BPM1956BlUILDING INSPECTION {
>CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION
NAME OF OWNER - ` ° CONTRACTO
DATE INSPECTION REQUESTED �" TIME INSPECTION REQUESTED ' "' " ° PERMIT NO _' ®` �� �Je
TYPE OF INSPECTION RE QUESTED: ❑ CONFERENCE ❑ STATUS CHECK
BUILDING:
❑
FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL X FINAL ❑ PARTIAL
PASSED
FAILED
PARTIAL
❑
❑
COMMENTS:
❑
COMMENTS:
MECHANICAL: ❑
ROUGH -IN ❑ A/C ❑ t FURNACE El RADIANTHEAT ❑FINAL ❑ PARTIAL
PASSED
UTILITIES:
❑
SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE
PASSED
FAILED
COMMENTS:
❑
PARTIAL
❑
❑
COM MENTS:
PASSED
FAILED
❑
PRESSURE TEST
ELECTRICAL: ❑
ROUGH IN ❑ FINAL ❑PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
PASSED
FAILED
❑
PARTIAL
❑
❑
COMMENTS:
MECHANICAL: ❑
ROUGH -IN ❑ A/C ❑ t FURNACE El RADIANTHEAT ❑FINAL ❑ PARTIAL
PASSED
FAILED
`4
El
COMMENTS:
r
PLUMBING: ❑
GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
PASSED
FAILED
❑
PRESSURE TEST
❑
❑
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
INSPECTO ZIA ) Ae p DATE OF INSPECTION MADE: T IME �.
FAXED OPPD \BURT REA TO CONNECT SERVICE: