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2165 Park Streetfr\id Gr;(rri 6007,/c.117170 1 041161. 9 0112 PM i ! 1 O ?IAA 1 • EN., .00 . ApjiThr . - - - - N . 1 1t4 ;,. 04/16/2009 1018 AM .t` • • ; • .`t P • CITY OF BLAIR /Uper LOCATION OF INSPE ION. �� l NAME OF OWNER � _ a n L 1 l_ ix.e4 /G /L L1. CONTRACTOR• DATE INSPECTION REQUESTRD• `7 --/& - 6 e TIME INSPECTION REQUESTED TYPE OF INSPECTION REQUESTED: BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE ❑ PARTIAL COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT ❑ PARTIAL COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED COMMENTS: ❑ PRESSURE TEST ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY RANTED NOTES/REMARKS. BUILDING INSPECTION REPORT ❑ WASHINGTON COUNTY ❑ OTNF� / G(}o 1,t ❑ CONFERENCE ❑ PARTIAL PERMIT NO /V0 ❑ STATUS CHECK PASSED FAILED ❑ ❑ PASSED FAILED PASSED FAILED PASSED FAILED ❑ ❑ PASSED FAILED _ • 1. s h � •• ? ' • . F s!k• 0 0 �v �4 •C) P' 0 0 CA ,e s mr