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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COlvlMEl.ifS olNB Et lLDEr DAII: r rrON
<br />I l*r.ty !,Irn !.dd p.ndry ol p.rury th.r I m c&rml fr@ tlE Cdrndm ti(M l4 fot ltt follo*ng ,q.n (Sd.7oll.t
<br />Arn.c$ drd PFf.!rn. C..tc): Any C , or Coury rhah,quiEr r FnI| h onqut.!6, trphE. &r it r EFi ny
<br />nfftuE, Fn ro n: i!!!dc, rl$ cquiE. rlE +plkd lor rEh Frmi lo nL r r{rEd (rffit tltr tr oi {E ir li.n!.d F,.4r
<br />ro rlr rreli3i,m of tlE C@n ddr Lt.ncn Lrw lorprd 9. ColtwEitrS *th Scrion 70@ of Divilbr I ol dr ir.iEs td
<br />P&f..rb$ Gn ) or rllr lE m slE n .r.npr rlElfrch r'!d rt b.tir fo, rlE .1L8.{ .rdl{id Ary vi.Llbn of Srlior 701 I 5 t , ty
<br />{ttlttd t6r r Fnir bFh rrr rtolkml lo . .ilil FNhy ol nol mE thrn fiyc hun&.d douet (l!00)
<br />Q$. .. o*' nr,* gop.ny. - hy .trFloF! *ih qr6 .. rhct $lc onFBrrbn. will & tlE *o'r aln 0! mrdE k mr
<br />tudel d ofr...d fm rl. (Sa.roaa. Butim..<t PinfdloE Cr'd.. Th. co n<ld t li6c L!* do.r m' .pply to u o*Nr or
<br />tlt FFry srb hrlA d hsoB[Ea.,n *b &Fuhrn t hirerr lEelf c lhoq! hn 6lE oq.rlplorB,
<br />ptuviLd rhd lkh lrl.DEE.ri @ d i.nd.d noiE d lG qb Ii lrltc. dE hrili,E d in!.owd n loE *inh d ta
<br />ofornbtbtr 0r OwD, Builtr riu br dr hlrbi of Foirg th.l lE d rlE {ft ml hi8 d rssE tlt FqEry 6r ft F{e ol
<br />l. $Dwffi orrlE F)Fny. imcx.hlrvclycotrtditrs wifi liccnsd conkdo6 ro oNrrud llr rn'rd ls.t 7()r4. 86r$
<br />rd hra(rdc.iL Thc Contriofs Lians. tjw JEr Rn lpply Io m owE ofrn)F y rh' b!,lrlr or inrptoEr lh.rmn.
<br />o,rrr!fd uhFFr.rirh.(irddons)lE.E,rlurlirorlEcoln
<br />hri,undq Sdhn
<br />1r1z.uI
<br />DECIIXAIIOB
<br />I Hry dlim ui&r Fn lly of FrJ,y oft of llt tollo*iry &.Lilirtri:
<br />CQt U*.4 *itt -i,*.i,,. C.nirrr. ofcoEnr io S.lr-!,le r *dt6 6rpcrEli'...r ,tohtu ro, bys(rbn]7x) orrh.
<br />Lat Cod., for llE lEi()ffi of dE ari fq,hiJr lL Fni ir iso.d
<br />_l h!r! 'nd *ill minr,io mrk n onqxB.rion iBmNc. c Eiluird by Salhn l,00 ot rlE litid Cdl. fd llE psf(rllEm oI
<br />OE hrr ld vhkh rhu Fmir is it$d Mt worknt NnFnlclior itrsuec .di.r !n poli:y Nmh.. E:
<br />Polkv Nu,*E
<br />-ErpiEr
<br />Qql cnify rhd in rlE Fddmr. of rlE hrl fc whth rhi. Foi ir i3rEd. I .ldl ftx.rphy.ny Fs in d, tuF
<br />$ * ro rhod $bj.cr h rlr *ald onp.nsdion hw. of Cdilomir !n .ar $r if I rh.uu heoN s$Fi b tlE
<br />so n mrrEnsrtion pmusioB ofscdion 31)0olrlE lrhr CcL.I
<br />\'ARNIN(; I rnnrc ft, $m wtrlc'i .o qrtrlrkn, .ovc'r!r ^.^il n,rs up n) oN hundd rlnutrd dollrs (SlU),(Xl)),
<br />'n
<br />i,&r*.! d F6vid.d ftr th.
<br />D.l.: 7
<br />h,lrh, Co&, inrftr In .rtmy'
<br />lllt:?: - ^,*-,.
<br />DECII8AIITA
<br />I ltBby llirft !d.r Felry brFrruy rhd I e Le !.d urdd FDBa'n orch.prc 9 {@nmtuins sirh sdiJn 7m)l olDithn I
<br />ol rlE Busirc$ and Prcfe$iont Cdd.. 4n my lk.M i! i. tull roe .d .lfcl
<br />q0lflBuquI)luJNDluc.iqlucr
<br />I lsh! rrrnu,n r FEhyolFlrryrha Es.mnrMlrrbninsas.rynnrlEpslornecorrhhrkf.rwhtndnFmilk
<br />,$ki rsd. :{}97- civ c r
<br />lPPl rc MT Dr(I ,rearl(lil
<br />I lEd'y .rftn un b. ,.ulty of pdfu, od of rlt folb*ilg &.L, i.r.s
<br />D.mlnion ftrnit A$ctrG tlo.ifE.lion lidsrl R.!!bhN Ohr.40, I'rn6)
<br />-R.auid
<br />tdr.r of Ndifr.lix
<br />L+.dify $d dE fcdcEl Eslhrions res.dios rsl8ros cmvrl c @i +pla.bt ro lhis |,lF
<br />CC-l ldrry rhlt I h!v. Ed rhr rnnltlh
<br />d&Eft\ {n SEr. lr}r rLruE ro horld
<br />.I lgE ro.otrpl, *irn!U Ciry 3nd Co@iy
<br />hriE!oa nt Cny ul Counly ro ard upon E
<br />olnr EolrErl l|mrdy fq inrrEdion
<br />Ardicrt{r Ax.nlsia' trt !A,-br r,,f 4a z/rl+:
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Boof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil
<br />FINAL I4/to)2 t.s etla> .)n
<br />Certif icate of Occupancy
<br />Notes, Remarks, Etc
<br />Rev.0B 07'2015
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