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BUILDING- INSPECTOR HECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Sleel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />Subf loor/VenVlnsulation
<br />Roof Sheathin s 3./2///4 4-{,w)
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />I I
<br />FINAL 4/z//4 ,4 /1 ,r/)
<br />Certificate of Occupancy // / / tr|U
<br />Notes, Remarks, Etc-
<br />7
<br />OWNER BUIt,DER DEI,C I IION
<br />I lEEby .rrn un].r FEhy of F rury lh.l I n q.ry tum 1,. Cod,Mo6 La.nE lrw for rh. Idhlins n'r$n lS.. 70-1 I 5
<br />Suritusr &rl Prcfcsb. Cdc): A.y Ciry or Counry which r.qufta, Fmr x' onirucl..lts. aq,ok, &mnnh or EEt t.y
<br />nd.Nrc. Fnr to irr iiflm. .l$ rcqrrci th. mlt., ror rEh Fmr l. liL r risEn dd.lm' rhrr lr or rh. i. latord t!u.{r,r
<br />t, rh. Foririons of rh ConrBkr's Li...ki lrw (Ch.ars L ComEEinr wilt S.clion ?OD ot l)ivirn,n I oflh. Busi..\s.nd
<br />l,mt rsions Cod.) or rhlr lE r slr is crcnp[h.rcfron ud rn hssi\ tor ih. sllcs.d.r.rfln,n. Any rshran ol S.<i,n ?o.! I 1b, dy
<br />!ppli.! tu!Fmir \lbrctrh. rplltrnr ro ! .ivil FEh, or mr mE 'h., fiw huujr.n &'llar (lJ{D)
<br />l. &. owNr ol rh. FsFny, or my.q'hrt$ rilh wl8g r. rllcn eF <,qrnq6.. wirldr d!. edt.rn rh (ElE it n'l
<br />dcri.d d orcEd lor rl ( Sa.7orrr. B!.iEai .rd E!6(Fn! Cod.: Tlr coddn ! Li(rr€ L.w dEs ml {rly ro r oaE ol
<br />rrF l,DFdy *ho r! dr or LrFrE. DE6tr !n wh dc uh mn himElf o.lErElf o. rhmugh hir or lEr oen.mPloyat.
<br />nrcvd.d rhlr rEh in{nErrr! e mr inLrd.d n o&'d tr rt lt ,rffi. ih ttu,Bin8 d iqmwld n rnd winh ( ).{
<br />ofcorphin OE OyEr Builid *i! h.E dE hln n ol FovirE lhrl h. or tlt dil mr hrld or lqxiE tll lmtdy ror dE ,tr'FE ol
<br />-
<br />l. s ourr of rlE pn{Eny. m .rlurir.ly conrEr hr *irh IiNneJ .onhr*)F h, .on(ru(l rlE Iml.(l (S( 7txt, Bul'fts
<br />,n ffiisin CdL Th. Co.k..ror'i l-t.n* I aw d(B B{ rmly ro m osmr .l prolEn y rho hdiur 6r in{n,v.. rh.tmn.
<br />.nd *ho ('drl]r! nr sEh rmitr wirh r coturo(r) li...rd pur\Mrrn lh. cod.slrn\ l-t trr lrw)
<br />-l
<br />dcrnF u'!&r S..ri{-, B ePCfor$trun
<br />D.r.: oiE
<br />raxf,$t5_.ct)Ilfl;NsalltN
<br />IIEIIJXAIITJN
<br />I h.Eb lllirnr unlcr ltMl'y of Fqu' )-, oF oI rlE folt)r'in8 d.r'Lnri,nr
<br />-l
<br />h.E .rlj siu mimrh. CdifEll. olcoMr ro S.ll lsuE n, *(k6 orp.trdIrn. ii t o*i.d (tr h, sNlhn lru) of rlr
<br />tlho, C.&. f{r rE Frrru .r ltE wnit for whiLh 0E Fmil ir irsu.d
<br />I har! rd srll minrrin r o.l.rl .oqEni.lbn inrur.tf,e. si rcquird hy Strhn :17($ ol rh. litxt Culc. lnr rhc PcnornEtuc ol
<br />rlE lork tu BhEh rhis Frnril ir i$Bl Mywortcn mqrn\rrnn in\u'ak. cMr.r el F,lky n!n$.r ft
<br />l .cn,ry rhtr in rh. FtrrEN ol rh. uorl ftf, *hi.h rht Frm i. irsu.i- I dull Nr .qrhy f, FMn in .ry lMrEr
<br />s u to h.om utxrrro rlE *od6{ @n{*nsrk n lrwiof(rlifdnir, rnd +Ec rhlr irI shluu hGom luhj.cl io rh.
<br />sorlcB mt.nlnsrlion povni.trr ol Sar i'n .17(Xl ol rh. l rhn (
<br />lirl .nil \h!ll suhFi rn .rqk'rrr tu .rimiMl FBhis !
<br />(N I ln,.\ trrr n) ,tr'c lrtr tl'rd r lirhn ro rlE .od or mmFn3rion, dlmg.r !. Imviicn lor rlE
<br />,6F+.\s.rrion Tlxnrol Dn6i'n I
<br />tr{n m ru!r, \cr+fl
<br />?z
<br />I lErby rrm udd FExy of F ,ur, 'h{
<br />r rhn LndinS alcNy tar rh. Fldmr. of rlE $ork fot rh(h lhn lEnnn n
<br />irrdcd (Scc 1097. Cir C )
<br />L.'d.r't N.m
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<br />AIfI.IIANLDICIASAIIITN
<br />I hd4 fimnundcr !.nalty ofFrjury orc oflh.lollovin8 dah.llionr
<br />D.mldim P.rnn+Alb.snx Noua$rion k r.l R.ruh io.r (-rnl. {}. Prn6)
<br />-RcrtuiEtl
<br />Lrrrcr of t*rifd-,n
<br />rhc tJc.d rcBuhi i{r rrrudrg!\t no\ runn,vrl rr frn rnfl'.rhlt k, thtr t'n)|{r
<br />l.srirn rrd {st.rhr rh.ah,rc rnfoni irr i\ (otrc.r I
<br />nn Car, rnd C.u.'yr..nrd qnn dE
<br />SLAB Floor
<br />Ext./lnt. Lath
<br />T-Bar
<br />ttEll. (,nhstrh omnl, uh rhrc pori\Dnl
<br />-l
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