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r�y, <br /> I�ISPECTION REPORT <br /> � Date: � Permit: � l�f a� ' ,� <br /> �� <br /> 4''"' Contractor: <br /> Owner: <br /> Site Address: �7� � �"��,�� �� ��� <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 /> ❑Siab/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 ❑Gas Pipe Final ❑HWT Final <br /> OTHER OR CONSULTATION: <br /> ❑ APPROVAL [I Pn'2TIAL APPROVAL FINAL APPROVAL THIS PERMIT <br /> ❑ OK FOR T.C.O. �-- REQUESTED ❑ <br /> ❑ OK FOR C.O. IOLATI N <br /> ❑ UNABLE TO PERFOR <br /> r �(425)257-8881 FOR REINSPECTION-24 hour notice required <br /> ,��$r�� `� � /°J�v�7 /� �� �/o ,a�,�-,f.� <br /> ��� -t� �. 6/��' � <br /> , � <br /> , <br /> � -�� <br /> 6 <br /> � a. � �I�c���—� <br /> Inspector: � �� +�� Date: � � �� <br /> EIR(4/09) �_�/�Zt���FORMS&VROMOTIONS•425/4ttII-U900 <br />