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BUILDING- INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS owNl:l( Btrll,l)tiL l,l:l.cAlrrtTx)N
<br />I kEby lmrtu unLr p.nllry oi rEtlury rhlr I .m.r.qrr fDn rlE (irrxDE' l-i.rn€ l.e fn $. fullowin8 E.$n (Sd70ll.J
<br />B!{nc$ a,n Phr.$Dn Codcr: Any Cny.r Cdudy *hrh Equfti . Ifmr t, on{ru.r. Nlrd, i'qr.v.. d.'nrlEh .r Erutr .ny
<br />,rucn'E. rnn tu !r 6iuBr- .lo R$'iE1 rlr lnpltr lu .uh Fmli r, iit ! :is'Ed nd.Enr rhat lE or rlE B lr..eJ pu$!r
<br />h ih. Fnvixi.nr .l rlt Conr*id! l.tdn*d l,* (anrriicr o, (i'mtutuin8 s{n S$r.. 7ur) ol l)ivi'xr I or rlE BB'ES md
<br />Prunsioni CuL ) or rhrr l: or \tE r 4.q, rhdrft'm:Jrl rlE lur! i,tr rll lqtd.r.n{ir rry vrlrinr of S{rin 7011 5 byJny
<br />{plicn.r for r Fmir suhFrr rrE .n,lE.n o i c,i I p.tuht .l n.r rnn. thln liv. hund'd dolh( (llrlrl
<br />-1.
<br />i\ owftr .l rhc ImFny. d my .,r{,hFi siih v.!.i !r rh.n ol. oqr.ns r)i, s l & rh. srt .rn rh. {Me k mr
<br />f,.nld ur orrEd In st rs-.7tlrl. Bur'*$ ed Ptsr-\r)n\ ( ,n Ir (i,rr.t{! Lx.n€ U* Er n.( rpply ro D owr of
<br />rh. pn{Eny wrD l'tr&ir r rp.uB rlEEr rrl wlr, *E uh \sd hmEl( or l-ell oi ttn,u3h hB { ts osn.rtLFt,
<br />Inn\ d.rd rh.r rNh ir+.owns m d i .ti.n or oll..i ,.r r.L ll. lF*.q, rlE lDildut d lrthtftd il sld *rhin B ).r
<br />oI $tlllixr tlE O4r Bu[lE *iU luE rtE hhl.l oa F,vrB il! lE or ill tlil d buN ,f, 'rqnE ih. FIdy i, rh. I!iFE or
<br />-1.
<br />!rolBolil' Ftrrdy. u.r!!v.lyco rrIu *rh lf.trel !,nn-.'m ro (h{81 rtE prFl lsd.70+4, Buws
<br />.tn h,6in CdL TlE O'd.rrqr Lr.ne L.r dB B, .npl, b u o*E ot p('lffy *lb hoild. d rrProE, ilEd,tr
<br />d vln oda! l sh FnF. yrh . Codrr.(i) lr.!r.d F{.q ro rlE (iflrdd ' k.M llr)
<br />-l
<br />a.&,'pi u'xk Sd-"r , B & lC lt{!h!rd
<br />I).r. ox6 ]taIf[Ili:g,ult$a!!8
<br />DECldIAtrQ!
<br />I IE by lnird uh&' F ryolFjuryod orrh lnL,rult d\rhr{rB
<br />,l h.E rn vi mi .in . Cddir. of C.,ud !o S.f-llw f( w(n6' !r!r.rrio( d rtuvrl.il ra by Sdfl r?@ ol r
<br />t,lvfod., Ior rlE Fllm or rlE wt ld rtrh rFmi uEtEd
<br />1l h.E .'r, wrll truu nd.E' osp.dDn uqr.. .r u{uiln lrs.rrq 17@ o'|h tlbd co&. tr E Fid[E ot
<br />rtE rtxt fd ah.h rhit p6d ! !rr.d My rqro otrFdr. llm w rd lbLy turr't &:el u)oo L P,z<-
<br />6P,,J. 11lt/.1 (r- (-L (
<br />_! c.niry rhr srL tErlMmE olrl* vort (* *h.t rh!FrNr tr !reJ.l $.ll r, ..pl,y ey IEtf i in {y liw
<br />s $ r. h.sm *br.lt rh. srr6 @i!Ed.n Ler nl (ihlo.u. .Bl r8r rhr
<br />'r
<br />I *nul,lEnm rhr..r r. itr
<br />eortci tuntEn{bn ptuhlB of Sdrn l?m ut rlr lrh, ( GL, I filL fdh*rh LDrt l} *irh rtDE p6hDB.
<br />WAINING Fnhr x' EG krr6 otrtxNnri mF..r. s uiLvtuL lrl rhll lohFl r ..r'l'yq h cimiDrl Futs dl
<br />.'vil liEr uI ro oE hullrcd rhouwi dollrs (!lrr0.tlrr),
<br />'n dtr rn, r. ill $r nI..iIEMnon, d.mr.i r F.yd.! fd rlt
<br />/>Lc
<br />llgljlaf,a.D0!
<br />I htrby.rftf, uid.r rtMhy ol trrju.y rhn I.6lic.trrd unlcr ntrvri)i ol Clqir, (c.'nr(in8 wilh S.dh^ 7(x[).fl)ilnDr 1
<br />ot ii. Busiks u PBf.sior3 Co&. ul n,y licnE n
<br />'n
<br />tull fi,R rn .1161
<br />c0NtI3!JCII!Nl,!NM!!ilcB(
<br />I h.Ebyaltnnu Lr Fn,lry ot Frjury rhnr rh.r i r cDN tornotr lDLli'ry !B.ry fitr rlE p.rfi{rur.. 01tlE worl ti,r *hiclt th]s Fn n
<br />0.d ls.c 3u97, Crv C)
<br />artucaNl![cld&ir0!
<br />I hdrl'y ifrm' umLr pcn,hy ol p.rjrry oE of rh. tollowm! t!(L6rion!:
<br />tr.nblirion P.rmn+A$.ro! Ndftrarar F.d...l R4u|,| n!l1rl..10, Pd6)
<br />R4uiEJ krq of ltuiturrim
<br />l.d'lyrlEr rl. LrLral r*trL i(ntr E3ndtru $h<{or rrtrr,ul (. h,r trfl,Ir$L t' rl$ nl 'F1
<br />Set Backs
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />lvlason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Cerlij.
<br />>)hy fiIfi){ilo&t 1.lLw)o 0u/a rir
<br />FINAL (4/ lt.aozn Ubarh ,ME€
<br />Certiticate o, Occupancy
<br />Notes, Remarks, Etc
<br />Hev 08{) /-2015
<br />DATE
<br />I (dift rhr I hiv. rcnd thr {r.ilu rh. rn. ridn! i,'n nror(r l,l3rcro(qry e(hlllCntrrnCouno
<br />(xJuuNd rl Srd. tj*s Elrt{ t'.oNnlrrnr &l h.rhy DrlrtrE EF.<rrdrw1o,
<br />ltrne m hdtlo.,Fdy n,
<br />lppl,mnrorAEmr Si*uruR
<br />4cJ
<br />.,":',""r/){;':-
<br />Forms/Steel/Holdowns
<br />Erection Pads
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