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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNl,I auILDt:L Dl)-CAL-{llON
<br />I tftt'y tfrm ud.r Fxhy ot Frr, rt l I D .&npr fiDm tlt ( tu6 latE L.e lor tlE follo$ra os {54.7011.5
<br />8uri6r In Profei'i Cod.l: any Cny .r Cd v shth r$ir' . F.ni r. orrM. 1116. rnpoE- &mlili n EFr !y
<br />to.tuE, Irn k, ir3 rsrr .- rt!. rqu,E. itE rppli! r rbr i!.h Fmir ro ,lb ! ll3ri n .Enr rh, ,E or slE i! lic.tr*l pumd
<br />r. rh. nmvrhN of rtE Conrnr ,r l.i..nEd lr* (Ch{r.r 9. Comft(in! virt S.cti'.7Un.I rrivirb.I ofrlE lt8ics..d
<br />Pref.sbB CirLr 'rnd lI ( {r !.r.DF rhfi.frc . rlEts!i(rrt rll3.d.r.nFm /\ny violdih ol Sdion 701I 5 6ytot
<br />.0plrcrnr Io. ! Fmi 'lhFit rtE r?plt d to n .ivil ,EMhy o( mr mE rh.n nv. hornEd d6llr! (trfir).
<br />_L s o*Er or rh. rtrFny. or my .ryrLy.es snh r.3cs s rhcn sk 6n{.crtioi, *llldo rh. wtr* md tu{de! d
<br />rrmjsl d ofi.rdl fd.l. (Se.7ol,(, BltiErs ed PDtcBiB Cfrr. Th. Co rdm'i Lr.re lr* &q d TPly b o oyEr of
<br />rlE FoFry *t hrilirr irltoE rtErn !n $,l, d(E *h*xt hmErd ld-lfo.rteutt' hird h.rom.dpLFr.
<br />F.*r.n r,tEh !4otrn: c d itr.!d.d d.lL.td i!.! ll.rsx{c,rlrt illr.tn ltFrrrd !5ldyihnft Fr
<br />df.drptrh( rtE Owa Blitld vill hi* ilE hrtn ol pn'yin8 rhr lE d JE .lil nn hiu n itrgDE llE prlFy ir ttE F4.c or
<br />_1, !o,Ho(rlE Fqdt, o.r.h{r.lv6ddr63 *nh livEAl !ffi ro on@ rtE F.jd (sd 7o!. aairs
<br />td PtDbtinc'o&: Tli Co d( r Lf.trE L.e '16d.!?lyn'uo?ErolI.oFn,wtn turld, d arbE! rhd@tr
<br />.nr, *h. .onltui lar sch F.Fb vnh . C.dBb(, lir&d lum'Il h rrE c()dard r Li€M tr*).
<br />I o.r.hfl ud. SdI'n-. B & PC ntr rhsr.rlr
<br />Itrl8f,lltc..c0llrrdsalll)!
<br />DICI.ASAIIAd
<br />I tE by riird uid.r IxMtt of pdrur_v or of rh. folL,tint &.l!d rrB
<br />-l
<br />h.w.rn vrll mi.i.h. CdifE i. olcl]ed b Sclf-|ffi tr w| d'nre.dion, r! FoviLd 60r hrsdi{ l?m orrlE
<br />khor Cod., for rh. p.rro.m. ofih. rort ld whi.h rlE 0.rmir n nru.d
<br />Xlr,.*.- *at^i"'- **- otrp.drh nlDE, s Eqlild by sarbn rroo of ft.t bo. Cod..6rtn p-tllrc of
<br />'rh. *al ld *lrh thir Fd tr uu.d Mr vrta m,lannni 'lffiffi rnl pokt mrllE ft'
<br />,-*",3/44)
<br />I..n't! rld rnrh. n'1,trn!rcc,n rl'. work I( vh'.h rhL Fr.nr 'r ,jsucrl. I thrll nn cnln!,] rny n
<br />$ rr ro tr$rr suu.cr o rhc w.dc( c.nf.nrlri.tr 1.,\ of Clhn,nh i !8rc.rhr 'rIsh,uu h.co'n suhiccr rorL
<br />NAar cun{Fnero pDsa.E of Salln l7m ol rlE L.tor (
<br />WAnNING FiihF t, @ wtaa on+.di,i .oEnB.
<br />c'v'l 6fti !0 ro oE hu lr.d rlberi dolla (tldl(ur). n
<br />S.tri,n 10'76 of rll tnhtr LruJ., inrftr .i roonryi Id\
<br />d. a.s B provn.d lor llE
<br />ut!_l!_![\
<br />I h.r.b, ,l lirm und.r F..t/ ol pdturr rhl I rm lk .*d !id.r lovri rn oI Ct.t'ts 9 lcDmrcmiq vnh
<br />o( tuAulE*niPn.sioBCoL ul my lirN r in ni[ l'oc ul.fid.
<br />ftg]\:-lllt!t!!\u:\!l-:!i_!ri!_:!l
<br />I h.Eby rlfrh urd.r p.Mky of p.rlury rhd ltE n ! conqru.rEn t!n!U ag.E-y lq rh. p.rfomE. of tlE **t ft'r *hih (hn Fmr !
<br />ils.il rsd 1097 C,v C)
<br />dITIIS TDECIAMIION
<br />tt rdy rtlm unl.r FMty ot Ddiu.y oE ol lll tollov'.* &(h.r iBt:
<br />f,.mln Dn P.mir*Asb.no! Ndiftr.rio. F.d.6lR.8uLrions lTtrlc to. Pd6)
<br />R.quiEJ trn.r of lt,furrn
<br />I .ddy rhd rh. f.i.nl EguhrhB E3.rdB3 $n ior Eni,vrl m d
<br />K carry rur r urc ra,l rt!. replllrion ,ri d.rc firr rh. !bov. in
<br />,rntuN.r lrl Sr.rc b*r Ebrg ro houot .or6!tr rl trEh, rurh
<br />.l.trr RdIrd Fop.n, ft. 6p.dioi twFs
<br />D
<br />=lll'tllnfiiG
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SublloorivenUlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Beport
<br />Enqineer Final Report
<br />Flood Zone Certil.
<br />FINAL t-|5- 2/J/eJ a 2Q?,)
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc.
<br />Rev.08-0r'-2015
<br />I).r.:
<br />".,,, Aln lb
<br />Lnr.r! A'l'lEs'-
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