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13UILDING INSPECTION REPORT
LOCA I WSPECTION
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NAME OF OWNER �" t a _ CONTRACTO
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DATE INSPECTION REQUESTED TIME INSPECTION REQUESTED e , s . PERMIT NO
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TYPE OF INSPECTION REQUESTED : r ❑ [:1 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: F] ROUGH IN ❑ FINAL ff PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED.,,< FAILED
❑ PARTIAL _�;, _� ❑ ,, ❑
COMMENTS:
MECHANICAL: ❑ ROUGH —IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED
COMMENTS:
PLUMBING: ❑ tl GROUNDWORK ❑ ROUGH —IN ❑ FINAL ❑ WATER METER INSTALLED ❑PARTIAL PASSED FAILED
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❑ PRESSURE TEST ❑ ❑
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS
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DATE OF INSPECTION MADE.z x T1MF
ED OPP ABU A TO CONNECT SERVICE: 0 N BY