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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Sel Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />'0/tru/Roof Sheathino 7l
<br />Shear Wall 7',
<br />Framinq
<br />lnsulation/Eneroy
<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 />Engineer Final Report
<br />Flood Zone Certif
<br />I
<br />FINAL 7//A/Kt Lr/
<br />Certif icate of Occupancy ' // v '
<br />Notes, Remarks, Etc.
<br />OWNEA 8UlI-oER DEL{}TANON
<br />I lmby.llin unbr p.n lryorF rydu I o.r.n+ n!i' E Cot{dm LiEE trw for lll folb,i'a rer lsero3l.l
<br />A6iNs rn PDrssn Cd.) Any Cny or Cou,ry sti.h 'qu!B r F,n b .qdrEt d. inprot d.tuht q E'.ir u,
<br />*ErG.Firroi. bturre, rto EqujB rlE.pdar (dtrhF ibtu.sig,'.drd.'ld -lldtritlirud F 9d
<br />ro dE Fovibn of dr CdlEdt Li6!.d L* (Ch.prd 9, C.M[! win Sdio. ?m of Divibn I ol r Bu.iEs !d
<br />PrD6sbnr Co&) or Il lE r CE is .rnpl rlEllim .rn dE 6..ii ror d. ttL8.d .rc,p(in A,y vbLlbn or Scrior ?01 I 5 by xy
<br />{,donf.r.pdnirb}.lrilE.ppli<urror.avilFEtyormrmEt&riv.hu.ilr.d&llr..l!5m).
<br />-l,
<br />!s os,Er or'hc F)rrnr. or my.mplo)Es w{h w!a$ !r llEn $! o)nFnstion. will & tlt eql id llE sl^tiE n Dl
<br />i drLrl or oltcnJ ir sk (Sd 7044. B8ift$ lnd Pmf.sshn. CftL: Th. Confa.rolr Lass L!* dE. mr rDply to rowmrof
<br />rh.Fn,Fdy $hrl il{i ur intmB th.6n dd eb dEr *h w)* hrns.lf o. h.isclf or rhn!!8h hh d h.r own.q,l.y.cs,
<br />pn,vidcd rhd su(h impmFnEnk e mr iniddcd d ofM for.h ll h6mE. tlE triui.g or irpnrwr.r is srld wihin orc )dr
<br />of.o.$lcrin rlE Ouftr BuitLr rill trw llr hlncn ot lmr6S l,l.r tE or slE dn d hiB or iqnr tlE pf,Idy lm rlE luqns of
<br />_1. r N6 oa rE FtEry, m.rchisirlr.odrcrhS wirh ltcnin d,nrr..ro6 ro 6d.w ilE FoFr lsr 7o{4. auiE(
<br />aln hirtsri. C.d. Ti. Conxrlor'! Litnr tlw &,.t ml T'[ly lo e o*E of rmFny wh hoildr or ihpretr ltFor
<br />lnrl wrr, $tuh ror uh IIDFS sih. C.nlBlno larnri Fllld r. rlt Corffir.r tirE t *)
<br />-l
<br />m.Enpr !,!Lr 561
<br />1V0Rr$ l{\, Colllrlx\isaTloN
<br />l)};(l.ABAI1lrl
<br />I lrrhyrlltr utr,ltr trnJlryol pc'Jury om ol thc I'll{'tr r+,llrl.trrrknn
<br />lhrv.nnl*ill 'rlnirintrCrnilicrrcolCon{ roS.ll:1tr\urrla'$orLr^co'npcn\dion.nsFtrvkl.dntrhySc(ri,n:17(X)orihc
<br />uhtr(itrr(.,{trrh. n .lornurEcofllE *o* fushi.h rtu |Enli n n\u.rl
<br />_l h.E rnd r rll m,nrrin mrk r' onpcMrh. munm.. c Equtdl by Strrbn l?m ot rh.Irtr{ C.d., ror llr lErfffi. of
<br />5+^L
<br />My wrk6r' NrqEndi,n i.illuc .dir 3rn poli.y nunh.r r.:
<br />€.-J
<br />1t?o 3sb
<br />I anrly lh.l i. rlE FrrddN of tlt mrt fm rtih rhli tEmrl ir $suc4 | sh.ll ml .trploy $y ,..q'. i. dy mE
<br />$ .s t' b.<,ft ohFi rd rrr *d6 @qardion L*! o,C.liromia rrtd r8r thx if I rtrdd lE .r $bFr b tlE
<br />IMIqJ mq{tu{hn povisbB or Sdion 37m or rlE libr Cdl.. I rl!![ r.mhwirt onply virh tho! Fovni,ni
<br />WARNINC ltihrc !o EG etrk a'.on{f,trsrirn .r'vmsc ir uh*lrl .In sllrll sxhjGr rn mpkFr k ffirl FEiax.nd
<br />civil fir\ ut t' or hu.dEd llsus.d &lla^ (llm,Ul)). in &i{iirhn tu rh..on .r.ontr.srion. ddm8.. r. Fovt.n 6r dE
<br />Scdi( 1076olrlr l.llrtr (ixlc, inicks rlnnorfty'r lrc.
<br />rhrc: l lzl I ut- Appriorr:
<br />a
<br />I hd.t', .,rm uiLr FoIy of Frry rh. I m liard sndd Fovlir ol OrDrs 9 (oltlll4,! wilh Scrbn ?0o) of Divi.ir l
<br />of llE A!ri6 rn PrDiBioB Cod.. .d my lite n h tul for rd.!E t.
<br />Dr,. -7
<br />c'31 4 csLB toL3L*2
<br />I 7t I r.?1,o cdrBror Q-,f f^ 0.^-&1,.y f
<br />(A!$AUJDONIEN.DINGJi.EICI
<br />I rrrchy rfinn uhilcr Fnahy ol Frjxry rhd rh.N is r con{turri,n k dir8 Scry lor (h. r.rrunMm. lrlf,wo nr which lhis Frmil ir
<br />n d(se .1097,civ ( )
<br />ATILIII\II.OECIiSA:IIAN
<br />I hodry rtfm ud.i rE 5l, of Frry oE of llE folbrus d.(L[lbtrr
<br />D.mlhio. ftrht..Arb.(6 tld'fE.rhn tud.l R.luldnnr (TirL rO. P.n6l
<br />-Rcq!!d
<br />tdr.. or *rifrri-
<br />-l
<br />Lanify lhd llE f.<Lrl Eslhlions E8!din8 rtrnor Emv.l m ml al'l,lt$L ro rhn poFr
<br />Ll.dify rhd I hlw Eid rhit q,pliclrior o,n rlrcrnd|lE rh,vc inromdii,. i{ otr ci. I lsrlo mq y wirh.rlcnyrnd ci.)ury
<br />odin{n..s dd srdrc Lwr Ehring lo buildinS .onsmrhtr drl h.6by .ulhoriz rc?r.snLliws ol lhi! Cily md Cou y lo .nld upon 0r
<br />n , -z /2, l..,,r-
<br />IIII
<br />Rev.08-07.2015
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