E3179_0001.tif BUILDING INSPE REPORT
CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION _ < -
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NAME OF OWNER r € �; t, r$ .._ .:... CONTRACTO
DATE INSPECTION REQUESTED ' �� TIME INSPECTION REQUESTED �`€ " PERMIT N0 -�
TYPE OF INSPECTION REQUESTED: ❑ CO ❑ STATUS CHECK 3
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED
COMMENTS: x
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED
❑ PARTIAL ❑ ❑ }
COMMENTS:
ELECTRICAL: ❑ ROUGH III '-,FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED
❑ PARTIAL ❑ j
COMMENTS: I
MECHANICAL: ❑ ROUGH -IN F A/c F FURNACE ❑ RADIANT HEAT — 1 FINAL ❑PARTIAL PASSED FAILED '
❑ ❑
COMMENTS:
PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN El FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED
❑ PRESSURE TEST ❑ ❑
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS
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INSPECTO DATE OF INSPECTION MADE: 0 � �/ 4 6-/ 0 TIM
FAXED OPPD \BURT REA TO CONNECT SERVICE: 0 N BY