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B UILDING INSPECTIO REPORT
OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER
LOCAT OF INSPECTION: 1, ,f
NAME OF OWNER: I. PHONE #:
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PERSON REQUESTING INSPECTION. PHONE #:
SET TIME
DATE INSPECTION REQUESTED: TIME INSPECTION REQUESTED fflANYTIME
PROJECT DESCRIPTION 3 1 1 r
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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: r a r e s RECORDED: _
UTILITIES: ❑ SEWER'TQP ❑SEWER El SEPTIC ❑WATER TAP ❑WATER SERVICE ❑PARTIAL ❑FINAL PASSED FAILED
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PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
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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 ❑ GEOTHERMAL ❑-RADIANT HEAT PASSE12, �IAILED
❑ PARTIAL ❑ FINAL -.:. ❑
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PERMIT NO.: CONTRACTOR: RECORDED:
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PLUMBING: ❑ GROUNDWORK ❑ ROUGH IN ❑ PRESSURE TEST [ ❑ FINAL PASSED FAILED
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PERMIT NO.: CONTRACTOR: RECORDED: - ❑ ❑
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❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED ❑ 911 SIGN ❑ RE'URN DEPOSIT ❑ FORFEIT DEPOSIT
NOTES /REMARKS:
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WASIINGTON CO. IN5PECTQR, CITY INSPECTOR OR OTHER. t s r
DATE OF INSPECTION. ❑❑ TIME: F
EMAILED TO OPPD OR BCPPD ❑ DATE: INITIALS: