EL-2013-00004_0001.tif BUILDING INSPECTION
❑ AIR El WASHINGTON COUNTY El OTHE
LOCA OF INSPECTION
NAME OF OWNER CONTRACTO
DATE INSPECTION REQUEST ED f
TIME INSPECTION REQUESTED PERMIT NO
TYPE OF INSPECTION REQUESTED: ❑ 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 ❑ .TEMPO.RARY SERVICE ❑ PRECONNECT
PASSED AILED
❑ PARTIAL } ❑
COMMENTS: , : r ° ,' `.V
MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED
COMMENTS: ❑ ❑
PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED
COMMENTS: ❑ PRESSURE TEST ❑ ❑
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS •
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INSPECTO • TE OF INSPECTION MADE: / T IME:
FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY