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C F LAIR ❑ WASHINGTON COUNTY El OTHE
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LOCATION OF INSPECTION
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NAME OF OWNER CONTRACTO -.
DATE INSPECTION REQUESTED <.� TIME INSPECTION REQUESTED '' PERMIT NO °
TYPE OF I REQUESTED: ❑ CONFERE ❑ STATUS CHECK
BUILDING 0;f FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PA FAILED
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COMMENTS: `" 1 r t <' ¢ : El i
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED
❑ PARTIAL ❑ F]
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 ❑FINAL ❑ WATER METER INSTALLED �❑ PARTIAL PASSED FAILED
COMMENTS:
F1 PRESSURE TEST ❑ El
❑ OCCUPANCY GRANTED ❑ CONDDIIT'I "ONA`L OCCUPANCY GRANTED
NOTES/REMARKS e_ ��21✓� e�i 7� / t / f �` ` c
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INSPECTO rp DATE OF INSPECTION MADE: TIME,
FAXED OPPD \BURT REA TO CONNECT SERVICE: ON BY
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