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BUILDING- INSPECTOR EECORD
<br />SITE-WORK DATE IDiSIG.COMMENTS OWNt(l BUTTl)I,:l DilfrtAIXrN
<br />I lrEt, .frm oidd Fnrfty of l.+ry di I D .&r+ ftDn rll ConBtou IirM bv fd rlE fotluwiry E.en lse.7o]l.t
<br />Audm$ r.d ft.Lsi'. C.d!): A.y Cny.r Ctu y whth r.tlliE . Fnn h onsM, .lra, impr.E. &mlih .r Ep.n .ny
<br />.B@. Fir b r ise!- .&o G|U-B rlE !9lid fM *h p.d b nb r ltmr rr.n rr d. b 6 tr ir lErEj FrE n
<br />ro ttr F.vilh .I rlE C.nk*re r l,i(6'.d rr* (Ctu$( 9. CdlrftrnS sth S.dim ?fin or Dilirhn 3 or rll BBiiB rrd
<br />Ptuf.rrDns Co&) or rhr L or stE i! .r.q ih<from rid rtE txr for rh. ru.8.d .r.Rpibn. Any viobihn ol Sdt . 701 L5 by my
<br />.prlB lo.rFm.rubj.s h..ttlkadro!.ivilFtuhtofmtmmrhsnEhurdEddolL.,(15&).
<br />_1. r .*Er ol rlr lftFny. r m, cntbFs vrh wrBB ! lhcn sk mmFMhi. {in d. itl *rt lrn rh. tM6 i mr
<br />id.dqi .r ofi.E! lor sh (56 ,O44. BulEi ..d PreLsaos (trL: Tll ft,ntE.o ti.nE U* &E: .Dr lrply ro m owr oI
<br />rll Fuisty rh, Ilrtt! d lqDB rlso( !n *h, dE Gfi kxt hjrer or lErll d rtuouah hn c t- os.npbr€.
<br />Forii.d ri.i st llv.tlEmtrt& d n.id.dn.0ftd tr sL ll L|rtd.0! liildrt q
<br />',FEG! !( i'! ernn e rd
<br />o,co.plrbr tE orE Buitra *in h.c l|l hd6 orF$vfu rhr lld.lEJrlDr hiB or-Fw E pr.Ft, rd ltl purpor or
<br />-1.
<br />e .ws of t& Fl'sry. D crclunv.ly @tu1ry vrh ltrcEal odErm t' $nrrud rlE FoFl (Ss. llXa. Blids
<br />fll PDLsio Od. Th. Conrdoa ! Lr.nr L.* d(E\ d rrtly to r osEr Da lron ny eh. h!'ldr or r{by. hddr.
<br />rnd sho .odftrs f.. ruch Fnj.!( vnh r cldBh(s) li..Ml pu6ud ro rh. O)d.d.fr I.i.cM llw)
<br />I m,.(m!r uBLr Sdn
<br />Itlr85$tLtq!4I!!lAU9!
<br />DECITSIIIA!
<br />I hc(by.ltirmundd p.mkyDlp.duryon..f rh. folk,*rA drlnarNN
<br />_l hrE rd *ill Einri.. CcritEdc of Cord b S.r-ltw hn rm.t(r Nnp.di,a r Fvit d for brsdbo l7m of E
<br />rrru c(xh fd rll Fflm olrlr *dt fc *lri.h rlE F6h n nrud
<br />_l h.E t,n *iU di,rlir *ort6 @nFMrih iriu.m., I EquiEd ny Se!!,n !?00 of rll !.I'o, Cui., fo. rh. pqfoljlltr. or
<br />rlr *!xt ir rhrh rh! Ed ! !Er.d. Mv rdtqr' onEfln ltlsm ffi ,n lbt(, Nr$.. r
<br />..--, ' t..lk.L A--+
<br />Phr,., !* h.,\ 7&r.rGe:4dr&&z- P.r^'B/c I 2-o
<br />-l
<br />e!l' rhri in tlE perloruE. or rh. wo lor *Irch lhn tEr!'ir t a.u.J, l shrll tror .trpby r, p.mi in r.y orntur
<br />s d ro t Nr tuhj.li b rli ydl6 shp.Mrmn ltx.rcn,fomi& r,rl |tft rrd iL 3t uld h..om $hirr ro rlr
<br />s,l6' .oittNru Fovhr6 of Sd..l7(rJ of tE tl!, (ul.. ! lull. lMhwtrh orply rnt rLr FDv.-6.
<br />WARNNG: frtur. ro Eff *ort-1 .utrp.trdrr.oEng. ! unlr*tuL rlri th.ll 'uhj.d r cr,|)bF tr, @l Futt] r,rl
<br />civrl lnrr up to on. hundrcd rh.usnd 'l.llru ($l{x),ux)). n dirion r. rh. c.i . r comp.slr '6n. drnrl.r as pmvi,.d for rhc
<br />sdr rn 1076 ol rh. bhx cM.. dftr .td ,rmy! fe
<br />I rtrhy .rrn uirr.r Fuly ol F iuy thl Lm uiihi Imvth. ol Clwis 9 loltrriry wifi Sdhn 7frx), ol I
<br />I
<br />t2 LJ
<br />cQrualcroNlJiNlllMi-Acx cr
<br />I h.Eby linm udd IEDUy ol p.rlury rh.t rtEE i! r .Dnid.rln Ldl}3 r3.ry l.r rh. p..forroEc of r& *oll li,r *hih rhi Fntu i
<br />trxJ rS€.:l(R7. Ctr C)
<br />AEUCANLDECIA&iIO!
<br />I h.rtr l'lm und.r Fnlhy or Frju.y oE ol rh. fouowa8 &{Lntio6:
<br />D.rliriD Pmirl^$..rd Ndirdirn Fti.nl It ,rlri^ (TrL;o, Fd6)
<br />iquiE L.rr.r of Ndi6crrih
<br />-I
<br />cdif, rtu rll f.i.r.l EttrhtbB Eglrdila !h.no. Emr.l m B{ +pli:61 m thii !oF.
<br />Alt€D rhd I h.E a,l rh^ .pr[ !trnn lri nrk rhd rlr .bov. inaomrion i! cmr I !s6 ro @mply *nh r[ ciry xrl counry
<br />\rnim 6 .rel Stlrc tjw! Rrq r. tx rUrU (.led rtr rt tEEhy lutlEriE EFrrdiiis oI ir C y .rn (.ounr, nr .nrd uFi rlE
<br />o\. m.ri,rd ItDFy aq
<br /> ppliruntorAgcnr Sitn!,",",'4./zrb-
<br />Set Backs
<br />Forms/Sleel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />[/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Reporl
<br />Flood Zone Certif .
<br />z-|u(qtv \0u4r-9-1-Zl x"\Mt\/,Y
<br />FINAL \-1"'74 V,WrN
<br />Certificate of Occu n
<br />Notes, Remarks, Etc.
<br />Rev. 08'0/-2015
<br />".". Zltl /ze
<br />of rh. Busmci\ d PtueshB Cu!., lrl hy lt.nr. n r tull fod iin .,fd
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