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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNEI BUILDET DSL(IRAT(,N
<br />I lrEby rlIrm und.r FMlry of pcriry thd t m er.npr frcm rlI C.nrtuoB Li(tn* t w f.r dE ro o*nt Eon (S.<.7O1 I 5
<br />BNincss Drn Pmtcisbn Cdr): Any Ciry o. Cddy whf,h r.qui6 ! Fni 'o
<br />o[nnd. .16. itro.oE (bmlilh EFn ,
<br />nd@ Firb tu ffi. iro EquiB dE toplt.n tff *h Fmir to fiL r 3igDcd rl&,ml th.l lE or rl. n fi.cnEd nu$Dl
<br />ro th. Fovirion. of rlE Conrturm 3 Li.{nsd Lr* (Ct.rlf 9. Condmins wnh S<riJ. 7m or Divn-Jn , .l tlE BuriE r rd
<br />PmLsi.nr Codc) d thr lE d slE ir.icn7 rffiom Id rlt l*i for rlr dLr.d.Er+ioo. ADy vnhi,n of Stlbn ?01I.5 by u,
<br />.ppli..d ror . Fon $bFr. rlr rptlkol b . civil FElly of ml mE lha fiv. hh&cd doll*. (1500).
<br />-1.
<br />.s osEr ofrlE F,Fny. a my .nq,loF- wnh *rE6 B tlrir r& or{EN.lbn. will dr llr lst !d 0r indE i mr
<br />urdrLd n oniEd rs eb (Sa.7(r,{4, Busims a P,lfcsrioB Codc TIE Clnrd t LtoE tre d.c! r, lmly to u 0*6 ol
<br />dEFDFnr et$ hril& o. intffi dE6tr !n vb dia rn q,t hilrlf s lEEll G l,moBh hi! r lE oh.'q'trrB
<br />FDtitdi rhd fti E{ft,*rtu G mt ircftbl dofidst f6r.L ll lbw. rh. &iiin! or inprowrd n $t wihin oqw '
<br />otcoqlhrhn rlEOeEr Builrtr eill lrE r hdq ol trovrB rld lEd !,E dn d bi! d iw.G dr plFry 6.llE F,po.of
<br />-l.
<br />rs Nr of rlE FDrEry- m.rcllliwlr @'{rrrir! wnh lifl*n drdc ro ondM llE Foirl 156 ro!r. AlriEs
<br />sld E €i\n Cod.: Thc ConlBror't Lkcns ll* d.rs tur 'rrtly ro 6 o*Er or pr.Fny vh. build. or imprcrr rh.@n,
<br />ond who .ur&1snr*tlmj.rr! *irh.c.rffio(, li.u<dl&,!d ro0rcodllfi\ riwtr)
<br />-l
<br />M.r.npr und.r 5d'
<br />!I)Bf,EXIT-CIT4EE!SAI]!A
<br />!Equ8a:I10!
<br />I tr.ch, lmm u.dcr Fdny ur Fjury oft or dE rolbrirS ddLn'.N
<br />-l
<br />hlh drl will B!r!hr C.nif..r.otcore to S.lr.lNr rq mn6 cmtEcri,n, .r lDvij.d tt bys..li{ 170 oadr
<br />L,hq Ciod.. for r,r FflxrlrE of rlE *dl fd *||in EFmn ir LrEd.
<br />)(hrE .nd *ill dmrrin md6 onv(rern itudc, I Gtuir.d by Snrbn lrm of lh. hbd c.d., ro oE Ffm. of
<br />'uE *ort for *hich thri F mr ir rn d Mrsdkoa tuqrnqrhn rnrumc. cMrr un,,1r, numtE R.
<br />cei., 5+".t- L.,^ a
<br />9 L\53nq
<br />-l
<br />ed ify rlll in tlE FrfndE. ol llE ert fG ,hth rlir rErdi ii nqrrl I .lEll r, .nptty rny Fm. in uy lsE
<br />$ s L h.om $bj.n to 'lr frdd'6npensra6n Lsr of C.lilomi., ud !tE.lh if I shnuld trcom nnFl io tlI :
<br />sorkdJ otrIxnurior povnioa ol sdlnn J71D ol lh. trbor Cod.. I trlL tonh*nh otrply Dth rhor Fvirir.
<br />WAA!{ll{G F.ihE b s@ qrtos o,p.nElbn oqsc h unb*tul .nj rrrrl {bj.tr m 4plorlr io ainiml Fonas rnd
<br />civil nms un lo onc hun.lrcd lh,u\ud doller (t100,0(r))
<br />S..lio. .1076 ot rtr l,bor Co&. d.d .,n dtfty i f6
<br />or.oqxnrrior drmg.! .r Fovii.d tu llE
<br />!:\5 - z-\
<br />I trEhy rliirn ulld.r F..lty of Frjury lhc I m liBe.d uflLr Fortirn ol cllrtd 9 (.om)rtrir3 uih Sat6n',m0) olDivtnn l
<br />.t rhc Bunmr rd Prof.r.ion( Co{h, Id my li.cnc t in tull foN !,n cfi6l
<br />-r\-l5-Z-L
<br />I iftby rrrmund.r FMlryolFrjlryrhr rh.r i,. @trr ci.n Lddin8 r8.Ey l tlE Frftffir of tlEr(l6r snihrlir rErln i!
<br />trBn (sa. 109r, civ. c ).
<br />krld fr Add6!.
<br />-
<br />a@rrll'D&lllSArrllN
<br />I H'y rtrm unh Fn.h y ol FIlry or of llE folbwitr! d.cLnlbnr
<br />D.mhio. &rilr Arb.{or f**ifrdron tulanl L.lrldhnr Ont (). Pd6)
<br />-lGqui,ld
<br />tdrd otMrirdk n
<br />-l
<br />d ily rhd r,r fdlcsl rslhirft rB{dmg xrsrs Emw, E ml rp0li.l,L lo lhG nmFt
<br />I.d'ry th.l I hsw Eld rht lpFlrdi'n !d nrl.lhn 0E.hw inrom.i,n i\ rffi I r8c b 6rtly *nn dl Cry rn Couly
<br />onliBrr !n slr llsr EbruB k, hoildi.g.oh h.rcty lurbril r.Frcsnrrriv.s olrhn Ciryad Counry r. cnrd ulnn ttE
<br />uhvc Bnt ioncd lroFny n, iNp.cri'n
<br />^ppriunrtrrarorsknnh'r. K.
<br />Pemh( Mm. rp.inr): 1-'c.+,ls*L.-"--y
<br />{l -\(-Z_I
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Bool Sheathing
<br />Shear Wall
<br />Framino
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Beport
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />FINAL /aZ/.Z.t Z Ar<.il44)9 ry,*/
<br />Certif icate ol Occupancy
<br />Notes, Bemarks, Etc
<br />Bev.08'07 2015
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