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BUILDING- INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS OlVNLL rUlLDf-I DII|TCAI TION
<br />I trEhy lfrrm und.r p.Nlry ol FJu.y rhd I E.r.E!pt ilh rh. Ct lhrB' Li.n!. U* fo. rh. folbsniS l!&n (Sc.7011.5
<br />Buims .d EorBion C.d.): any City or Cturrv v6ah rqlier . pddi io .mrnd. dE. irvoG &mlLi d EFt ay
<br />lrBrk-Fsbik islE. rl,. 'rqriB rtr +?l!lr for Mi ld'fl ro filr i,SEd rd.id
<br />'tu
<br />lEn d. it lEli.n FEd
<br />to rtE povirirnr .f rlr Codn.roai l,kr.sd lrw (Ch.p..r 9, ComftEi.I e h Scr-'n ?(Il .a Divirbn I of ttl Buic* .nd
<br />Phiilbr! Cqr.l o rhr lE n $. u.krpr ttftfilmrd rb{Bhrlll.Ltd.Enlri,n.AI,vblribnofsdbi7011.5by y
<br />.!tls fo. . Fmn Bbr.u rrE .rpls r. ! cival p.Mt, oI d tuc rh.r liE huidEd dolLB (l5m)
<br />_1, s .rer.IrlE ImFny..r hy.'nplor.r wifi *.3.. e rh.ir bL emFdirn, *illdo rL *rit an lll rMe ir d
<br />hqrl6l G olT.El fd el. ( Sd ?O+1, BBiB' inl Pbf.Iim CaL. TIE C.dEu! Lire Ll UE dr .rflr ro u ow o,
<br />rll Fopary dD tliLh d ltsDE r,B@ lrd vlD &a sh wd h',rr or ,Eslf or rlldd hn q Er om .,Pk Fr
<br />pro\ii.d rh^r ish in+rnErd3 E mri..d.d Gofi.rd rr eL Il, llu.s, rlE hiEiru d itrFEdd n hb wini!.G Fr
<br />ol.oiq .ria rrE OqE Builta eill h.rc dE h{r.Ln or p.!wu rl{ lr * llE Jil d bUi! n rlD oE rlE poFry Id rtr pdroe or
<br />L ovkr of rh. Fn!.nr, .n.rdwiv.ly cnnkdiri rirh l,..tr*J .o r*h6 !o @.(Mt rh. pnrJ.ct (Sa 7044, B$iicq
<br />.Dl PDI*irCd&: Th. Codrrolr Lt.n{ t * d6 ri q?ly n' rowEr orFoFd, wlb hlildt d in mErrtsar
<br />.rd wlF mddr ls ru.h F,Fdi nrh r c.n*rqlt li.r!.d F'w ro rtt cdrdd', ti.e l^)
<br />I rn).r.nu tril4 S.(
<br />Drt.
<br />-
<br />raaf,!85:.crlMt[lnArloa
<br />DfclJSarax
<br />I tFr.iy .ff n ui&r FMhy of O6t ry.E ol rh. l:lbqint d..Ldt,N
<br />-l
<br />h!v. ad wrll flinl.r 0 Cd i cotcoE. to S.lltNUE for *0116r' d,n{E.srrii,n, a ! vid.d tu lry s.dion lm of E
<br />htr, Codq n* i& ,. orm o, rh. r.rt Id rhah rlE rE iir n &*d.
<br />Ihtv.! vrll int.in m*.n .rn{ENrrn,n i.su6N., 6 E{uiEi I'y Sarbn }7m of rh. Lrbor Cnd., tor rh. p..foM. o(
<br />rh. u*k td dah rhis Frdr n i$u.1. My u(la! emlEMion nrur!re ruir {n Fnty numb( e:
<br />_l @nif, rhi rn rh. Frlo.l:m ol ttE sort fo. rh.h rh! p.rmt a !!ual. I ltrll dn .nploy uy FEn b &, tuc
<br />s .r r. b.sm {hjcct ro rhc eo.tm @mp.erion Lu ol C.lifom( Dl .a@ th{ ir I rbuld lE $a sbrer ro it
<br />hrl6 6np.M,n pDvi356 o, sdrDn r7@ olrh L.to cdL, I iull, (dhwih Ntrply witn G poBi*.
<br />WAININC FdbE to r@ ftrt t ohtErdbn oE{. a u.LwftL lnd drll rbrd e 6phF ro @idd Isti! lrd
<br />civil fiB up ro oE hundGd thourdd dollD (tl(x),i)uJ), h lddiirn ro rh. cdr of.onp.Mro( d.rry.r d pmvil.d for rh.
<br />Ssri,. 1016 ol E LrlE Cod.. i.i@r r.d ,l(wyt f(!
<br />LICEIi.IE.CqNIIACtr}B
<br />DEICIjIAIQN
<br />I h.rby.frrm uida p.dy ot p.rrr !h. I m li.r&d ui.r F sm.tclrlrq 9 (..mrxil, f,ih Sdioi 7Im) or Dnir.i I
<br />ol rlr ButEs $d ftrfdiotu Od., rrn hy L*e L m tufl,'ue lrl.ff.cr.
<br />Ihr.
<br />-
<br />COXMICIIONI.EDIIGICIICI
<br />I tmby sltum und.. FElt, ot Frju.r rha ilEt i! r on{Brbn triDr ra.r, ror rll |Ef l:s. ol E H,t tor *linlh! Fnl i!
<br />n$d rsd IrT,civ c t.
<br />AITIISANI.DESI,ABAIION
<br />In d!, ltrm lrtr FElry of 0..p.y oE ot th. lolk uo3 .t(Lr.t bnrl
<br />D.mlrDn P..oh-Arbcno' Ndir({ bn Fnlol R.luhnnr (rnk.lo, Pd6)
<br />-F.{tuiEd
<br />lrrt.r of Ndrfi.lrb.
<br />_l ud'fy rh{ rlt r.d.dl E8lLrios EBrJrn3 Bhror rmhl rE d ir'?lDl'L ro rh! prDFr
<br />_! ldfy Ola I h.* Eri rhn .ptlbrbn tt d. Lt{ rlE .bv. olotubn n ccul. I .rE ro otply *l} d! Cr, rql Cod,
<br />qdllr=d .d Stn. rrs Etit t6 hrldE8 6tuin nn IEtb, utbriz. rr.ts&a 01lh! Cry.!i Cd,iy ro d6 l4on n
<br />rb.r mdion il p6D.ny Ir iB!*tEn pur*l
<br />Appll.rr o. At6t $aEl!F:- D.l
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Sublloor/VenVlnsulation
<br />Roof Shealhing
<br />Shear Wall
<br />Framinq
<br />lnsulationi Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />It4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />,
<br />FINAL 6//o/*-ztt lKl ,4)
<br />Cerlilicate ol Occupancy t
<br />Notes, Remarks, Elc.
<br />tiev. 08'07-2015
<br />OATE
<br />SLAB Floor
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