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Home My WebLink AboutINSPECTION TICKETS - 06-00184 - Madison Memorial Hospital - Addition:INSPECTION TICKET Bldg. ❑ plumb. ❑ Elect. a Mech. Inspection Request: Recd By Da Req. B Y �[IMIC ,[N(i. Project 'A ns,p Address, inspection Type ts� day /Time Req_ Inspedor's Report I -W ' "M�� Fired Permit No. fp — ILa---q J Res. comm. INSPECTED ITEMS CONFORM TO APPROVED DWG INSPECTOR'S ACTION APPROVED .JC -0. (FINAL) ACTION HQUIRED.- ane enow I Wh- l e - Off, Cop F -FIR- D DISAPPROVED NOT 9 LE Yejio -Job copy 13Y 17J E]FINAL O DNOT INSPECT Inspector PiAh - Inspecf0tos Copy I ME INSPECTION TICK -ET Inspection Request Recd By a Req. By C� Proj ec t ..... ..... Address `f Sp,& E r'✓1 ct c.� c�- Inspection Type -J�L6, DaylT�m e Req,, ba Lj Elect.[a Mech. Fire �LLThGi Inspector9sReport des. Date 3 Phone No. 3 3 ,—j Permit No. Tl&rr-vW-..-Wft -� "•''rhUT!;D ITEMS CONFORM TO AP pROVEDWGSD INSPF.CT"ID'yS ACTION MoAffROVED 1:1 DISAPPROVED El C.O. (FINAL) El NOT AlDxn- ACTION REQUIRED; Signed Rec9t j cknOwledged nit�, office Cope re' J O - JlDb Copy El F,H0 aL DID NOT INSPECT Inspector Pink - ln$p ecj0T S irfmu 4 INSPECTION TICKET Ca Bldg. ❑ Plumb. ❑ Elect. ❑ Mech. ❑ Fire Inspection Request: Recd By Date Req. By Phone No. Project Permit No. r, Address InspectionPeTyc' Day /Time Req. b_ InSPector's Report U des. comm, I W I r% W.a-- .-- - j�r�rtt.1 �iJ ITEMS CONFORM TO APPROVED DWGS INSPECTOR 'S ACTION F J ❑ C_0. (FINAL) ACTION REQUIRED: IS i g nt: ReCt Acknowledeed While • Office Copy F- F (ii* OID3 Yellow - Job copy - - - - - L.- &.0" 13 N El N/A El FINAL ❑ DID NOT INSPECT f-Ir11%. - InPCr 'gyp Ilr -ANSPEC3'ION TICKET Plumb. Electle � Mech. Ll Fire Inspection Req ues t Ree'd By Date Project Address Inspeetion Tvue Phone No, Permit,No. Inspector's Report Res4,, Comm. 4. 0( INSPECTED I'T'EMS CONFORM '�C3.A►p APPROVED DWGS 0Y E] N L7 NIA �NSFECTaR'S ACTION APPROVED ❑ C.O. (FINAL) ACTION REQUIRED: Signed Rechkn c White - ofre COPS" 0 DISAPPROVED 0 NOT APPLICABLE D FIIITAL, 13 SID NO INSPECT Inspector Pink - Inspectors C cP INSPECTION TICKET ---. ❑ Bldg. Plumb. ❑ Elect. mech. 0 Fire lnspection Request,-, Rcc'd By Date 11 - Req. By Prujed_ Address Inspection Type Day fFime Req, a- Phone Na. Perinit No. (0 � � S Rt Inspector's Report Res. CQrram. �7 1k 1K -woo jo INSPECTED ITEMS CONFORM TO APPROVED DWGS 11Y D N D N/A .INSPECTOR"S ACTION ;IAPPROVED El C.0, (FINAL) ACTION REQUIRED:.,.. Signed'$:,. 7_� Rec't Ackowfcdged Wh#e - (Aw �F-FIR-CO03 DISAPPROVED NOT APPLICAB L1. El FINAL El DI'D NOT INSPECT flspmlor 4 Inspect Req, B Projecl ` INSPECTION TICKET T B Id".& Plumb. Elect. Mech. Fife Address inspection Type day /Time Req. Inspector's Report U Res. V Date W'MMM- ____ INSPECTED ITEMS CONFORM TO APPROVED DWGS []Y D N El N/A INSPECTOR'S AcTrory 7w•� El C.O. (FINAL) ACTION REQUIRED: Signe ReCt. Ackna fed [� DISAPPROVED (] NOT APPLICABLE El F1 NA L El DID NOT INSPECT Inspector While �Ott-Fee C4 Yellow - Jo Pink - Inspector's Copy F -FIR -0. s I Bldg. 0 Plumb. ❑ Elect. ❑ Mech. 13 Fire Inspection Ranuest: Rec'dj$y P1 l tJ r Rei- BY Project^ 9 Date f Phone No. Permit N. Address _ � �G cc, LK Inspection Type Day /Time Req. Inspector's Report *21 Comm. dir INSPECTED ITEMS CONFORM TO APPROVED DWGS DY Q N ❑ N/A i KSPECTOR'S APPRQVi .ACTION Q DISAPPROVED El F[NAI. 0 C_(l. (FINAL) (] NOT APPLCCABLE [:J DID NOT INSPECT ' ACTION REQUIRED: Signed - Inspector Rei t.I ged i - ,ice p CI 'F opy fr r nspector"s Copy F -HR C00 4 ❑ Bldg- ❑ Plumb. ❑ Elect. Mech. ❑ Fire Inspection Request Recd ByDate ZC///'e0 J---4 --ir-li �— Req. By ME@, Project_ Address w - jnspection 7`yPe Day /Time Req. Inspector's Report U Res. C -L ih4ne ND. Permit No,, ` l� 3 INSPECTED ITEMS CONFORM TO APPROVED DWGS DY Cj N Ej N/A INSPECTOR'S ACTION r--flAPPROVED LJ C.O. (FINAL) ACTION REQUIRED. signed ReCt 'Wh#e - - FIX -FIX ❑DISAPPROVED El NOT APPLICABLE El FINAL ❑DID NOT INSPECT Inspcctof � INSPECTION TICKE;1 Bldg. Ll Plumb.. d Elect. 0 Mech. ❑ Fire Inspeclion Reauesv, Rer"d Flu Req. B Projoeci Address 4 Inspection Type � Date ! �LIZ++)Z%w Phone No., '�� (.f77]� Permit No. inspector's Report Res. __ ( Comm. 12, INSPECTED ITEMS CONFORM T4 APPROVED DVNGS INSPECT'QR'S ACTION �4APRQVED 0 C. 0, (FINAL) acrroN REQUIRED.- Signed � Rec't Acknow While • Office COp F-FdR-0003 lio DISAPPROVED ,-TAPPLICABLE D y ❑N ONIA ❑ FINAL O DID NOT INSPECT Inspector Pink - Inecf rCopy f � INSPECTION TICKE; Bldg. ❑ Plumb. ❑ Elect. LJ Mech. ❑ Fire Ins ,Pection Request: R Req. By Project Address Ins ,on Tvpey Day /Time R 0, ec'd By Y - W, nate Phone No. PdO 103--) Permit No.. J).�l •rl..-. Inspector's Report � Rei, I W Comm. I INSPECTED ITEMS - CONFORM Ttl APP'ROVcD UWk;S INSPECTOR ACTION APPROVED Q C.O. (FINAL) ACTION R UIRED: 7 While * ice Copy F- [R -Cook DISAPPROVED &-% v ONu 41 1 - A CABLJ Q Y N E3 IJ FINAL EJ DID NOT INSPECT Yellow Job COPY Pink InSPeclor's Cop INSPECTION TICKE'T-' —� Bldg. D Plumb. 0 Elect,. Q Mech. 0 Fire Inspection Request: Recd B Y Req. B Y��.i..�i.�. Project Address Inspect*on Ty Day /Time Req. —i Inspe�t�r's Report CommW-�� W_� INS r -Date Ph-oneNo.4.o� Permit No. PEcTEo rrERs CONFORM TO APpRovDw�s INSPECTOR'S ACTY{3N .A PPROVEQ ❑ C-0. (FiNAL) ACTION REQUIRED.: Signed Reit Ackn While Office I C7 D APPRQV�D NOT APPLICARI.E L_JY D N El N/A El FINAL El DID NpT INSPECT Inspector Fink - Inspectors COPY r N91) ECTION TICKET Inspection Req. B y � Project —� Address Inspection iTime 0 Plumb. 0 Elect. 0 Mech. o Fife equest: Recd By .Date Phorte No.. Permit No. Inspector"s Report 1:1 Fees. Af comm. 0 INSPECTED ITEMS CONFORM TO APPROVED DWGS I N IS P " S ACTION APPROVED E r l C.0, (FINALI ACTION REQUIRED.- Signe EQUIRED: Signe e't While - F -FIR -03 d DISAPPROVED [I NOT APPLICABLE dff $J siV Q FINAL Ej DID NOT INSPECT Inspector In sp ectot "s Copy I 4 14 ^, INSPECTION TICKETa.., i Bldg• O Plumb. 0 Elect. ❑ Mech.Firel inspection F;,equesf."RecdBy Date 1,510 Req. By -04 in - - a .1 ff Address Inspection Day /Time Req. Inspector's Report : !) .ftm- im Phone No. Permit No. LJ Res. comm -0 NEW L�L 1NSPECTEq ITEMS CONFORM TO APPROVED OWGS INSPECTORS ACTION XPPROVED I,J�r� 1 ❑ DISAPPROVED � C.Q. (FINAL) ACTION REqY1RH.- �t r:- Signed Rec -t now f White - Office Copy F-FiR-0003 EJ NvTApPLIeAsLE O FINAL IJ DID NOT INSPECT Inspector Vink - Inspecf0f's COPY INSPECTION TICKET Inspeciivn Request: Rec'd Rry Req., B Project Plumb. Ll Elect. d mech. 0 Fire Address � ,,�� "° - Inspectl'on Type — - ate � � � t �.` Phone N. a, _ t Permit N. /funs . Inspector"s Report L) Res. Comm. L...) /, INSPECTED ITEMS CONFORM TO APPROVE -1) DWGS INSPECTOR %S ACTION kPPROVED 11 C.O. (FINAL) ACTION REQUIRED: Signe 0 DISAPPROVED El NOTAPPLICABLE Rec * t Acknoic ed Whirs - Office C' FT(R-0003 t! Yellow . J0 D y 11 1 N El N/A Q RNAL Q DID NOT INSPFCT lhspectof Pink - inspector's Copy i Inspection Req. By ~� , Project Address Inspection Type Day /Time Req. Bldg. ❑ Plumb. ❑ Elect. ❑ Medi. ❑ Fire Request: Recd By �_ Date0, � � ��n ]nSPf!c1or"s Report 0� A - --,MMMMMMMMNrftMEft0--A*w� �1 RAS. Phone No. Permit No. I� INSPECTED STEMS CONFORM TO APPROVED DWGS 0Y 0� N/A INSPECTC�i�'S ACTION PPRQwED ❑ DISAPPROVED Q FINAL _0. (FINAL) 0 NOT APPGICABLE D DID NOT INSPECT ACTIONREQUIRED_ Signed el c .t now, edge 11ce oWhile - F -FI - O03 Yeflow , Job Copy Pink - ins ec r ._,_Inspecwr 0 I ^' INSPECTION TICKET '1 wwmm Bldg. ❑ Plumb. ❑ Elect. 0 Mech. ire Inspection Request: Rev'd By Req_ B Project Address Inspection Type day /Time Req. Inspector"s Report ❑ Res. ` 41 Phage No. Pe rmi t No, ew-L4 I Com INSPECTED ITEMS CONFORM TO APPROVED D--W'GS.' 1NSPECTQWS ACTION APPROVED 0 C.O. (FINAL) AC7"tC3N REQUIRED: Signed ReCT Actin while - Office F -FIR -O0 [l DISAPPROVED ❑ NOT APPLICABLE [� FINAL �] DID NOT INSPECT Inspector Pink - Inspector's Copy INSPECTION TTCKET47N Bldg- ❑ Plumb. ❑ Elect. d Mech. ❑ Fire Project Address Inspection /Time Inspector's Rep -ort i�� Permit R Comm. INSPECTED ITEMS CONFORM TO APPROVED DWGS COY EJ— N INSPECTOR'S ACTION ).(APPROVED 0 C.O. (FINAL) DISAPPROVED NOT APPLICABLE [D� N/A U FINAL ❑DID NOT INSPECT ACTION REQUIRED., - -- -------- 4 ------ Signe While F-F(R-CO03 Inspa or,,s Inspector WOW INSPECTION TICKET ❑ Plumb. ❑ Elect. a Mech. LJ_' Fire Inspection Request. Recd By Date Req' By Phone Na. Project � j-4 Permit No. Address Inspection Type Day /Time Req. J 111spector"s Report Rei. Comm. 0 INSPECTED ITF?vfS CONFORM TO APPRC3VED DWGS Ely D N INSPECTOR 's ACTION � APPROVED Q C.0. FINAL) ACTION REQUIRED: Signe Rini no While ill - Office Co F -FIR- 03 bfSROVE.7 NOT APPLICABLE Yellow - job Q FINAL DID NOT INSPECT Pink - InsPec r`s Cop actor INSPECTION TICKET Bldg. ❑ Plumb. ❑ Elect. ❑ Mech. ❑ Fire Inspection Request: Recd By Date f I — (e Req. By Project,,-. Address Inspecilon Type � Day /Time Req. 4 0 41 Phone No. u. LU* Permi(Noi, -- j I k) Inspector"s Report -L) des. I� S1 - r rNsPFcrEo ITEMS CONFORM TO APPROVED DWGS 1AiSPECTOR'S ACT��3N APPROVED LJ G. (FINAL) ACTION REQUIRED: � Signed Beet Ackn While - Office cop F -FSR -003 Wr DISAPPROVED NOT A PPLICABLE /i EJ y 11 N 0 NIA ( I FINAL EJ DSD NST INSPECT Inspeclor 1 I q INSPECTION TICKET Bldg. ❑ Plumb. ❑ Elect, a Mech. ❑ Fire inspection Reques Req- By Project Address Inspection Type Day /Time Rey. t: Recd By Dade Pane Wo. Permit Iia. , =y / I clog's Report A N WSPECTLt; f. I CIF 41 c4; art D ITEMS CONFORM TO APPROVED'DWGS '01MU I UK 'S AC-Tlnhr APPROVED IJ C.Q. {,SINAL) ACTION REQUIRED - 9 Signed Rec"t Ac wledged wledged White , Office Copy F -FIR -0003 D I SA PPRO V E D _ NOT A PL ICA LE 0 4F UY oN Ir f_7 FINAL EJ DID NOT INSPECT md III I L (Oki A q Res. Inspector LTi Sp@a Req. By Project Address INSPECTION TICKET ❑ Plumb. bbO LJ.Elect, Li Mech. ❑ Fire V� Noa Inspection �pe Day/Time Req, _ IJUSPCetor's Repart LJ Res. 6 r ■,v,rEcrEDITEMS CONFORMTOAPPROVE DDWGS py INSPECTOR'S ACTION 0 APPROVED D DISAPPROVED El C.O. (FINgL) O NOT APPLICABLE ACTION REQUIRED: Signed Beet Acknowledged White 4 office ,)PY el l o - ja copy El N ❑ N/A C1 FINAL E:1 DID NOT INSPECT I pector Pink - Iisp lor' Ccs-nv '. INSPECTION TICKET Bidge ':@ Plumb's Inspection Request Recd By..._ Req. By�ivl. Project�- Add ress ❑ Elect. ❑ Mech. (3 Fire ate PhoneNo. Permit Na. Inspection fiype � Day/Time Req, � Inspector's Report Ll Res. D INSPECTED ITEMS CONFORM TO APPROVED DWGS Ely ❑ INSPECTOR'S ACTION 11 APPROVED ❑ C.O. (FINAL) ACTION REQUIRED; Signed Rec't c fed ged White (�-Op El DISAPPROVED El NO LICABLIE Yellow - job COPY El FINAL O DID NOT INSPECT Inspector NPSECTION T '..'KET Plumb. Inspection Request Recd By Req. B3' Ll Elect,@ Mech. � Fire 3 4 + MEW .Inspect F Report - s. Date Phone No. a Permit No. Comm. INSPECTEiD ITEMS CONFORM TO APPROVED DWGS y IJ N INSPECTOR'S ACTION U APPROVED El C.O. (FINAL.) ACTIoNREQUIRED: Signed Baca AcknOwledged copy d DISAPPROVED D NOT APPLICgBLE EJ N/A C] FINAL El DID NOT INSPECT Inspector Pli n k a NsPector- Copy INSPECTION TICKET Inspection Request. Req. By r Project Address �7 1 'RsPect"On Type ,DaY/TiMe M Inspector's ReportRes* # dL E3 APPROVED 0 C.O. (FINAL) ACTION REQUIRED: Signed Rec 'It AcknOwled While, - Office copy Li Elect, ❑ Mech. ❑Fire, n Date —4q— 411� Phone No, 3 ' (� (j� Permit No. Ok� a 1)'SAPPROVED NOT Au -n ICABLIE 0 FINA 13 DID NOT ISSPECT Inspector Mflk - 1115POUO-r's Coniv I INSPECTION T GCKE Plumbe I 'f1SPe-Ct*0n Request Rec'd By I J Req, By tQ14 I Project ❑Elect. [ I Address Inspection Type /Time Req, -.,— Ins ecto P r S epo Res. V'&,r e� -w% -w, --- 1 -- Fire Date C- //3 / C Phone No. _� �,2'� Permit No. � � 1� `� qn. 1 f,'N 3rL1UTED ITEMS CONFORM Tp,4ppROVELI INSPECTOR'S ACTION DWGS 0Y d N � NSA 13 APPROVED C1 C.O. (FINAL) ACTION REQUIRED: Signed ReCr, t AcknOwledged White - QFFce Copy 0 DISAPPROVED El NO APPLICA13LE YeNOW - J.C)b Copy ri - w-.4FINAL 0 DID NOT INSPECT IMPector A n k - 1nSDez%tnr'4z FI n INSPECTION TICKET � 131dg- 0 Plumb. Q Elect.. Meth. ❑ Fire Inspection Reffu quest Recd By Date -7 Req. By— -- Project Inspection Type day ITime, Rep. Phone No Permit No. InsPector's Report LJ �y Res. S� comm -, INSPECTED ITEMS CON FORM TO APPROVEJ) DWGS INSPECTOR'S ACTION APPROVED C.J. {FINAL} ACT[ON REQUIRED: Signed ReCt Acknowl 'While - 1ce COPY DlaiiPPROVED it NOT APPLICABLE Yi Raw . job. I• ❑ HNAL, IJ DID NOT INSPECT 111seclr virtu - inpeciB Copy .NSPECTION TICKET Plumbill Inspection Request Recd By ❑ Elect. ❑ 1blech. ZI FIM ProjectPhone Not Perm "t No. y Address Inspection Tye111 jv!jl��r pB�� Ilmspector"s Report �] Rasa e � r iJvarELTED ITEMS CONFORM TO APpROVED DWGS []y INSPECTOR'S ACTION ❑ N ❑ N/A APPROVED El DISAPPROVED El C.O. (FINAL) ❑ NOT APPLICABLE El ACTION REQUIRED: DID NOT INSPECT Ree"t ,.n edged 'white or,.e Cop. ei l o - Job C'0PY Inspector Pink - linspector's Copy