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UILDING INSPECTION REPOR '
LAIR ❑ WASHINGTON CO OTIER
LOCATI PECTION: TM
NAME O OWNER: PHONE #:
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PERSON REQUESTING INSPECTION: p r $ �` y PHONE #: j
E:l SET TIME
DATE INSPECTION REQUESTED: Ir- C r �' Fes- E INSPECTION REQUESTED: . r DANYTIME
PROJECT DESCRIPTION:
TYPE OF INSPECTION: ❑ IST INSPECTION ❑ RE- INSPECTION ❑ CONFERENCE ❑ STATUS CHECK
BUILD O : F-1 FOOTING F-1 DECK FOOTING CONTRACTOR: OR: CORDED: ❑
FRAMIN ❑DRYWALL ❑PARTIAL ❑FINAL P FAILED PERMI
UTILITIES ER TAP -SEWER ❑ SEPTIC ❑ WATER TAP ❑ WATER SERVIC� ❑PARTIAL ❑FINAL PASSED FILED
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PERMIT NO.: CONTRACTOR: s t
RECORDED: � , ❑
ELECTRICAL: ❑ ROUGH IN ❑ PERMANENT SERVICE ❑TEMPORARY SERVICE ❑PRE- CONNECT ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ HEAT PUMP ❑FIREPLACE ❑ GEO THERMAL ❑ RADIANT HEAT PASSED FAILED
❑ PARTIAL ❑ FINAL ❑ ❑
PERMIT NO.: CONTRACTOR: RECORDED:
PLUMBING: ❑GROUNDWORK ❑ROUGHM ❑PRESSURE TEST ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED ❑ 911 SIGN ORE TURN DEPOSIT ❑ FORFEIT DEPOSIT
NOTES /REMARKS:
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WASHINGTON CO. INSPECTOR, CITY INSPECTOR OR OTHER. I
DATE OF INSPECTION C TIME:
EMAILED TO OPPD OR BCPPD ❑ DATE: INITIALS: