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BUILDING. INSPECTOR RECORD
<br />SITE.WOBK DATE ID/SIG.OWNUR DT'II,l)r.l DEI,(AXATION
<br />I hrny rrlth on kr Fndry 6l trr!ry rhnr I d .r.q{ rm'h rlE clnrrr.^ Li.se b* aor tlr folt)*in8 rsen ls.c n}l l 5
<br />Borimrs nd Pmf.srhn CqLr Any Cily ot Coudy whth raNirci o Fmn lo snrNr. a!q. iq&t., (l.mlkh tr mFn dy
<br />{Brue. Fir ro iri irsuer, o!$ Equacr rlr applad ror sEh Fmi b nk a .ien d <dc,ml lh.l ll or rlE i! lkcnEn p{^unl
<br />h rhc rhtasnnr ot rh c6nt!8oar l-a.n{d tlr lchrrrc.9, C.nftkint *ih Sdrio. ?m) of Divisbn I ofllE Alsircs ed
<br />Pn,r.sh.s Cod.r m ihar lE or.k G.roq{ llrrriom 0d lh. tssn lor llE iL8.d.r6plin Anyvn,hririolScdionT0ll Sbrnny
<br />lpllicr nnu pcdir rubjErsrlf, Btlliqnr r(' u .ivil p.Mlty of mr n'Erhs tiv. hundrcd doll,s ( t5m).
<br />l, dr u*Er ol rh. prrFdy. or my rhpl,))e! wirh wn8cs 0s rhct s'L La,nFnsalion. \ilt do llE vdk rud lh. (trrE k mr
<br />inl.dcd orollcrcrl rtn slc (sd 71,44. Bu\ift$ rnd Pi,r.\so.r cdl. llr CMrad.r'. Ltcnc tiw d.N ml 0mly l. m owmr ol
<br />rh. lln',rny wrn ttrir* or in{lms r,EB4 rld *ho &6 sl' qnl hinclf or h.rclf or
<br />',FuBh
<br />hir d ncr oln c,r{,lo}rn.
<br />flovid.rl rhd u--h nnlFw s r. n, r .iddl c.ffc.cr lor qL l( lr,kE rlE triBirB tr iqnrlmd ir htl wlhin (ft F{oa.u{'LlrE rfi. OwEr Aui!.r eill lEh ,. hd.n or FDvnE iM lt G {h dn r{ hiH d i'rimt dr FIEi, r{r dr ptrllx.r
<br />Ln\ocmrofrhcIlnIEnr.i.r.h\i!.lyonkidin!shl(.a.dro.hrlnhd)trsidclrrEI0JN|(s(.7ol.l.Il$irs
<br />n l lhf6\ii C,xL: Th( G,nretr'\ l -kcn* l-aw d*s mr iff ly ni norftinrfi()ti y Bho huikn .r rnfm\rs lh.rso-
<br />nftl *ho.onkrckfdsu.hF)rcGwirhnO)nkrbdrli.n\dl|{runrt,rhrCixr.clolll.i(..$l-!r)
<br />_l ,ncx.nu undcr S(r
<br />Drl. lrner
<br />WORI(FRS' C(lntPI\SATI.iN
<br />IIECId8IIII}U
<br />I h.rch, itltn nrtLr Fnalry of F,rury ot .l rlf folk,eing J.r'ldat rrn
<br />Ih,eindBillminrMrCdifr.oicon.nrbS.r.lnsuEfrvoddao,tENdion.asFoviLdfdIrySNrbrlruofrl:
<br />tlrb. Cod.. nr rlE pdrdlrlMc ol rh. u,* Ior $tih rh. IE DI i! n.!.n
<br />I hrvc rM qrll nrrnhin $ork.r( .nnlrtr\ on insuBrc, as r.quncd hl S(1hn .l?Ur of rh. l ihor (inh. ir rhc Fcrfo.nutuc ot
<br />rh. *orl n, ahtrh rhis p!flnil is nrLi My w.rkcis' con$n\dn,n ir\mn.e.trflir ! Fli:ynu ftcr(c
<br />Cehr-
<br />PolryNon rr_
<br />l.Tnifyrh.r in rlE lrrfornuLt orri. uort for qhah rh8 lrrnxr r nsu.d, I {lEll tEr c,q,by rny Fre. n rny tuffi
<br />o ss ro lEror $bj.d io rlr *.'lrri .oqrnerim la*r or C.liaomii. d i8tu rh'r irI <tsuld lBTm rubFr lo rlr
<br />eo 6{ ..r{f,ns,rion pmvisirB o, nq"'-rion l7m ol r Lltry Cr{c. I {ull. n'nh*!h @moly wirh rlbs |'t,visaonr
<br />wARNIli(; F.il!rc ro *@ edl.6 co,{Ensrion ov@sc il uib*rxr, trnd shnll rubl.(r !n cnDbF lo nmi l Irfl i* lnl
<br />ciil fims !r h om hu.ded rt,lred dollan ($100,ff[). in rddni.n r) ih. .o{ .f.oqE.srion. Junulc. !s ,rovile{ for llr
<br />Sc(r()n 1076of rh. bbor Col., inl.Bsl dnl u {rftr-s fai
<br />U.l.: _ Applonl:'' LrcFrrsED (.otYTn clor
<br />IECIATAEN
<br />I hr$y fim uffLr rEmby or F jury lhr I rm liM*d unds lrolisbn of Ctufls 9 (@dtftin8 warh Sdrirn lfln) orD'virit. ,l
<br />dl rlE Busimrs.,i Phfc$irs Cod.. r,n m, L{M k in tull foN.!n cfid.
<br />g9 (vBlquQNrluDAc.dri!!(a
<br />I lirchy rlftr undcr lx.lllyolFrjurrthd thct h | @nrtocrion lni'nB sscty ror rh. Fridrnffic orlh. eort ror rti.h thr Frm s
<br />nsd (Scc I)97. Ci! C ).
<br />AELIIJXLIIDI;I.AM]I!}N
<br />I lrnny lim,oltrl.r !.nrlryol'Frjurynn. orrl. r0lkrq'n8 d..ld!!'trtr
<br />lhnx'liri,r,trn,i( \b.{o\N,{'lr rioi I..ric'rl R.3ularons(rnk.l0. l' i6)
<br />_Rcqtrhd Lcxcrol N.liric i'
<br />I (fiily rlr0r rhc fcdcml reguh! i{}n! ,(!diirc ,s}.{os r.niv m mr rjrlir$L t} rht pn!(r
<br />-l
<br />.dlfy lh.r I h.w E d $is ,mlt rior !n ssk rhar dE .tnE informrhn k (rr.ri I lsE io oqi, warh rll Clr,d Cody
<br />rdiMNr!dSr.rctlqsrlari'grotoildin!@\rnxli4!!illrrcryruh,ir.E!r.*ri{iwsofdisCirodCou,rodduponlh.
<br />.tx'w rd i0Nil pmFny fn inqdhn nuF*s.
<br />,lpdiur or s.nl ShN(un
<br />l'rmril6 ntrnrIDrinl):
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Beport
<br />I I r-/.2
<br />FINAL g}sIN Unxi^7o{
<br />Certilicate ol Occupancy t
<br />NoteS* Remark€\Etc
<br />a
<br />U
<br />tlov oll 07 2015
<br />COMMENTS
<br />I. N(l!*
<br />l)ir( (.nrr ror
<br />Set Backs
<br />Flood Zone Certil.
<br />ft r*to u ?'
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