EL-2015-00022_0001.tif BBUILDING INSPECT
CITY ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION F INSPECTION
A
NAME OF OWNER CONTRACTO
DATE INSPECTION REQUESTED ` = °� TIME INSPECTION REQUESTED 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
❑ PARTIAL 1:1 El
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 ❑ ❑ f
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED j
x §'
NOTES/REMARKS
INSPECTO
DATE OF INSPECTION MADE: ' f TIM
4
j
FAXED OPPD\BURT REA TO CONNECT SERVICE: 0 N BY