1142 Corey Elec RI - PPass.tif BU ILDING INSPECTION P T
Cl OF LAIR El WASHINGTON COUNTY ❑OTHER
LOCATI SPECTION:
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NAME OF OWNER: PHONE #:
PERSON REQUESTING INSPECTION: PHONE #:
> - E] SET TIME
DATE INSPECTION REQUESTED: $ I s TIME INSPECTION REQUESTED p e ANYTIME
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PROJECT DESCRIPTION: z ? `
TYPE OF INSPECTION: ❑ IST INSPECTION ❑ RE- INSPECTION ❑ CONFERENCE ❑ STATUS CHECK
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: E r " . `" j zg rt' CONTRACTOR: RECORDED: 1:1 El
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UTILITIES: ❑SEWERTAP ❑SEWER ❑ SEPTIC ❑WATERTAP ❑ WATERSERVICE ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
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ELECTRICAL ❑ROUGH IN ❑PERMANENT SERVICE SRVIG� ❑'RE CONNEC' tRTIAL ❑FINAL PSSA�1ILED
PERMIT NO.: CONTRACTOR s - RECORDED: ❑
MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ HEAT PUMP ❑FIREPLACE ❑ GEOTHERMAL ❑ RADIANT HEAT PASSED FAILED
❑ PARTIAL ❑ FINAL ❑ ❑
PERMIT NO.: CONTRACTOR: RECORDED:
PLUMBING: ❑GROUNDWORK ❑ROUGHIN ❑PRESSURETEST ❑PARTIAL El 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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WASIIINGTANL CO;- INSPKCTOR CITY INSPECTOR OR OTHER I rat — I
DATE OF INSPECTION z_�e � TIME. A, e
EMAILED TO OPPD OR BCPPD L DATE: INITIALS:
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