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❑ .CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION
NAME OF OWNER. CONTRACTO
DATE INSPECTION REQUESTED ' TIME INSPECTION REQUESTED PERMIT NO
TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK
BUILDING: ❑ FOOTING❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ _ ❑ PARTIAL PASSED FAILED
COMMENTS: ❑
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED J FAILED
❑ ❑ ❑
COMMENTS: PARTIAL
ELECTRICAL: ❑ ROUGH IN E] FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED
1:1 El
❑ PARTIAL
MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED
COM MENTS: ❑ ❑
PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN v ❑ FINALE] WATER METER INSTALLED y ❑ PARTIAL PASSED FAILED
El PRESSURE TEST 1:1 El COMMENTS:
❑
El OCCUPANCY GRANTED L OCCUPANCY GRANTED
NOTES/REMARKS
INSPECTO DATE OF INSPECTION MADE: ,� 7 0 T IMF t u
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY