EL-2015-00500_0002.tif BUILDING INSPECTION REPORT
CITY OF BLAIR ❑ WASHINGTON COUNTY ❑OTHER
`"
",h
LOCATION OF INSPECTION: - a e ❑ g „T "o ❑`
NAME OF OWNER: ' a g PHONE#:
8s —
PERSON REQUESTING INSPECTION. °a "" € :` �: PHONE#:
_ v
(nSET TIME
DATE INSPECTION REQUESTED: y " g 'AIME INSPECTION REQUESTED: DANYTIME
PROJECT DESCRIPTION
.s. < A' OF
.4
d `
TYPE OF INSPECTION: IST INSPECTION ❑ RE-INSPECTION ❑ CONFERENCE ❑ STATUS CHECK
BUILDING: ❑FOOTING ❑DECK FOOTING ❑FRAMING ❑DRYWALL ❑PARTIAL ❑FINAL PASSED FAILED f
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
UTILITIES: ❑SEWER TAP ❑SEWER ❑SEPTIC ❑WATER TAP ❑WATER SERVICE ❑PARTIAL ❑FINAL PASSED FAILED
PERMITNO.: CONTRACTOR: RECORDED: ❑ ❑
i
ELECTRICAL: O ROUGH IN ❑PERMANENT SERVICE ❑TEMPORARY SERVICE ❑PRE-CONNECT ❑PARTIAL ❑FINAL PASSED FAILED
PERMITNO.;
CONTRACTOR: s”, .4 ',, a � RECORDED: ;ET. k
❑
MECHANICAL: ❑ROUGH-IN ❑A/C ❑ FURNACE ❑HEAT PUMP ❑FIREPLACE ❑ GEO THERMAL ❑RADIANT HEAT PASSED FAILED
[]PARTIAL ❑FINAL ❑ ❑
f
PERMIT NO.: CONTRACTOR: RECORDED: t
PLUMBING: ❑GROUNDWORK ❑ROUGHIN ❑PRESSURETEST ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
B
❑OCCUPANCY GRANTED ❑CONDITIONAL OCCUPANCY GRANTED ❑911 SIGN ❑RETURN DEPOSIT ❑FORFEIT DEPOSIT
NOTES/REMARKS:
i
f
{
E
r
f
WASHINGTON CO INSPECT O$ CITY INSPECTOR OR OTHER .' 4fl�
R ,
DATE OF INSPECTIONy'4£ ❑ ❑❑ TIME
EMAILED TO OPPD OR BCPPD ❑ DATE: INITIALS: