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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUTLDI:R DIX,CAI TION
<br />I EEb, rff6 und.r p.utt oI p6iry rt r I n.r.rfr tDm rtt conar6 Lirc l,E lo rlE lolh,ha Een lsd.?0,1.,
<br />UrsiB .d P.ofdir C.d.): A^, Cty d C d! *ltth Equic . Fni ro @rrMt .X6, inprnr. d.tulih or E .! r,
<br />3'fu. |'n ro ar tl@..io EqllB rh. elid tu cn Ftu ro 61. ltEd i!.rd rh. Ir u ar i! lirlr.d Fr..d
<br />h rlE ,rv6iB ol E Corftlqt l.t nr..l Lr lcrlFd ,, ColftEint vih Scrih ?filj of Divirbn ! or lh. BuiB od
<br />Pnf.rrN Cql) or rh.r lr o, {E n .r.r!F $6.nDm !'d tlE tq.ii for ilE dLtd .r.oFbn ry vioLrior or Sdion r0r 1.5 b}.ny
<br />lppli.rnr for ! Fmn rubj.ct rlE .pplto.r ro !civilp.Mhy.tmi mrc rhltr nv. hd.drd dolhtr (t$0).
<br />_Z:L r o*E of rlE Fopdrv. d my .'riht tr wih q{6 a rrri. ok or+.dr[ *il dl th. xrt .n 0E {,rfu i dz d.nlal .. olf.El 6. sl. rsa ?Or4, Bu@s .8, PrD&'.iB cod., TIE Conrdd! Lg. l,s dar d .pfi, ro { ow or
<br />E prDFr, wnl bLrr 4 n+!E rlEplr !d *tD dc ch \k t niler or h.e,f d tt@u3h hir 6 lE os.npl'yq
<br />prdvn.i rh.i luch ur$.t*d.e d h'crdcd.,or.rd fd.L lf.lhlN, ih. tuilile or inFnEr nh!*tir'.rrr
<br />ofconpbada tll ol,E Buitld wil hrE 0E nr.k6 oI provht lhr h. o.,tE dil br tuld d imFDE E p.oFr, for fi. FnpoE of
<br />-1.
<br />! owE of rh. FnFrr, m crcblrEl, oddiq ,.h litnsl coddm ro o&E rE FFr rsc. t0+1, Buri,B
<br />.'d h*isncod. Tn Co dol! La.nE l,e dc d .tlly
<br />'o
<br />ro,B or,*6Fry *hn b{ildr or rrrowr rhd6
<br />&d *t! 6'ir6d! Io. (h prtrirlr *nh r codEr(o lEtrel pnr@ h rlE coird.c! LiccNc rlr).
<br />-l
<br />m.(6F ud.! Sdr!
<br />',.," / Z-\l -LIL\
<br />DECIAIATA!
<br />I h.(hy .flirm und.r FMhy of p..Jury oE flf rh. folh*iry d.!|r.. ioN:
<br />_l h.E.rd will dide r Cdf5r. ofcl)nd ro S.lfnle fr kt6 orFdit( 8 FnviL\d 6. by Sdm 17@ o[rh.
<br />brx, Crn . Id tll !dl.,rls. of rh. Et Id *hid rll ldd i Bred.
<br />_l luv. rBl vill oaintai'r wqllc .on{,.ndn}n miuon.., u! Equi,Ed f, Sdri,n l7m ol ih. ljhn Cod., ror rh. ,Erfomri .f
<br />rh. e..l n( rhf,h rhn p.rmr it i$cl. My woddt o,rttB&'. Nure. c{t, srd I'olq nln'hft el
<br />P6li.y Nuhb.._ErDiE :
<br />I c.nrfy rhd in rh. D.rfurmE. of rh. *orl fn *hhh rhi! n rni ii n$.,1. I !h.ll mt .rpl,, uy FEn ir -, ljrmr
<br />s .r ro b.c,r !ut'd @ d. sA6' onp<dion Lrr ol Cr,Iomn, ,,i {e rhi if I Jrub h..oE sbis r. rtr
<br />s.h co.p.dn lrerb.B ol saiDn lr@ ot rh. Lb, ccj.. l lEll, ldi*rh 6"p1, wnh fir. FovtbB.
<br />WAnnlNC F.ihB ro ls wrtdt sqEdnn oE6!. ! onl.*tu1. .rn rrd NbF a .,pt F b '!dd FrrE rdd.
<br />ciil liB up r. oE hudEd rhoEnd doll.R ($llxl,(lr). rn .ddni,. ro rh. co{ ol.on!EMii6n, d'NgB r FoviId fot rlE
<br />s.crir)n l(,76 ofrh. t htr(irl.,inr.E{and omysf..1
<br />/4^-l r?!,r
<br />!]l!l_$-lll1\
<br />I hcEhy.lltm und- n .rxy.l FJUry rhl I !m ltr.ld u.d.r lrnvLdn olCn{xd 9lommftr.3 virh SdFi 7(m) orDivsrr l
<br />or (Ic BuriEs and Pn'ksr'ro Cdr.. lDl my lrc€ns. i* rn tull tu,ft ui .fl..r
<br />corEr8!]culEu,fNDtlE-ac[lg
<br />I lEEbt lirmnnd.r Frtyuf Firyrrd ttft i. l:dtut'n Hiry.&By tu rlEFn De of tlt wt,o. rtt! 6 FD, i
<br />Bud lS<. hrfl, CiY C I
<br />AIILTCAUI.DECIdEAIIA!
<br />I h.d, lrm ud.r FNhy of Friury oE of rh. folbw'n8 .,.rL..rbN
<br />D.ruriro. P.rnirsArb.(o* Nolincd i'n F.i|rul R.suldionr (TnL a0, Prn6)
<br />R.qur.d Lr.. of f*rif.atbn
<br />-l
<br />!d,ly rhd rh. lal.r ctuLrbB r3rth8 rt6rn Em'vrl r d {rh rhL b rhE }.uFi
<br />,/z-l (d
<br />'fy
<br />r tur I h.r pLl r tu\ lpplirrion drl nr. r hd rtE !b.v. inlomrbn n .ocr. I .B@ ro Nnr0ly *nh rll Ciry Dl C@nty
<br />orJi ncn rnd Str. L.rr Elrin3 h hd lm3 loMrudbtr rn lE6hy.u nrE ErErrftrircr of lhi.! Ciry r.d Counry ro dd orDn rlE
<br />h ,^,z?tf ?p?.o
<br />a-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf Ioor/VenVlnsulation
<br />Rool Sheathinq
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />I\ilason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif.
<br />lt
<br />7lx3//01'
<br />Certilicate of Occupancy /
<br />Notes, Remarks, Etc
<br />Rev. 08'07-2015
<br />L..da! Add6r:
<br />-
<br />.rbr. m &rJ pDl'.ny
<br />'lx
<br />EFdion B!FF:
<br />Applic.nr.r AEmr SiBnirur
<br />Shear Wall
<br />FINAL
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