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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.C'}MlviINTS OWNER BUILDEA DE!(' RANON
<br />I ho*y lfIm ui(b !ad, of pcjur. rh, I o 6oF iom rh. ( otuh6 Li@ t^' for llE follori4 ,6)r (s< 70]l 5
<br />B6inB ltd Prcf46. Co&) An, ctt or ftuny qnkt r.qrir6 r Fni ro odru.l. .hd, u,p.ove doFl!! or qit ot
<br />lrMnle Ftu lo irr i'!lI.M. ik r.qur6llE +9lic&1 6r sch Fin ro 6k ! 3'gn d sddmr rfir tE or 3lE ir licsEd pie!,i
<br />to rh. FtrvirioB or E ContEtois Liccnsd Li! (Ctapts 9. Comndris with S..rion 70oo of oivirion I of th. Aur.B dd
<br />PDfc$Ftu (od.) or thar h. or shc is dmpr $d.&om ed $c ha3i! for ft. dl.!.d dmprior Anyriolaliorofs.(ion 70111 5 hyey
<br />+pli.@t for r p.mi luhjeB rn lpplicdl to.civilp.tr llyofrcl mor.lhD fic. hunrl,.<, dolltd (t5m).
<br />l. s o*G ofth. FrFir. or ny dlloys enh f,lg6 s dEn $k ooF!ab., uilldo dE *irt ad tlt 3ItrR it r
<br />i d'.!.d olI6.d rtr dc (Sd.7Or4, B6it6 d PrcfBioB Cod. nr Corr*rd-3 LtqE l^ &6 d .FD- io m .uE ot
<br />rh. FoFry *l$ hl d.r i'ryDE tlE6c rn rh] dG $h Nrt hirulf c nadror ttFwh hn or hd o$t alproy6,
<br />Fovid.d tlur tuch mFffi ft mr dai.n o. olErd ld eL ll hoKs. tlE bliljlu c inqDiqEn u -ld *ths oft !6
<br />oronpldior rlE ()[E t\rild6 wiu brt rlE hr<t'n ofFovi,s thi rE d dE dl ml hild or itrp.trwtlE FoFry l dt $,rt&of
<br />I.6oM6of rh. F.pdry. o.rclNiv.lyconrf,1in8 wilh lic.6.d coitrdoE lo co[s1ruci rh. pmjdr (S< 704,1. B!m6
<br />.d EDftsincod..Ih. Co.trrroir Licd.l.!* do6 ror aprly ro ownd ol propdy *ho buil& or inprov6 lh6on.
<br />md who dddr lor ech p.oFr snh. (-oddo(s) liGEn pollM ro rh. Cofi,croi. l{.M lr$)
<br />I m .r6F lndq Sdon
<br />DA8[E[5:(aUffllAIO!
<br />DECIAXAIIA!
<br />I hs.by.mrn untj6 poalty of psjur,"oru ollh. nnlo*inr deltrdn'ns
<br />I h,v. rn *ill minr.in . Cdirsrc .acongr ro S.lf-lM tr sort6 mar6tsn$'! 6 Fori,ol for h, S<lion ! r0o o f
<br />'hrt !.. Cod..lc E Fflllilrc of tlr Nrt td stih ilE Fmn i! isu.d
<br />I hrr. dd *,ll m.im.r sortR .omp.dbn lBuEft.. 6 Gtuir.d i! S<1atr 1700 of rh. L&,r Cot for rh. Fhll1m. ol
<br />'h. mrl for $hah lnn Fmn b is,.d. M, wo.l6 @nFson iMrMc. cvnr rd polry nuobd t.:
<br />l.ariry rhrr in rh. Frolrm. ol E sort aor $hkh rh6 Fnn s isu.d. I !tull ml dDphy My F$n in &, nsE
<br />$ 6 ro b..om rut d ro th. N.t6' omFrdnr htr! or Cd'fomE. dxl *6 rhd if I 3h.uld b6om $t+< ro tlE
<br />ro 6' onFsrn FolEbE of S6lior 1700 otl& llts Co<L, I {rtl. lodhenh omdy rnh rhr Folilbc
<br />wARnlNG FdlE ro *<@ *utd omFdirn.or6rs. ir u.hsful dd.hdl slber s ophF ro ddid FEhE $d
<br />civil 6n6 uF ro om hu.dr.d rhou!.rd &lls (tl00,000). in .ddnion to rh. con otcomFBirlon. d. s6 B ,ro\idcd fnr rfi.
<br />SdioD 1076 .f rh. I !t$ ('ode intd.sl ed luonEy s Y1l,'rffr11\rtir orrrrrr rorr
<br />!tl1 L \I \ Ilr,\
<br />I ho!!y .l[m u,*lr Frrtt ol Fju, rhd I m lEq!.d ud6 Fyim .l(tEFa I (mffiins *nh Selb. ?@0) oI Dirirb. r
<br />ol rh. BulE !d Prefdio6 co&, rd oy lt6. a in tull toc.n dtd!
<br />c-3\
<br />r /rs\1
<br />ltza s q
<br />g
<br />tjI8irai&IlatrljAllllilcEtrq
<br />I hdluy r,In u,iLr Fnt, of Fj- r_ fid thd! i!. odMni LidiB .*dy 6t llE Ffffi. of rlE n rt 6r *nit thit Fhi 6
<br />'r.d(Sc lO9?, ( iv C.).
<br />l.ndd's N.ft
<br />AITIICANI.IISJAAIIAN
<br />I hddr' df,n u.dg F rh, oa Fjury oE ol rhc foll6$ ine &lddl,B:
<br />Ddohio. PaTnyArldd tlolrfEdFn l-.ds.l R.suldbN (Tnk 40. Pal6)
<br />R.q!ir.d l!16 of |ldiftrnn
<br />I c61rlr lh,r rh. acdsrl r.rulalioB rxedrs abGros rdovll e. nor lppli<rbl. ro lhis tmtar
<br />l .drir rhd I h.r. rdd lhi. appli..rtn drl d.rhdln ab.v. i.aonndion nco,r.cl.I asrrlocomplyw(h tllCiryand(.un'y
<br />on ,.e6 dd Strrc lrw! cldiB ro ildin8 (odtudion &n hd.by Mbrn rq,s lrirB of lhB Cn' .nn coon't ro dia urDn rlE
<br />ahn. mor nAltl p.n\ r.r iErdFn rut,s ,
<br />rppr.rn,o.^.dtsirr.,ur. f, "0""f?
<br />p.miren.m.,prrn,r: 19'5 pCALtc }-r-1
<br />Qt,/11
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing qt \i/i\ ).'b qlttrv €4
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drpvall
<br />Ext./lnl. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL 7-r.1-/7 <b-B /,w 5*Z,r)
<br />Certificate of Occupancy
<br />Note R arks Etc
<br />No
<br />-", s/r /F tt
<br />Subf loor/VenUl nsulation
<br />Flood Zone Certif .
<br />rrr4l itl't ^ k^ t
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