PL-2012-00190_0001.tif 113 11 T
"UILDING INSPECTION REPORT
❑ Cl 1R ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION
NAME OF OWNER' CONTRACTOR TIME INSPECTION REQUESTED�_'L
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DATE INSPECTION REQUESTED:- PERMIT NO_l"___
TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING F DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED
F ❑
COMMENTS:
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED
❑ PARTIAL
COMMENTS:
ELECTRICAL: F ROUGH IN F FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED
❑ PARTIAL ❑ ❑
COMMENTS:
MECHANICAL:[ ROUGH IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ I FINAL ❑ PARTIAL PASSED FAILED
❑ ❑
COMMENTS:
PLUMBING ❑ GROUNDWORK ❑ ROUGH-IN, ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL ASS FAILED
❑ PRESSURE TEST
COMMENTS:
CONDITIPNAL OCCUPANCY GRA
F1 OCCUPANCY GRANTED NTED
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NOTES/REMARKS
INSPECTO DATE OF INSPECTION MADE:O Ztc�D
I V
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON B