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BUILDING- INSPECTOR HECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEB BT]ILDEX DEII:{IATX,.{
<br />I tE.b, oirm uBrc tEnrlry of F ,)l, th.r I d dctp' nm ih Cdnrdm Lictrs tr* fm llE followh! lw. (S€.?0ll 5
<br />EunB nd Prcfarion Cd.) Aoy Ciry o, Cod, ehth EquiE! . Fni, ro onnnd. d. irv.oE &mli.h q EFn uy
<br />tuGFirloh! iffi..to '!qsi6 rlt.pplt.n lor rh Frm b nl..3i8,r.d nr.lml th.llrmaEtli.urn FErr
<br />lo rh. Foviions of rlE Conrncrofi Ladsd Llw (Chlrtd 9, CodrmanS *ah Serion 7Om of Divhbn I ot lllc AuriEs Dd
<br />Pnf.sbn! Co<b) d rlrr lE d {E n c&npl $d.f6m !n llt b.ri! for t& .lkg.d dcrBir. A,y tioLlion of Ssrbn 7011 5 by &y
<br />rprrtidfortpqnnobixl'tlE.I?lidro.ciyill,.BlrofbrmrthanEhu.drcd.tollF(lt@).
<br />-1.
<br />s orEr or rlE FoFrir. n my .rphFr *nn *.s6 B rlEi. $L d'n$6db.. *rll lt' rlE *d {d tlE *rdw ir mt
<br />iddrral d ofr.rEd ad rl (S€ 70a4, BusiBt .rd Piof6rbB Co&: TrE crfud ! Liw Liw &<. d .rrly L e owr of
<br />rh. ptuFry wh trilt or iit mEs tl.otr rn *ho &.! Bn h& hitulr or h.ftlf or rhrcu3h hn or &t owo cq,l5y6.
<br />FlliLd rhd rEh irgoEEB m d iisi.dcofidtdfd{t.l( l!eE. tlr biUii! d i,FoEEd i!' 5! ranbm Fr
<br />ofonpEbG dr OvB auiBd *i[ trE rlE h,*n ol Fm! rnr lE r dr dn ri hild tr iglE tlr FltE y 6. lE F,Ib- of
<br />,_1, I o*E orrlE Fsldy, m.r.luriEly tu.ffi68 *nh rarrsi conrrrrm ro @lllnd rh. rn'F lsr 7o+1, BGiBi
<br />snd AD(lrid Codc: Tn. C.nrrror'r Liccnrc Lrw ddr ml irr,lr ro s owEr olfioFrly*ho builds or idpb!.lihcrsn,
<br />.nd wn' o.'&Llr fd *n FDixi! with. Codi-rrri, lia&.d purad b rlE Cotutu 3 LilM l,*)
<br />I Jn.rc ,pr uD&r Sdri()
<br />u08aE8!:.llx!.8EBr^r10NDllllSArI0!
<br />Lrrhy rrT,m undd FMxy ol F,lry om .l tlE folbwtr8 ddL,rliotrr
<br />._l luE rn will midri.. Cdifd. of Cond b S.lf'llm fE q,t* @nFcrbl! a FviE lor brsd'bt 37(F of r,E
<br />LItq C.dc d dr Ffre of rlE Et ld *hi:h rlE Fnit b i$u.d.
<br />_l h.E .'n rill Didrin wrt6 @np.tr{lion in3ut . ( r.quirdl by s<'nn lTrn ol$. L.lFr On . tt llE Frftu of
<br />llE rst f6 rhih lhir rEnrr l\ issicd My eql6 on!.ndi,. iBunre caaa In F,hy runtiq E:
<br />-l
<br />aniryrh.t in E Fnormr of llt *ort fG *nthrin Frnir ir a.u.4I Jrll ml.rpbrtnyFsi,uyffi
<br />e B ro b.<oc $br.l to rlt wroJ .o@.nrdkrn h$ ofclllomi& .rn !8N tlEl if I .huH b..om iubi$ ro rh.q,tft onFMrirn Foviri,B ols..rh]Tmof Et hd C.d..l dtlt fdhlnh on+ly wi$dG Fovtion.
<br />WAININCT fiihE b sw wl6 @trpcrr.li,n o6r. ir urL*tuI .,n .lEll tuhF x sl?loF. r. mir.i F,Elai.!n.ivil amr u! lo oE hundEd lbut nd doller (ll(lo.()(x),. in r.tdirbn ro dr con of.onlEnsrio( d!r3!s.t ltdviLd ,or rh.
<br />Scdion 1076 ort,! t bo CorL. i.r.d.d rlrmy r i.d.
<br />lrrL: ApDlul:'' LrcENsiircoNtr^c-ToR
<br />DEIJJAAIIIJ!
<br />I lEEbyrllirdx,ncr F@lryolFrjury rha I m lidnEn undcr pnrvkn,nofChlnrd I (cn@ftir8 eiln sdtion 7om) ofDiltion
<br />ol rrE Burimsr .,n &oLasio,s Co&, rd nu li..tu r i. tuu r.E ln .fi('
<br />CONSAqI ]CTION I
<br />'\IDINC
<br />A(:ENCY
<br />I lr6by .rrn ud.r FEny or Frrury th. tlEr B ! onrodbn brdhB .g.ry rn tlE Fnffit of llr wrl for $nih lnn IEnr b
<br />i\$d (sr 1)97, C'v C.)
<br />AIIUIA I.DECIdEAI1I]d
<br />I nd!6y.nimunlr Fn.hyorFpry or orllE folbwiry d.chdhns:
<br />D.mltrn F.mn!Ait nd t*rifErnn tql.-l RqlLioN iTirL {o. Pd6)
<br />Rcqu'tod hnduf lk iftrlion
<br />-l
<br />cdrify rh.r rlE f.nml Ellrltrbfi mgddarS (h6hr rcmIrl e r{ rpfl.ra'lc ro lhn pDFr
<br />-l
<br />cdiily r.h.r I h.t Eld rhi! +r'lirrid, aln iI. rh.r lE .k E ,foldsn s wal. I {rE b 6nply *nn dl Cay In Cou{y
<br />,dirns .rd Srx. Lrw! clnt ro hrldi.s GrxdMir dn h.Eb, rutDrie E!..6uiB of rltis Cny .,n Counly lo 6lE '{nn tlE
<br />rh,v. rnrior!,,hrcny aor i.rrHhn puDo$!
<br />Appll(ml or &dl SiBluE
<br />P.milc Dmlp.lnl):
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Reporl
<br />Engineer Final Report
<br />Flood Zone Certif
<br />Jolrc,u .to-)$tt)tnJ {o -77 ,zt wabl)la\
<br />FINAL lo-?7'70 yt[)L>at
<br />Certif icate ol Occupancy
<br />Notes, Remarks, Etc
<br />Rev.08 07-2015
<br />C.E:
<br />L!'d.i r Ad<!r3.
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