BPM2006Al
OF BLAIR
LOCATION OF
BUILDING INSPECTIO
❑ WASHINGTON COUNTY ❑
4r .
6�
d
NAME OF OWNER � "� `
t�
� � r �.
CONTRACTO ` /;
FAILED
❑
DATE INSPECTION REQUESTED
❑
TIME INSPECTION REQUESTED
-" L � PERMIT
NO
T YPE OF INSPECTION REQUESTED:
❑ CONFERENCE
❑ STATUS CHE
BUILDING: ❑ FOOTING
❑ DECK FOOTING
❑ FRAMING ❑ DRYWALL ❑ #'FINAL
❑ PARTIAL
P SSED FAILED
❑
❑
COMMENTS:
❑
COMMENTS:
MECHANICAL: ❑
ROUGH IN " El" "" A/C " E[ TyFURNACE ❑RADIANT HEAT ❑t FINAL ❑ PARTIAL
P SSED w^
FAILED
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 " El" "" A/C " E[ TyFURNACE ❑RADIANT HEAT ❑t FINAL ❑ PARTIAL
P SSED w^
FAILED
COMMENTS:
PLUMBING: ❑
GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
PASSED
FAILED
❑
PRESSURE TEST
❑
❑
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
INSPECTO DATE OF INSPECTION MADE:_ X c Q T IMR
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY