13174_0002-1.jpg 3051. /db 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 TI E INSPECTION REQUESTED PERMIT NO
TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED
COMMENTS: ❑ ❑
UTILPPIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED
❑ PARTIAL ❑ ❑
COMMENTS:
ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED
❑ 11 COMMENTS: PARTIAL ❑
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
CO MMENTS: ❑ PRESSURE TEST ❑ ❑
] OCCUPANCY GRANTED n ❑ CONDITIONAL OCCUPANCY GRANTED
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NSPECTO DATE OF INSPECTION MADE: TIME
'AXED OPPDIBURT REA TO CONNECT SERVICE: ON BY
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