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B UILDING INSPECTIO REPOR
AIR ❑ WASHINGTON COUNTY ❑O HER
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LOCATION SPECTION: F w `I r v
NAME OF OWNER : PHONE #:
PERSON REQUESTING INSPECTION: PHONE #:
0 SET - TIME
DATE INSPECTION REQUESTED: ` ' _ `"" TIME INSPECTION REQUESTED: ANYTIME
PROJECT DESCRIPTION: !+
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TYPE OF INSPECTION: ❑ 1ST INSPECTION ❑ RE- INSPECTION ❑ CONFERENCE ❑ STAUS CHECK
BUILDING: ❑FOOTING ❑DECKFOOTING El FRAMING ❑DRYWALL ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
UTILITIES: ❑SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ WATER ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACtoR: RECORDED: ❑ ❑
ELECTRICAL F-1 ROUGH INPERMANENTfSPRVICE El TEMPORARY SERVICE �ONNECT - ]PARTIAL ❑FINAL PASSED ,TAILED
PERMIT NO.: _ ¢? CONTRACTOR: RECORDED:
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MECHANICAL: ❑ROUGH -IN ❑ A/C ❑ FURNACE ❑HEAT PUMP ❑FIREPLACE GEOTHERMAL ❑RADIANT HEAT PASSED FAILED k
❑PARTIAL El FINAL ❑ ❑ [
PERMIT NO.: CONTRACTOR: RECORDED:
PLUMBING: ❑GROUNDWORK ❑ROUGHIN ❑PRESSURETEST ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
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❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED ❑ 911 SIGN ❑ RETURN DEPOSIT [:] FORFEIT DEPOSIT
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NOTES /REMARKS:
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WASHINGTON CO. INSPECTOR, CITY INSPECTOR OR OTHER:
DATE OF INSPECTION r x x ° ,� � , '- C7❑ TIME
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EMAILED TO OPPD OR BCPPD L] DATE: INITIALS:
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