EL-2015-00657_0001.tif BU ILDING INSPECTION P T �
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C OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER
LOCATION OF INSPECTION:
NAME OF OWNER: (A _'a �.�,R i'�� , °� PHONE #:
PERSON REQUESTING INSPECTION: /`'' t ! •�_ PHONE #:
SET TIME
DATE INSPECTION REQUESTED: `s ° _ -� TIME INSPECTION REQUESTED: (ANYTIME
PROJECT DESCRIPTION:
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TYPE OF INSPECTION: ❑ 1ST INSPECTION ❑ RE- INSPECTION ❑ CONFERENCE ❑ STATUS CHECK
BUILDING: ❑ FOOTING ❑DECK FOOTING ❑ FRAMING ❑ DRYWALL []PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑ 4
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UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ WATER SERVICE ❑PARTIAL ❑ FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: - 1 ❑
ELECTRICAL: ❑ ROUGH IN ❑ PERMANENT SERVICE ❑TEMPORARY SERVICE ❑PRE- CONNECT ❑PARTIAL PFfNAL PASSED .y FAILED
PERMITNO.: t ° - m — `fie _ 7 CONTRACTOR: " s e . 4 e,`_ RECORDED ❑ I
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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 ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED ❑ 911 SIGN EIRE TURN DEPOSIT ❑ FORFEIT DEPOSIT
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NOTES/REMARKS: ,� �'
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WASHINGTON CO INSPECTOR, CITY INSPECTOR OR OTHER 79v
DATE OF INSPECTION '" 3 "1 ❑❑ TIME " e a
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EMAILED TO OPPD OR BCPPD ❑ DATE: INITIALS:
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