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"❑c -CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION J
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NAME OF OWNER _ r -
DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED Z • " L ) f 2-4, PERMIT NO
TYPE OF INSPECTION REQUESTED: ❑ C ONFERENCE ❑ STATU C HECK
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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:
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ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED
❑ PARTIAL ❑ ❑
COMMENTS:
P
MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED
❑ ❑
COMMENTS:
PLUMBING ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED El PARTIAL PASSE FAILED
❑ PRESSURE TEST „ ' El
COMMENTS: + >t % t t J b °`
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❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS �' ref �4. l , , Xl t`,: a t a z / r fw -6 I .� I. �•t L. � <
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INSPECTOR- DATE OF INSPECTION MADE: TIM 6 " . '
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY