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ON REPORT
F BLAIR _ ❑ OTHE
LOCATION OF INSPECTION a
NAME OF OWNER CONTRACTO
DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED r "' 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
[:1 PARTIAL ❑ ❑
COMMENTS:
ELECTRICAL: ❑ ROUGH IN ❑� FINAL 0 SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED
❑ PARTIAL ❑ ❑
COMMENTS:
MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED
COMMENTS: ❑ El
PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED
F PRESSURE TEST ❑ ❑
COMMENTS:
OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS • - • , , z t - `:'
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INSPECTO DATE OF INSPECTION MADE. T IME•
FAXED OPPD \BURT REA TO CONNECT SERVICE: ON BY