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BUILDING. INSPECTOR RECORD
<br />OWNITT AUIU}ER DITI,CAIIATION
<br />I lEEby 0fii.m un!.i Fnaky of Fdury ilrr I M.r.rrr tlm th. (on@roE li.ns 1,, ror rlE lollowiry Ers (s4.70315
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<br />tuNE- Inr ro ir lW, r&o Eqr6 E q!''lId nx sr! Foll. ro nk r 3laErl fia]d rhr lr or ct n lf,rtrrd pu'd .
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<br />.pglsd r* . p.mr iubreB tlE .p9li<!d to . ctr,l p.Nlt y oI mr llft rhr liv. tundd dolhrs (r5lrr)
<br />_1, a owEr.I rh. FDFnv. m 6y cnpbtt.3 wirh w.3.r a rh.n sk conp..dirn, *ill & dE x,t.,i E{Mctd
<br />Grlal adk fr !.! (S4 ?Ora, BU.IBu.l P!.t*b6 Cdl.. Ttr Cdrd ttraelI*dEd.r?lybhowrof
<br />rh. Flpdiy wh. tlrl|l q irqmB ossa .n vb d.- (h vart hllMl, or lEyll tr rlrDutn ht d tr om .n+lrla.
<br />t ovd.d rhlr srch ir'I'mEmdr e d id.nd.d o. olT.r.d lor sb. Il lFr.E rll hdildlu ( in!.orftit is hld *ithin oE ).4
<br />ofcor{'Lri4 dE o*E B!iu6 will h.E rh. boikn of Fovllo rh. h. ( {E Jij d b{i!:l q itrp.DE d. Frfdi, f1{ rtE Ft .- of
<br />I.(or*.ofrh.Dn'p.ny,.mcrcluiiv.ly.! kr ht wnh lkrnsl N.l.EroF k, {ncMr rtE pmj.( (Se. 7044, auirs
<br />.rn PR*sr Cod. lh. Coddor'r L..M L.r tI6 d .tl?ly ro u.wE ol I'roFny rho 6dldt o, rpmE: rhaa,(
<br />.nd wlr) odmr Id 3wh FtrFi dt . Coddd{r} lEnr.d E!!ad to E O,ffi(! LitM tr*)
<br />I m.r.lilli !i&r Sddir ,B &PC turh(E.sn
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<br />DIiSJXAIIII!
<br />I h.r.by .finm urdd n Mliv ol Fj.ry.E nflh ftnr,*h! ddlaiod
<br />_l h.E !d will .rirr.in r CdfEr. of CoMnr ro S.ll-IME fitr srl6a onp.MbG .i povi&l aor ty S.crbn ]7m of dE
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<br />An-..-.ited Mt rdrd' onT.Mri NrB. (ffi {n Flh, Nn{E. r.
<br />rC\t-, z t r titL -)
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<br />_l..nilr rhar in tL FrformE. olrh. *ork tor whichihir p.rmir ir rr.d,I !h!ll nor.flploy sny p.cotr h rn, mlmt
<br />s $ r. h..sft srhrd b trE wrt6J onp.Mm L*s of C.l'lo@, .nd {r lhr if Lsuld b.t tr sltFr ro rlE
<br />hrt6 orrrNrb. proys..i of sRi,. 17@ ol rh. Ltu cdje l lulr, fdh*nh on?t *$ rhor FDBiB.
<br />WAf,l{lllc: Frilur. ro slE *fft ra d,np.NrrK,^.owE . ir unllvtll. ld .hrll rubFd o.!i! oF to qimnd FEli3 Dd
<br />civil fi*' up 6 or hu.dEd rholsid dolla (t I m.m),
<br />'n
<br />ddi ion r. rlE on .r co.nFMrioi. dm!.t ! provi.l.d fdr rtE
<br />Sdrbn 1076 ofrtr ljtrrC!rL. dm{ r dl{)mri
<br />DEqtrlAltlld
<br />I hcEby dltm u.d{ p.MIy or lFrjury rhd I .m lienr6d u.d.r F)vtn. ol Ctu is 9 (d'hftri.g v,rh S.di'tr 7{r[) .r DivnFtr ]
<br />ot E B$,lEs.!rl Pdf.*ho Co&, lrl ny li..M G in tull fo@ drl.ffd.
<br />,.'"..".."-, t (6 a)J7t G'1-7-7c vi nl I
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<br />I lEEb, ltrmud.t F ryo[FiEyrhr Eri'r6etus lndlt tldy,6r rtr F.tdrlm. oltEk t 6r *tlthrlE Fhr i
<br />ii cd ls4 l(R7,crv c)
<br />AIILISAtrLDECIdS.IUq!
<br />I hd*y rfm lrl.r I'.Mhy of p.4try oE of rlE followry Lka lDiirnrl
<br />r).mliri!. P.mirlAlb.(o, Ndiricriri F.d.nl tutul.rk tu (lirh .lO, Pd6)
<br />-Rapltl
<br />L.nq o, |rd{urion
<br />_l dify rh! rti t d..rl rc3lLrbB EarJiq r.h.io! Emvd e B Ct litbl ro fin poF.
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<br />.- ,* .pplt.ri6. rnl d.r. rh.r rh. .b€ inlomrior i! ffil I .t@ to @ilply wnn cnr .lll co y
<br />orli'!'tr.{ anl Srar.,f, ws rctllilu n'.oBhdhu nl llEhy luhtrk r.pE€nr!xv.1 of rhir C y 'id Ciu.ry to .nrd un n rlE
<br />rhtr! m r,rd rn{rny rq J ?-z
<br />^pr
<br />i.unr rr
<br />^r.nr
<br />stru ur a
<br />SITE-WORK ID/SIG.COMMENTS
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SublloorivenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulalion/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />[\,4aso n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Frnal Report
<br />lrDctt n\tv4 ^l-7^7n h|-tun
<br />FINAL A -,7
<br />Cerliticate ot Occupancy tt
<br />Notes, Remarks, Etc.
<br />@El',rl;flgil'
<br />Rev.08-07-2015
<br />o
<br />liR,cr\Atl Es
<br />DATE
<br />FormsiSteel/Holdowns
<br />Flood Zone Certif .
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