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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE IDiSIG.COMMENTS OWNTEB BUTLDEf, DT.I,CTTTIION '
<br />I h.r.hy.nim uriLr Fn tolF,lry$d I D.r.,qrr iion lrE Conn&loF Ltd€ Lte for rlE aollo*h, a$i lsd70ll.t
<br />BuliKr rd PElision Cod.) An, Cir, o Couiy *iih EquiB . IE i ro M{Br. .16, i,enrE. .L'mlnh d ftFn dy
<br />{rutr. Frr b ar. irsu@, .Is E!!iF. llE +plid ror 3Nh p.rmil
<br />'o
<br />fiL . riSrd l.dnl tlEl lt d rl! it liqrd FdEr
<br />ro rlE FnvnioN of dE C@r.trc t Lia6l Lp {Oqid 9, Cmri'l! *rh Sclion 70O of Divitbn 3 of lL Bu!.ft$ md
<br />PNf.ssims Cod.)or rh, h. or stc i,.rcmfl rndfron.tn ll.brii for rh. rlts.d.rcngrin Ary vblni ofsdi,o 70ll5bruy
<br />amli<! ro. r tEin obFi rlE .Flid ro. ovil FEhy old mE lh.r fi k hu,rdErl dollE (15@)
<br />L ii o,Er or rlr FDF,ry. or my c,pl'Fs vnh w.r6 $ oEn $k onqEns.lhn, *ill d, tlE pdl ul rlE ,n(e i! rcr
<br />idddql or oocr.n ,or elc (S( ,o44. 8utriEs. md PmtdbB Co&: Th. Cmald 3 LiBc bs dat Ei ry91, ro d dE or
<br />tlr FIdy rln h{il& q itgrE llE6( r'd wlb d(- ui nrt hitMlI r h.slf .r lhmugh hi! ( Lt o*n .r$loy..r,
<br />povid.d lhrt luch in{romnlr rc d id.!d.d sol*tld f( d. U. ltffi. lrE b l,8 d iIt,umn ir rid wihin m ]s.fonpl.lia rll O,E Buldd wil lrE dE hn!.n of Fovn8 thr lE d nE dn lsl hiild or itrproE 0r F,Fly 16 ih. IxtrF4 of
<br />-1,
<br />6 o*E ol tlr FrFrry, n.(brirly .dnrdhS *nh li:N.d ffim h o6lntl llE prcilr (S... '7o,l t, Bslr
<br />.!n E!rtsir Cod. Tn C.nrrroir Lilok l,u &ri nor {,ply 16 .n.smr or roFny vho build! or inpmEs lh.r6n.
<br />rnd *h! s'nttrr! tor sh rm|dr rnh. Co,'rrrdlr liad-d porsn bitECodfurd. tire bq)
<br />_ I e cEq, urtd Seriin_, B & P.C ln fii! lwn
<br />Dtt. OrE
<br />woRxFRs' (l|nlPFrtsaaloN
<br />DISJAAIO!
<br />I tmh, !!fimlnds FBlry or rrrlry om orllr fdlo,itrE d(laraxonr
<br />-l
<br />h.E .!n will rhr.h. C.nifqrc olconer lo Sclf-lnr@ n s.t6 6qxns5lirn..! i'Dvil.n ror by S6tin]?00 ofllt
<br />btltr Cod.. ao rlE Ffdrc of dE *ort fn whth rl! Fhn i ii.!.d
<br />_l hl6 8rd will midrin srt6 Nnp..o'irn i6[m.. 6 rriu!.d by Sclbn]?m ol E L.ls Co&. ru rli Ff.il]r.G ot
<br />rlE s 14 whah rhir Fmir n b{.d My pdt6 snpcmrion insunmc cair en Fllty numb6 &c:
<br />R /L/t)tt ) ( ot<l 4 L s LI
<br />-r
<br />..nify rnd in l,r Frformrc 6f thc sorl rni whkh thir Frnir is icru.d. I shlll mt crlhy uy Fr$n in uy nsE
<br />a, a3 r. b.a$c {bFl ro rtt wdtd 6,p.M6. l&i olcrlilomr rn rgE th.l if I rldt tt<aft nlrdl b tlE
<br />wrt6 NnIENlion pmvirioB.rSdion 1700 orlh. lItrr Con . I sldl nnh*irh 6n{ry wid tkr pmvtini.
<br />WARNING, FntuE ro .(t k r.B 6np.Mir. drwflg. ir uhdtl. .rn nrll sbFl u oploF ro dinidl FtxB dd
<br />cMl fiEi up kr oe hxndEd rhrus.nd douds (lloo.om). in ddirion ro rE cosr ofconp.n{lrn, drdg.! n FDt .d for rtr
<br />SdFn 1076 or rlE tjv Ondc dc{ lnd drcry t fs L/
<br />,,,, - }/tbo ^,*,,Y-.2--' ucENsf.z((}IffilcEaDdrLsaEN
<br />I lrrcny alnm uricr FnohyofF,j!ry rhll I !n licc.Ed lndd ptuvnio. or OElrd 9(omEEh3 lilh S<rDn ?tm) ol DivirDn I
<br />ol rh. BuriEs.,n ProfsioN Co&. rn y la.* t in tull foN .!n dtEr.
<br />l"-*cr.*,. C I b 'ta?3?1
<br />"1t/Lp-.-,*,"' ,Z-
<br />I lEct y Im !'dir FMty or lE Jory rhd rtEr n . o!{Mli,n Lnding .8.r, ftr lh. Ffffi of lL dl t , *ni.h rhir Fnl ir
<br />ned (sc.1097, civ c ).
<br />AItLIQTNI.DECI.ASAIIq!
<br />, hdltt rtrm unrLr Fn.hy of FJUry om of ltE folhrin8 d6lr.r! ion!:
<br />D.mhion hrnt! Anr(c t{dif(dbn tu.rl R.8!l!.n! Ont {0. Pd6)
<br />-ir{uiEl
<br />L.llq of Ndiar:rbo
<br />_l csriry rh.r dE tuddd EalhlaJG i.'.di.! Btds Emn, e Er Sli*k ro rhk prcir1
<br />Lt -r,ry ,U t L* ..a Ot .f?lilih lit r.lc !t dE .tbE i.fomaion n coG.r. I rlE 6 an ly *ilh .ll Cty .nd Coury
<br />ordinDtuE rnd Srar. tresrlr.it rob!ildinl n,n .,n trEby rurbd. qrcs.rlriEr or rh'r Cn y !i C.un'y ro drd qDn rtr
<br />rhtrr nrtrri'erl pn)Frr, l(r inynriin
<br />A p9llur d Ar6t Slrlur
<br />P6rntcEd(Fltrl,:#6u--,., ,?blY
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB FIoor
<br />Subf loor/VenVlnsulation
<br />Bool Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />q 17 9.1**-,1/-7-/?,zr)2L tJ /a.-At '> a 2:1
<br />FINAL '/J4 -Zr:t 3-L />,12"ea.2 ftilr1
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc.
<br />)
<br />Rev.08.07-2015
<br />Brown Coal
<br />,*-, . wu$c<IAtl,uFt
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