1807_0001.tif43051.fdb PROFESSIONAL FORMS, INC. 1-800-537-0245
BUILDING INSPECTION REPORT
CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER
LOCATION OF INSPECTION -
NAME OF OWNER- CONTRACTO c,
I°
DATE INSPECTION REQUESTED. r f' TIME INSPECTION REQUESTED- PERMIT NO•
'.❑ CONFERENCE El STATUS CHECK
TYPE OF INSPECTION REQUESTED: a � r �Ia ,; Alt jbii/ I xa ; �� � � ' � � a ,h r "
BUILDING: ❑ FOOTING ❑ DECKFOOTING El ❑ DRYWALL ❑ FINAL ❑ PARTIAL
PASSED FAILED
❑°
COMMENTS:
UTILITIES: ❑ SEWERTAP ❑ SEWER ❑ SEPTIC ❑ WATERTAP ❑ REMOTE ❑WATERSERVICE
PASSED FAILED
❑ PARTIAL
❑ ❑
COMMENTS:
ELECTRICAL: ,❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
PASSED FAILED
❑ PARTIAL
❑ ❑
COMMENTS:
MECHANICAL: ❑ ROUGH IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ iPARTIAL
PASSED FAILED
❑ ❑:
COMMENTS:
PLUMBING: ❑ GROUNDWORK ❑ ROUGH —IN ❑ FINAL ❑ WATERMETERINSTALLED ❑ PARTIAL
PASSED FAILED
❑ PRESSURE TEST
❑ ❑
COMMENTS:
Fj OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
1 ,
NOTES/REMARKS ,
I g
S,` ", # ..Y f
INSPECTOR i DATE OF INSPECTION MADE:
I
FAXED OPPDIBURT REA TO CONNECT SERVICE:. ON BY