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DILL INSPECTION RE
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$OOF F BLAIR El WASHINGTON COUNTY El OTHER
LOC INSPECTION:
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NAME OF OWNER: - _ ne �� C .� - •���� ' ' sr PHONE #:
PERSON REQUESTING INSPECTION: �_ € r = PHONE #:
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DATE INSPECTION REQUESTED: s " TIME INSPECTION REQUESTED: ��� I 4 MANYTIME
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PROJECT DESCRIPTION
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TYPE OF INSPECTION: ❑ 1ST INSPECTION ❑ RE- INSPECTION ❑ CONFERENCE ❑ STATUS CHECK f
BUILDING: ❑ FOOTING ❑ DECK FOOTING 12 FRAMING ❑ DRYWALL ❑ PARTIAL ❑FINAL PASSED., FAILED
PERMIT NO.: ' " ' _� CONTRACTOR: 'r� �," x RECORDED: ❑
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UTILITIES: ❑SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ WATER SERVICE ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
ELECTRICAL: ROUGH IN ❑PERMANENT SERVICE El TEMPORARY SERVICE ❑PRE- CONNECT ❑PARTIAL ❑FINAL PASSED EAhED
PERMIT NO.: _, r_ u.'yI CONTRACTOR: RECORDED: ❑ `
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MECHANICAL: ❑ ROUGH -IN ❑ A/C F AE ❑ AT PUMP FIREPLACE ❑ GEO THERMA ❑ IANT HEAT ASSED FAILED
❑ PARTIAL ❑ FINAL ❑ ❑
PERMIT NO.: CONTRACTOR: RECORDED-
PLUMBING: El GROUNDWORK LIROUGHIN ❑PRESSURETEST ❑PARTIAL ❑FINAL PASSED .FAILED
PERMIT NO.: , - CONTRACTOR: RECORDED: 1:1 El
❑ OCCUPANCY GRANTED ❑ CONDITIONALOCCUPANCY GRANTED � 911 SIGN ❑RETURN DEPOSIT ❑FORFEIT DEPOSIT
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NOTES /REMARKS x lei � " _ : , m ,. ; � ' r r �
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WASHINGTON COJNSPT,CTOR, CITY INSPECTOR OR OTHER.
DATE OF INSPECTION � ; C � ? , "` ° � °� ❑❑ TIME.
EMAILED TO OPPD OR BCPPD ❑ DATE: INITIALS: