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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNIIR BUILDER DET,('ARATION
<br />I h.Rh, t,lrn unk. ,xr!y.f F.J!D-, rh, I o .r.nv rn,n rli (!'da!tn' lr.nt trP fd rh. rt,lh*u3 r.rn rS.. r0ll 5
<br />Bunnc( .rn Pt.ic$i,r C,iL): Any c y nr G'udy *h.h Eq!@\ r Fhn tu Lrr{dcr, rlrd. mnmE. &mr(h ot E Er av
<br />(rudur.. Irrtr r' rrr ssunc, .rr' rcqumi lh. qdi.Ml tur ru.h lxmr b lik r nsmd srarcnEnr rhsr h. o, ltr s lrucnEd I'ttsuur
<br />!, tlE FrvsNnr of rh. Cinkrnni l-r.ir.J l:e (Ch:prcr 0. (.omEsrf * h S(rb. TlxX).1 Drrlln .l ol rh. Runrs ri,
<br />Prrcs$ni Orl.l or (h!r lE ,E rlE n cwqi rn rcIi(,h lrr rh. br!( tu rh. rlh!.n crcqr{n An, v(,urnnofSdr)n 701I 5 hy rny
<br />rmlKadtua!.mntsuhjelrllE.prhcanrt,rqv'lO.nrlry.lnolmrrclhrnliv.honilrcJJolldr(l5m).
<br />-1.
<br />.r owrr rr rh. F.Fdy, d my cflFhyei vrrn *rsct 8 rltr e,k nm|Ere'nn, *dl U' rll uxt lrl dr fuG r d,
<br />hl.rll.! or o,lircd li)r sl. (S.u 7044, Burin.( rnd Pina!{$n! C(xtc: Th. Conln x ! l-ic.n* Irw dNt not rpply l,' !n o*N, of
<br />rh.F{rny *hlh l. ur ntmEr ltrlu rnl *h. &E Bt x,'l( hih(ll or lErclf or ltFulh hir i{ lrt oe.nlPlnyc.r,
<br />FovrLJ rhrr lkh rynlmdr c ur dcddJ { oli.6l ilr sb lt h,M. rlE flNry r lllnEEd ! 511 *ihn or Fr
<br />of cotr{,lcrnn. th. ()*n.r Bulkr wdl hr( tlE hhlcn ot l'nrvo3 lh.l lE or tlx dtl tur turU o. oIroE lrE F{st, for rlr |fuflr!* ol
<br />-L
<br />il owmr .f rh. pn'flny. .m .r(tunKly .on rrtm8 w h l,..natl (ndr.lro6 n' Nnitur rlI FrFr tse. r0a4. Ausms
<br />!n tnfttsro C,rlc: Th. (iuhrr(,'r l-r.nrc lrw rIEi fr, aptly b u owncr orln'Fny who hurlds or mpruv.r rh.Eon
<br />md *lx, u'dkrs fd rkh Flrllt v h. CodBtrxl,l..nrJ ponsr k'rlEO'dr-tt r LEtr( U*J
<br />_l rnrcr.nrl)l und(sc(rtr r-.ll & l'( r(trrhs r.rq)n
<br />thb Offi
<br />woRKFRS', COIIIPENSlrloN
<br />DNCIdIAIIA!
<br />I lEEhy .lirh usLr Fuly of Frtry om of rlr folltw6! &.lrr.r$Bl
<br />I h.vc .Il wrll min(am . (in i;dc or Conr.i lo S.lrlnquE ktr mrLfl urmrinrain n. r! ntrvrl.d rot by SNl nn J7(x) of rh.
<br />tln Ciirc, nr rtE Ffinrw orft kxt nn r,it.n llE Ftu' n sikn
<br />dtt',"".,,r*,rtn.n.n*"rk.'.,lmJ.ngr!'nhsurrmc,$rcquFrityS&ron1700olrtrL,txtrCi*]c,fotrtuFrrormm.or
<br />Ilk hrl iis whrhrhtrFtu 6 E!El. My *,trt.u'orqEnd,r hru,u'..!mr.,n Plry nurnt{r E'
<br />,^"", flQa' c'r'
<br />-\
<br />n,,,,.r^, *, 1 b oooltlSSfli I
<br />-r,rf!*
<br />l- 17- Z0?2
<br />EILcnrl]rh,iorhuncrtnrron..ul,hcwnrtl,trshtrhrh(Frn i\rsuc,l.I$rlle cmlkty ,ny l'.N)n ,n rny n'umr
<br />t, s r,lRlm uht\l h' rlr srtd\ \r{r.rir.n Lr. ',1(':l'rdn!. fil +N rh:r 'l I \h'u! ttu,m tuhj. r h rlY
<br />*orlc- Llrqrnerk n fnllnlnr ol S(rnrn ltr(I) nl rh.ljhr C,i.- I {ell. hdhsih otrlt'ly I rth thte povBs..
<br />WARNING l.rluE to c.u'r e,nk.n ron{xn\ron rov.d8. 'r unk*irl Jkl !h.ll ruh}ir rn cfrfk,ycr h orm,nil IEMIF{,n,1
<br />!'vrl fir\ up t' h'hutolrcd rh)u\atul dollr^ i3lU).rl(tJ.
<br />'n
<br />lJd r,n r) rhc .o{ 'n .o 'o.. ddr8c( ri pruvil.J r,, rh.
<br />srrrr 10?6 ol rlr lrq (in - d.Rd 1rl drimy'. l&
<br />r,l.( I \l{ \ I Ir,\
<br />I lrEby rlrrm unrlcr p.nrlly ol !.rjury rh.r I !m lienrl uBlr ln,!s'on ol ( hrycr 9(!ommn!m3 w[h Sdrrn 7lX[) ol l)rvFon.l
<br />ol rlx Eu\rs ai Prn.$$.i (ixlc,.r mylrcne ( r ti,ll nxlt ulcll.rr
<br />o s 2
<br />l_ q_ -zc t ?
<br />CONSTNTI(TI(,N I F-I{DllliG AGEN(1
<br />I h.rhy rlltm un,lcr Fnrliror FrJury (hr rrkrc Ls a on{dcrsn lcndtrs is.fry tur rh. Frromtut or rh. erk Int whsh rh! Fmd (
<br />r.ucd(S(. t(r)7,Crv. C )
<br />Ir lrii AJdrc$:
<br />APIUCANLIIECI.6E{IIO!
<br />I h.rd! .liim uBlr rEnthy ol lrr,ury o* ol rht lolldhni &clrtrr $ns:
<br />D.o,ldr). Pcrtuh-AslE(or flol r.rnn F.&rrl Rqlljmnr (Trk.lO. Pd6)
<br />R.,rutcd l*ilcr oi Ndl.urin'
<br />E,-'rry rh.r I h.y. E.ll rhLr .r,ihrri,n ,rl {rr. rh.r rltthw mn rcbnG(!,lB._.t l .!E b.rrr{'1, wrh dl Cr}.d (-ounry
<br />- 2€/?
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulationi Enerqy /.zz- n 2c z'.
<br />Drywall /'e6-i 9 2c t-1 )
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Reporl
<br />Flood Zone Certif .
<br />FINAL 7l24h11i ,).r.}/",t 2,'"r)
<br />Certif icate ol Occupancy UI
<br />Notes, Remarks, Etc
<br />Pool Fence
<br />,*/- t - 2c(q
<br />-l
<br />Ld rty rhr rlE ti&r.l Ef ul.o'nt a!. jrnt rslx{o. Emrtrl d d {d..hk t' rhis lmtr.l
<br />.urhtruc EF.enhrrv$ ol rhtr C ,,rl Coudylo.nl( uFr rlE
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