EL-2015-00139_0001 (3).tif BUILDING INSPECTION REPORT
❑� C BLAIR ❑ WASHINGTON COUNTY ❑OTHIR
4 4
LOCA PECTION:
I
NAME OF OWNER: PHONE#:
PERSON REQUESTING INSPECTION: 1L " PHONE#: !—'
Q SET TIME
DATE INSPECTION REQUESTED: `�_ t= TIME INSPECTION REQUESTED: > '� ANYTIME
PROJECT DESCRIPTION: `
TYPE OF INSPECTION: ❑ IST INSPECTION ❑ RE—INSPECTION ❑ CONFERENCE ❑ STATUS CHECK
BUILDING: ❑FOOTING ❑DECK FOOTING ❑FRAMING ❑DRYWALL ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
UTILITIES: ❑SEWER TAP ❑SEWER ❑SEPTIC ❑WATERTAP ❑WATERSERVICE ❑PARTIAL El FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
ELECTRICAL: ❑ROUGH IN ❑PERMANENT SERVICE ❑TEMPORARY SERVICE ❑PRE—CONNECT ❑PARTIAL El FINAL PASSED; FAILED
PERMIT NO.: f - x f`z �-E_ "�s CONTRACTOR: 9 : ; _ : �' i RECORDED: ❑ • ❑
MECHANICAL: ❑ROUGH—IN ❑A/C ❑ FURNACE ❑HEATPUMP ❑FIREPLACE ❑ GEOTHERMAL ❑RADIANTHEAT PASSED FAILED
❑PARTIAL [:]FINAL ❑ ❑
PERMIT NO.: CONTRACTOR: RECORDED:
PLUMBING: ❑GROUNDWORK ❑ROUGH IN ❑PRESSURE TEST
]PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
❑OCCUPANCY GRANTED ❑CONDITIONAL OCCUPANCY GRANTED ❑911 SIGN ❑RETURN DEPOSIT ❑FORFEIT DEPOSIT
NOTES/REMARKS:
i
C
f
i
WASHINGTON CO.INSPECTOR,CITY INSPECTOR OR OTHER:
DATE OF INSPECTION: ❑❑ TIME £
r,
EMAILED TO OPPD OR BCPPD ❑ DATE: INITIALS: