BUILOING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNE!' AUII.I'I:I( DTII,C RATloN
<br />I tEEl,y rlimr u .r p.ndty of p.rrJry lh.r I o .&nrpr frum rlE cinr*b^ li.M t * loi rlE lolloeiry Rte. (5c.70t1.J
<br />Busi $ !i Pmfab, C.i.) Aiy City.r Ctuny *hah rcquiE. ! !.rd r. 6nrM. .hs. ir?mE- d.mlsh r EprL uy
<br />3r&18. Fi'to tr \rlrc. !&o cqo6 rlE t0tftd ld uhrnu to 61. ryEd r.@d thllEo.dEuli:krl Pu'd
<br />r. rh. Irvu.N trt r Coirr-rtrt l--..ad l.l rcl'.pid 9. Cd'fttuii! *dh serhn 7ml .f lnvirhr l .t rll BGms rn
<br />Pmft$.nr Cod.) d rh.i ll or ilr i! €r.qi rrxriim.,'d rh. br$ tor tlE dkFii .r.n+bn Any rb,rrim .f Sdr'. 7Ol l.l by lny
<br />lpplid a( r Fmt ruhj..[ rh. lpplicur r. r civil p.Dlty ol mr tur. thrn fiv. hundEd dou66 (t5lx])
<br />l, 3 .*k. .f rlE FnFdy, n my .rphFs *nh *.ts ! trEt hl. otrp.4irn, will llll ilE k* an ft rtu ! d
<br />irarlal n ofiqql fd -,. (Sd 7O4.r, B6rs Dd hlf6rirr Cd; TIE Cdd r lite try dE d {?ly r. x ow .r
<br />rtr FrFy who hxll' 6 tlrmE IIE@ .d vlD d6 idr wrt hlrolf d tr,-ll or rLoarr hh d Lr om.trpbFa
<br />pi.rld.d rlrd sEh irplnwdr E d id. t d n ofi.rd t!.L lli lFrt6. ilr tlildiB d irFlEmd b $ll winb m d
<br />ol$nlt)lnbtr rh. O*B Bui&. will h!4 rh. ttnl., oa FDvr{ rhd,!dstEdll nn hriu d inp.oE E Fo?ary ror dE porpG. of
<br />_1. s o*E oa E FrFly. M .rb.iv.ly oddius vrt lf, k! drdn ro ontu rlE Proi$ (Sa. 7O+4, BurB
<br />.!n ArtlgncoL Th. Co dor't k.M Lra &E! ni +?ly ro n owd otFop.ny elb turllt r npow. rlsotr
<br />!.d s,hr 6 !B ld qh Foj.dr *ih r cddo(r) li.rn .d ,!R@ ro rll C. dn r Li.w t *)
<br />laEfxEsxau&lsAl&l
<br />DETI.ABAIQ!
<br />I h.rby .Itm unds Frny of Fruy oE nl rh. ldlh*inl ddEdiE
<br />_l hrE drl vill minrli! r C.nitlrr. of CoM ro S.lf-lBlE fi, sdi6 on{E!E!ri.n, !s rtrvnl.d ror by S.cr$n l7m o, $.
<br />Irn{ CDdc. Ior 'h. FIortlEr. o( ',! eel ,q *hih
<br />',E o.rnir ! issu.d
<br />2]f-. - -, ,.-", *rt6 co,r?.uxD. irsE, .r ,rslild by sdrih I7lD of ih. riDq cod., to, rrr F qrm 6a
<br />\ Ostld vhrhrturFd tr lrtod My*qla'onFdEn @rmffi r,n pot., d. s e
<br />(,"",", rNSrl?A.r(€ aDF?4-ry 02TFa !L6Jt-,|,\JsD 5o35rtt 03 12-J-20
<br />_l cd ily rh{ in rlr }. dnEof rlr hrt td *tr.h rft! rErmr ! BeEd,I d.ll xi.nploy u, Frsn h6,trffi
<br />$ s r.lEoEiul*<r r. rh. *ort6 olp.Mhn Ls oac.lromn..d.€r rh. itl rl&ld 16ft rutrd r. rll
<br />eortrB com!.,s!6n ptotnoB oI S&rbn !ru ol rlE Lbor CoJ., l tull, fMhwirh Nrply wirh thor pBvirbE,
<br />WAINING, Frnu6 ro r4E wL6 tunFndi.r^ 6wEr. ir unLwtuL ml rhrll rubj.rr u .r{|brlr to sio.rl Fmlir rdi
<br />cril liftr up ro.E hulnaa rho@d d.ll.d (!l{x).ltll), ir.dd.irn ro rlE c.r or 6qEMr.[ d|mg.r a F$vilql fr !
<br />Sdrion :10?6 oI rlE Lhr (id.. nd r rE r-r'i ffrr
<br />N"o-o
<br />DECIISAIJOX
<br />I h.rhy rrltm und.r JEMLy.f Fj!.y rhd I rn li.ttrkd u.ds F.vkion .a er9l..,nmn.in!* hS.drnTlrrrr.ll)ntir:1
<br />of rlE Bur3r rd PmGEirD Co&. rn my lrcnx n r tu n,R rd.rtai
<br /><t2 c7L Ztt+Sb
<br />2 -20-Zo FJil,2Y Eb lnJc.
<br />SISIATCDO!..LEDIIIG.ACIICI
<br />I rEty .fiiB u!&. Frlr., Friny rl,. inc i!. @dNm hrnr !!d, ft,
<br />'lE
<br />DardEr ol r Et 6r *lli.h rh! FEi i
<br />i(sd rs€ 1097. civ c I
<br />AP?I,ICAMT OF(-I,AI.ATION
<br />t H,y lfm ud.r Fn.lry ol Frjury oE or
<br />'h.
<br />lorbvDs d..hn' iq!.
<br />D.nbliri.n P.rnik-Alb.nor Ndifa.rhn F.Jrnl R.3lltrbni llirl. 10. Pd6)
<br />Rauid t n6 of lldi6.,rim
<br />_l (6tly dd dE f.d.nl rcluhrbE Elr l'ni dEsror EmrllrE d .lt sbL h rl,a FtrF1
<br />2{f- ir,
<br />'
<br />r,,, I r',* .'r ,r',5 !ppl'!ar'on ,trl {rr. ,h.r rh. ibov. ,nlom.rtui h coBr. r rsr to ompry * harr ciylid counry
<br />-6@Ea Ir Strr trwr ELr iru ru hl drs u trs!1Dtr lrl h.Eby .urtnrE Ep.lrruliircr ot rhi! Cny !i Counry ro aia uPon ilE
<br />2 -2'o -zo
<br />r - (eFi!r?Y ?4JFf,r^lL.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />[/asonry
<br />Pool Fence (
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil.
<br />/
<br />FINAL b-27-7 Y4l-10
<br />Certilicate of Occu
<br />Notes Remarks5-zl-v4: YtN'rL c,<|$t/-t J
<br />x
<br />Rev.08-07-2015
<br />l,rla.l A&lrEr
<br />-
<br />Etc.
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