HomeMy WebLinkAboutINSPECTION TICKET - 05-00369 -3342 N Salem Hwy - Gas LineI
INSPECTION TICKET
U Bldg. ❑ Plumb. ❑ Elect. mech. ❑ F.
Inspection Request: Recd By
I - .0,
I Date
` � �
N 1.
Req. By s
lf!nmw�
f(D�7Z
Phone No. �o—
W-w Projccl Perini[ No.�SGo 0 3�6 w C 01, OWN --- nwh
( _
Address_
��t-I-2...
lnspec[ion Type n .
Day /Time Req. � �
InSpector's Report
IJ Res. U Comm,
�NS�FcrFo MS CONFORM To APPROVED DWGS F]Y CI N
INSPECTOR'S A
�, j WN
/APPROV'ED
4
0 C-0. (FINAL.)
ACTION REQUIRE[):
Signed
Rec't Acknowiedped
White - cffice Copy
F-FIR-CoC3
Air
D DISAPPROVED
EJ NOT APPLIC
ON/A
C� FINAL
❑DID NOT wspEcT
Inspector