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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNEn ELILITEI DElIrtl llON
<br />I lmby rrrm ui&. Futy of Fpr, rl!1 I m clcrv tbm rlr CodrxrG Li.re f.r for llE lolheh! ren (Sa.7O3l 5
<br />Buri*$ .rd PDfdrion C.dc): A.y Ciiy 6r Cduly vhi.h r.qum! ! IEmil k $nrsr, d6. inprorc, d.rcllh d iFir uy
<br />rtdr Fr b nr nsE.. tko EquiB rll .plt.tr lq sh Fdil lo fih . tilrd ed.@r lLl lE or rL i! lknr.{ F,$!r
<br />ro rh. FortioN or E Conrr.rol! Laq.d trw (Ct prq 9, Conmrinr *ah S€rion 10@ of Diviri'n t of tlE BuliEs xd
<br />Pmf.sion! Codc) tr rlEr lE d nE n .r.trr't rh4fron.tn Ir briir for rlE dL8.d cr$Bion. Ary virhion ofserior 70ll.5 byu,
<br />.mln tu r Fht {birr! rlE .rr,ltrd ro. civil Fdlryol ai br rh{ nv. lNidr.d dolEs (!!(n,.
<br />-1.
<br />.r owBr of tlE thFny. d ny .npldFr *nh w!86 s LIE! sL otrIEBdion. siu <b tlt wt !d tr snaE i. ml
<br />i'rod.d E orcrd fq rl. 156 7044 AuriEs.!ld PrDrBbB C..L: Th Cidrnrt tiEE L* &.! El.t"lr lo d olB of
<br />rrE roFny *lE toiltr d irymEs tt.Er.rn wlE.Is Bn F t'lNlt or lEElrc lheulh hi! d td o$.tpkrFd.
<br />!.ovid.d rh.l ruch inFow'uedtr.iiolnoddrdf sl l( ht.w. rlE hlildin3 n itrprokcd ir $u wrlin m Je6l(,rpkiE dE or,E AuiEc wil lrE llt hndr ofFwurs rh. Ir G aE dn 'b. tlild d.Vrs r Fr?drt 6r dE FlFr.l
<br />_1. N o*E of di FrFrt, u.rcblirl, d,r.rrh8 *irh liq:d cdtu16 b $drBl lt tFi( is.t 7(r{t, BGiN
<br />.,n h!6sm Codci Ttc Conrrlo, r Lien* ll* d6 tur rprl, ro r ovk of F,Fny qho buildr q inpmws lhE@n,
<br />lnd wh. onlnds lu such Foj.rlr eitt r C.nretnt li.cnsd puBuMr k ih. C.tu{lo tjcctrs ti*).
<br />-l
<br />d.eBF u&. SeriltL
<br />EIIB[&f,S:g&lfElArIO!
<br />DECIJIAIIII!
<br />I ltFbyrmmund.r F nyorFrjuryom oroE (olh*ins &.lIdbns:
<br />- l hsw lrxi *ill didlh ! C.nifrci. or Co.snr ro S.lt l.surc ftr worrda ontEnsnhn. ur Foviijcd for hr S*lioi l?00 of rli
<br />L.[or Cod.. rry di Ff(xlju! of 0r "mt for *hhh rtE F,nn ir i$u.d.
<br />_l hw and will mmrrid wolt.B omF6lrtun iBmm.. s Gtui(d h, Sdi.n 1rc0 ol rrE lrbo. C.d.. tu i,E p.n(,1rc ol
<br />rh. mrr for wnth lhn IEmi n i!$.d My wdtsl .o,qrN.lion iBum. @i.r {'d polay numb.r e:
<br />Policy Nun6q.-ErpiE :
<br />_l..nifr rhsr in ih. Frroro1sre olrtE work li, whth rhk Frnnr is i$ucd, I slBll ml cq,loylny F $n in sy nffr
<br />{ $ b b.ffi s$f< lo rlr wrt6 omFB.li'n hwt of Clliromi. !d {e rhr ir I .rbuu lB,m $bF o rrE
<br />mlts'otrFdrrionpovnhdorS.r-tirlnDorirElih.Cdk,ICdl.rodhrnho,{,ly*nnllrdFovtions
<br />WAX.NING F.ilur ro :cuE wkc co,pcnslion $vfl8. n unbuful, .nd shlll ilbiir d mplorEr lo sitiMl JrBlli6 !
<br />.ivil fEs d,' ro oE hundr.d rhout,n & Lrr ttlm-o(D). h ddai,. ro dE.d oroqxurio^ d.mt4 6 FoviLd for llr
<br />S..rion .1076 ot rlr l,rlor Cd.. i.rd{ rd drlmy
<br />D*&<\qJi"=^.afll2l/2o?c
<br />DECllEAlro!
<br />l ffiy rrfm ufltd FMxy or Firy rh.l I o liErn u.& Fllnbi of ch.Jr. 9 roljcrin8 virh sdbn ?(m) ol Divaid l
<br />.r ilt Buii6s rn Pr$ftsidnr Co&. !n my h.B ir in tull for hd cfial.
<br />1? rxxs
<br />^ olt2).fJo2;t .-,-"*{% 6oiorsj1i.,, $ rul
<br />gllllau{Jrol(rllDlNoAcr8cr
<br />I lEmby rrm ur&r FMny o, Fiury lhr tn.E it r on{ndbn ldrlh! .8.ty rn r FddllrE ol llE wi( for *fith lhi Fni b
<br />iisu.d iS( 1097. C!! C.)
<br />AIl'.lCAtrI.DSCldBAIlrl!
<br />I lr:dry ltrm uffLr pc.rliy 6r rdjury od ol rrE rolr,ei.8 d(lalhns:
<br />Dcmliri,n P.rnt.-Arhdior NdifEdi,n F.d.rl R.guld bns afir! .O. P.n6,
<br />_R.rtuirn Ldl{ olNdifrdb.
<br />-l
<br />diry rhd rlE rdjml rcruli'.d.(6llfiule r,.t la.bL b thn FoFr
<br />_l .cdify rhrr I tur.E.drhn dn 3r!rc rhll rlr.rnv. i'raordiln k orftr I.!B h o,rily wirh !I Cny..d Couly
<br />I nld6 .rn sEr.l,w! ELrins ro .tudbtr .,rl ,rEt', .ul,riE EFlsd.riB of rhi! Cn, .!n Cdlrr, ro dro l9on tlE
<br />rtir. trrtrrkrnal|n,tr \ ntr
<br />Applic l.r AAdlStmloF b\Ihle
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL /oblhtlo 'dJ^4UCertilicate of Occupancy
<br />Notes, Remarks, Etc
<br />Rev 08.07-2015
<br />Set Backs
<br />Erection Pads
<br />Flood Zone Cerlif.
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