EL-2015-00572_0001 (2).tif j BUILDING INSPECTION REPORT
ITY OF BLAIR ❑ WASHINGTON COUNTY ❑OTHER
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L ATION OF INSPECTION: - -
NAME OF OWNER: , _ �0 . t PHONE#:
PERSON REQUESTING INSPECTION t � K- : �. PHONE#: t `
Q SET TIME
DATE INSPECTION REQUESTED: - TIME INSPECTION REQUESTED: ANYTIME
PROJECT DESCRIPTION:
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TYPE OF INSPECTION: ❑ IST INSPECTION ❑ RE-INSPECTION ❑ CONFERENCE ❑ STATUS CHECK Y
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BUILDING: ❑FOOTING ❑DECK FOOTING ❑FRAMING ❑DRYWALL ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
UTILITIES: ❑SEWER TAP ❑SEWER -1 SEPTIC ❑WATER TAP ❑WATER SERVICE ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑
ELECTRICAL 0 ROUGH IN ❑PERMANENT SERVICE ❑TEMPORARY SERVICE ❑PRE-CONNECT ❑PARTIAL ❑FINAL PASSED,.FAILED
PERMIT NO.: CONTRACTOR: i '� �; . �} °. _,�.. RECORDED: -<`' ❑ �'
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MECHANICAL: ❑ROUGH-IN ❑A/C ❑ FURNACE ❑HEAT PUMP ❑FIREPLACE ❑ GEO THERMAL ❑RADIANT HEAT PASSED FAILED
❑PARTIAL ❑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
NOTES/REMARKS:
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WASHINGTON CO.INSPECTOR CITY INSPECTOR OR OTHER z
9 AR,E
DATE OF INSPECTION: '' w :0❑ TIME:
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EMAILED TO OPPD OR BCPPD DATE: INITIALS: E