13174_0001.jpg 43051.fdb PROFESSIONAL FORMS, INC. 1- 800 - 537.0245
BUILDING INSPECTION REPORT
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CITY OF BLAIR El WASHINGTON COUNTY El OTHE /V O' Z .d N itl G` S � � oA_
LOCATION OF INSPECTION -5 N • c '- , ,'+ J i
NAME OF OWNER CONTRACTO /
DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED PERMIT N0 L �1 7 Lf
TYPE OF IN 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
❑ PARTIAL El El COMMENTS:
ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED
❑ PARTIAL ❑ E] 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: ❑ PRESSURE TEST ❑ ❑
] OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
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NSPECTO I �� DATE OF INSPECTION MADE: TIME
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