13174_0003.jpg 3051.fdb PROFESSIONAL FORMS, INC. 1- 800- 537 -0245
BUILDING INSPECTION REPORT
CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION-
NAME OF OWNER CONTRACTO
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
F1 PARTIAL El El COMMENTS:
ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED
Fl PARTIAL El
COMME
MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED
C OMMENTS: ❑ ❑
PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED
COM MENTS: ❑ PRESSURE TEST ❑ ❑
] OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
'40TES/RF-MARKS 0 f r T_ F a gQ `eS a&2 k" p fR �� A T v e -e. T
!(1 Na T No ✓Z /1 - r
L
'T a h A �y� t Ll <�Ca o d� - T&<( e &k A t
u a +0 "r G4 c a y i s I . t, o f= - r at .
�d s 90'ej N • "6 Cd e R-. - r a oc at Va L. e rt �s S 0
u
a t o ua• I L 4 L e, L !V& 0 e l cr r:Llz�
QN "7 bl e �/aL(� (�� f!l�rJt - T e c e tyet we r.. • f ae_ �4 oo d.4- /2.A "Jt -
NSPECTO V. DATE OF INSPECTION MADE:
'AXED OPPD\BURT TO CONNECT SERVICE: ON BY
r' C C— F f'e- F r- N .vL �p� �! e Gbc a► f
/J U4
CG u 0,t "C o x I 0 F3