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❑N BUILDING INSPECTION REPORT
CITY OF BLAIR ❑ WASHINGTON COUNTY El OTHER
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LOCATION OF INSPECTION:
NAME OF OWNER: w PHONE#:
PERSON REQUESTING INSPECTION ' PHONE#:
0 SET TIME
DATE INSPECTION REQUESTED: ` - oh
m. TIME INSPECTION REQUESTED: ❑ANYTIME
PROJECT DESCRIPTION: fr " r `"he-'P
TYPE OF INSPECTION: ❑ IST INSPECTION ARE-INSPECTION ❑ CONFERENCE ❑ STATUS CHECK
BUILDING: ❑FOOTING ❑DECD FOOTING ®FRAMING ❑DRYWALL ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: 1:1 El
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UTILITIES: D SEWER TAP El SEWER El SEPTIC EIWATER TAP EIWATER SERVICE EIPARTIAL EIFINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑
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ELECTRICAL: ROUGH IN ` PERMANENT SERVICE TEMPORARY SERVICE PRE-CONNECT PARTIAL FINAL PASSED,;-FAILED
PERMIT NO.: - CONTRACTOR: RECORDED: El
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MECHANICAL: ❑ROUGH-IN A/C ❑ FURNACE ❑HEAT PUMP ®FIREPLACE El GEOTHERMAL DRADIANT HEAT PASSED FAILED
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❑PARTIAL 0 FINAL 1-1 El
PERMIT NO.: CONTRACTOR: RECORDED:
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PLUMBING: 0GROUNDWOPX, EIROUGHIN 0PRESSURETEST EIPARTIAL EIFINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: El ElI
El OCCUPANCY GRANTED El CONDITIONAL OCCUPANCY GRANTED 0911 SIGN,.: DRETURN DEPOSIT El FORFEIT DEPOSIT
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NOTES/REMARKS:
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WASHINGTON CO.INSPECTOR,CITY INSPECTOR OR OTHER: Y Al
DATE OF INSPECTION: _ ❑❑ TIME.
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EMAILED TO OPPD OR BCPPD 0 DATE: INITIALS: