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INSPECTION REPORT � <br /> Date v 1 I �/ _ Permit� 1�0� _ v�� <br /> Contractor �l W � �����/1� <br /> Owner. ��W1 <br /> Site Address: 1(�O� ___,I_O� 1 . ` V� �� <br /> TYPE OFINSPECTION REOUESTED <br /> ELECTRICAL BUILDING MECHANICAL PWMBING <br /> �7empService ❑UFERground ❑Groundwork/Slab �G1yAndworN/Sleb <br /> �Groundwork �Footing �Rough In �augh In <br /> ❑Sla�/ConAuil ❑Fountletion ❑Ceiling Grid ❑Ceihng Gnd <br /> ❑Rough in �SlrucWral Slab ❑OK�o insulale ❑O to msu�aie <br /> ❑Semce ❑Fram�ng ❑Roottop Unds ❑ ier SeMce <br /> ❑Groundmg ❑Insulalion ❑Mechanicel Finel ❑ ed�cal Gas <br /> ❑Ce�ling Gnd ❑Drywali Nail�ng Plumbing Flnel <br /> ❑Eleclrlcel Final ❑Shenr Naifinq GAS PIPE <br /> SITE WORH ❑Rool NaJing ❑Rough IniServ�ce Hot Waler Tank <br /> ❑Fool�ng drams �Ceil�ng Gnd ❑Re�r�yera6on ❑Rougn in <br /> []Rool drnins ❑Building Final ❑6ac Pipe Flnal �HW1 Final <br /> OTHEF OR CONSULTATION _,_ ___ ____.. __. ._ _ <br /> ❑ APPROVAL ❑ PAfiT1AL APPROVAL FINAL APPROVAL THIS PERMIT <br /> ❑ OK F0�TC O Q CONRECTiON PEOUESTED --� <br /> ❑ OK FOR CA. ❑ VIOLATION <br /> ❑ UNABLF TO PEFFOPM{NSFGC7�ON ._ <br /> ❑ CALL(4P5�P57•B8B1 FOR PEINSPECTION-24 hour nolioe�equlred <br /> - �-�5- . --� - <br /> _ �����--� <br /> q� ^ <br /> Inspector: Dete: ` � � _ <br /> E�P I��1 �iRO�R.iNC <br />