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BUILDING- INSPECTOR RECORD
<br />SITE.WORK ,DATE ID/SIG.COMMENTS OWNEN BUI!-I'ER DCII'ANATION
<br />I hd.by amr6 undd FBh, olpdju'r_ rh{ I m.r.mrr lrc rhc OJ.t{roR l-i.m. tnw ror lh. iollowinS rca$n lS(70115
<br />Itulnd dEl Profcion (-od.): Any Cilv o. (oudr $hi.h r.qon6 r rshir lo cotr(rucl. !16. imprc\e &inolnh or rqqtr m)
<br />(ruciue Fior b ns iee.. rEo r.qur6 th. rydtd for uh Fnil to 6b a stxJ tlnoEl lhn lt or dE ir hr.n d lUMnd
<br />!r rh. Fnv6nB ol E (-ont.ctor s ticaiaj L!$ ((-h.,ld e, (-omd'n8 sdh sdrn. 7000 ol Drision r ofrlt BBindr ind
<br />I!rulcsFns (iidc) or lhal h. or rh. is .r.f, rhn€Fom afld rhc hssis for thc lllcscd .ronprion An)rkn o.oasation70ll5b)any
<br />,tFlicer nr . Fnir slhrdi rh. rppli.rnr kr a ciril pcolry ol.or nxn. rhe 6\r hundrcd dolld! ( $11)0)
<br />l. a oqE.lrh. FoFn\. or my mrhrc sirh trl*6 a rh.i $l..omp<Mnn. un! & th. smt dd trulm 6 mr
<br />'ddrldi or olIdld tor sk (s6 7ol-1, B$nRr md PnrNNd Cod.' lh. ( dddoir l.re rl$ &6.or eplf n) ou.6 oa
<br />rh. rr\rpdy rho hil&ot inqrovG thoon, dd *ho d(6 rch slrl hnN.lf o! hcrlror rhrcush hir {r h6 os..mplot6.
<br />ttrovid.d $d ru.h inFDvffils @ mr idai.n orolEd n! $k I[ no$66. th. toium* o. imF.rffit is sU *irhn oft \a
<br />.r co,r{'lrFn. rrE ()qn6 lturtlg rill hrE rrr hdrn of rmsns thi t! or rlE dd mr hru or '"Fot 'h. Fnpd! fi, rlt lirpos d,
<br />,. a otr n( .l rhc In.rdy, m .r.lurv.ly .ont.d inr s ih l'.n*d roitri.uu b .on*nd
<br />'h. Fri(1 (56 ?ol l. lnl$nRs
<br />..d i\of6nn (ird.: Th. (n.tr..lors l-ircnsc l,aw do6 n.r appl! r. m rq.( ofprop.ny *'ho build! or npd\.s rhdon,
<br />rn! trhn (drlcrs tor su.h F.Jdi tr h r (i'd..cro(!l l,(s6.d punm! nr rhr (idr.doa! t.i.a* liul
<br />I o.ronfl unds S(non
<br />Dri. o*n6'
<br />WORKtsRS' CONTP! 1\SATION
<br />It}:gJ.f,alllll
<br />I h(c5) !fim und.r FEh\ of FJun oft olrh. folkrn m* d(luarNr!
<br />Ihav.md\illnaintainn(.n,a,.ar.or(ihHrros.lflNUr€ru\orl6e'.ohrdsdion.6lnoviddlforbySNrk,nrT00oarhe
<br />llhr Cotj., nn rhc F,omm. o f lh. uo n,*hichth.Fnn 6 isu.J
<br />Ihl\catrdtrrllmlurarn*on6.onlxotnnrNurrB..6r.qur.dNS(lN.r7UOoirh.l..t$r('on€,forrfi.tqfomffi.of
<br />rh. \orl aor sh'ch lhis Fril i! 'ss.d. My*orld comF3dFn iEurdc..nid drl gni.y.ohld e.l
<br />I c.nifyrhar i.lhc ldlirrf,rn .oarh.sort for Nhichrhi. Fnir is 6su.d.l shallnd dnployrntFsn in.ny Nnn6
<br />$ a ro b.<om lut'jd h rh. "..t6' .o.np<aqrion h$! ol ('rlifDmid, J i*reIh.t rf Irhuld t (om$hjrr brtF
<br />tri.I6' R\mFqrFn For 6rrN of Sd io. u(xJ of rh. l.,ho. Cod. I .lull. Ionhq ilh comrl! tr ilh ltrs I,o\ GrN
<br />T ARNINC l.r!lu..lo su. uorl6 comFsdion (\f,sc is unL$ful. dd $,ll surrd d @rlovt ro ai'nrn.l FBhis inJ
<br />lril fin6 up h' on. hundcJ ihou d dollds (tloo.Ux)). in additn'n ll' rhc co( or.ump.nernr, rtrmrSs a lNvid.n fo, lh.
<br />s(ri('n l07ri ollh.lrbor(.od(. mls6l lnd arnmq.. s ls
<br />b-?:\-\t
<br />DECIAAAUA!
<br />I nd.byamrm unds padllyolFjurylhal I &n liccrc.d unds Flvilion ol( haplE 9lcnmmm.ins *irh sdion Tuxr) ofDilbion I
<br />ol rh. a*!N.nd P$r*ioN CDd.. dl m! li..M n in tull aore drl.rdl
<br />it 4t bb
<br />G-2'l-,-T K
<br />( oNSTRUCTT(IN I r'!{t tNG ACEN(',\
<br />I h.r.by affrm ondd FnalryolFjuryrhar lh6. i! a.oNfl,crbn Lndilrn rsfty for thc ritomdc. orrh. "ot[ aor which ihis lmrn is
<br />ieu.rl (S( r09r. Cir C).
<br />APPLI('A I\T DECI-ANA ON
<br />I hatb! rJEi. on& Frhy of FjuD- oE ol tlE rolbwiq &cla ionr
<br />D.mohio. Pmirr-A5bdo. No'ificdion l.d6!l R.Euhn.r {1nl.40, P!n6)
<br />R.qrir.d I.lld of Noi6.dion
<br />I cqrrb lhd rh. f.rlsll r.suurioB Esdtiry 6td6 rs\ il rc ml qpli.bk ro !h6 Fott
<br />I .diry rhd I har. r.!d rhi! lpplicarion md 3i.t. rhar lh. .t v. inf.mdtun ir cond I lrre ro comply virl all Or y rnd Cou.ly
<br />ordin.h_6 ed srri. h$s Eldrn* io buildin{ N d,] h(.br.!!hiuc r.p(6.nlalr6 oflhis (
<br />r_ od Countt !o nrd trF,n 'ltrhn. 'noruRllYoIEnt lN 'Np.nn n plqi)s
<br />,,rppritrnr or,rjmr Signrrure I
<br />P.rnircnrn.rprrnr): Ota.\On\""1,
<br />0''l1t't
<br />Set Backs t-qt I I 1
<br />Forms/Steel/Holdowns tt
<br />Erection Pads nt 14 il,\/
<br />UFER Ground t lll l, I
<br />SLAB Floor
<br />S u bf loor/Ve nUln s u la tion
<br />Roof Shealhing
<br />Shear Wall rl I
<br />Framing llt ltd htr ,q
<br />lnsulation/Energy
<br />D-O/wall 7-/g//P ru
<br />/lnt. Lath / U,t//X 't1
<br />Erown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL 7 to1 t/,,4
<br />Certificate of Occupancy t I
<br />Notes, Remarks, Etc
<br />Ll\?'
<br />I
<br />Pool Fence
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