EL-2015-00674_0001.tif B UILDING INSPECTION REPORT
s C Y OF BLAIR El WASHINGTON COUNTY El OTHER
L I F INSPECTION:
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NAME OF OWNER: .S ,' PHONE #:
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PERSON REQUESTING INSPECTION: PHONE #: G
SET TIME
DATE INSPECTION REQUESTED: ` ` TIME INSPECTION REQUESTED: bANYTIME
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
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PERMIT NO.: =' t CONTRACTOR: �,'_` '��, ` ` RECORDED: El F-1
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ WATER SERVICE ❑PARTIAL ❑ FINAL PASSED FAILED j
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
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ELECTRICAL: ❑ ROUGH IN ❑ PERMANENT SERVICE TEMPORARY SERVICE ❑PRE- CONNECT ❑PARTIAL ❑FINAL PASSED. - FAILED
PERMIT NO.: CONTRACTOR: e " d " °x, £, e� � c RECORDED: - ❑" El
MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ HEAT PUMP ❑FIREPLACE ❑ GEOTHERMAL ❑ RADIANT HEAT PASSED FAILED
❑ PARTIAL ❑ FINAL ❑ ❑
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PERMIT NO.: CONTRACTOR: RECORDED: {
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PLUMBING: ❑GROUNDWORK ❑ROUGHIN ❑PRESSURE TEST ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
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❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED F1 911,SIGN ❑ RETURN DEPOSIT ❑ FORFEIT DEPOSIT
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NOTES /REMARKS:
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WASHINGTON NCO. INSPECTOR, CITY INSPECTOR OR OTHER r
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DATE OF INSPECTION j r -` t ❑❑ TIME / F
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EMAILED TO OPPD OR BCPPD ❑ DATE: INITIALS: