20121030151316557_0001.tif 4305t0b PROFESSIONAL FORMS, INC. 1-800-537-0245
'"BUIL'u"ING INSPECTION REPORT
F CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION:
L
NAME OF OWNER
CONTRACTORL___�-'
J'Ll
DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED� PERMIT NOL-2'
TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE STATUS CHECK
BUILDING: ❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSE F ED
COMMENTS: ❑
f:' A
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED
❑ PARTIAL F-I ❑
COMMENTS:
ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT FAILED
PARTIAL ❑
COMMENT )e
.............. ---------------
MECHANICAL: El' ROUGH-IN [ A/C F1 FURNACE Ll ❑ RADIANTHEAT ❑ FINAL ❑ PARTIAL
PAS
FAILED
K F1
COMMENTS:
PLUMBING: P"' GROUNDWORK ❑ ROUGH-IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED F IL
PRESSURE TEST ❑
COMMENTS:
F OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMWS -
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fNSPECTOR DATE OF INSPECTION MADE:
TIME`
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY