BPM1988IC 1 In 1 U DE40 '
ITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE
ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
PASSED
LOCATION OF INSPECTION
s
PARTIAL
NAME OF OWNER a ! ��� `�
> /� - =�e' CONTRACTO
COMMENTS:
4
DATE INSPECTION REQUESTED — t�
TIME INSPECTION REQUESTED
? l i f
PERMIT
N0 °
TYPE OF INSPEC REQUESTED:
ROUGH IN ❑ A/C ❑ FURNACE
❑ CONFER
❑ STA TUS 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
❑
PRESSURE TEST
❑ ❑
COMMENTS:
❑
COMMENTS:
ELECTRICAL: ❑
ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
PASSED
FAILED
❑
PARTIAL
❑
❑
COMMENTS:
MECHANICAL: ❑
ROUGH IN ❑ A/C ❑ FURNACE
❑ RADIANT HEAT J � AL ❑ PARTIAL
S PASSED
FAILED
❑
COMME
PLUMBING: ❑
GROUNDWORK ❑ ROUGH —IN ❑
FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
PASSED
FAILED
❑
PRESSURE TEST
❑
❑
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS-
INSPECTO U �/l� l DATE OF INSPECTION MADE:
FAXED OPPDIBURT REA TO CONNECT SERVICE: ON BY