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BUILDING INSPECTION REPORT
p" CITY OF BLAIR ❑ WASHINGTON COUNTY ❑OTHERS
LOCATION OF INSPECTION: u
NAME OF OWNER: clM, n PHONE#:
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PERSON REQUESTING INSPECTION. PHONE# fsX
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DATE INSPECTION REQUESTED: � _ ��` ; TIME INSPECTION REQUESTED: ANYTIME
PROJECT DESCRIPTION: �. - �
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TYPE OF INSPECTION: ❑ IST INSPECTION ❑ RE-INSPECTION ❑ CONFERENCE ❑ STATUS CHECK
BUILDING: ElFOOTING ElDECK FOOTING ElFRAMING ❑DRYWALL ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: ❑ ❑
UTILITIES: ❑SEWER TAP 0 SEWER ❑SEPTIC ❑WATER TAP ❑WATER SERVICE ❑PARTIAL ❑FINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: - RECORDED: ❑ ❑
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ELECTRICAL: LROU,I H IN ' PERMANENT SERVICE ❑TEMPORARY SERVICE E[�RE-CONNECT ❑PARTIAL ❑FINALi PASSED ,FAILED !
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PERMIT NO.: � CONTRACTOR; RECORDED: ❑� a ❑
MECHANICAL: ❑ROUGH-IN ❑A/C ❑ FURNACE ❑HEAT PUMP ❑FIREPLACE El GEOTHERMAL D RADIANT HEAT PASSED FAILED
❑PARTIAL ❑FINAL ❑
PERMIT NO.: CONTRACTOR: RECORDED:
PLUMBING: ❑GROUNDWORK ❑ROUGH IN ❑PRESSURE TEST ®PARTIAL DFINAL PASSED FAILED
PERMIT NO.: CONTRACTOR: RECORDED: 11 ❑
❑OCCUPANCY GRANTED ❑CONDIT ONAL OCCUPANCY GRANTED ❑X11 SIGNJ RETURN DEPOSIT ❑FORFEIT DEPSIT
NOTES/REMARKS:
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WASHINGTON CO.INSPECTOR,CITY-INPECTQR R-O EIt: u h f €rx
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DATE OF INSPECTION: � .r � �._�-
EMAILED TO OPPD OR BCPPD 11 DATE: INITIALS: