1665 Nebraska elec insp.tif BUILDING INSPECTION REPORT
E] CITY OF BLAIR El WASHINGTON COUNTY El OTHER
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LOCATION OF INSPECTION:
NAME OF OWNER: PHONE#:
PERSON REQUESTING INSPECTION: PHONE#:
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TIME INSPECTION REQUESTED:
DATE INSPECTION REQUESTED: ,ANYTIME
PROJECT DESCRIPTION:
TYPE OF INSPECTION: El IST INSPECTION El RE-INSPECTION El CONFERENCE El STATUS CHECK
BUILDING: El FOOTING El DECK FOOTING El FRAMING El DRYWALL El PARTIAL EIFINAL PASSED FAILED
CONTRACTOR:
PERMIT No.: RECORDED: El El
UTILITIES: EISEWERTAP SEWER
-1 SEPTIC WATER TAP F WATER SERVICE EIPARTIAL D FINAL PASSED FAILED
EIE
PERMIT NO.: CONTRACTOR: RECORDED: El El
ELECTRICAL: El ROUGH IN [:]PERMANENT SERVICE 0TEMPORARY SERVICE EIPRE-CONNECT DPARTIAL DFINAL PASSED.,-F LED
El
PERMIT NO.:-l', CONTRACTOR: RECORDED:
MECHANICAL: D ROUGH-IN [:1 A/C El FURNACE EIHEAT PUMP DFIREPLACE El GEOTHERMAL [IRADIANT HEAT PASSED FAILED
DPARTIAL EIFINAL D El
PERMIT NO.: CONTRACTOR: RECORDED:
PLUMBING: DGROLYNDWORK ROUGH IN EIPRESSURE TEST DPARTIAL DFINAL PASSED,,"-,,�,,-'FAILED
PERMIT NO.: CONTRACTOR: RECORDED: o
EI OCCUPANCY GRANTED El CONDITIONAL OCCUPANCY GRANTED El 911 SIGN 0 RETURN DEPOSIT DFORFEIT DEPOSIT
NOTES/REMARKS:
WASHINGWN�MINS_PECT",CITY INN SPECTOR OR OTHER:
DATE OF INSPECTION: E10 TIME:
EMAILED TO OPPD OR BCPPD, [I DATE: INITIALS: