PS - Passed.tifBUILDING INSPECTION REPORT
CITY OF,BLAIR ❑ WASHINGTON COUNTY ❑ OTHER
LOCATION OF INSPECTION:'' -
NAME OF OWNER: ( Ci 4 C 0 4 \ , =" t a p PHONE #:
s
PERSON REQUESTING INSPECTION: PHONE #:
1 PSET TIME
DATE INSPECTION REQUESTED: ' t TIME INSPECTION REQUESTED: MANYTIME
PROJECT DESCRIPTION: y�
P% d' a? S" :aid e -.;-r
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TYPE OF INSPECTION: ❑ 1ST INSPECTION ❑ RE -INSPECTION ❑ CONFERENCE T❑ STATUS CHECK
BUILDING: ❑ FOOTING ❑DECK FOOTING ❑ FRAMING ❑DRYWALL ❑ PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
UTILITIES: ❑ SEWER TAP ❑ SEWER
PERMIT NO.:
❑ SEPTIC ❑ WATER TAP ❑ WATER SERVICE ❑PARTIAL ❑ F1NAL PASSED FAILED
CONTRAu l I RECORDED: ❑ ❑
t0-
UCAL: ❑ ROUGH IN PERMANENT SERVICE TEMPORARY SERVICE ❑PRE -CONNECT ❑ PARTIAL ffFfNAL PASSED
> ) / 7 a'?L r s I (+_,-, J� E t ,. e-\ u a � .„s`; RECORDED:
NO, y � b .a �t� .� � a CONTRACTOR: �� � ,� � , � E � �, '��•- 5
MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ HEAT PUMP ❑FIREPLACE ❑ GEOTHERMAL ❑ RADIANT HEAT
❑ PARTIAL ❑ FINAL
PERMIT NO.: CONTRACTOR: RECORDED:
PLUMBING: ❑GROUNDWORK ❑ROUGHIN ❑PRESSURETEST ❑PARTIAL ❑FINAL
PERMIT NO.: CONTRACTOR: RECORDED:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL
NOTES/REMARKS: /N3V--j
WASHINGTON CO. INSPECTOR, Cl-WYkINTECT-OR OWOTHER:
DATE OF INSPECTION:��❑❑ TIME:
EMAILED TO OPPD OR BCPPD 0 DATE:
911 SIG7 ❑RETYU
DEPOSIT
1-01
PASSED FAILED
El
PASSED FAILED
❑ FORFEIT DEPOSIT
° ,,
INITIALS: