2313_0001 (2).tif B UILDING INSPECTIO RE PORT
BLAIR El WASHINGTON COUNTY ❑OTHER
LOCATI INSPECTION: _ �
NAME OF OWNER: PHONE #:
I'
PERSON REQUESTING INSPECTION:; PHONE #:
Q SET TIME €
DATE INSPECTION REQUESTED: "% ' TIME INSPECTION REQUESTED: [ANYTIME
PROJECT DESCRIPTION:
I
TYPE OF INSPECTION: ❑ 1ST INSPECTION ❑ RE- INSPECTION ❑ CONFERENCE ❑ STATUS CHECK j
i
BUILDING: ❑ FOOTING ❑DECK FOOTING [:]FRAMING ❑DRYWALL ❑ PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
— f
UTILITIES: ❑SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ WATER SERVICE ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
ELECTRICAL: ❑ ROUGH IN ❑PERMANENT'SERVICE ❑ TEMPORARY SERVICE ❑PRE- CONNECT ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
r
MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ HEAT PUMP ❑FIREPLACE ❑ GEOTHERMAL ❑ RADIANT HEAT PASSED FAILED
❑PARTIAL ❑FINAL ❑ ❑
s
PERMIT NO.: CONTRACTOR: RECORDED:
c
PLUMBING: nGROUNDWORIC ❑ROUGHIN ❑PRESSURETEST ❑PARTIAL ❑FINAL- PASSED FAILED
PERMIT NO.: CONTRACTOR: ° `� s s �. . - -< °r . 'r RECORDED:
❑OCCUPANCY GRANTED ❑CONDITIONAL OCCUPANCY GRANTED ❑ 911 SIGN [:]RETURN DEPOSIT ❑ FORFEIT DEPOSIT
a
NOTES/REMARKS: s ` , " , J
r
E
i
f
C r
I
I
f
i
p d
1
r
r
i
G f
F
WASHINGTON CO CITY INSPECTOR OR OTHER as
. INSP�C�'Q�, ("
DATE OF INSPECTION ❑❑ TIME � r
EMAILED TO OPPD OR BCPPD ❑ DATE: INITIALS:
i