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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEf, BTIII-DEI DEI-CARATIoN
<br />t hcthy trrtrm undcr Ptnllry ilf lr.Jtry rhd I m .r.n[r frnm thc Ad,.lm. l-acn{ b* for llE i,llrf,m8 ,c.s' r*<- 7011 5
<br />0uimr1 dn Pk{.1inn Cin.) Any ciry ot &rdy trhrh totui.cs , FtnI n! co.{r-r- alrr. ir{r,vc. &mrlhh or (IEir trhv
<br />{Mturc. Itior tr' irs n!u!rc.. rl$ rcqunr{itu aPllronr rot \uchFrn h lih. n3md (ar.mnt rh.r rEor rlE i lic.narl |l!ru.nt
<br />lo lh. Fnvi\ionr of rlr (t rt(ttri LietrEd lis rchrlrd rr, OlmtrminF $iih S.tri,n 7(l{r of OiYili{ I ol rh' Bu{"sr rnd
<br />Ii.*nn\CNl.)orrh{lEorlh.i(.r. t)r rlFEriln lkl rh. h{sic lor rlr alk F.d ctnllll ion Anyvi,hrit,nolSccrirnTrrll 5 hy (ny
<br />lnpliconr for a pcmir sdtjcckrhc aDnli(rtrr !, rcivilPcndhy.In mr. rha. nv. hu.irn doll rrl5(i,
<br />!. r( o$xrnltlf, pmPcny. or hy.,Dk,ycc\ wilh wusc\ r\ lhctr q,lf $ntFn\ark,r. wlld' rhe *,rt o,rl rhc drlN x n,
<br />.d.J ornrT.Rrlf sL r S( 70ll. Bu'i*lr .nd ProLrbnr C.ik Trr C.nhalor'! l,icnc lrf, &Er mr {'pl! ro tu orkr of
<br />rlEFlFny trtn hoild( !. mIr(!6 rh.mr dl stu,.kxi qh qutk hindior hcr\clf.r rhmtr8h hn or lrt o*ntnltll(Jrct\.
<br />Fn,virtcd rh{r (!.h i.iq'nrrrd! m mr i dkrl d ofi.hl ft, eb lt tus-. rh. h.iHlB d irytottmd i\ $H *ihin or ltd
<br />of conI'Ltrn,lE O*8. Bu'll(r willh.*rLt nLn rf rr,rin8 rhd hc or \h dil Rn t{ild or in{mvc rhc I'Nndy nr rh. f,u{ht.r
<br />-l.5so*mrdfrh.
<br />Fn,ttrrly. trnrcrclu\ivcly(ontrrint s hl'..n{d..nrr.trr'.lnnrtucrrhcInrF..'r(sc.7or-r.au{41\
<br />ad ltats\ix (ixk Ihc(.nrrmrtr's t.f,cnr Lur dtrr mrl,)Plth itroekr of|jloFrryrho huildsor inrPtnv$ rhcrdrn
<br />a.d slr'.onr,x.r\r,tr\u.htmj.(Fpfhu(i,nhar()i\rlicnrlruNRnrr,lh.(tnrr.k,'it.N.\c1..*)
<br />-l
<br />!ncicmpr u ., S(rirn
<br />D.r.
<br />ltarf,lxr.(:aufElisarll,lli
<br />I2Ii(ll3A-uQ!
<br />I h$rhyrllntrrn .r p..rlrynf |xr,[yuncul rh.n,]LirnrS Jdrllrxr(ns
<br />I h.v. {xlwill uinroin r Ccnir(st .f con{nr o sclf.l n{rc ttr $o ri.. {En\drirn..i FJriid for hy Scl ion 17(r) ot rh.
<br />llhtr Cdr. n,th. F rmB.olrlE*n* fi, rhrh rh. Frnxr it ir\Bl
<br />-l
<br />nar. rnd sill n inh'n lor k..' mn{En!!ri'n rn\u m.. !r r.qotrn, hy Ssri{'n .r7(l(l or rh. I rhr ( odc. t r rlr lxrlonmm. of
<br />rlE nnk t& shi.h rhtFmil i! is\d My*orkcri conq*n\di(r in\urrn.cclrir ul Fltynun$n at
<br />I rn,l, thrr r rh. rr.f.rNr. ofthc {orl( tu, trh*h rhi pcnnir i\ n\r.J.I \h{llnot.nFk,y rtry ItN in!!vmtrnRr
<br />q' !{l,'tt\n,r hidrirh."h cF.nmprtr\artrr ln*s.l ( alintrnin. ditertar ir I shruld h..otrr suh,.d trrlt
<br />ro cr drvEnrirx rrnr trr,n\ or s( na l?(x) f rlE lihn cak,I {{ll l('nnsnn.oflrly trirh rlt't l'rrrtiintr
<br />WARNIN(i liilutu k! wur trortcr s'trllxnui()n covrhS. i\ trnhwiul. nftl \hrll ruhr.r m cn,nlorl n, fnnitul tEMii.\ rnJ
<br />cilrl nn.\ rt k, oft hundkl rhouiafrldollnr lll(ll),rrxr, rn r d{i.n tlrh..on "r or{xnerion. i,nu$! !t nn*il.d n, rhc
<br />Sdlrn 11176 ofrh.Iihtr (_(rh. n cE( anl rnr! \ lr.\
<br />C\/.1s/tE (
<br />I I'r^.h\ illnn'u ,!.r r rllrvor trrNr!rhdr I !ir l'..n\''l trnI.I In!ol(i!fl( 9lonnrRriS *nh S.di,n TltX)rtf lnrNr,n.t
<br />ol rlf, llrfu\, 1 l"rlr$k,n\(inl. nI rr\ lrcny- rL (! ni I ntr.. r .11.(r
<br />4l+/b (..'.".,,,.{
<br />I h.r$y rlll.mufticr Fulrrof Flilry rh.t rlEE i\ a d'n{nd6n k rtcfr't ntrrh( Iirktr hr.. Ilh($o'kturwhf,hrhs|irmir N
<br />!\ucrl rScc l()l]7. ( ir (- )
<br />APILTIaNADIILAaAfTTB
<br />I hodt trltim und.r Fdlry ol FUUry om nl rh. fult,r
<br />'n8
<br />d.(l[.l ir.\
<br />l).m,l ion ltriik A\h.rn'r t*rifE.li'n k rrlR.lnhrrn! (tirlciu).lrr6r
<br />-R.rtdird
<br />lJrr.. nr Uxlrslrn
<br />l.drlyrl rh€ tcdcrll nsulari{,n\ E3ddrry.{t{o\ cmnrlarc ftn 4'dtahb ro rhn Pn,}tr
<br />--l..nifyrhrrlhrv.rcetlrhil.ppli.!trnffi!{trrcrhrrrh!h'\c
<br />rlo,nd$nn.orNr LFret'a,nl{tlyrilhtllCnr. laorniv
<br />onlimrr! arl Srrrc b$. Elnrint ro h{ ildin* (rtrrfl.rtr\ un h.t chv uurhtri7. rFre{ arrvcsollhk( i(yNnd Chunryro6 ( uPnrlx
<br />.t .M
<br />.,trnr rr nr , ,r I tr, r{"! r, trtrt{\ri
<br />nrn,r*, * ao-r r'**,,* {
<br />""-,U*,**",rnr,, ltal-4 u;-vu*.?(&,uv
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />S u bf loor/Ve nV lnsu lation
<br />Rool Sheathino
<br />Framino
<br />lnsu lat ion/En erg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL ?t-t,J ).Sst , ew)
<br />Certiticate ot Occupancy
<br />Notes, Remarks, Etc
<br />Shear Wall
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