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INSPECTION REPORT <br /> Date: Permit <br /> O G Contractor: <br /> Owner: <br /> Site Address: <br /> TYPE OF INSPECTION REQUESTED <br /> ELECTRICAL BUILDING MECHANICAL PLUMBING <br /> ❑Temp Service ❑LIFER ground ❑Groundwork/Slab ❑ Groundwork/Slab <br /> ❑Groundwork ❑Footing ❑ Rough In SRough In <br /> ❑Slab/Conduit ❑Foundation ❑Ceiling Grid ❑ Ceiling Grid <br /> ❑Rough In ❑Structural Slab ❑OK to insulate ❑ OK to insulate <br /> ❑Service ❑Framing ❑ Rooftop Units ❑Water Service <br /> ❑Grounding ❑Insulation ❑ Mechanical Final ❑ Medical Gas <br /> ❑Ceiling Grid ❑Drywall Nailing ❑ Plumbing Final <br /> ❑Electrical Final ❑Shear Nailing GAS PIPE <br /> SITE WORK ❑Roof Nailing ❑Rough In/Service Hot Water Tank <br /> ❑Footing drains ❑Ceiling Grid ❑Refrigeration ❑ Rough In <br /> ❑Roof drains ❑Building Final <br /> //❑Gas Pipe Final ❑HW/TFinal <br /> OTHER OR CONSULTATION: 2.n Cl 7P ` v <br /> PRO <br /> VAL ❑ PARTIAL APPROVAL FINAL APPROVAL THIS PERMIT <br /> OK OK FOR T.C.O. ❑ CORRECTION REQUESTED <br /> F-1❑ FOR C.O. ❑ VIOLATION <br /> ❑ UNABLE TO PERFORM INSPECTION: <br /> ❑ CALL(425)257-8881 FOR REINSPECTION-24 hour notice required <br /> of <br /> L <br /> 514&/711 <br /> d <br /> 13 L <br /> Inspector: _ Date: _ <br /> EIR(4/09) �[j/C NQT-72E FORMS&PROMOTIONS 425/488-8900 <br />