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43051.fdb PROFESSIONAL FORMS, INC. 1-800-537-0245
BUILDING INSPECTION REP(
CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE
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LOCATION OF INSPECTION• es
NAME OF OWNER CONTRACTOR- 14,91
DATEdNSPECTION REQUESTED TIME INSPECTITq Ep'
TYPE OF INSPECTION REQUESTED: '� 1 ❑ co
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑' FINAL I ❑
COMMENTS:
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WA
El PARTIAL
COMMENTS:
ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE E] TEMPORARY SERVICE ❑
Fj PARTIAL
COMMENTS:
MECHANICAL: ❑ ROUGH -IN ElA/C ❑ FURNACE ❑ RADIANT HEAT ❑FINAL El PAR
COMMENTS:
PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATERMETERINSTALLED C
❑ PRESSURE TEST
COMMENTS:
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ED ❑ CONDITIONAL {� CUPAN�CY GRANTtg S
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INSPECTOR DATE OF INSPECTION MADE
FAXEb OPPDIBURT REA TO CONNECT SERVICE; ON
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