13174_0001-1.jpg 43051.fdb PROFESSIONAL FORMS, INC. 1- 800 -537 -0245
BUILDING INSPECTION REPORT
CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE /V rT Z .d N rt1 Gy S
LOCATION OF INSPECTION J 6 N - o'I Sf Y i' -
NAME OF OWNER CONTRACTO / ?
DATE INSPECTION REQUESTED =iX L () TIME INSPECTION REQUESTED PERMTF NO G - 7 f
TYP O F IN REQUESTED: C ONFERENCE ❑ S TATUS CHECK
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED
COMMENTS: ❑ ❑
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED
El 11 COMMENTS: ❑ PARTIAL
ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED
❑ PARTIAL El El COMMENTS:
MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED
COMMENTS: ❑ ❑
PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL El WATER METER INSTALLED ❑ PARTIAL PASSED FAILED
COMMENTS: ❑ PRESSURE TEST ❑ ❑
OCCUPANCY GGR�ANTE,D/� El CONDITIONAL OCCUPANCY GRANTED
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NSPECTO DATE OF INSPECTION MADE: I l TME
'AXED OPPD\BURT REA TO CONNECT SERVICE: ON By