10191 Crystal Lake elect perm service.tif E
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BUILDING INSPECTION REPORT
CITY OF BLAIR El WASHINGTON COUNTY El OTHER
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LOCATION OF INSPECTION:
NAME OF OWNER: <: PHONE#:
PERSON REQUESTING INSPECTION. .._ Y 'Y: _, — .., ' ...# `. ." = PHONE#: � t —
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DATE INSPECTION REQUESTED: C) TIME INSPECTION REQUESTED: �
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PROJECT DESCRIPTION:
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TYPE OF INSPECTION: El IST INSPECTION El RE—INSPECTION CONFERENCE El STATUS CHECK
BUILDING: FOOTING DECKFOOTING FRAMING ❑DRYWALL PARTIAL ❑FINAL PASSED FAILED
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PERMIT NO.: CONTRACTOR: RECORDED: ❑
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UTILITIES: El SEWER TAP El SEWER ❑SEPTIC EIWATERTAP DWATERSERVICE ®PARTIAL ❑FINAL PASSED FAILED hk
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PERMIT NO.: CONTRACTOR RECORDED: ❑ El
ELECTRICAL: ❑ROUGH IN 0:PERMANENT SERVICE ❑TEMPORARY SERVICE,, ff RE—CONNECT ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: � ) t `: ':- t CONTRACTOR: n. n 7` E �. - a __ RECORDED: ❑ p ❑ C
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MECHANICAL: ❑ROUGH—IN ❑A/C ❑ FURNACE EIHEATPump ❑FIREPLACE ❑ GEOTHERMAL 0 RADIANT HEAT PASSED FAILED
❑PARTIAL ❑FINAL El ❑
PERMIT NO.: CONTRACTOR: RECORDED: ff
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PLUMBING: ❑GROUNDWORK ❑ROUGH IN ❑PRESSURE TEST ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: El ❑
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❑OCCUPANCY GRANTED ❑CONDITIONAL OCCUPANCY GRANTED ❑911 SIGNV EI RETURN DEPOSIT ®FORFEIT,DEPOSIT �
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WASHINGTON CO.INSPECTOR,CITY INSPECTOR OR OTHER:
DATE OF INSPECTION: " ❑❑ TIME -
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EMAILED TO OPPD OR BCPPD ❑ DATE: INITIALS: