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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS ()itNl:t Bl,llt[:l{ l}}:t.(:ataaTtoN
<br />I lEEbt !trrtu lnLr p.tuhy of p.rl'lry rhd I dr.r.nr! ftun rlr (n .L16 ltrM L* lu rh. follo*m8 crei lsd.?oll !
<br />tlurn.\\ i.d Pnnarsion Gr.) Any Ciry or Counrv wirh '.qnt.s a Frmir ro con!ru.r, dlrr, imtl.oE, d.rmlsh d NIrn ,ny
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<br />ro rrr tFv$.h.a rlr c.d*rq'r l a.n€d l* lch.F..,r. (o,leEht wih sdm ?(xxr or lrvirhr t ol th. tlunE$.n
<br />Pn .s|'rr C(xl. r d tlD! lr or \lr ( .vn{'t rh.eli'n rftl rh. h!t! ntr ,}r llLS.tl .r..+ pn nt vrLtur ol Srti.n 701Lt by nry
<br />dpl (.tr ro.JFnnrruhl..6rlEmplicrtrrror.nilnuhyormr'mr.rhrnliv.hundtldollni1t100)
<br />_1, 6 tuE dl rlE FtrI.dv. d mr.r?l'!.s rih e.!!! r! rrEtr 6l.o'rl rn( ull d. dE xrt rn rl. {mm r fl
<br />t . ql or orl.'d ror rl ( 36 7u{. Buri6r r l PNf.xrionr Cd.: TIE ( odr&1or'r La.ne ll* dEr nor rpply ro rn o@ of
<br />.h. pn,f.ny *h, hlill! or intEE rlrBtr! .d *h, d6 sh Hrl hrsll or lteu nr rhm!8n hn or h.r own.rployer.
<br />F rLd rh.r sh lrFswd! e d i..rd.d (ollr.d td sl ll lra€- 0i hildlI ( itrFElB it hB urrit tr )s
<br />ol(.q'ldn E (i,E B!i!a vill luE dE hnL. ol F rrrs th. tE ( 1lr Jn d hci! r ir+mE uE FoFrt rrr rlE F,FE.a
<br />_1. I otrr of rlE F.tdy. m .Khttrrly NdElin3 ,rh lkrtrGl !sd..ts o Nr{ur rll FDFI {S<. 70t4, BaiEs
<br />rd h{e. C.r} Th. Qrddor'r l.r.r lr* dB d rt ly to & o*E orFoFdy *k} h{ildr s '6pn,w! rhdqn
<br />lid *lri ..ddr Lr ruh F.j.sr w h . Cddto(r) lr.tri( pIGM k, rlr Oldrdq'r La.M trw)
<br />_lrn,.r.nd nnlr S..rIi- B &PC f(n rhs Er<!n
<br />]1l]ts[xBli:(0urrltarla!
<br />D[gd.BAI]I]llIthrr'alln unn.rrrnrlrvolnrjurv,,mnirli rnk,{ds .rl(!r'n'
<br />ll'Jv..rlw'llnui rnr(tnnt0r.ortirN.Nh)s.linLu.l'nworl.r'r.mp.nsrkn',asI[)v.rlftrhyS.crn'tr.l70o lrh.
<br />lf,htr (iilc, L(rh. p.rlormrc,'Irh. *.r\ ntr*hrhrlr Fmir s \.u.d
<br />I l'ry. rBi Ull nu,irnn wDrl.6 \ n {rnqrrr nN,r'r. !\ E,lurEd hy Sdr t)n lrrn .l rtE ljllrtr Cori., l'tr rh. F.rfomln. o(
<br />rh. tro'l tur*l[hrhsnc'nnr r istrLll My*orkd! (omp!NItr'n trru'ri(c rfi trr mltr'lryntrnrh{ -r
<br />_l dily rh, rnrh FftxnrN ol rlr *rk t* !h.h$B lrrnur a srBl. I dulni.rphy {y tEvr r m, llqF
<br />e s ro h..om sut ..! ro th. srldl or{EKrnn L$ .l C.l'fomq ,rl {N rh! !, I .lsukl tEoft stttcrr ro rh.
<br />$oll.A.onnn\!td.pn,vnDtuofSdrDtr37tx)otrh?tjtr)r(iil.,I{ull.ionhwirh.!ndywit[rlxEpDvBiotu.
<br />WAnIINC, F!|u,. k' u.ur *nL!,. u,tr(tNr$n ov.r8d 6 u.lt*tu1. ..d sh.ll $bpd r.n+hF nr miDl FBl6 aal
<br />.r,l liE! up b oE hdci rll@d 'loll,R (al(xr,(rrr, m lrlr.n ro ltl coi o(.rilllNroi. d.rE3.r E provrr.d aor rh.
<br />!idir'. :t076.irh. Lrtrn (id., nr.d.id xrlfty ! rc\
<br />LI.LE!SELS.Its8&N,ADE(lalArgr
<br />I h.rchyrlk'n und.r pculry.l p.rjury rhl I am liNn$d uid.r pntu.inn nl(hl[{q 91..mtuftin8 *ih S.dhi TrXXl).1l)irEbn l
<br />ol tlE Burlr ral Poturn,B Cck. I my li..< i!mhll ntr d!n.lfal
<br />Lnrtr\. ('h\\ _l,r. r. Ntrirl{r
<br />c!)lrrnucl&!.LnlurcriDlcr
<br />I h.Ehy lltim, ud.r FBny of lEriry rhc rhc ( r.odNtr krli.E {.Et,or tlE F.f(,e:. (rrrlE ktt ttr rnrh lh3 Fmr ir
<br />iisBl(Sft :!r7. C'r C )
<br />AEEUCANI oECTAE tro!
<br />I h.iiylfamu .r Fnrhy of trriury or ol E fulbDdg &.L.orioE
<br />t}Bn(FnP..n 'A'b.io, fidifEd-i FaLnl i.3xLrinr (Tdk.sJ, Pd6)
<br />R.qumd lrtrd of Ndra{rrion
<br />l .d rr! rld rl. f.&r.l E3lhnorN EguInB !!t {N Enrtr rl m rx 'ltt ubk r) rlF pmFl
<br />-l
<br />(nrl, rhf I luvr Md rhs .I]pli.al ior drl {ir lul lhc .h]v. irfdrmri{n, t .oftrr I iBtd ro mn{ly *nh ull t iry itl Counly
<br />qJm'r.r ul Srd. t:rs Etr'll3 tu hu dn8 c.nntultn !r lrr.hy rdhtrtr. EF.s,rd iks of r lu Ciy nl Cou ry ro .nrd qEn ttr
<br />rhrc nrdlrJ FUFny nr 6pt{i.n F FK3
<br />,(mli.trnr.r,\s(trr SisnDr
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf Ioor/VenVlnsulation 4
<br />Roof Shealhinq t /Z?/con,Nl4t
<br />Shear Wall
<br />Framinq
<br />lnsulationi Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />N/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />,
<br />FINAL I 7,/z/r,r-70 7#Q
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc
<br />Hev. 08'0/-2015
<br />fixpiEr _
<br />lhr.:-
<br />UFER Ground
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