EL-2015-00828_0001.tif BUILDING INSPECTION REPORT
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LOCATI F INSPECTION ,
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NAME OF OWNER: ¢' �5` $ PHONE#:
PERSON REQUESTING INSPECTION: " PHONE#:
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DATE INSPECTION REQUESTED d(Cl`' f TIME INSPECTION REQUESTED r ANYTIME
PROJECT DESCRIPTION ;d
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TYPE OF INSPECTION: ❑ 1ST INSPECTION ElRE-INSPECTION ❑ CONFERENCE ❑ STATUS CHECK
BUILDING: ❑FOOTING ❑DECK FOOTING ❑FRAMING ❑DRYWALL ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
UTILITIES: ❑SEWER TAP ❑SEWER ❑SEPTIC ❑WATER TAP ❑WATER SERVICE ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR,; _ RECORDED: ❑ ❑ �
ELECTRICAL: ❑ROUGH INE "❑PERMANENT SERVICE ❑TEMPORARY SERVICE QPRE-CONNECT ❑PARTIAL ❑F1IAL PASSED FAILED
PERMIT NOS P ", °rfi C Y CONTRACTOR r '< RECORDED: ❑ ' ❑
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MECHANICAL: ❑ROUGH-IN ❑A/C ❑ FURNACE ❑HEAT PUMP ❑FIREPLACE ❑ GEOTHERMAL ❑RADIANT HEAT PASSED FAILED
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❑PARTIAL ❑FINAL ❑ ❑
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PERMIT NO.: CONTRACTOR: RECORDED:
PLUMBING: ❑GROUNDWORK ❑ROUGHM ❑PRESSURETEST ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
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❑OCCUPANCY GRANTED ❑CONDITIONAL OCCUPA CV-G'R yllij)s�' ❑91I SIGN,, fl RETURN DEPOSIT ❑FORFEIT DEPOSIT
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NOTES/REMARKS: `r
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WASHINGTON CO.INSPECTOR,CITY INSPECTOR OR OTHER �' ^
DATE OF INSPECTION.. : "s ❑0 TIME ."
MAl DT OR BCPPb E DACE: INITIALS: