EL-2015-00680_0001.tif BUILDING INSPECT P T
CITY OF BLAIR ❑ WASHINGTON COUNTY ❑OTHER
LOCATION OF INSPECTION: ¢
a PHONE #:
NAME OF OWNER: ;. ,.
j "- '- 3 ° PHONE #: _ ..
PERSON REQUESTING INSPECTION: i (� ET TIME
4, n,
TIME INSPECTION REQUESTED: ANYTIME
DATE INSPECTION REQUESTED: �
PROJECT DESCRIPTION:
I (
TYPE OF INSPECTION: El 1ST INSPECTION ❑ RE- INSPECTION El CONFERENCE ❑ STATUS CHECK
❑PARTIAL ❑
BUILDING: [I FOOTING ❑DECK FOOTING [:]FRAMING []DRYWALL L FINAL PASSED FAILED
RECORDED: ❑ ❑
PERMIT NO.:
CONTRACTOR: I
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ WATER SERVICE ❑PARTIAL ❑FINAL PASSED FAIL
PERMIT NO.:
CONTRACTOR: ° a
RECORDED: ❑
ELECTRICAL: ❑ ROUGH IN []PERMANENT SERVICE UTEMPORARY SERVICE ❑PRE- CONNECT ❑PARTIAL ❑FINAL PASSED FABLED
- RECORDED: ❑ -
o 8 CONTRACTOR: E C R e El
PERMITNO.: �� �
MECHANICAL: ❑ROUGH -1N ❑ A/C ❑ FURNACE ❑ HEAT PUMP ❑FIREPLACE ❑ GEOTHERMAL ❑ RADIANT HEAT PASSED FAILED
❑ ❑
❑PARTIAL ❑FINAL
RECORDED:
PERMIT NO.: CONTRACTOR:
PLUMBING: ❑GROUNDWORK ❑ROUGHIN ❑PRESSURETEST []PARTIAL []FINAL
PASSED FAILED
RECORDED: ❑ El PERMIT NO.: CONTRACTOR:
[:]OCCUPANCY GRANTED []CONDITIONAL OCCUPANCY (; RAND ❑ 911 SIGN RETURN DEPOSIT ❑ FORFEIT DEPOSIT
r s .'
NOTES /REMARKS:
r
4
WASHINGTON CO INSPECTOR, CITY INSPECTOR OR OTHER
DATE OF INSPECTION: d ❑� TIME
.
INITIALS:
DATE:
EMAILED TO OPPD OR BCPPD ❑