PL-2015-00624_0001.tif t�
B UILDING INSPECTION REPOR �
OF BLAIR ❑ WASHINGTON COUNTY ❑OTHER'
L T O F INSPECTION.
PHONE #:
NAME OF OWNER: _' f a g .� d _a
.I" n- PHONE #: a
PERSON REQUESTING INSPECTION: 4 ` ° "� SET TIME
TIME INSPECTION REQUESTED ANYTIME
DATE INSPECTION REQUESTED r
Y r F
PROJECT DESCRIPTION `'
El INSPECTION ❑ RE- INSPECTION El CONFERENCE ❑ STATUS CHECK
TYPE OF INSPECTION:
PASSED FAILED
BUILDING: [I FOOTING ❑DECKFOOTING ❑FRAMING []DRYWALL PARTIAL ❑FINS CORDED: ❑ El
PERMIT NO.: CONTRACTOR:
UTILITIES: ❑SEWER TAP ❑ SEWER e
SEPTIC ❑WATER TAP ❑WATER SERVICE []PARTIAL ❑ FINAL PSSEDAkL
d
RECORDED " El
(_01 CONTRACTOR: ` "
PERMIT NO.: " S
ELECTRICAL: ❑ ROUGH IN []PERMANENT SERVICE []TEMPORARY SERVICE ❑PRE- CONNECT ❑PARTIAL ❑FINAL PASSED FAILED
RECORDED:
PERMIT NO.: CONTRACTOR: I
MECHANICAL: []ROUGH-IN ❑ A/C El FURNACE ❑HEAT PUMP
❑FIREPLACE ❑ GEOTHERMAL ❑ RADIANT HEAT PASSED FAILED
El 11
❑PARTIAL []FINAL RECORDED:
` NO.:
CONTRACTOR:
p PASSED FAILED
p >U� ❑ GROUNDWORK ❑ ROUGH IN
[]PRESSURE TEST ❑PARTIAL []FINAL CORDED: ❑ ❑
CONTRACTOR:
= ❑FO FETI 9E]
F - 1 ❑911 SIGN RETURN DEPOSIT ❑
� ❑ OCCU�'ANCY GRANTED ❑ CONDITIONA>; OCCUPANCYH,AN� T �
Q "s
' t z
..�
w r
f f `
1
9
i
e _ _
4 4X
WASHINGTON CO. INSPECTOR, CITY INSPECTOR OR OTIIER
r e ,., "t TIME "
DATE OF INSPECTION a ��
INITIALS:
PPD ❑ DATE:
EMAILED TO OPPD OR BC