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PROFESSIONAL FORMS, INC. 1-800.53Z 0245
BUILDING INSPECTION REPORT
❑ CITY OF BLAIR ❑ WASHINGTON COUNTY/ A �v OTHER_
LOCATION OF INSPECTION• (�
NAME OFOWNER• 'k CONTRACT"
DATE INSPECTION REQUESTED• TIME INSPECTION REQUESTED! PERMIT NO•
TYPE OF INSPECTION REQUESTED ❑ CO N ❑ STATUS CHECK
BUILDING: ❑ FOOTING ❑ ' E F ❑ ( Y LL � AL ElP AK61, PASSED FAILED
COMMENTS:
UTILITIES: ❑ SEWERTAP ❑ SEWER El SEPTIC ❑ WATERTAP El REMOTE El WATER SERVICE PASSED FAILED
El PARTIAL El El
COMMENTS:
ELECTRICAL: El ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED
El PARTIAL El
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COMMENTS:
MECHANICAL: ❑ ROUGH -IN ❑ A/C ElFURNACE ❑ RADIANT HEAT ElFINAL ❑ PARTIAL PASSED FAILED
COMMENTS:
PLUMBING: ❑ GROUNDWORK ❑ ROU IN 0 ° �It N TALLED ❑ PARTIAL PASSED FAILED
PRESSUTST El El
COMMENTS: REE
OCCUPANCY GRANTED ❑ � CONDITIONAL OCCUPANCY GRANTED
NOTES
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