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<br />BUILDING. INSPECTOB RECORD
<br />SITE.WORK DATE 1D/SIG:COMMENTS rn\\f RHr ll r,rR r]r r \l.a\rlr)\
<br />I tFb, llfm lrlr pcury o( F.rEy lll.l I D .r!+r 6h tlE ( dnr6 tirc Lv fo, rrE fou6*in! ls lst.ml I t
<br />BuiEn ln Pr.rairi Cod.l 4., Cny or Cony wh.fi rquiEr r Fd nt 6.rnd. .h6, inrtroE .rtftrith .i EF, e,
<br />iturE,Frrbr, iffi. rt E$i!r ilt PPlitli (x ut Fnrr b ltlr r{Ed {r.ld lhr lEo. rlE ! lxrrel Fr.d
<br />h rlt trvibD oa r ConrEE r l-a.N.d l,* (ch.Fd L Cotrnrinr s.n S<rr:. 7frn or Divtior I .r rlE Bur$ ,!
<br />PDa.rDB Cod.r ( dd lE q !h. E .&,4 th.ltom .!d rrr lllu rq
<br />'rE
<br />llLtqJ .&rgDtr A!, vi,Ltbo or Sdh 7Ol I t bt u,
<br />tp?ltrd for : Fmii bFrr rll .@li! to : civil p.uty of mr DG rhrn l]y. hodr.d dolLfi (15{n}.
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<br />n o*Er ol tlE FDpaty, d my.rpl)F3 vih *r!.. n rlEn -t orFdi.a si d. rlt wrt tn Erdei!d
<br />rtrla, d oarral tc d. (Se 70lr, BGiB! .n l Plrfaih CdL. Th. Codr.id ! l.ge L.v d6 d e?ly ro e ow ol
<br />rlr F{sry eho hiLi s irqmE tlEq ltd srD d..r s$ rqt hi'e[ o, lFEf or rlrDlgh f,n or tE oM.tplo)a
<br />F.rd.d rh1.Eh urtmEtue d id.d nofr.rd Id rL.ll,lDkE r h{ildqg rinlrrErd Lsld *ihhft F
<br />oroq,hra rlE Owr BuiLla *in h.E dE bnnl.i o,p(ovrt rhr lE M dE Jd d tu! fr irillE nE tn dy tor UE FrF-of
<br />-_1.$o*r.oarlrF)p.ny.m.rclu$v.lyco.rturns*nhI'c.nsd().rt'ut'condru.rrh.FIar(Sd'rO44.BBiE<nl Pn'lisin (,xL Th. Co&rror'! Lic.or. ljw dEr en lmly t' dn owEr ot lroFny *Ix, builJs or mprcws th.r6n.
<br />dnd ,ho ..ntds lor ifth F.irk w h r Conrmro(r) hc.nrd I)J^ud h rlr (i,nh.h s Lic..sc trw).
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<br />a .i.npr und.rS.cr
<br />l)It.
<br />txllBfrt{-t0!t!}3lAll!}!
<br />DECIAf,AT]O!
<br />I h.r.by rltirm uid.r lErny of F'lry oE of ltl tulhrr8 d.cL.i btrr
<br />_l h,E xi will tudrn k 6 oreceii,r hiurE.. !i E{u.!dl,Sdr,nl7mofrEt tor CoiL. fd rlE Fftm of
<br />rh. vxt lis *hEh rh! F.d E iq!4 My *(t6 NnFdr'. rsurie ffi rn Frlr, .utrt r n:
<br />I{ARNING F]hr. ro sc@ }ort R 6r{.dnn corn3. s unb*tu|, rnd shrlt a c.qrbF ro dil1el I.MIB rn
<br />.N'1 r$.r ut nJ nft hunnral rlDusa d.llr^ (alrxr.rlr)).
<br />'n
<br />:ddtrxn !, rh. .on ol r nerion, d.mrrs a r6vri.d tur rh.
<br />CoJ., n .r.{trddbfty'r
<br />t,l:( t \R,\tI(rN
<br />Ihtrchy.rrlrmuidcrnn.hy.fp.rju.yrh.rI16lknrdund.,rmv\inn.lChror-9(..d rinr *irhS.cihn ?a([]) oftrienion l
<br />ol ih. tlurft$ud Ptuf.ssioN Codc. ul n,y lrccnk i 'ntullruki rri.rr.ct
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<br />c,
<br />I lEEb, rfiifl rd.r p.Mly ot tE irt rld tlEr E r edtur.n hlrlll3 rlcnt Ltr rlE
<br />Brud isd lt1D7, cf cl
<br />df itE wt t rhrh!Fm! n
<br />AEILICANI.DECIdMIIO!
<br />I hdd'! ifm unld F.rry or F.jury oft of rlE tult vn8 &(Lir ionr
<br />D.n!hiotr Pmii!.A$.nos Ndinc.lbn FaLnl R.Buldirtu (TnL.r0, Pd6)
<br />-R.{un
<br />d l.rk olNri,iliiD
<br />-l..nilirl'rrilEfal.r.l,.sulnrionsrlarJingr\h.
<br />or rnr)vrltrr,xn ifl'l'rntl. i!) rln\ ln)Fr
<br />l..n'l) rhrrl luv.rcad(hn +pltdiona $d.rhrr rh. fi'v. i,Ior imnLotr.r lrlrdroNnplr*ilhrllCirl3ndCounry
<br />,tr1 rtr,..\ il Srd.l-rri rclni'ut)rr.rftriw\oIlhisC yrndCoxnryb.nrdulr)nrlr
<br />,rN^' trr ntrtr.rttr,tr yrin
<br />Appliorr or Agol Sisnllur
<br />Set Backs ,<'-
<br />Forms/Steel/Holdowns lo.TrPD Dbar4 6+M'
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathing ltx,"{)PP,F ra
<br />1
<br />Shear Wall ltl'-do ,JWM ;6X)
<br />Framino It.v.70 ub&tb vit
<br />lnsulation/Energy tt'+70 ODLffi
<br />Drywall ll't' ;t?0-,b^tl,o&87
<br />€Ight. Larh lt. l?'20 UDfui,
<br />Brown Coal U'h.2o A>"rlx '*t/
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />\Delilr tll5f2 WA ./Al -t".lt
<br />FINAL 4ilW llMtn1 nd
<br />Certificate ol Occu
<br />Notes Remarks a)a..t)
<br />. iL2
<br />Rev.08-07-2015
<br />t4yL8t
<br />a1
<br />Etc.
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<br />h.E lrl *'ll di rin r Cdi6.rr. of Com to S.ltlBuE nn lut6 $r{.qdioa r! Fwirt d fd by Sdi'n l7(l) of il:
<br />krrr Cod.. rd rlE Ffffi 6t rlE rnl td *hj.h rlr Isnjr i 6ud
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<br />c.nity rh, r rlE FforlllE olrlE kd td whhh rhir rrd D sr&n, MI mr .ntlby ry FF. tr uy |ll.llE
<br />s' 6 ro lenr !!hj.u b rlE wxl6 @r!EMo. L*t of C.htonr. .d .3r rhd
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<br />I rtnuld t ..r sbid to tlE
<br />$.16r'€nlllHrbnpovtri.BofSelirnlT0OotrtrbbdCuL,lrrtrunhpirh$nplyrnhtDrprEEioc.
<br />,.,. tlttlzo
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