ac-2011-00178_0005.jpg BUILDING INSPECTION REPORT
[� tlTY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION-
NAME OF OWNER CONTRACTO
DATE INSPECTION REQUESTED: h TIME INSPECTION REQUESTED PERMIT NO
TYPE OF INSPE CTION REQUESTED: ti , �; ;� ❑ CONFERENCE ❑ STATUS CHECK
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 PASSED FAILED
❑ PARTIAL ❑ ❑
COMMENTS:
MECHANICAL:❑ ROUGH -LN ❑ A/C ❑ FURNACE ❑ RADIA.NTHEAT ❑ FINAL ❑ PARTIAL PASSED FAILED
❑ 7 1
COMMENTS:
PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED
❑ PRESSURE TEST ❑ ❑
CO _
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS
_
1
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INSPECTO e ` DATE OF INSPECTION MADE: _ '.� TIM
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY