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INSPECTION REPORT <br /> Date: Permit: <br /> Contractor: Uj kt/Y <br /> Owner: V -Q� C ' � <br /> Site Address: <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 ❑Structural Slab ❑ OK to insulate ❑OK to insulate <br /> ❑Service raming ❑ Rooftop Units ❑Water Service <br /> ❑Grounding AC'nsulation ❑ 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 /> OTR CONSULTATION: <br /> PPROVAL ❑ PARTIAL APPROVAL FINAL APPROVAL THIS PERMIT <br /> ❑ OK FOR T.C.O. ❑ CORRECTION REQUESTED <br /> F-1OKFOR C.O. VIOLATION <br /> ❑ UNABLE TO PERFORM INSPECTION: <br /> ❑ CALL(425)257-8881 FOR REINSPECTION-24 hour notice required <br /> y <br /> Inspector: � i Date: / <br /> EIR(4/09) FORMS S PROMOTIONS 42i/408-8900 <br />