PL-2015-00440_0001.tif B UILDING INSPECTIO RE POR T
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`G OF BLAIR ❑ WASHINGTON COUNTY ❑OTHER
L OCAT O SPECTION:
NAME OF OWNER:'`' t��'- h �' PHONE #:
PERSON REQUESTING INSPECTION:
_ PHONE #: Gads Y ��
SET TIME
DATE INSPECTION REQUESTED: fvJ _ TIME INSPECTION REQUESTED: I 'C" DANYTINIE
PROJECT DESCRIPTION:
TYPE OF INSPECTION: ❑ 1ST INSPECTION ❑ RE- INSPECTION ❑ CONFERENCE ❑ STATUS CHECI{ ,
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: �` CONTRACTOR: RECORDED: ❑ ❑
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ WATER SERVICE ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
ELECTRICAL: ❑ ROUGH IN ❑ PERMANENT SERVICE ❑TEMPORARY SERVICE ❑PRE - CONNECT ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ 0
MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ HEAT PUMP ❑FIREPLACE ❑ GEO THERMAL ❑ RADIANT HEAT PASSED FAILED
❑ PARTIAL ❑ FINAL ❑ �❑
PERMIT NO.: CONTRACTOR: RECORDED:
PLUMBING: ❑GROUNDWORK BROUGHEV PRESSURE TEST ❑PARTIAL ❑FINAL PASSED FAILED
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PERMIT NO.: CONTRACTOR: S - RECORDED: -
❑OCCUPANCY GRANT,, . ❑ CONDITIONAL OCCUPANCY GRANTED ❑ 911 SIGN; ❑ RETURN DEPOSIT ❑ FORFEIT DEPOSIT
NOTES /REMARKS: `a .l.
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W 1 SI3INGTON CO INSPECTOR CITY INSPECTOR OR OTHER
DATE OF INSPECTION ❑❑ TIME
EMAILED TO OPPD OR BCPPD DATE: INITIALS•