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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER DUII-DP.A OELCAT TI(,I
<br />I Erctry.lir6 unrl$ F.dry of F.Fry rhri I m cr.ng nDn th. Co r.croN Lidc Uw for rlt folkr*h8 ,E$n (Se?011.5.
<br />BBiErs ]n Pmfd\i,n C.d.): Any City or Corr, tnth rquiE! . Flrll ro .iqr,Er. .16, nr9ms. &tuli.h q EFn ey
<br />nrtse D.rr lo it! i!rlm...ho ,.qriEr rlr .9pli{i for Mh Fmr to nE. tiS'Ed .&61 rh.r h. o .tE ir liqEd F ,d
<br />ro rlt Flviionr or rl. C6nlr*roi. Lhnlcd tle (Cr!.Ird 9. C.nwmlry wilh Sctbn 70m of Divirk n 3 ol tE luiiElt ud
<br />Pmt*.i,nr Cdt )or tlEl lEd Cr n.r.pl llEdlm Id llE b.ri for llE Jlr.<l.rd+rioo. tu, viohion ofscrtr ?0,r1.5 h, s,
<br />ao,iicifl n{ . Fmr $bjelr rtE .,'pli!.r ro r civil p. l, of mr mfr fi.n fiv. hoidan dol ll5o0)
<br />-1,
<br />N orEr of rlE FrFnr. n ny.q,lorrd wnh wos6.r r,Ei. sk 6nFdir.. eil d' dE qrt dn dE {rEre a er
<br />iftfrrar or olY.rld tir $L (56 ?o44, Burim$ and PmftssioN Cod.: TIE Co d.lot Liccns bw do{ ml amly lo u o*rcr of
<br />rlE FDrEry *ho hrilk 6r i,Src dE@ rid ltn d6 si *,t hnBll d lEElf q llmud tir c hd own.r4t Fi
<br />prcvd.d lhll slr id{rcw' Emt nd'd roElEd ltr s!. la lb*E, dE hrirtin8 tr inlrtm'r n rld *ahinm )qr
<br />oforl,hrioe rl* Oer. BultLr will ,Ew r,E boi,.. otF.vinB rld ll or nE dn tr,l t[i! or irFDw dE F{Er, for tL Fl4bs or
<br />-1.
<br />B ouE of dE FoDaly, n.iclusi*ly co ncrhs wnh [c&d.dtur6
<br />'o
<br />6drEi llE,mid (S.r.,Ora. BuriEs
<br />.,n A*si, Cod.r Th. Contrroit Lt!n* L.s &H mr .p?lr ro - 0*6 or FrFfly wrE brild. or ihpDE rlE@G
<br />rnd who c.nMr tor .h F.Ft wirh s Contrro(, lirtrEd putsrnr ro tlr C.dr&rdt tx.nE l,w).
<br />I !m.rnfl undc, S6t
<br />ll)8f,Elti-llllllErAllll!
<br />DECIJSdIIO!
<br />I hdlt'y rillm ui&r FMlry or Frry om or rE nnbwiB docLdrBi
<br />_l hrE ln *ill midri. r Clnlid. of CoEnr ro S.ll.lNE lr s*d'@r{.nration. a thviL<l ftt by Sdlbo l?m o, dE
<br />Lrtin Cod.. ld rl! Fft,,rrrft ot rlr 6t ld *hi.'h ih. Fntrn . irixd.
<br />f-lhrErd*itlui rii h*.6 6mp.8{b. iBu,u..6
<br />'utui,rd
<br />bys€lion l?oo oflh. tlb(r Cort, rd tlE Ffdl:m ol
<br />ir *qt r( shih rhir F,nir Lr scd. My rdt6 6qEndio.c-ir ud Flr, NntEr
<br />\cn-\l tvr 3 ,{ o,...-
<br />l)C 3 Ob-2ozl
<br />.a(l c.niry rh.r i. rh. F.fo,,l$.6rdE hrl ror rhth rhB Frmir is ir.u<n,I rMll Fl.irthy.n, Fen i. ry md
<br />$ .! b b..om shFl lo llE wl6r odrEnsilbn Lss of C.liforti., lrl +r rh.l il I rthuld heor rubFl lo lll
<br />k t6 .5nFB{i,n Fonrirr or Sdrbn l7m or'h. t lrr Cod.. I irll, fonh*ilh oq,ly,in rlE Fbviri@
<br />WAf,MNG F ilurc ro suE w0rt6 oqEnslhn o6s! n unb*tu|. !n rhrll shFl m dlploF lo ainiMl Fmrli !'n
<br />.Ml lier W b oE hundtEd lhous,n dolbs (t lm,m),, i, ldd ion ro llt cd ol6qE,rrio( drm8* a Fovih for llE
<br />-,,,?y'k"_
<br />I hdb, .fm ud.r Frlly of F iry di I m lilEd u'& FDrii{ .rch.9c a {.i,!l!rffil3 win sdin ,0@r of Divnbn ]
<br />oa rh. Buramud Prof.sioo! Co&. .d my la.E is in tull roN trn.fi81.
<br />cc C'-? o qt a
<br />,,,, '7 /17a.4 .-,*,*n.t +1aur \z"-u.- **1
<br />CI}II.TIBUCIION.LEDId$.AAEISI
<br />I lrE$y lmrd uodcr rEtulry ot Frjxry rhd rhm i. r .o.rrucaon L.din8 a8crcy tu th. Fcrforn4. or rh. wotk for *tlkh rhk p.mir i1
<br />kqEd (5a 1097. ( i!. C )
<br />dSII}IIIDECIJSAIIO
<br />I holny rd'm u,*. Fn.hy ol Frury o* of llE folbwin8 &cLr.laoit:
<br />D.mhbo P.rmtr^rhdrd t{.rifEdb. F.d6rl R.gllrin! lTnl. ,o. Pri6)
<br />lRcquhd L.(d otNdirdion
<br />\fcd fy rhd ilE ed EgtrLriffi Ellding rl.l.id ltmvd m Dr qplirbb ro rht FoF
<br />:Ctd'ry 0d I hw E d rhi qrlrdbnrn..r. {u dr.lnw i ltomrli,n i!dnd.I {E lo 6nPl, *in d Cly r.d Co@ly
<br />odrNr .nd Stit. L.w! chtlB ro hr dinS.Nnrlbtr .,n lE lry.dlDtit EpEdr.liEr of lht Cily.,n Counly lo dd
<br />'4on
<br />t i
<br />$ov. lMtioEd protEl y fa bsdli'n pnpy/
<br />n*r*r* ^r-rrr*-r"*, T -? /t41
<br />Pd ,cm(Fi.,,, -Lb t-, {cr<a
<br />-, ?/r /z o
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/EnerOy
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />I
<br />FINAL l?hs/ttt ryAM 4r/
<br />Certif icate oI Occuparicy t-r'/(/
<br />Notes, Bemarks, Etc
<br />Rev.08-07-2015
<br />Brown Coal
<br />Flood Zone Certif .
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