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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS ot{NE* aull,trt:RDlit,cata'rIoN
<br />I tRbr .ltrm ulld p...hy or p..Fr.v (hd I e .x.rifl ,Nn rh. (ndft16' Lre Lrv tor rlE folrov[g Gen ls.{.m], 5
<br />Burin.s rnd Prolision (ndc) Any Ciry or Counry *hth Equt.* ! pcrnt ro con{rcr, rlts. i'II'mE, &mlnh or rnrn rny
<br />rurr.,nnbrr 6ur. !t5 Eitr,6 rh..prlimr lorrkhFo!b 6Lr $gEd ni.'d lhrliorrn .lar&, pu!.d
<br />ro rlE omvHnh ot [E C.nre!.ir l.t.ncd lr* {CnrpE 9, CommNin3 w h S.dr. 7lxr0 or l)ivkbr ].r rll BlrEs.hd
<br />Pmr.s6trt Cod.r ff qltn E r.r.n{, tnndion rtrl tt: hra aor rlr rl,q.J.r.trgDn ?tn, vnlii,nofsdni7031I bymy
<br />imlhlnr for r p.h :ubrck rlE rp?lrclnr ro r .,vil FNhy oI mr mE lh.n lly. nundEd Jolh6 (l1(n,.
<br />_l. a tuM or E Fn Et, d nt.a?hFr *ih *rF ! rlrr $k dn{.luh^, *ill do rlE xrt tn dE idc ir d
<br />d.n,ll 6 .ddal ln &k (Sa ?l)a1, Blrifts .nd Pm[driotu Cod.: TtE C.drdd! Lur€ llw '](6 no1 .pply lo & owr of
<br />rlr F{sr, str hild! or urgub rIE!4 ud vno dtE qrl, Htt hielt o. lEyl, or ihoutn bn q tEr oh.npL,yq.
<br />pr.ritd rhi uh mFr@fli e d d.nd.n no0.Ed Iq sL lt lF*tw, rlE hrantE 6 EF*Gd ir -ld win! m Fr
<br />of con{lrb( ttE Ovtu. BuiLla siu h8E rh. blntn df pn vuB rlrd tE ol dE dil d hri! or inp.or [E poFly lo. rlE Flrp.E of
<br />_1, aowrrof rll Fldy. c.rluriv.ly mdBJry wnh liNnql c.drr$ronr{ t rlE p.oFd (Sa.7OL, BusiEs
<br />,d Phairn Cql. Tlr CodErd r Lk * lr* AE d {?lr ro e ow of FoFr, *h. b{rHr r [pDE! rlErd
<br />lni elD odrN lor such pn'J.cu w h.c.druG1n [c.n'.d puod k' rlE o) rdorLt M Lr*)
<br />l:hd..'pr !nd.r S.ct
<br />lYllBlil:Bli:-c0llrrNiAlla!
<br />DTSIXAIQII
<br />I h.(b) rrlnmutulfi ltMhvofFrlufroft or ih. n,ll.*ms d..Lr!ri)tr\
<br />-l
<br />h.E d!, ynl mill.b r Cdits. olcl,cd b S.r-lNE fn q,l4 rlh|ldi'r .r ptlvlld n! l'ysdih l?m of dEtrtl Codc Id rlE ldfom. or rlr lort fd *nth rh. tEnir i i$*d
<br />)(trr.*.,,a -,tr ^*. I.*-'corq.Me JunE,.. r!sr.q, R stre r70 orrh. L.n . c.dr, tur tlE Ftode of
<br />' rfi. r.rt tor whrh rhtr nqmn E siEd My rdtdJ o,n{. ibn rNulw ffi !n polry numlxr e'
<br />-l
<br />edlfy rlui n rtE IE.forEr. of rh. uon rlri.h rhis tEhn D sru..l, I $ell nn cq,by my FB)n i.
<br />o .\ ro h.(.r 3uli<t ro rh 5xr6 @,qEdnn L*l of C.l'tomu. ..d {r rhi 'r I !&U b.-r
<br />wott6( .omp.nsdrDn fDvB$tri df S.(rD. lrm oI rh. bbor ( Dd.. I rlull. fidhwtrh .oEply wnh
<br />WAINING Fah.. ro s qrt E q'n!.dnn oE..3. a unL*tut fli lhdl ubFl u
<br />civil fiE\ un to oE hud'.d rlnu$n<l dollru (llur.lrrr). 'n lljJtr , r. rh. .oi or
<br />sdril)n :10?6ofrlflrr,(id..nt.r.crnJdt,Ey'sfa\
<br />!l!}].5-!:lL!LYl-8-11!a!.rf!lJ8!lt!\
<br />I h.Bby.l&m und.r p.MhrofFrjuryrhl I rn lidn:.d u'i.r fmvbioh ol Ch+td 9 (smmki.8 enh S&rhi
<br />or rlE BuE ..!d PELrln Co&. rn my lt.rc it n tuU fDc &l.fLd
<br />Irr I >:,--( I
<br />1!\!-8.Ltl!!\ll:lr^Li-t!!.:]-.I
<br />I tEtby t.fm !rl&. FdX, of tEr]llry rhr EE il r sm{NDn tndq t8.E--,lor rlr ldt rlrEd. orth wt 6r
<br />n.Ed (se 1rr7. civ c ).
<br />\l'l'r ri \\ r r)r1 r \n \ I rr\
<br />I h*6y .rfm ud6 Fn.ly o, p.riu.y oE of dE ro,bpo, &.ldriB:
<br />D.mli'ion PmillAst lror NolitEdbr R{d.l R.tuLrbB lTiL.{0. Par6,
<br />_R.q!!.d L.n.r ol Ndrtuidrn
<br />I .drly ,hd rh. ,.d.nl E3!hri4m r3dJin3 ,rh. x Efr,vJ G
<br />-\(.airy ru t rrr rat rus rrptrdi, in r.k u E .tDE 6
<br />or N!f,.r md Srar. lj$r !.lJrin3 n' h{ .lnrr coinrudk,! rnl h.rby Nrh{ik $d Counryn, cNd urDn rlE
<br />$or. rntDrd lh,Fny nn iBI,..i,n plIFE
<br />rpprirr.r or AF(trr s,sn rrc "1 l'
<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 />lnsulationi Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />n/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL j. /? -?l Jd.5 >b€r)
<br />Certificate ol Occupancv
<br />Notes, Remarks, Etc.
<br />Rev 0U.07-2{115
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