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J WILDING INSPECTION REPORT
LAIR ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION
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NAME OF OWNER "� CONTRACTO f
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DATE INSPECTION REQUESTED e TIME INSPECTION REQUESTED PERMIT NO
TYPE OF INSPECTION REQUESTED
El El STATUS CHECK
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED
COMMENTS: ❑ ❑
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ v WATER SERVICE ' PASSED FAILED
❑ PARTIAL ❑ ❑
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 El FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED
❑ PRESSURE TEST ❑ El
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES /REMARKS•
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DATE OF INSPECTION MADE
INSPECTO A TIM r
D 0 D�BURT REA TO CONNECT SERVICE: ON By