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INSPECTION REPORT <br /> Date:_ v� Permit: OJ 11.Ic D2-, <br /> Contractor: <br /> Owner: <br /> Site Address: ' I122- <br /> TYPE <br /> 22TYPE 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 ❑Structural Slab ❑ OK to insulate ❑OK to insulate <br /> ❑Service ❑F;Wning ❑ 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 ❑Gas Pipe Final ❑HWT Final <br /> OT ER OR CONSULTATION: <br /> PPROVAL ❑ PARTIAL APPROVAL FINAL APPROVAL THIS PERMIT <br /> ❑ FOR T.C.O. ❑ CORRECTION REQUESTED <br /> F] OKFOR C.O. VIOLATION <br /> ❑ UNABLE TO PERFORM INSPECTION: <br /> ❑ CALL(425)257-8881 FOR REINSPECTION-24 hour notice required <br /> Inspector: Date: <br /> ElR(4/09) )C�FORMS&PROMOTIONS 421/488-8980 <br />