EL-2015-00601_0001.tif BUILDING INSPECTION REPOR
❑ CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER
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LOCATION OF INSPECTION:
NAME OF OWNER: - t m - -� c PHONE #:
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PERSON REQUESTING INSPECTION: � ' � , � '� V � Q 4._ - �' �' :, Y�- PHONE #:
SET TIME
DATE INSPECTION REQUESTED: =� TIME INSPECTION REQUESTED: ANYTIME
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PROJECT DESCRIPTION:
TYPE OF INSPECTION: ❑ 1ST INSPECTION ❑ RE- INSPECTION ❑ CONFERENCE ❑ STATUS CHECK
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ PARTIAL ❑FINAL PASSED FAILED
PERMITNO.: CONTRACTOR: RECORDED: ❑ ❑
UTILITIES: ❑SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ WATER SERVICE ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
ELECTRICAL: ❑ROUGH 1N ❑PERMANENT SERVICE TEMPORARY SERVICE ❑PRE- CONNECT ❑ PARTIAL ❑ FINAL PASSED FAILED
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PERMIT NO.: , S` CONTRACTOR: _ 4 �" ���� RECORDED: ❑ ° ❑
MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ HEAT PUMP ❑FIREPLACE ❑ GEOTHERMAL ❑ RADIANT HEAT PASSED FAILED
❑ PARTIAL ❑ FINAL ❑ ❑
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PERMIT NO.: CONTRACTOR: RECORDED:
PLUMBING: ❑GROUNDWORK ❑ROUGHIN ❑PRESSURE TEST ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
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❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED ❑ 911 SIGN ❑ RETURN DEPOSIT ❑ FORFEIT DEPOSIT
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NOTES /REMARKS:
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WASHINGTON -CO:- INSPECTOR CITY INSPECTOR OR OTHER. v.. e, .
DATE OF INSPECTION. ❑❑ TIME: s
ILED T O BCPPD ❑ DATE: INITIALS:
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