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V. INSPECTION REPORT <br /> Date: c 30 Permit: Cw t 0 0 Z- 00G) <br /> Contractor: <br /> Owner: <br /> Site Address: Z.QQ ' E vc ten Av c_ <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 ❑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 0' ON A--' Cp'DE EJ4g0 MoliavIT CAS <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL FINAL APPROVAL THIS PERMIT <br /> ❑ OK FOR T.C.O. ❑ C�R'F�ECTION REQUESTED <br /> ❑ OK FOR C.O. El <br /> IDEATION <br /> ❑ UNABLE TO PERFORM INSPECTION: <br /> ❑ CALL(425)257-8881 FOR REINSPECTION-24 hour notice required <br /> V dJa_AvO•\) S't'2•_1c-Tu ::17.?h/1( 4 in,1..1 <br /> SEE ATI ACS E —r A< < TO Col'E <br /> cotes roF wuc inr c .SE CE I( -o59CP <br /> Insp• tor: Date: C 0 -/t <br /> EIR(4/09) XS/GL/AreikC�FORMS&PROMOTIONS•425/488-0900 <br />