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BUILDING INSPECTION REPORT
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CITY OF BLAIR WASHINGTON COUNTY El OTHER
LOCATION OF INSPECTION:
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NAME OF OWNER: '>, <: ) Y
PERSON REQUESTING INSPECTION: a r �_ �- 'x _ �-�` � PHONE#:
SET TIME
DATE INSPECTION REQUESTED: � TIME INSPECTION REQUESTED: F]ANYTIME
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PROJECT DESCRIPTION: '
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TYPE OF INSPECTION: ElIST INSPECTION ❑ RE-INSPECTION ❑ CONFERENCE El STATUS CHECK
BUILDING: ❑FOOTING El DECK FOOTING ❑FRAMING El DRYWALL ❑PARTIAL ❑FINAL, PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED:
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UTILITIES: 0SEWERTAP 0SEWER SEPTIC DWATERTAP DWATERSERVICE ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED:
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ELECTRICAL: D ROUGH IN ❑PERMANENT SERVICE ❑TEMPORARY SERVICE ❑PRE-CONNECT DPARTIAL ❑FINAL PASSED FAILED
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PERMIT - � �
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MECHANICAL: ROUGH-IN A/C ❑ FURNACE ❑HEAT PUMP ❑FIREPLACE El GEOTHERMAL RADIANT HEAT PASSED FAILED
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PARTIAL DFINAL ❑
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PERMIT NO.: CONTRACTOR: RECORDED:
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PLUMBING: ❑?GROUNDWORK ❑ROUGH IN PRESSURE TEST ❑PARTIAL EIFINAL PASSED FAILED
PERMIT 6.:" CONTRACTOR: RECORDED: ❑ ❑
OCCUPANCY GRANTED ❑CONIDI TIONAL OCCUPANCY GRANTED ❑911 SIGH ❑RETURN DEPOSIT �I FORFEIT DEPOSIT
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WASHINGTONO,INSnCTOR,CITY INSPECTOR OR OTHER: %v
'SATE OF INSPECTION: ❑❑ TIME:
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ED TO OPPD OR BCPPD ❑ DATE: INITIALS:
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