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771-0221
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ORIGINAL FILE YELLOW - INSPECTOR
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Dec 21 01 04:26P Nitrox Inc 425 741 2500 P.2
Ications - Analgesia Equipmelit
itrox medical Gases - Medical Gas Line Verif
... VETERINARY GAS LINE VERIFICATION ...
21 DECEMBER 2001
RRSITY MECHANICAL V,
CONTRACTOR: UN1VF
DATE AND TIME OF TESTING: 17 OCTOBER 2001 / 9:00 A.M.
21 DECEMBER 2001 / 3:00 P.M.
FACILITY: EDMONDS VETERINARY WESTGATE op,
21111 - 84th. Ave. W.
EDMONDS, WA
AREA(s): OXYGEN MANIFOLD, PIPING AND CEILING OUTLETS -
GENERAL FINDINGS:
A. MEDICAL OXYGEN IS IN COMPLIANCE WITH
NFPA 99 (1996 ed.) FOR "LEVEL 3 TYPE VETERINARY SYSTEM'-
B. NO CROSSED LINES WERE FOUND IN MEDICAL GAS IN TESTED
AREAS ON THE DAY OF TESTING.
C. MEDICAL OXYGEN MEETS OR EXCEEDS MINIMUM
CONCENTRATIONS.
D. VETERINARY GAS SYSTEM COMPONENTS IN AREA TESTED ARE IN
COMPLIANCE WTIB NFPA 99 (1996 ed.).
H. It4EDICAL GAS:
A. OXYGEN:
1, STATIC LINE PRESSURE: 55 PSIG.
2. OXYGEN CONCENTRATION: > 99.0
III. PARTICULATE LINE TEST: PASS. -
IV. ODOR:NONF
ILING
V. OUTLET BRAND: "AMICO" DISS CE
V1. ZONE VALVES- NONE — NOT REQUIRED
Pg I of 2
EDMVET10-17.01
2706 164th Street S.W.. Lynnwood, WA. 98037
1-2500
(425)741-8807 - 1-800-736-7047 - Fax: (425)74
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pn
Dec 21 01 04:26p Nitrox Inc 425 741 2500 p.3
jtjMX 117C. Medical Cases Medical Cos Line Verifications Analgesia Equipment
VII. ALARM BRAND: NONE —NOT REQUIRED
VIII. BRAZIER: PAUL SCHULER - MGOI SCHULPC OOOMS
-DVM
Ix. WITNESS: Dr ZACHARIA
X. COMMENTS:
A. NONE
X1. RECOMMENDED CORRECTIONS:
A. NONE
S 00gos
DO
TESTED BY: ERIC N. BURT
EVAN Me ALLISTER - CRTT, CMGV
PRESIDENT
Pg 2 of 2
EDMVET10-17.01
2706 164th Street S.W., Lynnwood, WA. 98037
(425)741-8807 - 1-800-736-7047 . Fax:(425)741-2500
LJ
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: pERMrr COORDINATOR, BUILDING DIVISION
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ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE—
PROJECTf,���"C
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PERFORMANCE BONDS and the granting of:
X/
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WiTH CONDITIONS NOTED
u Copy ofCONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy ofCORRECTION NOTICE given to owner/contractorby inspector
if
2.
MICRIAWFILM
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date_ Sign_
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RECORD OF I OrmICTIONS
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SETBACKS .....................
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Slab Insulation
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Gas Piping ..............
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Calling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
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WOAKMEN'S rOMPEN!=UPANCE AND RCW 827.
OFF LIR DATE
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(425)
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771-0220
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EXT 1333
ATTENTION
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771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
oRIGINAL-FILE YELL INSPE R
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