EL-2011-00094_0001.tif B UILDING INSPECT
y k
❑ , CITY OF BLAIR -' ❑ WASHINGTON COUNTY„ ❑ OTHE
6 M'
- LOCATION OF INSPECTION
NAME OF OWNER r ' `�; ". CONTRACTO
DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED v = PERMIT NO TYPE OF INSPEC REQUESTED: _ ❑ CONFERE ❑ S C HECK
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED
COMMENTS: ❑ ❑
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑REMOTE ❑ WATER SERVICE PASSED FAILED
❑ PARTIAL ❑ ❑
COMMENTS:
ELECTRICAL ROUGH IN ❑ ,FINAL .� PERMANENT SERVICE ❑TEMPORARY SERVICE ❑ PRECONNECT ) FAILED
❑ PARTIAL ,`? s.,� = El
S
COMMENT a
MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED
COMMENTS: ❑ F]
PLUMBING: ❑ GROUNDWORK El ROUGH -IN ❑ FINALE] WATER METER INSTALLED ❑ PARTIAL PASSED FAILED
❑ PRESSURE TEST ❑ ❑
COM MENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS
1
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INSPECTO DATE OF INSPECTION MADE: ®/V � � TIME: Y
FAXED OPPD�BURT REA TO CONNECT SERVICE: ON BY