RE-2011-00012_0001-2.tif BUILDING INSPECTION
❑ CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION
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NAME OF OWNER R
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DATE INSPECTION REQUESTED ti Z (Al t TIME INSPECTION REQUESTED °'= 1 ' PERMIT N -
TYPE OF INS PECTION REQUESTED: ❑ CONFEREN ❑ STAT CHECK
BUILDING: ❑ FOOTING ❑ DECKFOOTING -- ❑ DRYWALL ❑ FINAL ❑ PARTIAL "PASSFAILED
COMMENTS:
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED
❑ PARTIAL ❑ ❑
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:
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PLUMBING: F GROUNDWORK F ROUGH —IN Fl FINAL ❑ WATER METER INSTALLED ❑PARTIAL PASSED FAILED
❑ PRESSURE TEST ❑ ❑
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
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NOTES/REMARKS
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INSPECTO DATE OF INSPECTION MADE: / _ TIM
FAXED OPPD\BURT REA TO CONNECT SERVICE: 0 N BY