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� —v <br /> INSP��TIOtV 1t�P01�� <br /> u��a�-c�y5 <br /> Date:�����Permil: 1�3 '_�_�'f <br /> Contractor�t��, 1 �� <br /> Owner: - <br /> Site Address:����- ����_��,� � t � �! `� <br /> TYPE OF INSPECTION REQUESTED <br /> ELECTRICAL BUILDING MECHANICAL PLUMBING <br /> ❑Temp Service ❑UFER ground ❑ Groundwork/Slab ❑ Groundwork/Slab <br /> ❑Groundwork ❑Footing ❑ Rough In r I Rough In <br /> ❑Slab/Conduit ❑Foundation ❑Ceiling Grid eiling Grid <br /> ❑Rough In ❑Structural Slab ❑OK to insul��: IC to insulate <br /> ❑Service ❑Framing ❑ Rooftop Un � ''iater Service <br /> ❑Grounding ❑Insulation ❑ Mechanicai �dical Gas <br /> ❑Ceiling Grid ❑Drywall Nailing Pumbing Final <br /> �,Electrical Final ❑Shear Nailing GAS PIPE <br /> �ORK ❑Roof Nailing ❑Rough In/Service Hoi Water Tank <br /> � �� �'�:ains � �r��iiin��(3ricl I�� P.e(riqc�ration ❑ Rough In <br /> y i ,, i Gas 6'c�,�r�oial ❑HWT Findl <br /> � ���O NS U L TAT I i�-� _���J�'t, �-j'�-�1J�/ V� <br /> �Q �uOVAL �� VAL APPROVAL THIS PERMIT <br /> =ORT.C_O. � � l;Of;i;ECTIUN REQU�STEU � <br /> '=0R C.O. ❑ VIOLATION <br /> I ".[3LE TO PERFORM INSPECTION: <br /> 1�25)257-8881 FOR REINSPECT�ON -2�; required <br /> _- - _ <br /> - _ _ - <br /> _ <br /> ���c�.1��_�i ���� c��--- - -- <br /> ��� �����S -- ---- <br /> __ <br /> � � �, �_ _� <br /> ����,.�w�'�e� ��v�c;� <br /> _ _ - - -- <br /> ,�� �� � -/�-�� - <br />