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BUILDING- INSPECTOR BECORO
<br />SITE-WORK DATE ID/SIG.COMMENTS olvNril Burr,lrl:t DII_cAtaaTl()N
<br />LEES' rrm untd p.Dly of F.pry tll. I m .!rDl 6om rlr (rodrurG li.M li* for tll followq Elq lS€.7011.J
<br />au5itu,s rn Pr.rrshi C.d.): Aiy Cly or Ctu y which EquiEr . F.rmi t. c.nncl 1116, inlpm*, d.ffilbh d EFir ..y
<br />sh(e.Firbik irs@, dr, cquifu rtE rrpli.mr ftr uch Foir h 6L. ll3rd irffit rhrIEo.dr!lEtEd FlId
<br />ro rtr tmvrionr orrh. Conrerni l,i.cnr.n lr* (Ch.Bd r, C.mmEina vih Sdnn ?Un.r Dvni'n l.l ll! Buir$ Ed
<br />Pnf.srcnr C*lc) q lhrt tr m {E ! .r.,{i ttxr.rlm.tn rlr b.s n{ rl' m.r.d .r.nFn!
<br />^Iy
<br />vbLtion ol Sdion 70l l I h, .oy
<br />.ttrlrcani ror r Fmr rubFB rlE +pri:fl ro : civil p.NIy ol mr mrc rhs liv. hondEd dolhh {tirxJ)
<br />_1. a olrr df rlr Fsp.dy, or my.'rykFcr *nh *t!.i a rlEn eh onD.ND4 vill & rrE wrl rn & ilrfu a d
<br />i&nlal oroltdrd f d. (Sa 7o|.l, A6B1id PDfcrrirB Co&, TE Cd^1d r t&rc t *dgd+plyro$owo,
<br />tlE F,tdy wb hiililr ( irlmB rtr@ ,n vho d(6 *n ffit hirulf or lEllf or rt6lth hn d h.r orn .n+loFr.
<br />p.ori.n thll r6t nF$rr*edi.ttd.d(oll.EdfGsI..lr,h.rc6.rlEb{ill,I\tdi,ltmftdL!hEwihhmFr
<br />otcNpbia E O*s BuiU. *ill h.E tlE hlnln olpllrat rld h. ( ilE Jrl d hrirJ ( irsoE lll plrFry Ir 0. F po* oa
<br />I. aoGrolrM ,.otdy. d.rlusiv.lyo rdina wirh lien€d oddbnro.oned rlE FbFr (sa.7ol.a, BuiB
<br />u PmEli{ Cod. Th. Conrdm ! Len!. L:e d&r d +?l} r. d o*Er of Fop.n, wlb lr.illr or in0mvd rlsd
<br />Md Bb oddr f( iwh F$F! uh . Cdd..lil li.n'.d pdlld ro rlE Colftior'r Lt@ hu)
<br />I !n'.\.iU r'rl.' S.dx'n_.ll &P( ntrrhhr.lstr
<br />Drr.
<br />-
<br />ulrBf,E<cldEEutArlt!!
<br />DIiqI.AAAIII}d
<br />I h.rhy .ltirn u.d.r Furry of lErjuo oE ol ih. folt*ir8 d..Lrdrib
<br />-lh!v.&Ijwill.EiDrrinrC.drrrr.o(C.r.6S.l{l'LruElor*1,rtdi.r'rfk'rdrn,rsFrvilnlforh,Sdbdl7morrlElrtq CDd.. f.r th. IslorDrc .l rh. *.lt n lhrh rlE O.rnir n N\(d
<br />_l h.E dl *ill tui .in hrtd oqruriln in!ulr.. s
<br />r& qi,l ro, rhn.b{hB Emr n 'su.J Mv rqt6t Ntu,--'S)ilz (.n['quiEd
<br />b, Ssr i.n l7m or llE Lbr Cod., ror llE ldtm or
<br />rn Nr.E ii .d polry ruriE G:
<br />"",,",,",-,.,' 9 Z 6ozlY -Zal6 -,,,,..
<br />_l d y rh,r
<br />'n
<br />rll F.fdDN ort& rorl ror vtth $! pcrrur & Budl. I sull d, .n{'k'y any pcr$n ir ry tuF
<br />n a ro t*..m $nl.d ro rh. m dl smp.Mrion h* ol C:hf.hr, ,nd r8ft rhr if ! st$lld h..oft d!6r r. rlE
<br />sA.n'ronp.ns tontdvndGotsarbn176o(drbk ( od.. I ddl rdhwrh mnplt wiih rl$. Fovi'ios.
<br />WAINING F.ihh h de rartdi otrFuln coEn3.u unlr*ftrt d fiU rbr.r/u orpL,r!' to snnod IteI- [xl
<br />dd|t/6" b y'.6{ .r ol(B*r'o.. dm!.r ! omyndl rd rrrt 7 Lz.^(.,' \
<br />.'v'l 6E. up b oE hu,iGd rh.uqnd ddll8 (tllxr,lxx)). in
<br />Iirl.. s(.r.{ rn(l r,trEv r 1..\
<br />Y Z Ut-x
<br />ulI!$tL(l]NIIl1l!r8
<br />UDILATAIIg!
<br />I hcihy .rn n udr F l,ol Fjury rh.r I.m lie.d urdd F.vi.i.h ol Cl!p.6 9 (6hrdn! *irfi Sdbi 7lm) nf Divirion 3
<br />of $. Bu@r rd PDtEin C.d.- rd 6y li(r a n! tuU ioc ..d .fid
<br />I -)9 I o>Zo7 I
<br />SOIEIBICIIONIBDIIE.AG I
<br />I lrEh, iltmurrdd F iyolp..riry thr rhd. ! r ljddm lrhlt rt*y rir rh. pafffi oltlE wl6r *hit thil pqmn i,
<br />ialud {sd. lrr7, cir c.).
<br />AIILII}NLDECIdXAIIA!
<br />I Hy drn MJ.. Fml, ot pdjury w ol Eloltsrr&LEtah:
<br />D.mhn. P6,rn!A,b..lo. lldifElrbi tu rl R.,uLtbb lT L 4O, P|n6)
<br />i@uLld t nd oltldiio.ir
<br />i.n n(om1 I r8re n' lsnDl! wlhrll Cny rnJ Colnry
<br />rE r.nr.r..rrtv.r ofrlui (!ryond Cotrnryr,. duFnrlE
<br />?.2.o
<br />t rA,t L*-
<br />L
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<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 Report
<br />Enqineer Final Report
<br />Flood Zone Certif.
<br />/
<br />FINAL g1/ch '-o ff?-3 )TNC-,
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc.
<br />4,
<br />Rev.08-07-2015
<br />Sublloor/VenVlnsulation
<br />I
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