EL-2015-00138_0001 (3).tif B UILDING INSPECTION REPORT
Y OF BLAIR ❑ WASHINGTON COUNTY ❑OTHER
LO F INSPECTION:
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NAME OF OWNER: 1 C>>, 2 . �, € ;c` �.° € _ PHONE #:
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PERSON REQUESTING INSPECTION: w' " -'� �z°. °`_: - PHONE #:
SET TIME
DATE INSPECTION REQUESTED: TIME INSPECTION REQUESTED: ANYTIME
PROJECT DESCRIPTION:
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TYPE OF INSPECTION: ❑ IST INSPECTION ❑ RE- INSPECTION ❑ CONFERENCE ❑ STATUS CHECK
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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 El PERMANENT SERVICE ❑TEMPORARY SERVICE ❑PRE- CONNECT ❑PARTIAL ¢ FINAL PASSED FAILED l
CONTRACTOR
PERMIT NO.: I I a ,- a. ., 4- , El RECORDED:
MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ HEAT PUMP ❑FIREPLACE ❑ GEOTHERMAL ❑ RADIANT HEAT PASSED FAILED
❑ PARTIAL ❑ FINAL ❑ ❑
PERMIT NO.: CONTRACTOR: RECORDED:
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PLUMBING: ❑GROUNDWORK ❑ROUGHM ❑PRESSURETEST ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
El OCCUPANCY GRANTED El CONDITIONAL OCCUPANCY GRANTED — 1911 SIGN ❑RETURN DEPOSIT ❑FORFEIT DEPOSIT
NOTES /REMARKS:
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WASI I,CTON COANSP.I! CTOR, CITY INSPECTOR OR OTHER
DATE OF INSPECTION: ❑❑ TIME
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EMAILED TO OPPD OR BCPPD ❑ DATE: INITIALS:
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