1005 N 23rdDATE INSPECTION REQUESTE
TIME INSPECTION REQUESTED
PERMIT NO
TYPE OF INSPECTION REQUESTED:
ELECTRICAL: ❑
ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
❑ CONFERENCE [;] CHECK
BUILDING: 4 ❑ FOOTING ` ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL
❑
FINAL ❑ PARTIAL ASSED FAILED
COMMENTS l N u
�i�Q �, [ u �
COMMENTS:
_
UTILPTIES
❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE
❑ PARTIAL
COMMENTS:
_
ELECTRICAL: ❑
ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
PASSED
FAILED
❑
PARTIAL
❑
❑
COMMENTS:
_
MECHANICAL: ❑
v ROUGH IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL
PASSED
FAILED
COMMENTS:
PLUMBING: ❑
GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
PASSED
FAILED
❑
PRESSURE TEST
❑
❑
COMMENTS:
❑ OCCUPANCY GRANTED
❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
07
( fi e
PASSED FAILED
❑ ❑
m
INSPECTO 4 nl -/VI a DATE OF INSPECTION MADE: T TMR
f .
FAXED OPPD\BURT REA TO CONNECT SERVICE: 0 N B