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. BUILT,ING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS ()\\Nt R tll .lrER t)ut ( \R\tl()\
<br />I h6cby !,lirn und6 Fmlly of p.Dlry llEl I en .r.nrFt ii.n lh. (1intr$toE l,ic.* lnq for lh. folloqlll3 r@$n (S( 7(r1l 5
<br />Bdih* and PrdIB.n Cod.l Any Cn! or Couny trhth r.qltB r Fnir to .odrud. tlrd, 'npro\( &mn6h or iqtrn {rt
<br />,rudu., Fio. h i. iwq .b. r.q{n6 rh..rplkd for ru.h Fnn h 6k r rEEl riffi' rht lE or slE it lkcE d n{tu{l-
<br />ro fi. Eovnhd ofrlE Conrrxroa3 l-i.6!d l.E {Cn.nr( I, Conmac'ns trnh Ssron 70m or l)irilFn.r .lrh. Bd'nd! rlru
<br />PNldbns Cod.) or rh h.or.h. is.rmq rhdijioo ed rh. b8sii ny rh. all.!.d.r@prn1n Anyvnndionolsdnrn7011.5bt.ny
<br />q))lr!. forrFmri$br(r!rh.lprhcotr,!.tr'lp6!lr!.fnarmor.'honrchunJrcddol16(151,0)
<br />/lr.) ""*"r,*p.p."1. .m)mphlG$ h q+6srh.r $L omFMion. $ ldorlEsnl'n ErnIlwsmr
<br />ldHLl or"tra.d for sl.lSR 7rsa. B6'nsdnd frofdFB Cod.:lnc ('onrr*roiJ l-,cG lA &6not afirlrro.no$d.f
<br />rh. F.rEty uh. trild! or ihFoG lrEon. !d rls dc,$h qo* hirocltor h@lfor rhnush hi. or hs oM d.phy.6.
<br />prorktd th.r ru.h impio\qdr e mr idqll.l or ollqal tu sL ll th{6d, rh. tlildnE.r in{rnrffi is sld tr ithin on. }r
<br />of (ort,lli,tr tlE (xffi &rild6 sill lErt dE h,rk!' of F\1ns ftr lE.i ir dit d tri! d ntN. trE FF fttr rrE BfFEor
<br />L s owF olrh. F.psry, M dclEircly co.nhcrin8 wirh li(.Md.od.ic1o6 ro oorrud llE Fq.ci (s( 7ol,l, IldD6
<br />!,n Phisid( o& Th. Conrd6r! Lic@ l-,* (116 nor rprl) r. d dund . f F.Fd!" s h. b! il& .r inpro! 6 rh6on.
<br />.nd uho odtu! for ssh FtrF! *nh ! ( odreo(rl lt.rE d poBd ro rh. ( odrdois I rfu lrtr I
<br />lrn$emt md6Sari,m
<br />',.,. Oh/,:/ta
<br />I hd.hyamnn und.r ri.n.ltyolp€$r)
<br />llr ( r. rR r rr)\
<br />h. tollosinr dR..hrarions
<br />I h.R nl will mi.rh. C6ifE c ot( oGd ro Sclf'l@ ad *dt6' omFdhn. c F.riLd for by Sdion 1700 of !h.
<br />t hf, codq ac thc FLrllmc of rlE s. r {fiah
<br />'h. Fnd i! isrEd
<br />Il vc xnd *'llrnA'nlain rorlqi (rhlrnsarun msurrn(.. as requr.d lt S(r$n r?rDorrh.l ahtr (irt.,lor rlktEhtnrk.ol
<br />rh.\orlforrhrhIhisFniK'su.dNl)\o,lsiconrporshonrNu,Mcccffiire In'cy nuntE r.
<br />PolicyNunbrr [rpir.s
<br />//6^,rt rn^,",* g"*a.( orrh. *o,t ttr *h.h rhir Fnir u Bru.d, I shltt fr{ 6n9hr Mt Fr$. in m, mmE
<br />/ $a( h h(o'm lubd ro rh. u ort6 mmp<Mhn l.\! of (-rlifomi.. . +c lh, iI I 3,ruld lx(orE lubj.rl x!llEI *orla'tomncutrnprorsrN,ISd'anrro0^lrhcl,h)r('odeIJull,ranhlnhcmrbtrtrhrh.qp$tsms
<br />WARNING: Flilur. to sd! trtrtd ompoldi.n covnis. G u.htrtul, &d sh^ll rutr..r dpLys lo simiul rEEhi! md
<br />.^rr lin6 up to on. hun&.d rhousnd 6116 (t100,000), i. rddnrn r. !h..os of comFNrion. d.,rs6 E Fo$dcd fo, lh.
<br />S&r K!. 107(, .l rh. l:tnr CoL. 'nr.d .rl
<br />,.,., O t
<br />I h66y.rm 0 kr FMlt\ or Fjurr 'h, I rn DESAf,AIIOX
<br />od.r FDilhn ol (lEfld 9 (comffiir* tr n h S..r i.i 7t 0Ol .l Dir Bhn r
<br />of rh. Bcin* dnd Pr.ld6N (td., dv] my l(.M n in fnll fn r &d .lldr
<br />CAIjIIBU(IIONI.ETDIdIi.ACE!(I
<br />I HD !,Im !nd.r FEly or p.4ur,\ rhd lhc. ir ! @itdrucr.. l.idi.s.snr for rh. Ffol:w. of rh. *ort tur rhf,r lh. Fm. .
<br />isu.d(se l(.r)7.('it c )
<br />AIEI(iANLDICj.A8 Il9N
<br />I *r.J nllm un.l6 Fnrl'r of ,Ejory on. of rlE aollo$ i.8 .h(hrdi.N.
<br />DaR irEn P@arlAtb6ror Ndrfi.db. t.d..rl R.guld ioN {T{1. 40, Pd6)
<br />R.qurcd 1..1r6 olNorifi .dkrr
<br />I .dii rhd r h. faldrl r.suld ir6 rc3ddh8 Bb6lo!
<br />'
<br />mn rl -. ml q,r'liobL to lhB F.jcl
<br />fb cd,6 'hd I h.'. Gd rhB 'mlEaron {rj rir. rhd rh. itr!. inrotub. ! cotrc1 I is'a r. ompl) snh all ( irv.nd counir
<br />o]lrm.n.6 dd srrr.l!{r rcldins ro b 'ld,n! .on{tudion. dkl ha.6y aolhora rcpr6ql.l1r6 oflh's Cily ud Counrylo ord oF nlh.
<br />at$. 'ndlion.d pmr.ny ror
<br />^pplionl
<br />or ,\8ol sknllur.
<br />--L. sFe Le,
<br />o,.lsf rl
<br />Set Backs , r lL
<br />Forms/Steel/Holdowns (u l-.1 r'7 I'i/t'/
<br />Erection Pads b\''r I
<br />I /nn
<br />UFER Ground v/
<br />SLAB Floor
<br />Subf Ioor/VenUl nsulation 1 L.t\11 uji(6\,t,.o ,ttt bl,a.71 brl o, ok I
<br />Roof Sheathing \.YL)i 1v v< xrxt, hcJll,*rA-
<br />Shear Wall Y.Vr*/.'clr\fi/u4,
<br />Framing
<br />lnsulation/Energy
<br />Drywa ll
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL k"lll1[\\
<br />Certificate of Occupancy uv
<br />No te.g, Remarks, Etc.
<br />-tlt.t 'tt 4t8tO u- I l"k
<br />I
<br />Flood Zone Certif .
<br />oP*'l a
<br />Kle+
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