EL-2015-00074.tif BUILDING INSPECTION REPORT
-*Y OF BLAIR ❑ WI COUNTY EJOTHER
L
OCA 0
F INSPECTION:
NAME OF OWNER: mu VA PHONE fi:
PERSON REQUESTING INSPECTION: PHONE #:
CJS TIME
DATE INSPECTION REQUESTED: e a o TIME INSPECTION REQUESTED: MANYTIME
ce
PROJECT DESCRIPTION:
TYPE OF INSPECTION: ❑ 1ST INSPECTION ❑ RE-INSPECTION ❑ CONFERENCE ❑ STATUS CHECK
BUILDING: DFOOTING EI DECK FOOTING ❑ FRAMING EIDRYWALL EIPARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ Ej
UTILITIES: EI SEWER TAP E]SEWER EISEPTIC D WATER TAP D WATER SERVICE ❑PARTIAL DFINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED:
ELI CTRICAO, -OtfGH IN EIPERMANENT SERVICE El TEMPORARY SERVICE ❑P -CONNECT ❑PARTIAL ❑ F N �D BAITED
I ,_Q`R El RE El El I AL ASSE
PERMIT NO.:I- CONTRACTOR: f RECORDED:
MECHANICAL: EIROUGH -IN EIA/C ❑ FURNACE EI HEAT PUMP ❑FIREPLACE ❑ GEOTHERMAL D RADIANT HEAT PASSED FAILED
❑PARTIAL ❑FINAL ❑ 1:1
PERMIT NO.: CONTRACTOR: RECORDED:
PLUMBING: ❑GROUNDWORK ❑ROUGHIN ❑PRESSURETEST ❑PARTfAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
El OCCUPANCY GRANTED El CONDITIONAL OCCUPANCY GRANTED Elgp- IGN ❑ RETURN DEPQ§J QFORF EIT DEPOSIT
KjY—V
NOTES /REMARKS:
0
9
— ,u
7
WASHINGTON CO. I OR, CITY IN OR OTHER. e r
TIME:(
DATE OF INSPECTION: — v" ,
EMAILED TO OPPD OR BCPPD ❑ DATE: INITIALS: