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BP13400h CITY OF BLAIR - APPLICATION FOR'BUILO PERMIT Permit # �.q60 Date:` Approximate Completion Date: 2" `� / Site Plan Attached: REScheck Attached: Complete Plans Attached Application for: Residential Commercial/Industrial New Construction _je— 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 _ If yes, responsible entity: Agreement needed: Public Sewer: Yes No If yes, responsible entity: County Road Permit Required: Yes No _ Description of prgject if O !o_; Job Address: _J01 _ Private Well Blair OPPD Line Kennard Date Agreement Received: Septic Drawing Provided: Blair Kennard Submitted: Yes No )l�r+.v1 cul c1 e W 7 /M ZMv J. j sf <Y i "41A, ?e 35Pf�sf�� Legal Description (if applicable) Owner: Address: G;Ql S' 15�–Jvt_• Phone#: Contractor: �! /V � �GG L ' C ?bUZ1 wwld 14L.; Phone #: Address: 1&)U�- 75�I O Email Address for Contractor:_ Cell #: Separate permits are required 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 code/ordinances of the City of Blair and the State of Nebraska. I understand that this permit is void if work is not commenced within 8Q days'' r is not gompleted withiMo(2 ars of date of issue. Apzlc ignature of Owner/Contractor Date For Building Permits other than One & Two Family Residential Structures: I 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 Review. Signature of Owner/Contractor Date /j PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16' Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Application Date: 7 —/0 P 2098 �da•�o Permit Fee: $ LVoU Job Address C/ st Owner M it Address Zip Phone 1. �z Contractor Mail Address G Zip 0 n _ f Phoned 2. 3. Class of Work: O COMMERCIAL O RESIDENTIAL O New O Addition O Alteration O Repair O Replacement Describe Work: (�L 4. U T a/ f a-!7 PLUMBING PERM FEES Comments: Modular Home ......................$50.00 q,5.bp�V! 'CJ (�_ 9_ Type of Fixture No. So& Kitchen..............................$12.00x Bath.....Residential/Single Stall $12.00 x Multi -Stall $25.00 x / ,L.................... j�Yl•�hi� r 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 application and know the same to be true and correct. All Drinking Fountain ........................$6.00 x provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give Backflow/Grease Trap$15.00 authority to violate or cancel the provisions of any other Water Service .......................$15.00 state or local law regulating construction or the performance of construction. Sewer.................................$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) ........................ $50.00 Signature of Contractor or Authorized Agent Permit Issuance Fee.................$25.00 07 Total Current License on File 0 Yes O No O N/A Date Comment: WHEN PROPERLY VALIDAYED (INTHIS SFAUh) 1HIN 1J Yuux YHIcly111 Approved By: Rev. 2008-10 ZONING REVIEW: Zoning/Flood Plain/Utilities: Current Zoning: Conditional Use Permit Required: Yes No Date CUP Approved: State Fire Marshal Required: Yes No Variance Required: Minimum Setbacks: Front Second Front Side Side Lot Square Footage: Length x Width: Lot Coverage % D riveways/Si d ewa 1 ks: Yes No Rear Sidewalk required: Yes No Sidewalk Waiver: Yes No. Date Waiver Approved: Preexisting Garage requires driveway to be less than 3' from property line: Approved by: Flood Plain: Yes No If yes, specify special requirements: BUILDING INSPECTOR REVIEW: Yes Number of Stories One Two Three Four >Four High Rise (>75 ft) Type of Residential Structure: Ranch Two Story Split Entry Raised Ranch Other Rooms Bedrooms Bathrooms Fireplaces Gas Electric Egress in Basement: Required: Yes No Provided on Plans: Yes No Sleeping Rooms Living Area Other Egress Square Footage: Main Level: Basement: (Unfinished) Garage: Detached Garage: Addition: Porch: Front Rear Deck that affect setbacks: Rear Occuoancv Classification: Second Level• Third Level (Finished) _ 2 bay 3 bay 4 bay 5+ bay Pole Barn: Remodel: Side Front 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) March 24, 2010 Between myself, Brenda and Phil this is how we decided to price the Site Utilities Permit/Lift Station permit for Novozymes: General Contractor: NNE Pharmaplan Subcontractor hired by NNE Pharmaplan for Site Utilities: Gethmann Construction Co. (Russell McLaughlin, Licensed Drainlayer.) There will be a regular building permit. Permit #13400 for the project mentioned above. There will be no charge for the actual building permit, but under this permit, there may be a few plumbing permits. We will use the regular building permit's fee schedule to determine the price for the plumbing permits. Since our plumbing permits are not adequate to determine an amount for a project this size. Gethmann will be paying for the first plumbing permit #P2098, and NNE Pharmaplan will sign the regular permit with no charge due from them. CITY OF BLAIR, NEBRASKA Phone 402-426-4191 RECEIVED OF: ADDRESS CITY, STATE, ZIP CODE OA b THANK YOU KEEPTHIS COPY FOR YOUR RECORDS. NO RECEIVED BY Pounds Printing, Stair, NE 68008 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 $ RESIDENTIAL - ADDITIONS / REMODELS and COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS: Business/Industrial/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 Erecting/Awnings and Decks/Handicap Ramps: sq/ft area X $25 (Minimum valuation of $2000) Construction valuation computation: Finished sq/ft area X $ $ 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 $1,000L Permit Fee calculated from chart above ah c, Issuance Fee: $ 25.00 �rui�4 Total Permit Fee = Deposit + Permit Fee + Issuance Fee $ Additional Comments: Approved by: f Date: a" 5- l 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 BUILDING INSPECTION REPORT XCTI'Y OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION:y�l j NAME OF OWNER:; CONTRACTOR-- �� ?7 (`f% 4 ( o` �6�'97 DATE INSPECTION REQUESTED: C 7 r��/ TIME INSPECTION REQUESTED- / ' V,4.1q ` PERMIT NO• TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: :�h a'� El _ El MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED COMMENTS: ❑ PARTIAL A -A v )cS* `VA -43 06/1 ❑ ❑ PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED F-1 PARTIAL El ElCOMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ElPRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: INSPECTOR DATE OF INSPECTION MADE:_ -3-JJ 16 TiMF �C� FAXED OPPDXBURT REA TO CONNECT SERVICE: ON BY //4,,/ =[rCTPY OF BLAIR BUILDING INSPECTION REPORT ❑ WASHINGTON COUNTY 1-1 J LOCATION OF INSPECTION NAME OF OWNER:,Z J / li r� J CONTRACTOR:/� - 9 DATE INSPECTION REQUESTED ! J TIME INSPECTION REQUESTED � tf "! PERMIT NO ! - . D 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 F1 PARTIAL El 11COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED F-1 PARTIALEl❑ 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• 'tel p' VA INSPECTOR: � DATE OF INSPECTION MADE: 4 /- I 0 TIME 9k - FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY Brandy Petersen From: Phil Green (Blair, NE) Sent: Wednesday, March 24, 2010 11:42 AM To: Brandy Petersen Subject: FW: Plumbing pipe lengths at Novozymes for permit purposes -3-8-10 Brandy — here is the Novozymes infrastructure information you should include in the permit description. 1,489 ft of water main and 3 water taps 3,082 ft of fire main 4,063 ft of sanitary sewer main, 4 sewer taps and lift stations 9,035 ft of storm sewer main Phil From: Howard Wolfe Sent: Monday, March 08, 2010 8:52 AM To: Phil Green (Blair, NE) Cc: Howard Wolfe Subject: Plumbing pipe lengths at Novozymes for permit purposes -3-8-10 Phil: Here is the measurements on the plumbing pipe lengths at Novozymes: Water lines 1,489' Water Taps 3 Sanitary and wastewater lines 4,063' Sewer taps 4 Storm line 9035' Fire line: 3,082' Note: I E-mailed Jeff Going this morning and asked him if he inspects the installation and test on the in -ground fire sprinkler lines, or do I. 1 think he probably will, but I'm not sure. I'll let you know. Howard Wolfe Building Inspector City of Blair 218 South 16th Street Blair, NE 68008 Office: (402) 426-4191 Direct: (402) 426-6696 Fax: (402) 426-4195 hwolfe@ci.blair.ne.us Brandy Petersen From: Phil Green (Blair, NE) Sent: Wednesday, March 24, 2010 11:42 AM To: Brandy Petersen Subject: FW: Plumbing pipe lengths at Novozymes for permit purposes -3-8-10 Brandy — here is the Novozymes infrastructure information you should include in the permit description. 1,489 ft of water main and 3 water taps 3,082 ft of fire main 4,063 ft of sanitary sewer main, 4 sewer taps and lift stations 9,035 ft of storm sewer main Phil From: Howard Wolfe Sent: Monday, March 08, 2010 8:52 AM To: Phil Green (Blair, NE) Cc: Howard Wolfe Subject: Plumbing pipe lengths at Novozymes for permit purposes -3-8-10 Phil: Here is the measurements on the plumbing pipe lengths at Novozymes: Water lines 1,489' Water Taps 3 Sanitary and wastewater lines 4,063' Sewertaps 4 Storm line 9035' Fire line: 3,082' Note: I E-mailed Jeff Going this morning and asked him if he inspects the installation and test on the in -ground fire sprinkler lines, or do I. 1 think he probably will, but I'm not sure. I'll let you know. Howard Wolfe Building Inspector City of Blair 218 South 16th Street Blair, NE 68008 Office: (402) 426-4191 Direct: (402) 426-6696 Fax: (402) 426-4195 hwolfe@ci.blair.ne.us L L PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 P 2098 (402) 426-4191 5 Application Date: Permit Fee: $ vU Job Address Owner Mil Address Zip Phone Contractor Mail Address / Zip Phon 2. C Q'l1 �%/LUQ % L-) /'5 — di/ 3. Class of Work: O COMMERCIAL O RESIDENTIAL O New O Addition 0 Alteration O Repair O Replacement Describe Work: ;( 4. `� J 7 ) /'2 la C/ �c�r%i/%v PLUMBING PERM 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 application and know the same to be true and correct. All Drinking Fountain ........................$6.00 x provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give Backflow/Grease Trap$15.00 authority to violate or cancel the provisions of any other Water Service .......................$15.00 state or local law regulating construction or the performance of construction. Sewer.................................$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)........................$50.00 Signature of� ractor or Authori ent g _ Permit Issuance Fee.................$25.00 � Total Current License on File O Yes O No O N/A Date Comment: WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Approved By: , Rev. 2008-10 CITY OF BLAIR 0 WASHINGTON COUNTY F -I o LOCATION OF INSPECTION* S NAME OF OWNER.CONTRACTOR DATE INSPECTION REQUESTED- TIME INSPECTION REQUESTED- _' PERMIT NO, TYPE OF INSPECTION REQUESTED: El CONFERENCE El STATUS CHECK BUILDING: ❑ FOOTING Ej DECK FOOTING E-1 FRAMING E:l DRYWALL E:l FINAL 0 PARTIAL JPASSED FAILED COMMENTS: P X -A J_ N= ED 13 UTILITIES: F] SEWER TAP [:1 SEWER El SEPTIC F1 WATER TAP F1 REMOTE [:1 WATER SERVICE PASSED FAILED F1 PARTIAL F -I F] COMMENTS: ELECTRICAL: F] ROUGH IN F1 FINALF] PERMANENT SERVICED TEMPORARY SERVICEE] PRECONNECT PASSED FAILED F-1 PARTIAL El F -I COMMENTS: MECHANICAL: F] ROUGH -IN D A/C El FURNACE F-1 RADIANT HEAT F-1 FINALE] PARTIAL PASSED FAILED F1 F -I COMMENTS: PLUMBING: R GROUNDWORK El ROUGH -IN El FINAL F-1 WATER METER INSTALLED F1 PARTIAL PASSED FAILED FI PRESSURE TEST COMMENTS: El OCCUPANCY GRANTED El CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: \A_1 INSPECTOR- DATE OF INSPECTION MADE: 0 E• FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY w C CITY OF BLAIR LOCATION OF INSPECTION: ❑ WASHINGTON COUNTY ❑ OTHER r. NAME OF OWNER ` �� ' ` �� CONTRACTOR - DATE ` 3Lf DATE INSPECTION REQUESTED=` TIME INSPECTION REQUESTED: � d"`" PERMIT NO TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: .'E], -,-FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL ASSED FAILED TO CONNECT SERVICE: ON BY =9 ❑ COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL El FlCOMMENTS: . 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: R PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS �� 6 ! 4 A. A1 7 [J --S '3 L) 6 13 INSPECTOR• `VII I`-( DATE OF INSPECTION MADE: c TIMES 4, FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY =9 BUILDING INSPECTION REPORT CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION, NAME OF OWNER -- ,o CONTRACTOR - '_' Z DATE INSPECTION REQUESTED: TIME INSPECTION REQUESTED PERMIT NO - TYPE OF INSPECTION REQUESTED: 0 CONFERENCE F -I STATUS CHECK BUILDING: 'FOOTING F-1 DECKFOOTfNG E:l FRAMING Ej DRYWALLE❑ FINAL PARTIAL PASSED FAILED 4A F -I COMMENTS: UTILITIES: F -I SEWER TAP [I SEWER El SEPTIC El WATER TAP El REMOTE [:] WATER SERVICE PASSED FAILED El PARTIAL F -I F-1 COMMENTS: ELECTRICAL: F-1 ROUGH IN El FINAL F1 PERMANENT SERVICE F1 TEMPORARY SERVICE El PRECONNECT PASSED FAILED El PARTIAL ❑ El COMMENTS: MECHANICAL: F-1 ROUGH -IN F] A/C D FURNACE El RADIANT HEAT F1 FINAL F1 PARTIAL PASSED FAILED ❑ El COMMENTS: PLUMBING: F -I GROUNDWORK [I ROUGH -IN E] FINAL El WATER METER INSTALLED El PARTIAL PASSED FAILED F -I PRESSURE TEST F -I F -I COMMENTS: F] OCCUPANCY GRANTED F] CONDITIONAL OCCUPANCY GRANTED NOTESIREMARKSi If, � f- t -+A � j a �_, - k-, w,lp, ' (,jjj_(,S - INSPECTOR- DATE OF INSPECTION MADE: TIME. 9 Ab -q - FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION REPORT CITY OF BLAIR ❑ WASHINGTON COUNTY C, El El OTHER A:& LOCATION OF INSPECTION- Ll 0 �OSk4 �"_t9 NAME OF OWNER- i r tfg ), 2 y CONTRACTOR - DATE INSPECTION REQUESTED- TIME INSPECTION REQUESTED- PERMIT NO - TYPE OF INSPECTION REQUESTED: [:1 CONFERENCE F1 STATUS CHECK BUILDING: ❑ FOOTING [:1 DECK FOOTING ❑ FRAMING E:l DRYWALL E:l FINAL [:1 PARTIAL PASSED FAILED COMMENTS: ❑ F -I UTILITIES: F-1 SEWER TAP F1 SEWER E] SEPTIC F1 WATER TAP F1 REMOTE F WATER SERVICE PASSED FAILED ❑ PARTIAL El El COMMENTS: ELECTRICAL: ❑ ROUGH IN [:1 FINALE] PERMANENT SERVICE E:l TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL COMMENTS: MECHANICAL: F] ROUGH -IN E] A/C El FURNACE F RADIANT HEAT F-1 FINAL F1 PARTIAL PASSED FAILED F1 F] COMMENTS: PLUMBING: GROUNDWORK F1 ROUGH -IN E-1 FINAL F1 WATER METER INSTALLED El PARTIAL PASSED FAILED >x F -I PRESSURE TEST El COMMENTS: ❑ OCCUPANCY GRANTED F CONDITIONAL OCCUPANCY GRANTED A INSPECTOR- DATE OF INSPECTION MADE:- TIME /o ti p - FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B F ❑ CITY OF BLAIR BUILDING INSPECTION REPORT ❑ WASHINGTON COUNTY ❑ LOCATION OF INSPECTION.ul ,''a NAME OF OWNER. CONTRACTORS R DATE INSPECTION REQUESTED � TIME INSPECTION REQUESTED,-"-," PERMIT NO TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL'PARTIAL PASSED FAILED 1 COMMENTS. UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT mm PASSED FAILED ❑ PARTIAL ❑ El 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 ❑ El COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED -- w s r4 -v ✓Z =vv2- 66 c U�joe_�e_ PCS. INSPECTOR: NV "'a DATE OF INSPECTION MADE: +_9 t C) TME --c-1 10A FAXED OPPD\BURT REA TO CONNECT SERVICE: .,. G YCITY OF BLAIR B"UILDING INSPECTION REPORT F -I WASHINGTON COUNTY ❑ OTHER ft LOCATION OF INSPECTION- NAMEOFOWNER- Z�/ CONTRACTOR Z", 1, oo.- 3 DATE INSPECTION REQUESTED- TIME INSPECTION REQUESTED- L PERMIT NO TYPE, OF INSPECTION REQUESTED: EICONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING F -I DECK FOOTING E:l FRAMING [:1 DRYWALL [:1 FINAL TS�PARTIAL PASSED FAILED El COMMENTS: UTILITIES: F -I SEWER TAP F -I SEWER El SEPTIC F] WATER TAP F-1 REMOTE F -I WATER SERVICE PASSED FAILED El PARTIAL El El COMMENTS: ELECTRICAL: ❑ ROUGH IN F -I FINAL F -I PERMANENT SERVICE F] TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED F1 PARTIAL 0 El COMMENTS: MECHANICAL: F] ROUGH -IN F] A/C F] FURNACE El RADIANT HEAT F] FINAL El PARTIAL PASSED FAILED F -I F1 COMMENTS: PLUMBING: F -I GROUNDWORK F -I ROUGH -IN ❑ FINAL F -I WATER METER INSTALLED ❑ PARTIAL PASSED FAILED F-1 PRESSURE TEST El El COMMENTS: R OCCUPANCY GRANTED El CONDITIONAL OCCUPANCY GRANTED INSPECTOR -DATE OF INSPECTION MADE: TIMF- I t 3 FAXED OPPD\BURT REA TO CONNECT SERVICE: ON By CITY OF BLAIR LOCATION OF f NAME OFOWNER - El WASHINGTON COUNTY ❑ 'b" CONTRACTOR - 7 DATE INSPECTION REQUESTED --"-/_-"..-"''i-"-""Ki�4 TIME INSPECTION REQUESTED- PERMIT NO - TYPE OF INSPECTION REQUESTED: CONFERENCE El STATUS CHECK BUILDING: -El,'- FOOTING 0 DECK FOOTING F1 FRAMING FDRYWALL ElFINAL [PARTIAL PASSED FAILED El COMMENTS: /Z Ei UTILITIES: F] SEWER TAP E] SEWER El SEPTIC F1 WATER TAP E] REMOTE El WATER SERVICE PASSED FAILED F] PARTIAL El El COMMENTS: ELECTRICAL: F -I ROUGH iNE] FINALE] PERMANENT SERVICEE] TEMPORARY SERVICE F1 PRECONNECT PASSED FAILED F] PARTIAL F -I F] COMMENTS: MECIIANICAL:❑ ROUGH -IN E] A/C E] FURNACE El RADIANT HEAT F1 FINAL El PARTIAL PASSED FAILED 1-1 F] COMMENTS: PLUMBING: F -I GROUNDwoRKE] ROUGH -IN El FINALE] WATER METER INSTALLED El PARTIAL PASSED FAILED R PRESSURE TEST F -I ❑ COMMENTS: F -I OCCUPANCY GRANTED El CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKSi% G_,Fj34a &I A 3 6.6 1 INSPECTOR- DATE OF INSPECTION MADE: 4----/ 9 FAXED OPPD\BURT REA TO CONNECT SERVICE: BUILDING INSPECTIONREPORT t\/, PLUMBING: GROUNDWORK ❑ °'❑_ CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER__Aww, ❑ FINAL El WATER METER INSTALLED NeTARTIAL PASSED FAILED ❑ COMMENTS: PRESSURE TEST y,'� ` x' i i j ❑ . NSPECTION LOCATION OF INSPECTION- ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS— NAME OF OWNER' d CONTRACTORef NAME n &C-Cn A ( 0) ly in- r DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED PERMIT NOL_ -x TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED —a 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 ❑ PARTIALS PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: GROUNDWORK ❑ ROUGH -IN ❑ FINAL El WATER METER INSTALLED NeTARTIAL PASSED FAILED ❑ COMMENTS: PRESSURE TEST y,'� ` x' i i j ❑ . ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS— % tJ I n &C-Cn A ( 0) ly in- r IVA k 3 ®G —a INSPECTION REPORT yw CITY OF BLAIR WASHINGTON COUNTYOTHER—.Z'- LOCATION g �! ❑ ❑OTHER � •% LOCATION OF INSPECTION: NAME OF OWNER f<t <,..f . e. k CONTRACTOR DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED: i P " PERMIT NO TYPE OF INSPECTION REQUESTED: d ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE [:1 WATER SERVICE PASSED FAILED [I PARTIAL El ElCOMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED F] PARTIAL ❑ F]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 ❑ COMMENTS: PRESSURE TEST, A e'° �`; � t ,. ,,° k ` j r ,_- / ❑ �% VA u ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED C. A _.� 4 )(—I c: INSPECTOR• -afi/ � DATE OF INSPECTION MADE:_ (S--( (LC_ TIME- 1 L) AilAA, FAXED OPPD\BURT REA TO CONNECT SERVICE: BUILDING INSPECTION T � � �N_, - ❑'CITY OF BLAIR ElWASHINGTON COUNTY ❑OTHER ��r LOCATION OF INSPECTION NAME OF OWNER - `,-` <' ";5 CONTRACTOR DATE INSPECTION REQUESTED: TIME INSPECTION REQUESTED: �" PERMIT N0: TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL [:1 FINAL ❑ PARTIAL PASSED FAILED COMMENTS: El UTILITIES: .,❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ COMMENTS:" PARTIAL t , 9 d a t1= r t - _ - ❑ _z ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: MECHANICAL: F] ROUGH -IN ❑ A/C El 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 &t t _ BUILDING INSPECTION CITY OF BLAIRre. ❑ WASHINGTON COUNTY ❑OTHER LOCATION OF INSPECTION• x� " NAME OF OWNER: s ,, rf: -' '4L ILI c' - CONTRACTOR DATE INSPECTION REQUESTED a "}, "v s "' TIME INSPECTION REQUESTED PERMIT N0: €tld TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK ' BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL b<PARTIAL PASSED FAILED COMMENTS: q,4 ,b 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 ❑ PARTIAL ❑ ❑ COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑Y' FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED F1PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED INSPECTOR r DATE OF INSPECTION MADE: FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY S INSPECTOR DATE OF INSPECTION MADE: lo TIMI_jL, 3 FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B ]BUIL DING INSPECTION REPORT m�,CITY OF BLAIR El WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION Z I z NAME OF OWNER- CONTRACTOR - DATE INSPECTION REQUESTED L_ TIME INSPECTION REQUESTED, PERMIT NO TYPE OF INSPECTION REQUESTED: El CONFERENCE F] STATUS CHECK BUILDING: F -I FOOTING F] DECK FOOTING El FRAMING El DRYWALL E] FINAL F] PARTIAL fi PASSED FAILED El COMMENTS: UTILITIES: F] SEWER TAPE] SEWER E] SEPTIC F1 WATER TAPE] REMOTE F1 WATER SERVICE PASSED FAILED F] PARTIAL El COMMENTS: ELECTRICAL: F -I ROUGH IN[ - ] FINALE] PERMANENT SERVICE 1:1 TEMPORARY SERVICED PRECONNECT PASSED FAILED F-1 PARTIAL ❑ F -I COMMENTS: MECHANICAL:F-1 ROUGH -IN F1 A/C El FURNACE El RADIANT HEAT F -1 FINAL El PARTIAL PASSED FAILED F -I El COMMENTS: PLUMBING: F1 GROUNDWORK ❑ ROUGH -IN El FINALE] WATER METER INSTALLED El PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ El COMMENTS: ❑ OCCUPANCY GRANTED F] CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: �Al 57 LZEA:_ SjtL JU A A INSPECTOR DATE OF INSPECTION MADE: lo TIMI_jL, 3 FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B ❑u__ CITY OF BLAIR LOCATION OF ❑ WASHINGTON COUNTY 0 # 11 ❑ OTHER { NAME OF OWNER r ' �'� �.� TYPE CONTRACTOR• BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL P SSED FAILED COMMENTS: DATE INSPECTION REQUESTED :' >' rr TIME INSPECTION REQUESTED: '' `; r l `' ` PERMIT NO- O TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL P SSED FAILED COMMENTS: �, ❑ UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ 1-1COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ElPARTIAL ❑ ❑ 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 F1PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- A A A 3 o 6 e� INSPECTOR---- _. _ DATE OF INSPECTION MADE: `� r 9 ` C 0 TIME Lt 4' FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY m - - fq:[' NUC9RIY � M' I] FlIRNACE jJ XMAN 0NER Qj MM ❑ YApllpi (p\11g,NR P.1UFy G.11�W r L rA�Nae: ❑ ��: IA ❑ uonml-IN ❑ nlnu ❑ wnrec�eAaNA ' - Px LG_n� TVA�An O rvmn� nxseo Gmam 11 R I1=i r� U arr,rvwn'�xaria'u ❑ mvumouukvvr�en'eusvten �f NonsxulGnm_ ,J I � ��y�a` '. '� , p�-..�` ��W�'J �C � I _ ��._. _ mss++ ... �ou� 113S 2V t1 Oa26"?M 0920 AM - - - �u/c,�sfJlL1 Jr' ,'-�4C ,❑-�-5 CITY OF BLAIR ❑ WASHINGTON COUNTY LOCATION OF INSPECTION: I !' f��4 r �P � ✓ NAME OF OWNER r:, r f y 2 - ` ,•,.. t ❑ OTHER.- _ CONTRACTOR l N . f<w- 't' DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED PERMIT NO 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 ❑ COMMENTS: PARTIAL ❑ ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑PARTIAL PASSED VAILED ❑ i❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED AILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED�� NOTES/REMARKS _ r INSPECTOR: DATE OF INSPECTION MADE: ®� TIME- 4 FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY I opts] I m 13 1111111111 RI U DIN ll 1 0 NOTES/REMARKS - INSPECTOR DATE OF INSPECTION MADE: FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B CITY OF BLAIR F -I WASHINGTON COUNTY El OTHER LOCATION OF INSPECTION NAME OF OWNER- CONTRACTOR - DATE INSPECTION REQUESTED- TIME INSPECTION REQUESTED- PERMIT NO a TYPE OF INSPECTION REQUESTED: F] CONFERENCE F -I STATUS CHECK BUILDING: F] FOOTING F] DECK FOOTING El FRAMING F DRYWALL F1 FINAL F -I PARTIAL PASSED FAILED COMMENTS. 1,0 UTILITIES: ❑ SEWER TAP ❑ SEWER [:1 SEPTIC F] WATER TAP F -I REMOTE F WATER SERVICE PASSED FAILED El PARTIAL El F] COMMENTS: ELECTRICAL: F -I ROUGH IN F FINAL F PERMANENT SERVICE El TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED F-1 PARTIAL F -I El COMMENTS: MECHANICAL: F] ROUGH—IN F -I A/C El FURNACE F I RADIANT HEAT El FINAL F1 PARTIAL PASSED FAILED F] El COMMENTS: PLUMBING: F] GROUNDWORK F] ROUGH—IN [:1 FINAL F1 WATER METER INSTALLED F1 PARTIAL PASSED FAILED F-1 PRESSURE TEST El El COMMENTS: F1 OCCUPANCY GRANTED [_1 CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS - INSPECTOR DATE OF INSPECTION MADE: FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B 0 v O6/04/7010 03.54 PM M261orm 0610412010 6359 PM CITY OF BLAIR LOCATION OF INSPECTION_ 1 u Dili v 1 ''1" ❑ WASHINGTON COUNTY a r NAME OF OWNER 1`r"" ff " CONTRACTOR >' t. ' , . %;f DATE INSPECTION REQUESTED- �� 46, TIME INSPECTION REQUESTED PERMIT NO: ' c4 I t=4 r> TYPE OF INSPECTION REQUESTED: ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ VICE PRECONNECT TEMPO RY S �� ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PASSED FAILED UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP REMOTE [:1 WATER SERVICE PASSED FAILED F] PARTIAL �❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED El COMMENTS PRESSURE TEST ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ VICE PRECONNECT TEMPO RY S �� PASSED FAILED El PARTIAL I6 — �� ❑ El 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 3+00 INSPECTOR: '�1 �✓/`�.�c/ DATE OF INSPECTION MADE:�1 ` �- TIME• �r'�'�✓ FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY BUILDING " iREPORT CITY OF BLAIR WASHINGTON COUNTY El OTHER LOCATION OF INSPECTION t r `� •r� s - NAME OF OWNER CONTRALTO DATE INSPECTION REQUESTED �F " TIME INSPECTION REQUESTEDPERMIT N=y r 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: ❑ GROUNDWO ' ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ARTIAL PASSED FAILED El COMMENTS PRESSURE TEST a /0 ! Le(J":� El ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: / "o, INSPECTOR �nnP/ DATE OF INSPECTION MADE: �' 1 O TE FAXED OPPDIBURT REA TO CONNECT SERVICE: ON BY