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BUILDING- INSPECTOR RECORD <br />OWNFX BUTLD}:R I'IiI-'AT TION <br />I lEftby rrm und.r p.M,ry of D.rNry thlt I in .rcmpr nlm rh. Ct nr*_toN Li€n$ lrw tu th. tollo*iry E.u l Sa.70l l.5 <br />BuiilB .tld Pmla.n Cnd.): A.y Ciy Ouy vitt r.quB r Fri ro oi{nE, rlc. inpt E, d.mliih d t?.t My <br />srruc@. priE b ns B!u.M. ibo EquiE! rlE lpplic&r lor N.n Fmn ro 6t r nsGd lrd4nr rtd ll o. dE t tLrnral F{N.d <br />r. rlE Forti.,E of rlE Cd*rn'r l,ir.!d ti* (Chltrd 9, Co|lmrin, *ii sdin 7ffD 6I Divni'. J ol rh. SuiEs .rd <br />Pr'f.srB Cdt ) d th{ lE or tll n .kn r rhdtiion nd rtl bGs fo. rh. !lL3.d .r.n$r'n. Any vi,Lt i,n of S{rD. ?031 ,5 6, rny <br />.!tli..d rar ! Fmi ,obi{rt rlr lpplrcld ro . ovn !.Nhy of mr mr. lhs 6v. hodra dolL.t 6rn). <br />_1. a o*er ol r lroFnv, ( my .,lphr6 unh *.r.i rs rtEn hl. c.nD.MF4 $ill .h !h. xrr .d E {Mc i! d <br />dorlal or oll(al fd qL (S4.7or4, Bu.'E! .d Pr.fati,B CcL: Tl! (.odddi Lidc kr do.t d .prly ro o orM of <br />ilr rrDFdy wb tuild! n nthE rlEotr !d wh! dd (h srt hirell or lE&lf or llEu8h hit or lEr o]n.EpLtas. <br />Ford.d rt Mh inloEa r m il.d.d.r.l@ Iffsl. !1,liMw, tlEtuiBit ni4r)mn irsB * -* tr <br />ol.onptibl\ (h. OrEr BuiLLr will h.E rtr budcn df povin3 rhi lE or rh. di.l d hritl or in+Nw E pmldty fo.llE Fr.pE oI <br />_1.eo*E olit F+.nr, m.r.hsiv.ly uod'rriry *irh lic.r*l eodr*k6ro onrer [E FD]al1Sr.,l]+{. BcliEg <br />.,rl Al,fntr(!{. Ti. Cod ro.'r Li..n€ L* dG! d rrtly h o owg of FoFny rh. hlrldr.r rpDE. rhdq <br />.nd wh. codEB n{ !u.h ForcB wirh I Orddo{r) la.M{ purEr () ilE codrurols Lt.ru. l,v) <br />-l.m.t.mIr! <br />sS6rrn-,L &PC torrhl\ Eren <br />rllalirBi:rcltfrrtArla!0Elu&rrcr <br />I h.rcby rllnmunn.r Fnrhyofn riuryon. or rhc h'lkrqinr d.rlrruri,n$ <br />-l <br />h.w ltl, erl, mhrli,. clnifN.k of CoM ro S.lalEUE ld uDrI6' &mrEBdptr, .s ,E,vid.ii for by Serioi l7m of rti <br />Lrq Cod.. ,G rl! Fld.a. oI r wt [r *han 'E nnd ir iqd <br />.,\Ct u* .na *iu *in.i, **d conp.Mrioi in$n ., r! Equi,.d b, sdri,n ]TOO oI rlE L.bor cod., ,{tr rll Ffm or <br />::2shIh rhn Fd n ir*d. My **lm onIEMln Nurld lrlF &l F,lry dniB a <br />t1(t 1//,.rn Zw"ll <br />,",,,*, t {,4/59,<)l <br />I dit, rhr n rh.,ErfurnrE ofrlE uoll f* rhth ihir ttrnu n s!.{. I {ull mr.trpby 6y IE n! i, e, '|We a b lBnr $lin io E Etd @qxMn. !.vi oac.rrroo!..'n ir thd irl rr-uu b...r {l*!r ro rri <br />re.b NnuEn$rion pEvnpN ot S.!1en ]7m of rh. L.bor Cod.. I l!ll. ldhwih $nply wirh rho$ prcviilc. <br />IIAINING FrilsE b tt@ wL6 onp.dD.66t ! onLrtul .rn !t.ll $hrd u.trpbF to si@d pali:.d <br />crrl 6Nr u, ro.E hundrd rholrlnd dnll.( (ll0o,U,tr, In lddirnn ro rh. @d af cohp.nerion. drnE3.r.s pmvt.d for rh. <br />>/q/a <br />LICt,lIim ('ONft (]rOt <br />DAqTllI[XI <br />I h.Er'y tlrtm un&r Fn hy .I Firr! rhd I .m larrEd urd.. ImwF. of (tuFq I lomftri., wih sdai 7oD) or Didrb. l <br />of rh. Susin.s\ ..,1 Pn'lcsn,n! Oxt nt my lr.r i! ,n tull n,c nl cll.( <br />6oortrca <br />24 I <br />lalu,,,[roru.EdDldril{il* 'I tft6y .rfh u'rL, FDty ol !cr!, rhr rlEr ! r on{Nnn Ef,duU rrc, lor rlE Ffm. ol rlr kt lor $,lBh rft! Fd ! <br />ksu.drsn.:1097. civ c ). <br />AITI.ICANI.DECIA8AIIO! <br />I hfttryrtrmu a rEn.ltyoIp..jury on. ofth. fulbullu ddkra'ionu <br />D.mln5n P.mnlArb.{q Ndif.db! r'.da.l R.Euhrans(I.L l0, Pd6, <br />_R.{udul lJ(, orN..f.din <br />I cdify rhlr rtt r.d.hl Ettbri)ns EBul[S .'lrro. Emr el G n{ !O t.hL k, rh! ,roFr <br />I lu!. rcdd ihir rpplr.rio. dtl s.r. rtur rlE .bot. in lotuio. N cordl I !8rc ro .uply wilh all Ciry .nt Counl, <br />!r. Lws rin4 ro lorldmt .oeriotr rn hcrry rutn* Etltdi:B oI rhb <br />COMMENTSSITE.WORK DATE ID/SIG. <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Sublloor/VenVlnsulation <br />Roof Sheathinq Dl{-nr r t*s-/ <br />Shear Wall lr <br />Framinq <br />lnsulation/EnerqV <br />Drywall <br />Ext.i lnt. Lath <br />Brown Coat <br />lvlasonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Enqineer Final Reporl <br />Flood Zone Certif <br />I <br />FINAL \tr 4_1t1/?tM)o .g-Y1 <br />Certiricate ol Occupancy I ij <br />Notes, Remarks, Etc <br />llev.08-07-2015 <br />f;;nl*l ".';/;r;: <br />I <br />tt <br />=