HomeMy WebLinkAboutINSPECTION TICKETS - 07-00125 - Rexburg Medical Center - AdditionINSPECTION TICKET
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INSPECTION TICKET --
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INSPECTION TICKET
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INSPECTION TICKET
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INSPECTION TICKET
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INSPECTO ACTION
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0 C.O. (FINAL)
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ReCt
Wh#e - Nice Copy
F-FIR-CO03
EJ DISAPPROVED
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Ely U N ❑N/A
0 I7NAL
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Ki
INSPECTION TICKET
Plumb.��
Elect.
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Inspection Request: By CGiSb'l.e
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Req. By Loh iZt CKS
Phone No. 3� (1��
Projeci_P2j MPG(. CeY��—
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INSPFCTE
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INSPECTORS ACT[nm
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El C. 0, (FINAL)
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Signed
Rec't Acknowled
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whoe - otke COPY
F-FIR-CO03
0 DISAPPROVED
El NOT APPLICABLE
O ANAL
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n5pM101r,
fw,;pection
Req. BY
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Bldg.� Plumb. Q
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Request: Recd By,
'2VI �'1 Date 6 7�
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❑ C.Q (FINAL)
ACTION REQUIRED:
Signed
Recl Acknowledged
wt+te -Office Copy
F•FfR-0003
❑ DISAPPROVED
❑ NOT APPLICABLE
!3 ## 41111
❑
FINAL
❑ DID N07' INSPECT
Insmfor
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Inspection Request: Recd By L96 kl"L Date b Z �
By.
fn iK2III Phone No. 71 b - Zq 9 bReq.
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0 C.O. (FINAL) ❑NCM' APPLICABLE []DSD NOT INSPECT
ACTION REQUIRED:
ReCt Acknowledged
Wh4e - Ote Copy YeNow - Jbb Copy -
F-FIR-
Inpecir
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4
Bldg. ❑ Plumb. ❑ Elect., Mech. ❑ Fire
Inspection Request: Recd By
,., , B. Date 5/5/`0-X
Req, By
Project
Address
Inspection Typele�iL ,
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Phone Nor! F
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inspector's Report
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INSPEC7Ep ITEMS CONFORM 7n APPROVED D'WGS
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13C-0. (FINAL)
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F-FfR-CO03
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DISAPPROVED
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❑ FINAL
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Inspector
Bldg. IJ Plumb. CJ- Elect. a Mech. 0 Fite
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Req.,By
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Address
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day /Tzine Req.,
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j
Date
Phone No. `7 1
Permii No.
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❑ C.O. (FINAL)
AC710N REQUIRFD.
Signed`-%-
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W►►oe - Clfticc
F•FJA-CL7o3
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INSPECTOR'S ACTION
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El DISAPPROVED
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ACTION REQUIRED:
Signed
Recl Acknowledged
WtWe - Office Copy *N _ Job Ccoy I
FTFR--
Inspector
0
INSPECTION TICKET
Bldg. 13 plumb., a Elect. ❑ mech. ❑ Fre
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Address
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F-FIR-CO03
[I DISAPPROVED
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F-FIR-CO03
El DISAPPROVED
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441
Inspector
\' INSPECTION TICKET "1
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Bldg. ❑ Plumb. ❑ Elect. 0 Mech. 0 Fire
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fined
Rei. t Ack
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El DISAPPROVED
El NOT APPLICABLE
El FINAL
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lispector
INSPECTION TICKET �
Ll Plumb. ❑ Elect. ❑ Mech. ❑ Fire
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Req. By
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INSPECTOR'S ACTION
XAPPROVED
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a FINAL
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ACTION REQUIRED:
Signed
Recl now
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F-FIR-
F
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Bldg. ❑ Plumb. Ll Elect.
L) Mech. 0 Fire
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Req.
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El C.O. (FINAL)
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Rer,"(Ackn le'ged
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F-FfR-CO03
U.
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0 DID NOT INSPECT
Inspeetion
Req. By ri
6-M
Project—
Address
Inspection
INSPECTION TICKET
❑ Bldg* ❑ plumb. .k
Reyquest: Reed By
4Le-7, Ir1
Day /Time R
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Etxt. ❑ Mech. ❑ Fire
Date
Phone Nn.
Permil No.
fnsPe ctor's Report ❑ Res. Comm.
L
INSPECTED ITEMS CONFORM TO APPROVED DWGS
INSPEVTOR'S ACTION
H PPROV ED
Q C.O. (FINAL)
ACTION REQUIRED.:
DISAPPROVED
[] NOT APPLICABLE
BY El N
NIA
❑FINAL
Ll DID NOT INSPECT
Beet Acknowledged
F" - 19 r p -Mang I cow
Wm - Mice Copy *Row - Job GWY 5WW"W1
F-FIR-CO03
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INSPECTION TICKET ^�
Bldg. 0 Plumb. 11 Elect. Lk Mech. U Fire
Inspection Request:
Req. Sy7
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Address
Inspection
Day /Time Req.
Inspector's Report
Recd By, Date
A
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Phone No. 1) � �`- _
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INSPECTED ITEMS CONFORM T() APPROVED DWGS [JY 0 N 0 N/A
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[I C-0. (FINAL)
ACTION REQQIRED:
.4, -
EI DISAPPROVED
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FINAL
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Rec"t Acknowledged
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F-FIR-CO03
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Req. By
#'rujec I
Address
Inspection
,Bldg. ❑ Plumb. 0 Elect Mech. ❑ Fire
Request:
AP
tor's Report
Ree'd By
va te
Pefmit
INSPECTED ITEMS CONFORM 'lid APPROVED DWGS
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0 C.O. (FINAL)
ACTION REQUIRED:
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Rec't Ack.. owl dged
WtW9 Office 0
F-FIR-CO03
El DISAPPROVED
El NOT APPLICABLE
0 Y Ej N ❑N/A
El FINAL
0 DID NOT INSPECT
zi� T 3Wj --- 7.7- 7
nspector
11
INSPECTION TICKET
Bldg. ❑ Plumb. ❑ Elect. U Mech. 0 Fire
In.spection Request: Rec"d
Project
Address
Inspection
f� TO' r! r; ,
Permit
comm.
INSPECTED ITEMS CONFORM TD APPROVED OWGS EJY [] N [] N/A
INSPECTOR'S
tP�tOV
ACTION
Q C.O. (FINAL)
AcrroN REQUIRED:
Signe
4i
et c a left
P
Wme - e 1,
d- P ..: � -
DISAPPROVED
NOT APPLICABLE
*H -(Ya CM
❑ f1NAL
DID N07' INSPECT
Inspecior
Inspection
Reg. By
Project
Address
Inspection
/Time
INSPECTION TICKET -�
Li B Idg. U Plumb.
Elect. 0 Mech. 0 Fire
alevuest: Rec"d By Date
Ph, No.
Permit No.
Inspector's Report Ll Res. U comm.
INSPECTED ITEMS'CONFORM TO APPROVED DWGS E1Y Q N Ll N/A
IMSPEc R'S Ac~rIary
A PPRROV ED
Q
C.0, (FINAL)
ACTIONREQUIRED*-
Signe
� Rec't Acknowicdged
Whete - Mice Copy
F -FIR -0003
El
DISAPPROVED
❑ NOT APPLICABLE
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D DID N07' INSPECT
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-� INSPECTION TICKET .-�
Bldg. ❑ Plumb. ❑ Elcet. Mech. 0 Fire
1nSpection Request: ReCd By►
Req. By
Project
Address
q
IRSPech I on
Day /Time Req:
Inspector's Report
INSPECTED ITEMS CONFORM TO APPRO.-
INSPECTORIS ACTION
VAPPROVED
D co. (FINAL)
ACTION REQUIRED.--
Signed.
Rec at Acis
Wl*e -
F -,SIR
Date
Phone No.
Permit No.
Res. comm.
VED DWGS
DISAPPROVED
NOT APPLICABLE
Q&"
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D Y N El N/A
❑ nxaL
❑DID NOT INSPECT
Inspector
I
Inspection
MOMW
Req. BYE
Projeci
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❑
Bidg. ❑ Plumnb.'�Y
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Ut: Rec"d
Date
inspection
Day /Tim'
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INSPE
Phone No.
Permit No. J
CTED ITEMS CONFORM'lO gppROVF.D ply
*(()R',S ACTION
10 T1,07ma
❑ C.O, {FINAL}
ACTION REQUIRE[):
Signed f
Beet Acknowledged
Whoe Me Copy
F -FIR-,
EJ DISAPPROVED
EJ NOTA PPL ICABLE
Z
Comm.,
D FINAL
El 1)[1) N07' wspEcT
Inptclr
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INSPECTION TICKET -�
0" Bldg. ❑ plumb. LJ Elect. ❑ mech. ❑ Fire
Inspection Request:By 1
Date //j, r
Req. By-
;tiIG��i,.-1 � _.
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Permit No.. p � _ ���
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Res, Comm.
INSPECTED
INSPECT ITEMS CONFORM TO APPROVED DWGS
X S AC71'
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Signed 4A
Reit Acknowlicdged
WhOe - Office copy
F-FhR-0003
0" DISAPPROVED
El NOT A PPLICA BLE
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0 N D N/A
El FINAL
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INSPECTIpN TICKET
B ldg6 Q Plumb. a Elmt.
0 Mech. Q Fire
inspection Request: Recd By ,\
Req. By1c j� � �`�------Date
Phone No.
Project
Perini( No.
Address�
Inspection Type
Day /Time Req�C✓�
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1NsPFcTEo ITEMS eorrFvRM To aPPROvED vwcs
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0 C•4. (FINAL)
Al-71UN REQUIRED:
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Rec't Acki
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F-FlR•COa3
DIS'APPROVEp
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comm4b
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DID N07' INSPECT
t ir
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INSPECTIpN TICKET
Inspection Request: Rec'
RJIM eq. BY 7� V-)
Pruject-
Address
A
Inspectlot) Type
day /Time Req.
❑ Plumb. ❑ Elect. a Mech. ❑ Fire
W -muff- tic
Phone No.
Periar�t No.
L�—'
IrITC-etor's Repo Res. Comm.
INSPECTED ITEMS CONFORM TO APPROVFD DWGS
INSPECTOR'S ACTION
�APpROVED
13 C-0. (FINAL)
ACTION REQUIRED.,
Signed
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wl .Cifir-lecop
F' F (.
❑ DISAPPROVED
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0 Y E3 N Ej N.
EJ FINAL
❑ INI) M07' INSPECT
d � � Inspector
-� INSPECTION TICKET -
Bldg. ❑ Plumb. ❑ Elect,. a Mech.
In'Spection Request, Rectd By
-4 WN
Pro'
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Address
Inspection
day fFime Req.
Inspector's Report
s
one No.
Permit No.
� R es. � Comm.
/'
INSPECTED ITEMS CONFORM TO APPROVFD
INSPECTOR'S ACTION
't>GPPRpVED
Q c.o. (FINAL)
ACTION RFQ[1lRED:
I
DWGS
❑ DISAPPROVED
Cl NOT APPLICABLE
Ely DN Ej NIA
O
R- NAL
❑DID N07' ►NSPECI'
Signed
Rec't Ackn wrged I"specEorale - office opY0ow .
fi-f If#-GOQ3 �aPf+
P+r* - inSPNIN s i',aq,