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BUILDING- INSPECTOR HECORD
<br />SITE-WORK DATE tD/stG.COMMENTS OWNET BUILDER DELC XATION
<br />I My .lirm ufld.r Fn Iy ol Fiiry thlr I E crctrti fron rlt Co.r.-r6 tia. Lrx ror rlE loll,u-!8 lffn (Sd Toll I
<br />Busircs .rd Pn,ftssior Cod.): Any Cny or Coul, whth rcluiEs r Fmir io .merr, drd, !rp(,E. ttm,nh m EFr My
<br />strrm. pdr m irs nsuffic. !r. Equircs th. appliclnr lor luch Fmit ro nh o risen dcmr rh{ lr or .lE i! lisNd FUNumr
<br />ro rh. Fvi\*,ns of rlE Conrrscrolr Li.lnkd trv (ChE .r 9. Commi.r eirh S6ri6n 70m of Divirio. I ofrh. au.iE( ed
<br />kof$rnn\ Cor,.) o! llEl lE or rlE i! .r.q rhG.fim !n rt. hrsir rdr ttE aL8.d .rmqrbn. Ary vabli,n .r Satbn ?01I :! by Dy
<br />.!plk.d tu. Fmr $bFri rt .p?la6r b ..ivil F hyof mt nftrhd lir. hu'iEd doll^ (atfl)r
<br />_1. .! o*F orrtE treFny, d hy.nploFs wirh *!Bd . rh.ir blc oR{r..drn, ril do rlE *r,l rn tlt otElE ii rDr
<br />idorjcl orolTcEn tuek(Sa.7(xt. Bu\irss rnd Pin6rio6 Cd. Ttr G)dndor'.Irm* t *dBmlqDlylouo*For
<br />lh. poltny wh, tlilds or ryn,s rtrEL ud *lI. d{6 \eh wL hiB.lr or h.rclf .t rhmuSh hn n h.r outr .nlllb}!6,
<br />povid.rl lhul su(h imrmvwnlt e tur inrcricd oronan! fur olc Ii tnft6, rrE t!iBi,8 or rpm!.m nshuilhhoftyor
<br />ofconFldi,^ rlE OrE Build.. willlIE UE h!d.n oflrF ifls rt&r h. or,E dil rI hriB o, a9iow Ur Frtdy for dr FtrFl{ of
<br />-L
<br />a o*E .l rh. FlFrr. m .r!.rwly .offiri ri! ltcnld co rrrG ro odtu ft prbF (s... 7044. &iiEs
<br />.rn tffiri.C-.d.: TIE Coddoar Lia.r hrdar n {,rlyro u016 oflro|tny Bho huildr n irprcwsrlErdn.
<br />rnd wl$ onfus ftr sh rmF! {nh . C. rdonr) lirnsd puErrr ro rLc-nrbr's t&@ U*)
<br />I !'ncxcnq{ undcr SNtio
<br />IIr8EEEI.S&TANAUTA
<br />DECIIX{IIIJN
<br />I lrEhy rrfm u'i.r Fflh, of F',r, orc of tlE lolhsin8 iLrLr.lioE:
<br />-l
<br />hlF !n qill mint.in r C.n ifr.r. olcotrEnr ro Sclf lnr@ fd wo,I6a a,rtEn{io.. ar Fovil.i r.. by S*tbn l7m oa rlE
<br />I L4r,ltuc
<br />ro tE F.rfmmm. n(rrE *o ro,shkhrh.F,m rntu.d
<br />\ !4 h,E ,,.1 *'U mdrin hrL6 6np.MrD. 'NurrEc.8 Equind by Serbn ITOO or E Utd C.d.. t6r tlE Ff(rrrre of
<br />E kd rd Bhih thn Fmt ir &{,.d. My wdr6 orFNtion hslllre cair rn Folty nrr! e
<br />,a';O t-nc s ..r',,,, tqPlt,-l 2 0Z I-r,T
<br />mr.of rh. pork for *hrh rhB Frmn is Nkd.l shrll n'l crrhyitryFrv,n i.dytunF
<br />s 5s ro ttrrlm ohFd to rlr wrt6 @dFN.ri,n L*r ot C.li odla lld {E rhd itl Jsrld bdor r$itt b tlE
<br />mit6 oqEer.n poailaoB or s6crid Jl@ ot rrE llt'r C.n . I irlL f.iih*nh onpl, rith rltt FDnrhiw INll(i F.ilurc to sE wrt6' mqEnsion ovasc ir oLptul. rd rtrll .ubF m dl{!$Fr lo ainind Frrit !d
<br />cMl 68. urr ro oE hurxlEd rlDuun &ib,s (lloo.(rfi,, i. lddnh. h llE d ol snFn{io( d.ma.s a Frii.n for llE
<br />scciinr 10160l rlr uhn (ixl. tr .Nn rrl rtrortuv rni\
<br />+&?Ll*'
<br />DDCIjXAIIO!
<br />I ffi! .rm un&r p.Ety ol F Irry rhi I m li6i.rl ur& Flvtid of Ch.Cs
<br />of rh. auiErs rd PEf.sioB Cod.. .d my la.N i! r tull for .rn .fial
<br />nt wnh Sd irn 7Un) ot DrBr,. l
<br />L-
<br />lZ++n+*W.ate
<br />tolsrBrcrcrl]i}Dl}1i-ilir|
<br />I fiRb, rrrm ltn r Frlry of Ftry lhr dEr ir t oirBfi, tndiu .8.8, 16 tlE Fftrf,r. of llE Et for lnth lhi! Frr ir
<br />irad (Sc. 10e7. Civ. C.).
<br />ity ih, rrE tuc.n EllhrhN rgrdins aiiikn rcmvrl G d .p?lte6L h dir prcl(1tL4
<br />y lhd I i.n ,..d rhn q'plier-r. .!tr r!t. rhrl dbk trroldb. n dlmr I .!r ro oirtl,
<br />.,rd Counry ro 6rc uFn t rdtn si.rc L!w\EhruEro hI d hEby rurtriM r.tn.6uiEs of lhr Cily
<br />rb\c r rnic(r |n'trn, r(tr NtRr
<br />Appllonl or Agdl Siqnrlor t/oao
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFEB Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Bool Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />I
<br />FINAL /zz/ooa ' ,d42 )
<br />Certif icate of Occupancy / /
<br />Notes, Remarks, Etc
<br />Flov. 0B 07 2015
<br />Flood Zone Certil.
<br />'i
<br />ltlz
<br />IELI!/IdI.DECI.ASIIIII!
<br />I M, rfm u.d':r Fmx, ot Ftry oE of rlE roltr*iu &rLrdnni
<br />D.mlnion ftrmnlAsb.ios Ndi6..lion Fcdml Rclulriont ('rilt.O. P.n6)
<br />_Rcquircd lrrlcr of Norifrrtion
<br />fr.(
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