SIa6 rJ OK to insuia�e [l,OK to insula��� <br /> ��S�:rvice ��, �.�.;ning ❑Rooflop Units ! 'i Water Scrv �� <br /> . �.�:�intiiny ���.�����iation ❑Mechanical Plnai 1-I hled'n:=.���. � <br /> ..:..�ng Ge� �J;�,;:.�II Nailiny J PIumL-�n ; ` . <br /> �icctricalrinal ❑ShcarNa�ling GASPIPE <br /> . �!. '.NORK ��Rool Nailinc� ❑Rough IniScrvice Flol Wah.�. � <br /> �. �ting dr.lin5 ❑C9ilinp 6rid ❑Refrir�e!alion �� �Roug�� <br /> '���„nl di�ains ❑Building Final [;Gas Pipe Fina� �';HWT F',��. ', <br /> �.:�1 Hi=R OR GONSUITATION: __ _ . .. _ . _. -_ _ . _ . - . - . . - <br /> .r PROVAL . ❑ PARTIAL APPROVAL FINAL APPROVAL THIS PERI.S.' <br /> , � OF FOR T.C.O. ❑ CORRECTION REOUESTED �" <br /> � �h:�-OR C.O. ❑ VIOLATION . , <br /> � UNA!iLC TO PERFORM INSPEC�IONt . _. . .. . __ ___—_.__ _ <br /> � �� Cal!. !�1_5�257-B�C1 FOR{;EIr�SPECTIOt;- .':hour no(icc requlred <br /> f',vSr'E� r NauNn,a r�c,� - - -- <br /> �?'Pf,'cr�'� �-�' :��= l�L�s � _ _ <br /> — , <br /> — -- - � <br /> -- --- ---- ---- --- � <br /> __ <br /> - ----- - - ------ -- -- <br /> . L� /.9 (] <br /> Ir�sper.toc �� ! _- _ . _. _. Date: /� .. � U Q._. _ <br />