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BUILDING. INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS o\\\l'la llr I tI t t) r,\t \r ,\
<br />I lEEb, rllm u lcr p.nr, of FrIlry tld I d .r.n+ tom rh. Coldr6 lEtu lrv td Or lolblht E&n lsd 7011.5
<br />ttuiinar .in Prordbn C.d.)r An, Ciry or Ctumy *hth Eqoift3 r p.mi ro onsMt. 1116, irpr.E. &mli.h n EF, xy
<br />rrnEtuE, tM ro tu BrurN.. lts !q!t s ih. .ppli.r n{ ch ,.mir ro fih r siEd ,r.Ert rhlr lE q nE ir liotr!.1 nm.
<br />b lh. Fnvkioru.frlt Coit&ror'r l-i.n&d lf,w (Ch!p...9, Comm.eing *nh Sera,n 7{ttr of Diviiion I nl rh. Irtrlifts ind
<br />Pbf.sbm CBl.) d rhlr li d rlE it .r.ftpr thd.fi'on id rL t!di! for rh. !Lt.d .r.ntri,n Aiy vi'brDD ol Sdin ,01 L5 by .ry
<br />{'plionrfo.rFm.rubitkrlE.pplio.rro!civilp.Nhyormrm.rhdliEhurrlEddollGr(lJm).
<br />-1.
<br />a .IE orn FtrFnv. ( oy .rpk Fq yrh *.t r ! rh.{ $k @rFdb4 Hll .b rh. ylt ri r i^I@ i d
<br />ddrlal d or.rol fd d ( Sd.7t)+a. Bui'B dd PEk(i,6 Cql: Tl* C4drrr(.t len€ L* tl6 d Sl, b a ow oI
<br />rE FTar, *lb toil:h d !qn,B ttEa an *b dc:rn mlt hireltor lEr,rd,KUIh hir d lE om.rq rrr'.
<br />Ji.!d.d rh.i sEh iqmmdr a ri iri.id.d n.tud l( sl. ll,lh*E tlE tuild4 d irF]wd C sE wi}[ m la
<br />of .onpldid\ rll O*B BuiLla eill h.E rtl I[ kn oI p.ov!{ rhd lE or .t 'liI flr tru or rFlE dE FoFty f.x r F.FE ol
<br />_l- .* ows ol r& Fnpdy, m.rclutiEly @ di.3*iilic.trs!co E6bon{Ed ttE FoFt (Sc. ?fi{. AuiEs
<br />rn Plr&ii- Cod.. Ti. CodBroar Li.n* Lv de! d rpplt ro u ow8 ol l'i,Fny wh. borld3 o. mercE! rhaar
<br />.rd *t 6dd! ld rEh F,rdr *th . c.drt l, 1..^*d t'{|\ld 16 rh. codrdd . lnM bs).
<br />_l d.kqr u'i.r Sdr
<br />g!)8f,x8ri:.c!]MtErtallo!
<br />Dr,.cl AR.ATION
<br />I h.r.hy rttirm undd FmhyofFjuryonc olrh. aolt)*in3 d.cld{tunr:
<br />-l
<br />h.w ud will mi.r.i!. Cqi'fd.ofcoM to S.lr-lBm lq wli6 !rn+.dio., r FoviH ror hy Sdhn 17@ ordE
<br />lrlu C{n . fo. rlE Frm of rlr Et tor enih rtl Fftir i irud.
<br />_l h.r.d will 'luu *rrt 6 .lnI'.Mrbr i!stN.. .r E{uind by SdrDn llm o, rlr Lrloi Cod.. f itE Fi,ru! of:**Hru''H;;{ddrr Nlr.rc cftr 0l F lry Nr*.r 4
<br />t/7 6 a/
<br />_l enify rhd ir rlE FrroruE of rlE so* for whth rh! ,..dr n Etual. I lhnl mr .rploy ey Fsn i! &t lME
<br />r 1ro b.rnr (bF ro tlE w| dnp.dir Lrr olcrlifomn. rd rgd rhn ,l Ltnuld lE6ft $bj.t to rlE
<br />s dy $rp.rE rM pmvir.B ol sdi,n 17q) otrE Lb, ocL.I ldl, tqrhw-h.!rpl, sih fio, FlvitbN.
<br />WAINING F.iirE t. r@ *rt6 tunsqdEn ownr. a u.L*iil .td o.ll obFl s.rtpbF b irn!.] FdE &d
<br />.nrl fiB !0 ro oE hudnrl rho{rld doll.R (llut.urr, r .ddtrih ro rlE cd .a colp.utio. {,..q.r ! F.vn d td tll
<br />I h.Ehy rl lnm und.r IEMITy .f Fi!ry rhl I .m he.*d ,.Fr6o.l Ctupla 9 r mnEmn! s hSd$n roll'.1l)'rBrn I
<br />or rh. ,rustrs,rd ftllrs0 CixL. rd
<br />?Zqor 2/6 7
<br />CONIiIXI(lIONIDNDIIC-AJiIN(I
<br />I lf,Ehy JllununJ.r F,blrv.I|{.l1,r! rlu rhs s r urtrrDornr htlll3 r!.L'y ntr rlf, F fL,truR. ol rlE *orL l,tr *hrl' rhr Fmrir (
<br />n$& rsE lr;)7, civ c.r
<br />l.nd.r'tN.r
<br />APPLICANT DFCI-/IRAtiOIT
<br />I hdrltiy strm unl.r Fn.lry ol Fqury oft of $. lollovnl daLdionr:
<br />D.nslirnn Pcmik.Albcnor Nd ilf,.rbr F.d.Bl R.guldionr (T{1..10. Pan6)
<br />-R.quiqi
<br />Ln.rof Ndl'lrlu
<br />-l
<br />c.q: fir
<br />'E
<br />a..l..rlE.!L!i,B E3rdrl3 dt dd mDvd e d TdE bL
<br />'o ftn EUF
<br />-l.d'f,
<br />d I h,E Er! rhjr ry9l.rr irn.n! r,r. rhd rrE.ti.r. 'nIoruion 6.lJ6r I {c b lonply wihlll Ci, ml Coudy
<br />!in,nr k.! i,rl Srr. h*! n
<br />rhn. nriti'md pDp.ny tu
<br />hr @Bru!r-!G ,n tEEh, rrr-M EFdlti6 of rhr Cny :d Cornr, !o
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Shealhing
<br />Shear Wall
<br />Framino
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />lt4asonry
<br />Pool Fence
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />tl --_D
<br />FINAL /41'tolk)J-I\<+?1
<br />Certilicate of Occupancy
<br />Noles, Remarks, Etc.
<br />Rev.08-O7-2015
<br />DATE
<br />T-Bar
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