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BP13333✓ IJG� C2 + (f m�i� fGc �-- m CITY OF BLAIR - A LCA ON FOR BUILDING PERMIT Permit # Date: �`" G Imate ompletion , Date: Site Plan Attached: REScheck Attached: Complete Plans Attached /Application for: Residential Commercial/Industrial New Construction L---" Manufactured Home Modular Move -on: Home Accessory Building Other Remodel Addition Accessory Building: Garage Pole Barn Other_ _ Floor Type: Dirt Concrete Electricity: Yes No Sign Erecting, Awnings. Decks/Handicap Ramps (plot plan required) Satellite Dishes/Radio Antenna/Cell Towers (plot pian required) Other Utilities: Public Water: Yes No Private Well If yes, responsible entity: Blair OPPD Line Kennard Agreement needed: Date Agreement Received: Public Sewer: Yes No Septic Drawing Provided: If yes, responsible entity: Blair Kennard County Road Permit Required: Yes No Submitted: Yes No Additional Descr' tion of project if necessary: e�2l ;f' % 77� c Jaw 1-7 - ' C l Project Information: /� (y Job Address: Legal Description (if applicable) c� �` ' � r � �� yflajcj/-UA Owner: No -2 -k -i L//yl CS Address:�'��' �`� Phone#: Contractor: ////e Phone #: Address: 7SI�c6",g 4T ll�d 9 � %� ' L� II #: % -'/ ,(VY -/%411 Separate permits are requirbd for electrical, plumbing, hearting, ventilating and air conditioning, and Septic systems. By my signature below, I acknowledge this building permit application does not constitute issuance of this building permit. I further agree that construction covered by this permit application shall not be commenced until I have received a copy of a permit signed by the Building Inspector. I hereby agree to perform the proposed work in accordance with the specifications set forth above and in accordance with the codes/ordinances of the City of Blair and the State of Nebraska. I understand that this permit is void if work is not commenced within 180 Ls -or not completed within two (2) years of date of issue. ' / 7Z 0q gnature of Owner/Contractor Date For Building Permits other than One & Two Family Residential Structures: 1 -hereby acknowledge and agree that I have/will submit a set of plans for this project to the Nebraska State Fire Marshal's Office for evi C� C �1 Craik 1 . gnature of Owner/Contractor Date ZONING REVIEW: Zoning/Flood Plain/Utilities: Current Zoning: Cortdttionl ermit Required: Yes No Date CUP Approved: State Fire Marshal Required: Yes No Variance Required: Yes No Minimum Setbacks: Front Second Front Side Side Rear Lot Square Footage: Length x Width: Lot Coverage % D riveways/Sidewalks: Sidewalk required: Yes No Sidewalk Waiver: Yes No Date Waiver Approved: Preexisting Garage requires driveway to be less than 3' from property line: Yes Approved by: Flood Plain: Yes No If yes, specify special requirements: BUILDING INSPECTOR REVIEW: Number of Stories One Two Three Four Type of Residential Structure: Ranch Two Story Split Entry _ Rooms Bedrooms Bathrooms Egress in Basement: Required: Yes No Sleeping Rooms Living Area Square Footage: Main Level: Basement: (Unfinished) Garage: Detached Garage: Addition: Porch: Front Rear Deck that affect setbacks: Rear Occunancv Classification: >Four High Rise (>75 ft) Raised Ranch Other Fireplaces Gas Electric Provided on Plans: Yes _ Other Egress Second Level: Third Level (Finished) _ 2 bay 3 bay 4 bay_ Pole Barn: Remodel: Side Front lion 5+ bay Side Assembly, theaters, with stage Assembly, theater, without stage Assembly, nightclubs Assembly, restaurants, bars, banquet halls Assembly, churches Assembly, arenas Assembly, general, community halls, libraries, museums Business Educational Factory and industrial, moderate hazard _ Factory and industrial, low hazard High Hazard, explosives (section continued on next page) High Hazard HPM Institutional, supervised environment Institutional, incapacitated Institutional, restrained Institutional, day care facilities Mercantile Residential, hotels Residential, multiple family Residential, one- and two-family Residential, care/assisted living facilities Storage, moderate hazard Storage, low hazard Utility, miscellaneous Is building required to be protected by automatic fire sprinkler system?" No Only partially in some areas or rooms Please Specify Yes If yes, the standard to which the sprinkler system will be designed: NFPA 13 NFPS 13R NFPA 13D Driveway Grade: 20% grade or less? Yes No (Dale will review new residential construction. Al will review all second access requests and industrial and commercial driveway requests) Required Off Street Parking: Permit Fee Calculation: Building Permit Deposit Fee: Commercial, new homes and residential additions/remodels/accessory buildings valued $10,000 or greater $ Fee - $500.00 Residential additions/remodels/accessory buildings valued under $10,000 $ Fee = $200.00 All other permits Fee = $50.00 $ RESIDENTIAL - NEW CONSTRUCTION: Permit fee is: Finished sq/ft area X $92 $ (not including finished basement area) Finished basement sq/ft area X $56 $ Unfinished basement sq/ft area X $29 $ Garage sq/ft area X$25 $ Total Valuation: $ Total Valuation Multiplied by 0.006 = $ Issuance Fee: $ 25.00 Total Permit Fee = Deposit + Permit Fee + Issuance Fee $ ess�dustrial/Educational/Assembly/Factory/Storage/Utility *Porches with roofs/screened patios are considered additions Construction valuation computation: Sq/ft area X $63 Except for the following: Accessory Buildings & Interior Remodeling Projects: sq/ft area X $43 Pole barns with no hard surface floor: sq/ft area X $25 Sign Erectin&Awnings and Decks/Handicap Ramps: sq/ft area X $25 (Minimum valuation of $2000) Construction valuation computation: Finished sq/ft area 9 xg X $ $ Y Construction valuation is ...................................Permit fee is: $0 TO$50...........................................................$0 $51 TO $500 ........................................................ $25 $501 TO $2,000........................................................$25 + $3 per additional $100 $2,001 TO $25,000........................................................ $70 +$13 per additional $1,000 $25,001 TO $50,000......................................................$370 +$10 per additional $1,000 $50,001 TO $100,000......................................................$620 + $7 per additional $1,000 $100,001 TO $500,000......................................................$970 + $5 per additional $1,000 $500,001 TO$1,000,000.................................................. $2,970 + $4 per additional $1,000 $1,000,001 AND OVER..................................................$4,970 + $3 per additional $1,000 Permit Fee calculated from chart above $ 2,7,--20' Issuance Fee: $ 25.00 =s` Total Permit Fee = Deposit + Permit Fee + Issuance Fee $ ___J Additional Comments: Approved by: LL"C - Date: f 5--0 Contingent On Approval by Fire Marshall Meet IBC, IPC, IMC and NEC Code Requirements Sleeping Rooms below Story and in Basement required to have egress For Office Use Only Date Permit Paid: Permit Fee: Deposit Amount Receipt # Deposit Paid by for return to: Building Inspection Pouch given: Yes No 4 NFPA° 11/12/2009 M 11025-09 Christopher Holmes NNE Pharmaplan 7868-B US 70 Bus. Hwy West Clayton, NC 27520- (919) 699-1747 NEBRASKA STATE FIRE MARSHAL PLANS DIVISION Novozymes Blair, Inc. Cooling Tower NCK' 600 S. First Street Blair 68008 - Your items have been reviewed for compliance with the Nebraska State Fire Marshal Act. Final Architectural Plan New Building REMARKS: Approved as submitted. cc. District B Page 1 of 2 PLEASE CONTACT OFFICE INDICATED BELOW FOR A FINAL INSPECTION. FINAL O ITE A PROVAL IS REQUIRED PRIOR TO OCCUPANCY OR USE. SIGNED: �77� Jim Kenney Reviewed By: Main Office Contact for Inspection: District B 246 South 14th Street 438 W Market Lincoln, NE 68508-1804 Albion NE 68620-1241 (402) 471-2027 (402) 395-2164 11/12/2009 1 M 11025-09 Christopher Holmes NNE Pharmaplan 7868-B US 70 Bus. Hwy West Clayton, NC 27520- (919) 699-1747 x NEBRASKA STATE FIRE MARSHAL PLANS DIVISION Code Reviewr; Novozymes Blair, Inc. Cooling Tower NCK' 600 S. First Street Blair 68008 - Your items have been reviewed for compliance with the Nebraska State Fire Marshal Act. • • • - . 1 . . • • . . 11 . - - • Final Architectural Plan New Building REMARKS: Approved as submitted. cc. District B Page 1 of 2 PLEASE CONTACT OFFICE INDICATED BELOW FOR A FINAL INSPECTION. FINAL O ITE A PROVAL IS REQUIRED PRIOR TO OCCUPANCY OR USE. SIGNED: O�7� Jim Kenney Reviewed By: Main Office Contact for Inspection: District B 246 South 14th Street 438 W Market Lincoln, NE 68508-1804 Albion NE 68620-1241 (402) 471-2027 (402) 395-2164 11/12/2009 1 M 11025-09 Christopher Holmes NNE Pharmaplan 7868-B US 70 Bus. Hwy West Clayton, NC 27520- (919) 699-1747 Novozymes Blair, Inc. Cooling Tower NCK' 600 S. First Street Blair 68008 - Your items have been reviewed for compliance with the Nebraska State Fire Marshal Act. Final Architectural Plan j New Building Alt Phone: Email: CIHO@nnepharmaplan.com Occupancy Type: Industrial Construction Type: Type II B 8,928 SF Estimated Start Date: 11/9/2009 Estimated Completion Date: 11/11/2010 Fire Protection Features: Sprinkler Total ❑ Spinkler Partial ❑ Range Hood System ❑ Sprinkler Other: Fire Alarm Manual Sys. ❑ Smoke Detection ❑ Heat Detection ❑ Fire Alarm Other: Page 2 of 2 PLEASE CONTACT OFFICE INDICATED BELOW FOR A FINAL INSPECTION. FINAL O ITE A PROVAL IS REQUIRED PRIOR TO OCCUPANCY OR USE. SIGNED: Reviewed By: Main Office 246 South 14th Street Lincoln, NE 68508-1804 (402) 471-2027 Jim Kenney Contact for Inspection: District B 438 W Market Albion NE 68620-1241 (402) 395-2164 11/12/2009 1 M 11025-09 Christopher Holmes NNE Pharmaplan 7868-B US 70 Bus. Hwy West Clayton, NC 27520- (919) 699-1747 I Novozymes Blair, Inc. Cooling Tower NCK' 600 S. First Street Blair 68008 - Your items have been reviewed for compliance with the Nebraska State Fire Marshal Act. •. .".11111.9111 111.11pollm. . . - A I . - -. Final Architectural Plan I New Building Alt Phone: Email: CIHO@nnepharmaptan.com Occupancy Type: Industrial Construction Type: Type H B 8,928 SF Estimated Start Date: 11/9/2009 Estimated Completion Date: 11/11/2010 Fire Protection Features: Sprinkler Total ❑ Spinkler Partial ❑ Range Hood System ❑ Sprinkler Other: Fire Alarm Manual Sys. ❑ Smoke Detection ❑ Heat Detection ❑ Fire Alarm Other: Page 2 of 2 PLEASE CONTACT OFFICE INDICATED BELOW FOR A FINAL INSPECTION. FINAL OnITE APPROVAL IS REQUIRED PRIOR TO OCCUPANCY OR USE. SIGNED: Reviewed By: Main Office 246 South 14th Street Lincoln, NE 68508-1804 (402) 471-2027 -- Jim Kenney Contact for Inspection: District B 438 W Market Albion NE 68620-1241 (402) 395-2164 PLUMBING PE"ItAPPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street 14 Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Application Date: Permit Fee P 2082 Job Address Owner Mail Address Zip Phone j� 1. Wd , Contractor �/ Mail A ess hone 2. 3. Class of Work: '$1 qOtvfMERCIAL 01RESIDENTIAL ew O Addition 13 Alteration O Repair O Replacement Describe Work: �} 4. PLUMBING PERMIT FEES Comments: Modular Home ......................$50.00 Type of Fixture No. Kitchen .............................. $12.00 x Bath.....Residential/Single Stall $12.00 x ....................Multi -Stall $25.00 x Rough -In Bath ........................$8.00 x Additional Sinks.....................$6.00 x Slop Sink/Laundry Tray/Drain ..... $6.00 x Water Heater .........................$10.00 x Notice Outside Water Faucet...................$6.00 x I hereby certify that I have read and examined this Drinking Fountain ........................$6.00 x application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or Backflow/Grease Trap$15.00 ' not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other Water Service .......................$15.00 state or local law regulating construction or the Sewer performance of construction. .................................$15.00 Groundwork .........................$15.00 Septic Tank & Laterals............ $15.00 Lawn Sprinkler System ............ $10.00 Sprinkler System (Commercial)..$30.00 Gas/Water Piping System (Commercial).....- ::.:..:.. Signature of Contractor or Authorized Agent Permit Issuance Fee.................$25.00 I)_' " OL Total Current License on File 5,Yes O No O N/A Date Comment: WHEN PROPERLY VALIDAl ED (IN IRIS SPACE) I HIS IN Y u utc PHK VII I Approved By: Rev. 2008-10 CITY 0 , NEBRASKA Phone 402-426-4191 THANK YOU KEEP THIS COPY FOR YOUR RECORDS, NO RECEIVED BY Pounds Printing, Blair, NE 68008 MI VIII1.- BUILDING PERMIT DEPOSIT AGREEMENT A $500.00 refundable deposit is being collected for any new commercial, new residential, and any additions, remodels and accessory building valued $10,000 or greater at the time of your building permit application. A $200.00 refundable deposit is being collected for any residential remodel, addition or accessory building valued under $10,000. A $50.00 refundable deposit is being collected for all misc. permits. The City reserves the right to not refund this deposit if any of the following conditions occur during the construction period: 1) Theft of water service by the plumber, owner or general contractor. 2) All permits have not been obtained. 3) All required inspections have not been obtained. 4) Occupancy occurs prior to a final inspection. 5) The project is completed without a final inspection being done. 6) Storm Water Management Plan inspection not obtained. (If Required) If any or all of these situations occur during construction, you may forfeit your deposit. I hereby agree to the above conditions, and understand that should any or all of the above situations occur, the building permit deposit SHALL be forfeited or discounted upon the discretion of the City of Blair, Building and Inspections Department. Jl' Contractor/Owner ►J)3�-- 'PPAOH-4PL4J Contractor/Owner City of Blair Date -"71se of Q" CITY OF 5tAIQ BUILDING PERMIT SUPPORTING DOCUMENTS This building permit packet includes various items dealing with particular code requirements and/or building permit requirements. It in no way includes ALL particular code items. Also, it is your responsibility to know the 2006 International Building Code requirements that apply to your project. Please understand this packet is only designed and distributed to aid you in your building permit process. A copy of the International Building Code is available for your use at the Blair Public Library. I have read the above disclosure and accept this building permit documentation on my own behalf assuming full responsibility as the owner/contractor for this project. Owner/Occupant Contractor ,� 0a 4A p oA P(-AAJ City of Blair 20 P Z 00 7 Date 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofblair@ci,blair.ne,us BUILDING INSPECTION REPORT F1 CITY OF BLAIR F] WASHINGTON COUNTY El OTHER as LOCATION OF INSPECITION-. It gg NAME OF OWNER- CONTRACTO DATE INSPECTION REQUESTED' TIME INSPECTION REQUESTED- PERMIT TYPE OF INSPECTION REQUESTED: EICONFERENCE F1 STATUS CHECK BUILDING: FOOTING El DECKFOOTING RAMING El DRYWALL El FINAL PARTIAL I _ D FAILED COMMENTS" UTILITIES: F] SEWER TAP F -I SEWER 0 SEPTIC El WATER TAP El REMOTE [_1 WATER SERVICE PASSED FAILED F] PARTIAL ❑ F -I COMMENTS: ELECTRICAL: ❑ ROUGH IN [_1 FINAL F -I PERMANENT SERVICE F1 TEMPORARY SERVICE F -I PRECONNECT PASSED FAILED F -I PARTIAL ❑ El COMMENTS: MECHANICAL: ❑ ROUGH -IN El A/C F1 FURNACE El RADIANT HEAT F1 FINALE] PARTIAL PASSED FAILED COMMENTS: PLUMBING: ❑ GROUNDWORK F ROUGH -IN El FINAL El WATER METER INSTALLED El PARTIAL PASSED FAILED ❑ PRESSURE TEST El F -I COMMENTS: ❑ OCCUPANCY GRANTED F] CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS-, INSPECTOR- DATE OF INSPECTION MADE: If - 34 -0 j FIME,__ FAXED OPPDBURT REA TO CONNECT SERVICE: ON BY- ❑ CITY OF BLAIR 1S 1 u DEN' ❑ WASHINGTON COUNTY LOCATION OF INSPECTION: NAME OF OWNEROD: DATE INSPECTION REQUESTED: �V > L TIME INSPECTION REQUESTED- PERMIT NO• ° �✓ 3) i ❑ OTHER Ste%" ACTOR ____V'l ° " r / TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL -PARTIAL PASSED FAILED pp COMMENTS: ( t L v �S 0 �f eu �� C u ❑ UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED F] PARTIAL 1-1❑ COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED El PRESSURE TEST El ElCOMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED INSPECTOR DATE OF INSPECTION MADE: TIME FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY Oka ❑ CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ LOCATION OF INSPECTION• g„. N Z L/ I _ / ." t - r t PASSED NAME OF OWNER CONTRACTOR PARTIAL ❑ ` t DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED < < .' PERMIT NO: ROUGH M ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: [ FOOTING ❑ DECK FOOTING F]FRAMING F-1DRYWALL ❑ FINAL COMMENTS `t 4 t ASSED FAILED UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ COMMENTS: ELECTRICAL: ❑ ROUGH M ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: MECHANICAL: ❑ ROUGH -M ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -M ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: p `a a € , " € y f i w t' 9v'.5i va v' ` fC c� yJCc;.luf: � `� � INSPECTOR; �2:2 DATE OF INSPECTION MADE:_ �� TIME- IME FAXED FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION',REPORT F-1 CITY OF BLAIR ❑ WASHINGTON COUNTY F-1 OTHER LOCATION OF INSPECTION- 5 C06 A ,'I NAME OF OWNER- CONTRACTOR DATE INSPECTION REQUESTED- TIME INSPECTION REQUESTED- PERMIT NO -11 TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: FOOTING ❑ DECK FOOTING E:l FRAMING El DRYWALL El FINAL F] PARTIAL PASSED FAILED El El COMMENTS a UTILITIES: ❑ SEWER TAP [:1 ""SEWEi7—tD---S, WATER TAP F-1 REMOTE ❑ WATER SERVICE PASSED FAILED El PARTIAL ❑ 0 COMMENTS: ELECTRICAL: F1 ROUGH Fl FINAL F-1 PERMANENT SERVICE Fl TEMPORARY SERVICE [:1 PRECONNECT PASSED FAILED F-1 PARTIAL F-1 El COMMENTS: MECHANICAL:F-1 ROUGH -IN F1 A/c F-1 FURNACE Fl RADIANT HEAT El FINAL El PARTIAL PASSED FAILED F-1 ter r COMMENTS: I A'.,:❑ PLUMBING:,,. GROUNDWORK F1 ROUGH -IN F-1 FINAL El WATER METER INSTALLED El PARTIAL PA ED FAILED COMMENTS: F-1 PRESSURE TEST ❑ OCCUPANCY GRANTED [—] CONDITIONAL OCCUPANCY GRANTED �j � — A k- I Iti t) C- (-LA --t- xa e INSPECTOR- DATE OF INSPECTION MADE: TIME - FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION REPORT FT CITY OF BLAIR F] WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION. NAME OF OWNER. C_. CONTRACTOR - DATE INSPECTION REQUESTED- TIME INSPECTION REQUESTED - PERMIT NO - TYPE OF INSPECTION REQUESTED: F] CONFERENCE ❑ STATUS CHECK BUILDING: QrFOOTING F -I DECK FOOTING [I FRAMING E:l DRYWALL E:l FINAL PARTIAL PASSED FAILED El COMMENTS: UTILITIES: F -I SEWER TAP R SEWER F -I SEPTIC F -I WATER TAP F -I REMOTE R WATER SERVICE PASSED FAILED F -I PARTIAL El R COMMENTS: ELECTRICAL: F-1 ROUGH IN F-1 FINAL F] PERMANENT SERVICE D TEMPORARY SERVICE F -I PRECONNECT PASSED FAILED F -I PARTIAL El F] COMMENTS: MECHANICAL: F-1 ROUGH -IN [_1 A/C El FURNACE El RADIANT HEAT El FINAL F1 PARTIAL PASSED FAILED F -I El COMMENTS: PLUMBING: F -I GROUNDWORK R ROUGH -IN [I FINAL El WATER METER INSTALLED El PARTIAL PASSED FAILED F-1 PRESSURE TEST ❑ F -I COMMENTS: R OCCUPANCY GRANTED F] CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- \, cape , -.Vffii NLK-1 laiOS Cd INSPECTOR: 21 DATE OF INSPECTION MADE: 1-116- tio TIME f3 0 FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY- wxv CITY OF BLAIR LOCATION OF INSPECTION: F r ...." a i 4 i'. NAME OF OWNER- CONTRACTOR DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED- = PERMIT NO - BUILDINGINSPECTION L -a v4t El WASHINGTON COUNTY ❑ OTHER �� TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE kASSED FAILED ❑ PARTIAL ❑ COMMENTS: r` +,•1� ::' t:. _ r ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY ❑ PARTIAL ❑ PRECONNECT PASSED FAILED ❑ ❑ COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: INSPECTOR .7�� DATE OF INSPECTION MADE: i TTMFL r FAXED OPPDIBURT REA TO CONNECT SERVICE: ON BY ❑ tl CITY OF BLAIR LOCATION OF INSPECTION: NAME OF BUILDING INSPECTION ❑ WASHINGTON COUNTY � ❑OTHER DATE INSPECTION REQUESTED • °� ` `�" '' TIME INSPECTION REQUESTED PERMIT NO TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: []u,FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED El COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP, ❑ REMOTE ❑ WATER SERVICE 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 ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED r INSPECTOR - DATE OF INSPECTION MADE: a f < E'� TIME FAXED OPPD\BURT REA TO CONNECT SERVICE: ON l/v -'CITY OF BLAIR *RIG I in RI u , 03 r` ❑ WASHINGTON COUNTY LOCATION OF INSPECTION ° NAME OF OWNER• �, 1,4 ' `V ❑ OTHER /� C -3 aO--4 77 7 DATE INSPECTION REQUESTED- TIME INSPECTION REQUESTED > _� PERMIT s TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL JS<PARTIAL PASSED FAILED COMMENTS:;.°' UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE 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 ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED INSPECTOR d� DATE OF INSPECTION MADE:- �°Y TIMF 3,g iavi FAXED OPPD\BURT REA TO CONNECT SERVICE: BUILDING INSPECTION"'REPORT CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ % i% OTHER LOCATION OF INSPECTION :" 1 (; NAME OF OWNER: tr j 4F ° CONTRACTOR DATE INSPECTION REQUESTED: �$�' t! TIME INSPECTION REQUESTED- PERMIt NO" 5 r TYPE OF INSPECTION REQUESTED:, ❑ CONFERENCE'S ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE 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 ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: .+❑ GROUNDWORK ❑ COMMENTS: PRESSURE TEST ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED § r ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED iP 11 / / NOTES/RF.MARKS• C� t . _ ! tris �, JvS ARTIAL PASSED FAILED � INSPECTOR • "r ,Y DATE OF INSPECTION MADE: FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY X`rrYOFBLAIR . 0 �r ❑ WASHINGTON COUNTY LOCATION OF INSPECTION:_ NAME OF OWNER• a '" 'q ` ` '': 44 CONTRACTOR DATE INSPECTION REQUESTED- - TIME INSPECTION REQUESTED- PERMIT NO• a ❑ OTHER s ! ® due V� TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL COMMENTS: FAILED ❑ ❑ UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER -TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED COMMENTS. FAILED _. " c e,f �.:d.a�` N ❑ ❑ ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL 1:1 ❑ COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED d� NOTES/REMARKS: fV 15 IT r Q � U 0 1 INSPECTOR /✓ f�/_ DATE OF INSPECTION MADE: / )_ i 16 TTN1E "� FAXED OPPDTURT REA TO CONNECT SERVICE: ON BY ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: EMU CAS r 0 ®' 01 INSPECTOR• DATE OF INSPECTION MADE: TTMR FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION XCITY OF BLAIR ElWASHINGTON COUNTY —1 OTHER r LOCATION OF INSPECTION• € ° —_�, , �� p f ��b t � ,� NAME OF OWNER- c f.>. to z CONTRACTOR ; " • DATE INSPECTION REQUESTED- TIME INSPECTION REQUESTED: PERMIT NO. TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK V BUILDING:❑ FOOTING ❑ DECK FOOTING E] FRAMING ❑ DRYWALL [:1 FINAL ARTIAL PASSED FAILED t d El COMMENTS: � �� ;- UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE -❑ PRECONNECT PASSED FAILED ❑ PARTIAL : _. _H-_: ❑ ❑ COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINALz ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: _ PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: EMU CAS r 0 ®' 01 INSPECTOR• DATE OF INSPECTION MADE: TTMR FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY O"T2010,0blT PM:' jr:'! or 1*�- � � r - . ,._ft -, r► - OWMIW War, SIM$ t CITY OF BLAIR III 19,4111 " pi .p[m.9-4-04 ,o pal ❑ WASHINGTON COUNTY ❑ OTHER COU t- LOCATION OF INSPECTION - NAME OF OWNER- CONTRACTOR DATE INSPECTION REQUESTED' LL ' ` TIME INSPECTION REQUESTED `- : PERMIT N0: 1' `7e , a= TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ,❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED El 1:1r COMMENTS. f%,. �` �' >4 l cc t UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE 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 ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: INSPECTOR- DATE OF INSPECTION MADE: FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION REPORT CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER v s LOCATION OF INSPECTION- NAME NSPECTION NAME OF OWNER- CONTRACTOR- Z- i WNER CONTRACTOR 4 a w DATE INSPECTION REQUESTED- TIME INSPECTION REQUESTED PERMIT NO• p TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE 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 ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST— EST COMMENTS: COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: � •I e r ¢ a ip°fir ,. ' ;:t t f' �` .. ,. ;z.` _ r ,. a g { rg ,� INSPECTOR DATE OF INSPECTION MADE: FAXED OPPD\BURT REA TO CONNECT SERVICE: TIME BUILDING INSPECTION REPORT WIWI _._B_,"'CITY OF BLAIR F -I WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION - NAME OF OWNER- A CONTRACTOR - DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED PERMIT No TYPE OF INSPECTION REQUESTED: E:l CONFERENCE ❑ STATUS CHECK BUILDING: "El' FOOTING F1 DECK FOOTING [_1 FRAMING El DRYWALL Fj FINAL F -I PARTIAL PASSED FAILED COMMENTS: UTILITIES: F-1 SEWER TAP F-1 SEWER El SEPTIC F -I WATER TAP ❑ REMOTE F—I WATER SERVICE PASSED FAILED El PARTIAL F] El COMMENTS: ELECTRICAL: n ROUGH IN n FINAL n PERMANENT SERVICE F1 TEMPORARY SERVICE F1 PRECONNECT PASSED FAILED F—I PARTIAL IF] El COMMENTS: MECHANICAL: F] ROUGH -IN F -I A/C F] FURNACE El RADIANT HEAT D FINAL El PARTIAL PASSED FAILED F] F1 COMMENTS: PLUMBING: F -I GROUNDWORK F-1 ROUGH -IN El FINAL El WATER METER INSTALLED El PARTIAL PASSED FAILED F -I PRESSURE TEST El El COMMENTS: D OCCUPANCY GRANTED El CONDITIONAL OCCUPANCY GRANTED NOTESIREMARKS-, /v c F, - i '-(o a - E - F9 INSPECTOR- 7, —IraA DATE OF INSPECTION MADE: _-) a FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B BUILDING INSPECTION REPORT CITY OF BLAIR El WASHINGTON COUNTY ❑ OTHER 'P LOCATION OF INSPECTION NAME OF OWNER CONTRACTOR DATE INSPECTION REQUESTED --TIME INSPECTION REQUESTED� PERMIT NO TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE F] STATUS CHECK BUILDING: ARTIAL PASSED FAILED L El j M COMMMENTS' UTILITIES: ❑ SEWER TAP SEWER ❑ SEPTIC WATER TAP F1 REMOTE F1 WATERSERVICE PASSED FAILED F1 PARTIAL F -I ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN F-1 FINAL F1 PERMANENT SERVICE F1 TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED F -I PARTIAL r_1 El COMMENTS: MECHANICAL: F] ROUGH -IN [I AJC D FURNACE F1 RADIANT HEAT F1 FINAL El PARTIAL PASSED FAILED ❑ F -I COMMENTS: PLUMBING: GROUNDWORK F -I ROUGH -IN El FINAL F1 WATER METER INSTALLED El PARTIAL PASSED FAILED ❑ PRESSURE TEST El COMMENTS: F] OCCUPANCY GRANTED F -I CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- c JcS 0, WA ce_ Ao A ej s C, K JO P -F' INSPECTOR- I �vvl *1 -1 DATE OF INSPECTION MADE: p I t T I- f 0 A"k-t-' FAXED OPPD\BURT REA TO CONNECT SERVICE: BUILDING INSPECTION REPORT CITY OF BLAIR F-1 WASHINGTON COUNTY El OTHER LOCATION OF INSPECTION: c" cl NAME OF OWNER- CONTRACTOR - DATE INSPECTION REQUESTED- dTIME INSPECTION REQUESTED7 PERMIT NO• TYPE OF INSPECTION REQUESTED- 1 u", EICONFERENCE El STATUS CHECK BUILDING: FOOTING F-1 DECK FOOTING E:l FRAMING ❑ DRYWALL Ej FINAL 5;t PARTIAL PASSED FAILED F-1 COMMENTS: UTILITIES: Fl SEWER TAP F1 SEWER ❑ SEPTIC ❑ WATER TAP F1 REMOTE El WATER SERVICE PASSED FAILED [-] PARTIAL El El COMMENTS: ELECTRICAL: F-1 ROUGH IN F -I FINAL F1 PERMANENT SERVICE F-1 TEMPORARY SERVICE D PRECONNECT PASSED FAILED D PARTIAL COMMENTS: MECHANICAL: Fl ROUGH -IN F-1 vc F-1 FURNACE El RADIANT HEAT 0 FINAL El PARTIAL PASSED FAILED 1-1 F-1 COMMENTS: PLUMBING: F-1 GROUNDWORK F-1 ROUGH -IN F-1 FINAL F1 WATER METER INSTALLED El PARTIAL PASSED FAILED El PRESSURE TEST El El COMMENTS: ❑ OCCUPANCY GRANTED F-1 CONDITIONAL OCCUPANCY GRANTED 000,AR ruolio pos, NOTES/REMARKS A. 1c, i - - -, 0. J c- — A %,o- INSPECTOR- DATE OF INSPECTION MADE: TIME- FAIttA FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B ---------- KcITX OF BLAIR LOCATION OF INSPECTION: BUILDING D INSPECTION REPORT ❑ WASHINGTON COUNTY ❑ NAME OF OWNER CONTRACTOR �4 DATE INSPECTION REQUESTED ., TIME INSPECTION REQUESTED-- PERMIT N0 j TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE El STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS. El UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED F-1 PARTIAL❑ 1:1COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL 1:1 1:1COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED F-1PRESSURE TEST ❑ El COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED INSPECTOR DATE OF INSPECTION MADE: �i f TIME- FAXED IM • FAXED OPPD\BURT REA TO CONNECT SERVICE: Q' CITY OF BLAIR El WASHINGTON COUNTY 1:1 LOCATION OF INSPECTION 'j (-"V NAME OF OWNER- X C I P),P ), CONTRACTOR' DATE INSPECTION REQUESTEDL_f - -1 I < TIME INSPECTION REQUESTED = PERMIT NO. TYPE OF INSPECTION REQUESTED: El CONFERENCE El STATUS CHECK BUILDING: F] FOOTING El DECK FOOTING El FRAMING El DRYWALL El FINAL E] PARTIAL PASSED FAILED COMMENTS: .lkl� Ic'- /1, , - a ,,& _412 1.&,5. - e- ( C,, UTILITIES: F1 SEWER TAP ❑ SEWER 0 SEPTIC E] WATER TAP El REMOTE El WATER SERVICE PASSED FAILED F] PARTIAL 0 El COMMENTS: ELECTRICAL: F] ROUGH IN El FINALE] PERMANENT SERVICEE] TEMPORARY SERVICE 0 PRECONNECT PASSED FAILED E] PARTIAL 1-1 F -I COMMENTS: MECHANICAL:Fl ROUGH -IN El A/C El FURNACE El RADIANT HEAT El FINAL E] PARTIAL PASSED FAILED F -I F] COMMENTS: PLUMBING: F -I GROUNDWORK 0 ROUGH -IN 0 FINALE] WATER METER INSTALLED El PARTIAL PASSED FAILED El PRESSURE TEST COMMENTS: 0 OCCUPANCY GRANTED El CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: INSPECTOR:-3INSPECTOR:/N V le DATE OF INSPECTION MADE:_ , � 1 ) ` ' 0 T.E_- /s e� FAXED OPPD\BURT REA TO CONNECT SERVICE: '0. 'i '� BUILDING INSPECTION `❑_-`-CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER � :,y f� Gr `� •` � °' � —. LOCATION OF INSPECTION• a NAME OF OWNER CONTRACTOR DATE INSPECTION REQUESTED• ` °~� TIME INSPECTION REQUESTED- a PERMIT N0: TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: r � t UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE 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 ❑ PARTIAL PASSED FAILED COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH—IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS:' ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS <3 r INSPECTORS j r'�, DATE OF INSPECTION MADE: t TIME FAXED OPPD\BURT REA TO CONNECT SERVICE: BUILDING -20- - - 3 9, - 3 Q-a eQ CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE T L f 21 g Q r LOCATION OF INSPECTION:- NSPECTION NAME NAME OF OWNER CONTRACTOR•r a DATE INSPECTION REQUESTED• TIME INSPECTION REQUESTED r PERMIT NO TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING [:1 DECK FOOTING ❑xFRAMING ❑ DRYWALL ❑ FINAL ARTIAL PASSED FAILED ❑ COMMENTS: .{` UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED El PARTIAL El ElCOMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED F] PARTIAL 1:1 1:1COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST 1:1 El COMMENTS: ❑ OCCUPANCk GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED To 1 �_Mqq 46 �Y /T�racy� INSPECTOR_: l DATE OF INSPECTION MADE:_ i ® 7,(6 Tom. 16. 3 o.4_ FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY