HomeMy WebLinkAboutINSPECTION TICKET - 08-00322 - Teton Radiology Madison - New BuildingINSPECTION TICKET
❑ Bldg. Plumb. ❑ Elect. ❑ Mech. ❑ Fire
Inspection Request Rec'd By Date + r�
Req. By -1 H Ppone No.
Projects R A+� G U Permit No. 0-32,2-
Address `� ( S E H N
Inspection Type PI1c k P j!
Day/Time Req. 3
Inspector's Report ❑ Res. omm.
INSPECTED ITEMS CONFORM TO APPROVED DWGS ❑ Y ❑ N ❑ N/A
INSPECT S ACTION
APPROVED ❑ DISAPPROVED ❑ FINAL
❑ C.O. (FINAL) ❑ NOT APPLICABLE
ACTION REQUIRED:
Signe?ftnowledged
Rec't
White - oYellow - Job Copy
❑ DID NOT INSPECT
Inspector
Pink - Inspector's Copy