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INSPECTION REPORT <br /> Date: Permit: '3(( a3 a6� <br /> Contractor: T- — �kOlex S <br /> Owner: i h <br /> Site Address: '30� 0..616 Av4z— STI 1C> <br /> TYPE OF INSPECTION REQUESTED <br /> ELECTRICAL BUILDING MECHANICAL PLUMBING <br /> ❑Temp Service ❑UFER ground ❑ Groundwork/Slab ❑Groundwork/Slab <br /> ❑Groundwork ❑Footing ❑Rough In ❑ Rough In <br /> ❑Slab/Conduit ❑Foundation ❑Ceiling Grid ❑Ceiling Grid <br /> ❑Rough In ❑S I Slab ❑OK to insulate ❑OK to insulate <br /> ❑Service raming ❑ Rooftop Units ❑Water Service <br /> ❑Grounding ❑ Mechanical Final ❑ Medical Gas <br /> ❑Ceiling Grid wall Nailing ❑ Plumbing Final <br /> ❑Electrical Final 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 ❑Gas Pipe Final ❑HWT Final <br /> OTHER OR CONSULTATION: -3-3 () <br /> ❑ APPROVALTIAL APP FINAL APPROVAL THIS PERMIT <br /> ❑ OK FOR T.C.O. ❑ CORRECTION REQUESTED ❑ <br /> ❑ OK FOR C.O. ❑ VIOLATION <br /> ❑ UNABLE TO PERFORM INSPECTION: <br /> ❑ CALL(4251257-8881FOR REINSPECTION-24 hour notice required <br /> �- m u <br /> D7� ,6'c. �i� �a v�✓7�i2 r-� ,dam <br /> .000000, <br /> Inspector �� Date: � <br /> EIR(4/09) aGSic naar_�eE FORMs PROMOTIONS 425/408 8400 <br />