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❑�CIT L IR ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION
4
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NAME OF OWNER `� CONTRACTO
DATE INSPECTION REQUESTED TIME INSPECTION RE UESTED -> ,- 8 ' ' PERMIT NQ
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TYPE OF INSPE REQUESTE El CO NFE F CE ❑ ST TUS CHECK _
BUILDING: ❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑� DRYWALL ❑ FINAL �❑ PARTIAL PASSED FAILED
1 ❑
COMMENTS: _ _ _ _ 3
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑� WATER SERVICE PASSED FAILED
❑ PARTIAL ❑ ❑
_ _ I
C OMMENTS: ..
ELECTRICAL: ❑ ROUGH IN ❑ FINAL ' PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASS FAILED
❑ PARTIAL }� ❑
COMME
MECHANICAL: F] ROUGH -IN F] A/C ❑ FURNACE ❑ RADIANT HEAT ❑FINAL ❑PARTIAL PASSED FAILED
❑ ❑
COMMENTS:
PLUMBING ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED
❑ PRESSURE TEST ❑ ❑
C OMME NT S:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL P GRANTED "
NOTES/REMARKS
3
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Y
1
INSPECTO DATE OF INSPECTION MADE: y l TIM
F ED OP MBURT REA ' j TO CONNECT SERVICE: 0 N BY