EL-2015-00572_0001.tif BUILDING INSPECTION "PORT
TY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER
LOCATION OF INSPECTION: CIN,
NAME OF OWNER:
L I, PHONE #:
PERSON REQUESTING INSPECTION:
PHONE #: '-A
SET TIME
DATE INSPECTION REQUESTED: ~t TIME INSPECTION REQUESTED: F-1 'foANYTDvfE
PROJECT DESCRIPTION:
TYPE OF INSPECTION: 1ST INSPECTION F-1 RE-INSPECTION F-1 CONFERENCE ❑ STATUS CHECK
BUILDING: ❑ FOOTING ❑ DECK FOOTING DFRAMING DDRYWALL DPARTIAL ❑FfNAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED:
UTILITIES: DSEWERTAP DSEWER F-ISEPTIC EI WATER TAP D WATER SERVICE ❑PARTIAL ❑FfNAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: 1:1 F-1
ELECTRICAL: ❑ ROUGH IN EIPERMANENT SERVICE MTEMPORARY SERVICE ❑PRE-CONNECT ❑PARTIAL ❑FINAL PASSED FAILED
CONTRACTOR: A - c - I
PERMITNO.: RECORDED:
MECHANICAL: ❑ROUGE-IN F-1 A/C ❑ FURNACE D HEAT PUMP ❑FIREPLACE F-1 GEO THERMAL ❑ RADIANT HEAT PASSED FAILED
DPARTIAL DFINAL
PERMIT NO.: CONTRACTOR: RECORDED:
PLUMBING: ❑GROUNDWORK ❑ROUGHIN ❑PRESSURETEST ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
❑OCCUPANCY GRANTED 1:1 CONDITIONAL OCCUPANCY G 1:1911 SIGN F-1 RE TURN DEPOSIT
RANTED, FORFEIT DEPOSIT
Jf�
NOTES/REMARKS:
WAWA I�INWK CITY INSPECTOR OR OTHER:
DATE OF INSPECTION: 11E] TIME
EMAILED TO OPPD OR BCPPD Fl DATE: INITIALS: