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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS owN&I Btrttrt:L Dl:l_c^ta Tr}N
<br />I lEEhy .frm ont.r p.n.lry ol p..pry rhd I D .x.npr ttun rh. CrudBi6 LilN lls Io' rrE folbeha E en (Sd.7011.5
<br />Itlri^.ss .r!d P..Ic$io. C.d.): A.y Cny.r CDunry *hEh EquiEr ! p.rmir ro siiocr, rlr*, inProv., &mlirh or k!.t Dy
<br />so.@, nBtr !r i,r i$u.e..ls E{!i8 rtr l0?lrd nr s*h Fmn io 6E r tiS*d ia.m.r rh{ lE or Ct a lt.atd pl!trnd
<br />h rtr l*rvishtu .f rlE co ers! Ltrr€d lrw {ch+c. 9. cnnruEin3 wirh S6rm 7lln of Diyi.ioi I oI ltr aBiEs .ri
<br />Ptuf.sbni Cod., d rh.r lt a itr !.r.qr rlEtitrm !!n tlE b.$ for t[. rlt!.d cr. Frn An, virLrbo of Sd.i 70rt.5b,uy
<br />.D0la. (o. . p.m. rubj.dr rh. .ppl-..t ro . ovil p.Ely ol d mE rh.n liw l[d,!d dolLr (15{tr).
<br />_1.1or*r.rlh.Fn!.ny.rmy.nfh}tiuih!.3.r8rh.t$km'qrNnn,w'rldr0EwI.rndrrdG.d
<br />i&'rlal 6 olr.En rr qE (S6.1xa, EuriEs D'l Pmfdri,nr CuL TlE Cod.dm'I Lt.nE L.* dG rol t ?ly lo s owr oI
<br />rlr Imtcny eh t{ir* or in$oB rh.m[ itl wb dB rEh unt hims.lt or h6klf or itE,uSh ht or hd ow .lplryei
<br />,.ovi.t d rhrr ru.h inp.oE@ds E mr id.d.n.r.Ifdd Lr st ll. howq, E boiUiia or urv'ccn ir 5! *rhh d )tt
<br />of(dnplds! rlE o*E B!j!d *ill hrE rlE b. Ln olFuem! lh. ll rr nE dil d boa! n 6F E uE F.!ar, tu rlE Frpo* of
<br />_1. a oyE of r& Fq6t. o a.tliEl, .o|fui4 qh lNtrsl stud6 ro o.{M rtE FoFsl (sc. 7044. Bum
<br />rd A.tfvn CuL. Th. Colrrrr'r L..trk L.w do< ni .r[ly b m ovE of FoFn, *h. hildt r llPmEt rt.otr
<br />md *ho ddBr fd tuct! FFB rirh r codEro(, la.nsd Flad 'o 'l! co r-r6 i Li.w try)
<br />-l
<br />m,.r.nfl untld S.cr
<br />woRxFns coilPr-{sarmil
<br />DlqIdEAIIqd
<br />I tEEby rfi rm u.d.r p.M!y o, tsiury oa ol th. folbqb! &{l,r$N
<br />-I
<br />hlE ul w'll .nrhs i C.djfkrr. or Cou t.S.IIIEUE,,rq nv $n{r8* nn, B 0ovd.d ior hy S{rEn :1700 ot r&
<br />lrtDr Gxt, for rh. I'crtorl1@. of rtF,orl n rhkhrh. P.mn iln\!.d.
<br />_lh,kr *iU Nddn krl6 corp.alrbr aGu6L!, rr Equ.d by Sdr& l70O of rE bbor Cod., n rll p..f(ffi. ot
<br />E *qt tu vlrh ihi' pad t iilrd. M, *dtsL orp?dni nrllm ffE !n IE|ly NEltr E
<br />_l cdify rtur in rlF Fraorl)4. of rL work fo. whkh rhir Frmir r !rEd, I shrll Et .tr{,b, Dy p.Mn in r., lMmr
<br />$ s ro barru iubi< ro rlE mdd onlp.Mbn Lst o, C.Iromn, rd .!r rld if L$!ld b.oft d!..r ro rh.
<br />votlio !.ftF,erion riovi'irB ots.dio. rTm ol E lrhd our.,l JrU fdhsih o'lPt,irh rto! F.EIB.
<br />WAANdC F.TuE b Ic @tsr'orFdirD olmrc ir unL*tuL rn rhlll sbFd m dploF to odn Fdir ud
<br />crrl liE op ro.E llndEd th.u.rn do[.r (ilm.ul)],
<br />'n rddrrin ro rh.6r oa.drFMion. d.,r!.r ! F.Yi,qI ld irE
<br />Sftr.n 1076.lrh. t hn Co&. dft. ud dtcrry'. fas
<br />ADDlltut:
<br />-
<br />LICEIIED.CUMAA(I)ADl:clrtarltld
<br />I h.Eby lnm un&r !.Mh! ot Frj..y rhd I m lien$d uni.r Fnruri..l Oqrs, (m,nftrii8 wnh Sdiri 7rxx, .t Divishi l
<br />f tlE Bufts rd f.rsix CdL. nl mt li.d ir r tuI nd &l (ff.d
<br />colElBlglrlLLrnanclclns
<br />I h.Eby aiTmr undd Frlyot tEri., rh, th.E i( ! @.{Mi{ klu{ rr.ry tu tlr FilmE otth. htt tt d!.h rhE Pqnl !
<br />trsrd is6 ]{t 7, cn c.)
<br />AEILISANI.DESIdMIIAX
<br />I hortv.fm uBt ' pcEr, of papr, N of llE rolt)rtrl d..L..rbnr
<br />rr.tulirbn P.mrl^rb.{6 lldifrdi, F6,.nl R.guhinr (TrL.O, Pd6)
<br />R.{uNl t n.r or l{ii6rio.
<br />Ifcnrrvrl'(rrEi.(l.rlr.guhrio,trr.!RItr,!rh.r.rr.nx)!ilrE'ntrJflnhhl.n'rltr\frtF(
<br />-l
<br />(6iay rh.r I haF 6d thir rppli.rion &l !,r. rlu tlE .L,E irlomlior is @1 I .sr io .!n?lt *kh rll cay rd Counry
<br />o^!fr 6 un Srsc t *r Ellig io hl'BuI mdin rd lrEh, dtD.i4 EFlddiE o,di Cry d CMy ro..rd rpn t E
<br />rh)r Edr'nd Fq.ny rd uBp<rsn FrFs
<br />,rppli€nr or .\tor SisM
<br />P.mll( Mm. rprlnr':
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Sublloor/VenVlnsulation
<br />Roof Sheathing 4t(7))u,#-r-/
<br />Shear Wall I IU
<br />Framing
<br />lnsulation/Eneroy
<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 />Enoineer Final Report
<br />Flood Zone Certif
<br />. \t'l/
<br />FINAL c\1 y{1\\u<, / I
<br />Certilicate ol Occu nc
<br />Notes, Remarks, Etc.
<br />l.n'l \ J.l'.\.
<br />SLAB Floor
<br />9Kfi',
<br />tVt)
<br />Flev.08'07-2015
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