DM-2013-00419_0001.tif C T
❑ CIT 0 B ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION
NAME OF OWNER l �' `° CONTRACTO
DATE INSPECTION REQUESTED 1 _ TIME INSPECTION REQUESTED PERMIT NO
TYPE OF INSPECTION REQUESTED
-;� , 3 ❑ CONFERENCE ❑S TAT US CHECK
,.
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED
❑ ❑
COMMENTS:
i
UTILITIES: ❑ SEWER TAP El. SEWER ❑ SEPTIC ❑ — WATER TAP El REMOTE El WATER SERVICE PASSED FAILED
F1 PARTIAL
.- W ❑
COMMENTS:
ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED
❑ PARTIAL ❑ ❑
COMMENTS:
MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED
❑ ❑
COMMENTS:
PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED
❑ PRESSURE TEST ❑ ❑
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS
i
a
INSPECTO ' DATE OF INSPECTION MADE. TIM t
FAXED OPPD\BURT REA TO CONNECT SERVICE: 0 N BY