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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS owNE* aulllEn Dl:Lclll Tl(lN
<br />I t*by tifm u .r Fuly ol F.trry rh, I E.kng tDn tll (bft16 trE L, to, rlE lollomt E.en (St.?OJt t
<br />Ituiftrr .id Pmrcsion C.dc): Any Ciry or &udy shich 'cquiBr r Ftrt r. cni{M. .hd, inF.ow, &mlnh .r Ep.r uy
<br />( duE. prtrro irr n$rr, rLvJ rquiE! E rppli.a tur suh p.mr n, fil s rhrJ lrd.mni rld lror.h. B li*trGj pus'rr
<br />ro ih. rmvtrioB orih. Co.r-rr,' l.t nst l.* (OuF.r 9. colftEin! *irh seri'.7rxrl or Diviihn I ol rh. BGES..d
<br />PDr.$D CsLr ir rhr lt q {: !.i.,4r rh.r.lrumr rlE lE 6 tu tlE !lh.d.kqiin ly virltinorsdMTOll, byBy
<br />,pplErnr f.r a p.mn subl.dr tlE ,pplicanr ro ! c'vil p.uh y .f mr mE rhrn fiv. hundEd dollmr (45{x)].
<br />I. a o*8. .r rh. pr.tEny. c ry .il9byr.r wirh *r3.r a rlE, $L NqrMnn, *ill d. tlt wI tn $. iME E d
<br />darlal ,r olld.J rr nb (Sd.7txr, BBiEs $n Prof6.nn CdL TlE Gtu d'i t&n* t * &6 d .prly to e owr ol
<br />rh. F,tdy vb h{irrr d iqn,6 rtEse nl *ho &E ert Hrt hinkll o' l:el, or rkdah hr or lEr oM .8ph)t1
<br />,'r.!d.d rh.r ruch ,n{'mEm s e mr ur.d.d m .[.Fd kn sl. ll. hN.v(. rtE trildu€ or lqn,wmd h mll w,rhb om Fr
<br />of .M+hio\ 0r o*er Blil,a eill hlr rlE hont.n of Ftrvu{ rhr h. or dE did d tri! ( ingroE UE pnrFly adr EFrF cof
<br />_L !ro*k.orrh. F)p.ny. rm.rluriy.ly(o.rMri.t wnh l(.n*l rod.ebnhd)nc d rtE prurcr (Sd.7tX-1, BuriElr
<br />and t\i6qr C(xl. Th. ConrE.tr'r Lic.n.. lrr d r rn !fl,1y r, !tr.wkr of poFn, wlr, blildr oi ihPtuwt rh.rd,
<br />.nd *h' ..drd, n{ trh F,rdr vnh. CodEtodn lr.nsd Fnld h rtE cidrdnjx tr.N trw)
<br />I .m.r.r$ udd SdD.- A e P C. ftr rh' rren
<br />Drl.:-l!!! ;ar_glurL:ji.lr0}
<br />!I;rL!8,!I11ll
<br />_l t'rE &l will n rre ! Cd,r.r. of C*d ro S.lf-lBuE ld srlat onp.dbtr.. ,rcviLd to bt Sario.l7m ot E
<br />L.ts (rk, lq rlr Fl@ of rlr rrit tu rn-n rl' Fdt ; iisd
<br />_l lBv. rnd will nuinuinrort. .onrp.NrriD nuuflx. rr r.quiEd byS.rri lTm.irh.l-ltxr Cnd., ntr rlE FlorEr. of
<br />rh. $'trt ttr *r*hlhnpcrmr ir trrud My*ortqv onFnurn ntD!4.6i- dl Fr.y oui*rr c
<br />_l ddy rhr h rlE Frt@ oarh. turl nr *tth lt! Illmir i' sral,I rhlll mr.npby uy p.t$o r ry 'tWs s ro lB.r subj.rr ro th. wldl 6mFMrio. L*! .l Crliromn, lrn .8R rhd rf I lh.tld b...8 trtlat ro rli
<br />M.l.i! onD..etDnpEvilirN ofS.clio.1?00ofd. Llbor Cod.,I rlull, fonhwnhNnpl, wirhrh. pBvnbM.
<br />WAINNC FnhE h Eq r(tFl @ntEMi,o ovm3. i! uL*tul rrl rh.[ brd x slllbF ro aurln FDlir rd
<br />cNil r,er up b os hrndrd ill]ud dollrB illlrr.urD. r rdd.M ro rll d oI.on .Bror. d.rq.. a Flvn d fq ft.
<br />sdr.^ 1076.f !h. Lrh{ cro&, ln.d !!n f,rlxry r f-r
<br />aDrllst-
<br />LICTN\F,[| COmr ('t)n
<br />llDtuf,arlq!
<br />I hdby rllirm und.r Fukyofr.rjo.yrhi I !m licn$d ud.r Imviro..l afitprs , (.omftmii, wnh Sccrhi 7m0).ll)ivBDn 3
<br />ol ih. Buim3i !i PNf.$iom O{.. !n ny llcM n r tull lo@ ul .fi.ct
<br />l.E.trs. Chs:-Li..s. Nunh.r
<br />lhk co.rxro.
<br />cQ.Nlil3l](It0rllJrxllllclctlil.aIlrEhy rtnrufr1., FMhyofFr|trryrhir rh... h a.or{.rhm LnJrs ri.'ry htr rh. Il.rfomsN..fih. ktrl ld whahrlnr Fmni i!
<br />ATAJCT.IEDESAMNqT
<br />I halt'y .trm udd F.tulry ol p.rpry oE of rh. folLJeio3 &(Lnr ioit:
<br />D.tulir'on P.mirkArIE rGNdir(rrbn F.d.hl R.8uLrb.t lTi(I. lO, Pd6)
<br />-R.qucrj
<br />td6otNdiede
<br />I(rLl!rhrrh.lnl.rrlr.rtrlnrn'\rc!rhrsrth(r,^r.trr*nlaErk,flr{,,h.rtrl'trnk,E.'
<br />_l .difr rhr I h.E Erl rt6 rpoli{iim !n ok dd rll .hJw itrrotuion n .cr I .3r lo N.rplt rah il Cht .nl Cd,
<br />{rJiu lrlsri€ LE Ehrt ro hrld[g coderin rn h.6b, rulttre EFlddr6o(rh!C yitnCornryro. d lFnrlE
<br />rh.v. mnrrn.d ptuFny ld isp.dbn p{qrs
<br />Apllr..tx .. A!6r Siulln
<br />-
<br />D1.]-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subtloor/VenVlnsulation t
<br />Roof Sheathino //z /Zz:22-t Wt)
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Exl./lnt. Lath
<br />Brown Coal
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL 6t r/zrfl,O -t MtzT-.)
<br />Cerliricate ot Occupancy
<br />Notes, Remarks, Etc.
<br />Rev.08-07-2015
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