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INSPECTION TICKET - 09-00029 - Madison Memorial Hospital - Fire Extinguisher System
INSPECTION TICKET ❑ Bldg. ❑ Plumb. ❑ Elect. ❑ Mech. ❑ Fire Inspection Request: Rec'dd By Date Req. ByPhone No. Project_ E1'1c t�sGr1 jl -i1.1� r1_ s t.Permit No. CG CUC)?9 Address Inspection Type Day /Time Req. apff r;0v� Inspector's Report ❑ Res. ❑ Comm. INSPECTED ITEMS CONFORM TO APPROVED DWGS INSPECTORACTION ROVED ❑ C.O. (FINAL) ACTION REQUIRED: ❑ DISAPPROVED ❑ NOT APPLICABLE ❑ Y ❑ N ❑ N/A ❑ FINAL ❑ DID NOT INSPECT ReCt Acknowh White - Otlice Copy F-FIR-CO03 Yellow • Job Copy Pink - Inspector's Copy