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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS OWNITR aUlLDl:R Dl,ll,CAL TION
<br />I lEEt') .Ifnr url.r Futy of Flur, !t I D G(trPl tom rlE Co'@r6 Lire lr* for rh. lollorirl E.en lsd 70l l.J
<br />BusiBs .in h.a.shn Cndc): Any Ciry .r Ctu y *hth rcquiB . Fmir ro sn{ocr, .ho, inItr.E. &mlkh n. rcr.n ey
<br />idcto€. Fii ro iB $urma rt$ Eqnkr rlr ao!'lird ntr rkh Ftu ro fil r nBEd 3r!.lHr rh. lr o. tlE ! litBi plErd
<br />io rh. FDvkhB or E CoddM,r lj.r.sd l.l (Crui.. 9. C.'ftEing wnh Sdbn 70c) oI Divtioi I oI r& AaiE! lld
<br />Prof.siou Cuj.r 6 th{ h. ( rlE i!.Etr? ttrEttrh.Jn rlr 6.$ lor 'lE !Ls.d.r.qrbn AnyvioLii,oorsdrln701l.5byrdy
<br />ippligm for r Fmh subJ.rk ilE iprlic!.r ro r civ il p.uhy of mr mE rhrn rik hundEd rLllrr 65m)
<br />-1,
<br />r owd ol rlt FtrFrt- r ny.rrhf.r *nh wrt.r r rhcir r . otrp.dhq willl,) i,l *{rI rrld ih. M6amr
<br />idarlal or ofi.rcd for d. (Sc.7044. Buitur! od EDr6$N C.<L: Ttr C..kdd.l LEn* L* dE d rpply ro a ow ol
<br />irr In''dy vrr h{ildr q ngtrE rtdq .rn llb d6 *i uit hitulr d lrE,f d rtrDuah htu d ls os.rplr]*r
<br />FdviLd thrr rxn it tmw .rd-r.d.dor.llr.dnrd. ll.lF*.E. ilE t{i!in3 or lr+EEEd is eU *rtin@ Fr
<br />orcon+hrbq rt. OwE Bu td wflI h.€ ill hrit n otFov'.8 rL lEdaE drl d hiu d irp.oE lh. FrF, tr UE Frpdr o,
<br />L A ow, orrh. Fnpd!, m.r.luriv.ly coddh3 *nh li.nGl lsdtursrr 6n{M rlE Flid (sd ,o1-{. BlB
<br />!n Aoft\nnCqL TlE Codftror'i La.nE b* &B r{ .prly !, s o*B ornr.trny rt borldr or mpruv.r rhd{tr
<br />r.d uho .odruu lnr luch Ftrj(B wirh r C! tu.(o lr.Md nu(d io rrE Codrdnl! Lxie lrs)
<br />I m.r.n{r u L' Srr$
<br />llaaf,&El:tl)Mtllsarla!
<br />DE(LAEIIIII!
<br />I lRby.flumund.r lxMlyof Frur_vor.f rlr hlhri.8 &.ldirrN:
<br />-l
<br />hrw lrl vrll mdrb. Cdrrar. of Coed b S.lf'lM nr ro.li6'$trlEdioa x F.vid.d rd brsari'. ,ru orrlE
<br />rrr. Ode Id rlr !dfm. oI rh. rrrt d ehi.h itE F6ir a ilrEd
<br />_l hrE rn will Ed.i, urllc orylErbi lNr*., !r EqliEd b, S<ri,.3r0Oofrh. t bor Cod.. for rll F q'iw of
<br />r rdt fu *hj.h rhn p.rnir L irrd. My s*kdJ d,trlENdion rdurlN ME an polrr.lrrlr d.:
<br />Polky Numh.r_lirpi6
<br />-lenifyrhltinrlrFrlorrueofth.w.rlLrvhi.hrhup.rmti!r.u.,l,Inuumt.ipl',&ypas.D,lffib a b lE$r $hjd ro OE *'td'@nFdbn Lr.rcrlirdm( !d r8E ihr ir I EU b..oE$bj.u rortr
<br />$.1i6 €nrENrim p,!!tioa ot Serion l70O oI [E L$or (tn., I {dL rdh*nh rllply wnh lh.. Povsnd.
<br />WATNINC F.rluE !. i.@ wod.6 oqEonb. oEar. a u.Lwtul .!ld ,h.[ obj.{ u .,IPL,F b n'iol pdlis rn
<br />.Ml fiEr op ro oE horn,qi rh.ur.rd rrolL6 (llm.(fD). !. aldrbn tr rlE c.{ ol.onp.Brion, {Ldt.r ! F.vn.d f6r rll
<br />Sdri,n 1076 of rtE trbo. Cd., inr.E, .rxt d!fty i fei
<br />LI(DNIP.SINIIACII)i
<br />DE(I486II{E
<br />I tftby .lliE und.r p.uuv o, Frjury rhd I .m lieNd u,rr.r Fovam. nl ch+rcr 9 16.nmtu,nl wiih s..rnn 7(t)0) or l)ilirioi l
<br />of rh. AuiBe rni PoftsilB Cod.. frl my li..ns ! r tull fo@ .il .rfd
<br />coBsrnuclrc tEDrr&lctdct
<br />I lEEby ntin un&r FEr, of Finy rh, rrEr i! r lffituLlbn k inlu.ryforrlr pafollla! otitE worr tu qtuh rha p.rnir s
<br />i.red (sr 109?,Crv C l.
<br />APPLICAiYT DECTIf,TNON
<br />I hfth? ,rm unt r FDny or F.,ury oE or rlE followint d.(L..r6n!
<br />D.tulnion PmnsArhdd Ndilrarion F.{.61 R.gulrrionr (Tnl.,t0, Pd6)
<br />-R.quiBj
<br />L.lkr of tldituriri
<br />-l
<br />cdtr, $r rlE @.rl Egtl,ibN Eg.rdiD! all3kr EDvi m d {rlllbL ro rh; ,n'Fr
<br />_t cslif, rh.I I hav. ed rhi\ lrplt'rior .nl n.rc rh.r rlr lbor 'nIotui,n i! rffir. I .!rE ro @npl, yih lll Ci, ud clM,
<br />ddu*:6 .!n Srd. Us Et rr ro nriuq .('!ellioc .n h.cby.nlqib EFtt'ri6 o, rhi! Ci' y rn Co! yro dalponrlE
<br />rtor m iftd Fop.ny fitr idFdion,r{.F8.
<br />.^ppli.. or At6lslgdluE
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation t,
<br />Roof Sheathino I I) *-:Tda
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnl. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />,t .C
<br />FINAL ,1 J]KJE {t
<br />Cerliricate ot Occupancy
<br />Notes, Remarks, Etc.
<br />Rev OA-O7-20, 5
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