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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG,COMMENTS OWN&T BUILDI.:IT DTI,()IX TION
<br />I tftt', lrmr und.r F rhy of Friry rlEt t u .rcn$ nsn rh. C:odBloR tir@ Lo r rlE lollowin! E.on lsd.'7011.5
<br />Itlsincis .id Prol6$rr C.d.): a.y Cny or Coutrry whth Equiir i Fd r. c.nnMr, rlr.r. rmPmE &frrsh .t q'.r rny
<br />MruE. I'.in h n! i\rusr.. rL\o EquEr rlE $plicmr Io' Nrh Fmir t, fiL r rhrd r.t.m.r rhd h. or sh. ir li.tnsl pr${r
<br />rd rh. tx.virioB .f ih. Conrrrmk l,k.n&d Ir* (Ctq{.r I, Conw(in! with Ssli()n l(lll oI l)ivitbn I 6f rtE $ui*s r.d
<br />Itrf.sbE Cdl.) u rh.r h. n rlE E .r.md thnlmn ul rlE Lrs tur dE !u.8.d .tqr$n Any vnhio. ol sd.n 7Ol I t by uy
<br />lpplt nt fo. . IEmn ru6rcc rE .Fpl{.d to r qvil p.Nly ol d mr. rh:n li* lEdEd dolLr ll'Inl.
<br />_1, a oeR oI r (mFnv. or my .n+hF. Mh *.!6 a rlE -k ..rF.Mn^ sin 4! th. xrt rn ft rMe i m
<br />!{ddal or ofi.Bl lor .L (Sa 7ol,a. Burirr. . 1 ADldih cqb Ttu Coirddi U6* trr ile. d +Ply ro u owr of
<br />irE Pltrpcny *lr' tuillror ntmB rtsEtr !d wlD drE shm hiN.lf o. tEralf or rt@urh hir or tE os.n+lorB,
<br />p..tid.d th.r 3!ch rnFnwrd. Emr inr.nd.d .r ,)nd!d fq.& ll, haffi, rh. b{ildq r irFxmd ir s! *!rn oE r.r
<br />oi.lnpbiri\ Eo*EBuitn*nlhrE Etutn DIDrwhs lhr lEor dE dU Dt b{iu or itpmt rtE Fpdr,lor E Frpoeof
<br />L a otE orOE Frar y, o.r.lBirlv .!ndh3 rir! IE|BJ .odE c b on{M tlE FtFr (Sa. m4{. B!{Ee
<br />ul PtlE(n Cql. Tll Coffio Lirne L.* dea d rpply ro r o*E ot proFn, qho h{rll. irqroE. rtrEtr
<br />Md etF FdE. 16 rmh Fq.d: *in r o)nftd(n tc.kd poRd ro rtE co m(i Liw fr*).
<br />DECIASAIII]!
<br />I lErby rfftrn und.r F..lv or lEiry oE .f $. tullo*ir8 &.L.dtN
<br />-l
<br />hlE i,rr wrrl nrmiu r Cdifrxc orconsr i(, S.Ir'ILUE fin qrl6 lt'Iidnn, .! tbeldal tot by SdEr l7m of r
<br />tihr Cod., t tr !h. Frrml:m of ill rort ft, {hah rlE pdnit r B\ud
<br />_l h!v. arrl ,ill nuidri! h !B cotrT.Nri,n i,sule., '\ EquiEd b, sarDn l7m dI rh. lrbo. Cod., for ilE Ffmle of
<br />ttE wk ft* *hrh ih! p..mr B i{sl My *.nt6J oir.drn Eulur ffix rn lrliy mnlE. &:
<br />Poli.y Num6..:-E+iE :
<br />-l
<br />c.rfy rhlt r rh. p.rlbrnuft. oI rlr work fd which $ir Frmir x (s!.d, I $rll n.r .mFl,y &y pssn in roy lME
<br />s A ro b.sm xuhicr ro rh. mrl6's6p.B on LB of C.hf.mh, !d r3r rh.r il Ltnull b.coft sbirr ro th.
<br />wo{..5n{Envr!n,tuvn.tuofSdrirrr17mofilEtrtorCuL,Iilvll,fonhwirhNr{'lywirhihotFovt-ro.
<br />WA&NINO' F {. r' sk *.trt r' $qtuxn $8n8. s unLwrul .tld ih.ll {hFd e drlloF! to wt FulB d
<br />.nil fiEi up !. or h,ndrd rlb{s &llrB (Jl{It,urt), 'n.ddi.. ro ih. cd ot ion, dEt.r a Fovn d rd rtE
<br />sdtrr 1076 or rh. l,lrx (uL.dZ
<br />u!aNEltc!t!lB^!-l!8l1!tLIIAll!1!
<br />I h.rby rmrm und.r FElry of p.rjury rhr I 16 lhnsd ud.r pftvnon oI Ch.rr6 , (.omlffiin3 *irh S.ditn TIXXD .r Dllirhn l
<br />or E Bu'r,r r.l Pn,&ui.B C.,&, !n my U..r i i. tull n d rn rlftd
<br />b.ecEs tilM Nun$.r
<br />IOIiIBIICIIONITUDIIC.AGEdE
<br />I h.Eby rtfm !n&r FEty ot lErilry rh, rtft ir r @nrMDn hlB {.Ny for rlE Idnrla. of tlr Et r, *hth rh! Fhi i!
<br />mrd lsr lurT Ctr C)
<br />ATTLICAItr.DECIII3.IION
<br />I hd.riy lfrrr unLr Fnrlry ot p.rju.y oB of ilE rolown! d.!I,{rioB:
<br />Emlitn'. PEmin-Atb.rro' lldif..rni rrl.nl R4!Lrionr (Ttrk .10. Pd6J
<br />R@uiGl t ncor*rfirim
<br />o
<br />^
<br />ron.d I nrc t)(.nrplv r{n rll( iIy xtrJ (i)unry
<br />r[r?fnrrr'v.\ olrh^ c{y u*l c{,utrry n'.d( tr|rlr rlE
<br />Jl!^. B.r$Bn pfuFtry tr msp..1htr
<br />6 s.
<br />LVD
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Rool Shealhinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />[,4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Reporl
<br />Enqineer Final Reporl
<br />Flood Zone Certil.
<br />FINAL t/z>/zt bG(Lj )
<br />Certificate ot Occupancy I
<br />Notes, Remarks, Etc.
<br />tlev. 08-07-2015
<br />D.r.:-
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