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BUILDING- INSPECTOR RECORD
<br />DATE ID/SIG COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVenVlnsulation
<br />Rool Sheathinq (/K/,'? fiolL:T/Z /ol
<br />Framinq
<br />lnsulationi Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />)_
<br />FINAL ///3//7 r zp//fl{ft /LY
<br />Certiticate ot Occupancy
<br />Note rks,e
<br />a
<br />OWNif iUILDEN DEL(TRATION
<br />I lE..by .rrm Bdci Fr,l, ot Fi,ry rhd I m.r.q* 6nn rlr Cffi'm' LN( t,! tor rh. fohrT! E.n. r\.r mrl 5
<br />SuriBi dn Pr.ftr.btr Cd.) Any Ciy Cony *iah Eqoi6 . Fnr k' didRl, .nd. ittmt. d.ml.h o, r.Fn m,
<br />(ME. Fixro irt n{.8.tk EqriB rri rptltrd rnr {.h Fmir h fiL!risrn tl.r.mr rrdlEorrlr6lRntn FNd
<br />k' rh. Fselrhn. rrrlr (o ftrr'r Lk..<d l.* l(lupln 9. Co'rtrrin8 *nh Sdlirn ?(I() of Dilirion ]orrh. AuiiEn and
<br />Pn,r.skrns CnL) or rhlr lr M rh. is cr.q,r rlEEfn,n !.d rlE tlsis lor ttE.lk8€d ckrrni.'n Any vkhiionofS..lbnl0ll.S byrny
<br />upnli.lnl lor.Frmn $hirl.llE q',rlic! r.!carilpcnlllyol ,r mrclh0n fivc h!fldrcd dollan 11500)
<br />-l-
<br />&r o*er of rlt proFny, tr mr.ry,hJrd wirh *.!4 r! rlEn $t coiTlnqri'n, rld4 rh. wdt.,n llE (ntre n br
<br />iddrd.d ofrcEd tor xL isc ?(x.t- Bn{Es. !d Pmf!(i'ni Cod.: TIE Gdr&-rm r li.nt L,e dd d r{tply
<br />'o
<br />rr osE ol
<br />rh. FFd, *rb hiltr qm6llEun !n eb ds rn Hrt hin*lror lEr.lror rlwr,h ht d h.r o,n.'rvL,ti...
<br />FodH rhtr trh irFro\trdr 6 d ir.riLd d ofid.d ftr qb r. h.@, Itr hiBint d iqtftrd it 5H *rir ix Fa
<br />olcort lcriotr rlE (rE Al dq $iI h.k dE t rLi ortFvit $r lE c tE dn ri nriB ( inFt ill F.Fly lr r,E ,I FEof
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<br />l. rs o$mr ol rh. r' Iidy, rn r(tusn.ly .onfr.rnt * h lc$q] .ontklo^ t) .ohntut th. tt i.d (S.t 7llrj. Burik\\
<br />srrl Pmi6!i'n(..d. lhc (hnrr.ro.r l-ic.n\. t..*,nf,\ not !ttll h rnosng ol prop.nysh' huildr o n[n'v.l,h...on
<br />ond who..nrnhf'{\u(htojcd!rnhtr(inn.rfls)licH{dporsurtr!turhtC.tutrcnn\l,iccntlj$r
<br />Im.r.n u s Ssri.n_
<br />raBa[&tlil]ntElsarut
<br />ITESITII]aB
<br />I lErcby 'flirm on&r F lry ol FJr oft of rh. nnl'r nt dchrzrhB'
<br />-lhaEul
<br />*ill minrnin r C'.d ir*d. of Grn* nrSclfInrurcfors s n,qrnstk,n.,r tr)vd.nlorhySdrlnl?(rlofrlt
<br />Llhrr C.de. ar rhc I'.rinrrur. or rlE wdk fitr shi.h rlE Fanir t i.sued
<br />Ih!cdnlw,llnun{trirrwu.kcr{.onrlrn\rri,ri'xtrru,r..r\rrqutcdhyS..rn r7{x)dflhc l-ahorG)dc. ktrrlr ,l.rlnrnEkcol
<br />rh. $.* lhl rhi.h lhi\ plirnir is i\xd Myrorlt.^ on{xn\arioh ifiurrft. cdri. u Fnaynumhcruc
<br />.,*, a\c,\, F,-.9
<br />p,,r",runtcr l qi.ztq o rt'', <f^ rl
<br />-l
<br />ccnir, ihrr in llt Frlormfl. or rlr rort ntr uhf,h thn Frm ir i\ru.rl. I rhrll ft .rphy rny Fen ii riy tunN
<br />$ .! lo lEconE iuhFl tn lh. polts\' oryrndirn b*. or Crlifdni.- rd .gE rh itI rh,uld tktm.ubj.!r t.tlr
<br />qolkri omp.nr.l ion pofiioN ot S*r i,n .U(X) of !h. lrhrr C.d.. I nEll. ft,nh*nh s,mply wirh rtss Povtk'n\
<br />NAR),llN(; lJltr'1 r,, !(r'r {n,l'r\t unl!(lul. inl rhill nrhf(r !n cnlplor_rr h rm,tulFMlra< ind
<br />rill ftr\ un r,,ir hrrlr.(l rh.ulrn (lollJr\ (lllx).lrxrr. tr'liri,tr, t) rhc \'N ul..nr|rnurion. Jxnugr\ r\ rntrklrd 1,, th.
<br />,r,,"t- c_
<br />, (iil. i' crcd and arh'rv i tii\a ^*'
<br />I hmb, .ITrh und.r Frlry or Frr!ry rhd I rm lianrn !n&r tftvi.nn ol Cll.FE 9 I nrllmri.a snh sdbn 7(t[, ol Ditiraon ]
<br />ot irE Bu.irs .nl PEic$hni Cnl.. !d fty ltcnE ir in lull fod Id .ltdr.
<br />/-
<br />,*",tF <S ,L1$srr
<br />CI'ISIBUCIXTN!EIDIIG.AGEACI
<br />I h.Er'y {fEh url&r FrXt of F,lry rh, rhcE ir r crNtu1b. L lins.asy ror rlE FfdllEm of rlE rrtl fot *hth tht Ff,a a
<br />AfturaNfDll;t a8aull!
<br />t tnlt y rnitr uBr.r Fnahy ol Itrjury oft ol'hc tlll'sinr &{Ldhn\
<br />Dcmnirhn lsmih A\tr\rN NorifKrrhn lrl.nl R.tul,rrrn\ (Tirlc +). Pan6r
<br />R.aumn lriidrl Milfrdrn
<br />\ l..n \ lhorrll l(k!!jrt
<br />l[,.-^'*',"'"-,,*
<br />iarn. ESodinS r$.rtx rcm'vllaE mr qDlirhk io rhir F)it
<br />tillqn dJn n.r. rhlr rh. ltsvc inforMion n con d I lsN t, mmpl, wirh rllCir, !,n Cou.ry
<br />rklhdcbyaulhorircr.Jrrc\.nL n.\of rhGCily!nd(ounryr,,cnrsuFmrtE
<br />ih,vc mnrbrcd ln,Fny ntr inr|tdion
<br />.&=-.\l
<br />,-s...'s^ 6
<br />SITE.WORK
<br />Shear Wall
<br />6//3//g J' ./,) /t/riz
<br />n!*n lS< .ll')7. Cit C,
<br />L..d.i. N.r
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