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BUILDING. INSPECTOR RECORD
<br />SITE.WOBK DATE ID/SIG.COMMENTS OWNET BTJTLDET DEL(!\ R.^II{'N
<br />I bEby lnrfl ufldd lr.olty of F rlry thrr I d crcq, rDm rtu C.nr&ro6 l-kms. bw lor llE lolhwht E&$n ( 56 7011.5
<br />BuriE r {d Pmf6d,n Co&l: 4., Cny or CMt *'lth rqu,B . Fnr h o"rnxl. .ld. n4i.c. (lmlnh 't ltFir dy
<br />nutm. Fi, r0 irs Rtudc. rLs EquiEr rlE slr,lilnr aor o.h tbni k' fik. rig.dl nd.lml lrul lE or ,E i liccn.d F'lI@r
<br />ro llr FrvtbB ol dE Conrrxroi\ Liocn L.w ((llprd 9. C.ntrftin8 rlh Sdthn ?0O of Dirnhn I of di Aui!.$ .d
<br />PrDr.sirtC.d.)di,rrlEtrJEn.r.tr+fid.trn.,nrh.tat(lorrlEdlcrcdcralplio.]\.,violr'bnofsdnn7o.ll.5byuy
<br />st,,licrtrr lor ! Fmir sbjers rlr rlrlicd. b r.ivil l.Elryofmr mrrc rhu fiv. hudEd dolls! (t500)
<br />_1. e owB of rhc |trFny. or my.nFk rer with w,gn B rh.t sL oqEn$lion, *ilt & dE tuil ird dE sEEr@ n mr
<br />i!ns'd.d or ofi.rd fd qL (S< r04,( BusiB.d PiDfsi,6 Co& TIE qtrddt tiw hr dB ml .CPlt to d oftr of
<br />rrr Fotdy wtb t{ilid iqffi rrEq .,n wb&6*nmrt hirelfd lEElf q Itmulhhir 6 hd 6mcntlloFd.
<br />lrorirlcd rhn rki inBfttaE.B a n ir.nLd d olIa.d lor $h ll tbwE 0E h(ilditra or itrFlwnl i! sld wlhin orc ,*6l6,it!in t E OwB Buildd *iI lrE aE htdor ol F!vi,! rh lE m d! dn Er llild or it$rdn dE Fqry ltr rtE FlFf, oa
<br />_1. !r o*E.a ilt l[[-rr, rh.rc!\iEly.drfrir8 Mh li sddrdmroollrM rlt IrFl Isd 70,l.. aE@6
<br />ond Prrc$im Cd€: Thc Conrrurorr l.ic..rr Lrw docs tu .pply t, r own.r or proFny who huil& or in!rcv.r lhcr@n,
<br />.nd *lF onEJl. ror *h FD,..!I *ith. coirrrro(s) lftnil pol\d ro oE conr-kr\ lirr L.el
<br />_l sm.rcnrrr u tr..trlbn_. B. & P C ror fii E $.
<br />D.t.: ()mrr
<br />lA8f,llLcIDlIAIAIIq!
<br />Df,{tr AnAIIoN
<br />I h.,.by rlfinnundfi |tMlty.rtEriur.vorE.rrlr foll.einS dNkr(nrn\
<br />I h.E ,,n will flinrain r CdifE.lc or Coninr ro Sclf lnre rr krt6 o,rtEn.ri.,n. ( Imviraj fr by S<ri.n lroo of llE
<br />l,hor ClLnc. for rlE p.noffi ofllE w{,t tu *hrh llE Fmi a i(u.d
<br />I h,v. rndrnl nrnnlio worlcrr coniFn\rrn,n rNurr r,r\ r.rtutr hyS(rirn l70l)ofrh.lihorO c. fin lhc pc.,oruE....4
<br />0E Ed fd ahit rhb Fr i, lqd- Mr rryid @4.iih irlllllR irrnFoli,E i6a c
<br />c.,r, , ACg
<br />6l2oztL\o?{\r40 I atl
<br />-l
<br />eniry llsr inllE Fno.dd orilt sort r.r lnth (hai FmI i! trkn, l3hll mr.npbymy Frm in uy nsE
<br />$ sro tetr rubj.{! ro rlE *dk ii .on{Etr{lion hwsofcrlitomn. &d r3r rhlr ifl s,xald lr<uft rublxl lo ltE
<br />qrt6' ontEMlb. ForilirB ors.dioo 17q) orrE Lht C.rL. I rh . rdhvirh ord, *ith lllE prnli{bN
<br />WARNING: FdaluE h sw wl.('oqrnslhn Lrmgc r unhrlirl. .id rh.ll rubFr 4 ont)loFr ro diniMl FExa! d'd
<br />.ivil 6Es rp h oN hundEd rhusrl dollB l3l(D.000). in.ddnion ro rhc con or.oqrns'irr d.m8s.! FavA.d for tlE
<br />S.<rio. 1076 of tlt l,!d Cod.. hr6{ .,n dkfty\ t6.
<br />,'*,-.L\15)z<; -- ^rr.-" )!
<br />LICF{STD CONTRA(]TOR
<br />DECIJIAIIOU
<br />I lrEbyllfmui&r F hyof Fnl,, thr I d liar.d !i(b FDvtbi 6f Olpld I lomltEr!'r lnh Salbn 70@) of Divitbn 1
<br />of th. Busircir and Pmfc$iotrt Cod.. en my li.trr is i. hrll foN ard .116r.
<br />t.rccnrr q^s ' C ro L-+ RB t33
<br />,*'*'*x
<br />railsrBucuraJ.[gDlNtillillgr
<br />I lrEby .rm ud.r Fulry o, Fr,lry rhd rlE . i! r 6Ndb. blnr8 .a.ry n 0E Isf()l]'K .,, rh. *orl ld whih ihis Fnlt 6
<br />rtu.n tsd .1(})7. civ c J.
<br />t ndcar Ad&.s
<br />-
<br />aPtl rc \t Drd alarr(w
<br />I hdr{'y .trm u.d.r F.tlty ol tE Ury om ol rlE folb*iry &.la[r ins
<br />D.nnii,n P.rni!..A\bcsro. Nt ifrdion f. d6al R.EuLlioff (Tillc.10- Prn6)
<br />_R.quiftd ldrd of t*rildrn
<br />_l.dlfy rhd ft H.f,l Etlltinr E8!din8 .tt !16 Emv.lN Dl r0plti'L ro rhir tDFl.
<br />z\_,-jl Rn'ly rhlr I llv. r.d thtr .0pli.rri6n .,n {rrc rh! dE .tov. irforf,irio, ir sm.l. I .rM L .onply wirh .I Cly .td Comly
<br />mlIc, .d $.rc Lr$ rhir b boildi4 <f,oEll,tr rd h.r6, lDrir. rtndrriE of lhii Cty.rd Cody ro drd l4on tlE
<br />lh)w Enrbrcd pmncny tu inrF.tbn 0qns
<br />rp[ri.-r.. r!,-, Six,*t,- lA
<br />^6rr.e(Fr.r). f< Q $e \)1]q< t!2-
<br />tt f< lzz,
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />ltrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil
<br />n^
<br />FINAL ////2,7/ -&(/7/ ,/
<br />Certif icate of Occupadcy'
<br />Notes, Remarks, Etc.
<br />-,
<br />Rev. 08-07-2015
<br />Shear Wall
<br />Brown Coal
<br />or*, n,.*,, t I tJl-?
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