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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS owM.t at]llrl:L DELcALarIoN
<br />I lftb, 'rm u d ,.mty of r..pry rtu I m .r.trpt iom rh. Od..16 Li* tr* for tlr follo*ir3 E.sn rsd 1011.5
<br />ttorin.* .nd ltolarhn Codc). Any Ciry nr Or y shrh rcquir.r r F.ml h on{tut, !h6, inpr.E &mlGh.r r.Fn my
<br />n|hft, Fi, !' ar llsllmr..ld G+B rlE.Crlicd for.u.h Fd ro 6l r lirEd xdmr rhi lE or cr ! lritrnl prad
<br />r. rrE pDviriotu ntrh. Co.treto.'r l-ien&d l.r (Ctup{.r t. ComrrcinS wiih Scrb^ 7utr of l)itirhn I ol rl' auiEs ttld
<br />PFf.sEBCd.)o'h{E(rlt!.&rg{n !6! .!d rlE h.$ lor rE tlhd.brgs. tuy vbLtbn ol Sd$ 701r 5 Dy .n,
<br />Npflrnhr for ! ,.mir rubjek ih. llplicinr ro ! civil p.mhy oI mt mrc than fiy. hurdrcd dolloB (ltxl)
<br />_1. a o*ncr ol $c lrotriy, d 6y.mpl.t .r *nh w.r.' I rh.t $L cn,Ipco€rnn. rilld. rlE u,t ,rd tL dGi!mr
<br />id.nlll e olr.cn tu qb lS{ ?oaa. Butc! rld PR'f*68 CaL: TIE Adkk t Lrnr b* dE d sdy to x orE ol
<br />rtE Frtdy wth hiLjr n nqrch dEq .d *ho dE sh krt hiell or h.relf or threu3h hir or h.r o*tr.rqtloJer,
<br />pnNil.d rhlr r*h in{mwds c d idrd M oiT.r.d nr {L. ll, ln*.E th.Iliut c lrforcd n o! vilh c Fa
<br />oadlrllh.i\ tlE ol,E Bu 6 *ill h.E tlt hr.rr6 ol Fsvi[ rhr lEs rar di! d toi!.r r!.oE dE FoFl! ir. rlt pu+€ or
<br />_1. ar o*Er oI rb. Fsp.dy, !m.rclurv.ly conirtcrin8 wtrh I'r.nsJ contdo^ h {n{Ec h. !oj..r lsd ,04,{, Bu\iEs
<br />r Pn,h\!inQxL T]. Conrrtr'i Li..ni Lre d(Er d rprlt t, rn o*E ol Fi{d y }lb b{![! or !rpnr!! rh<6(
<br />.d qho odras L, luch FnFB *ih r Commh,(,lr.rsl p!^ud r. rlE C drdfrr lENc tr*)
<br />I m .r.ry, undd Sdn
<br />uq8f,trI$:-cl]M&llAno!pEcld8r.r&!
<br />I h.r.by ritlrm lndd Firly di Fflry om oa th. n{h* ln! dcc hnrrB:
<br />_l h.r rn rrll ndntin r Cdifr.r. of Cord ro S.r-lNE ,r rul6 $rttur.. !s ,ovrLd f.. hy SdFn lr00 of rtE
<br />Ill.^rr Gd., for lh. Frro.drc ol rh. wolt ln *hthrh.p.rmir ir tsrud
<br />Qlt hrE rd will Dinrrin so&.B .orlp.nriion Dsur!L-^., ar EquEJ b, sdii)n 37m or rhl trhor Gx,., lor rh. p.rforu. ol
<br />rh. *qt nf, phrh thn F.d i! ErEd My *qtsJ orp.dir Nur': @ rd F)lE, tun$d e:
<br />-l
<br />rnfy rhd h (hc pc.fornrE of rh. wdrk Ir *hich !hi! Irrnir n lral l rhnll mr .n+k , sy Ftsn in My lMEr
<br />s 5 io h.$r rbj.d ro ttE xdrrm'otrFdiM h*\ .l Crl'romr !n t,r rhn ,r I rbutl lEor $bj.$ ro tlr
<br />10116' lup.nstEn pmvsDN of Sarrn 37m of rlE t hr (ixl., I JEIL fonhrdh NnDly wnh Dr pDvBD6.
<br />WAINING: Fri,uft k, *E q*1.6 6,il.rd-n o'rn$ ir unLrtul. .d lhrll ruhrd -.rpl,F ro sidr.l FdlE r.d
<br />civrl nkr up ro or hudlEd rhousld doll.i! (alm,irrD, $ rddnrrn ro rh..or or (oniEn{rio.. d.tu!.r G pmv'd.d for lh.
<br />sntu,n rl)76!lrh. trhtr(irl.. inr.r.{ r,rl{nifty r ri.\
<br />,,,,"4.)rl-\oAd
<br />^
<br />lu1lrB-!-!l!.1\
<br />I h.rby .lnrm und.r o.rlry ol IErr!fr rhd I m li.rMd ud.r Fnrub. .fc1l.lt6 ', {m'IE(,n! wih Sdni 7fi1}l ol lritthi 1
<br />ol rtE BuiEri ri ArLsi'dr Cd.. rn hy k..r iln tull toft srl .ild!1.
<br />]
<br />CONSTTUCTION I.[''!T)ING GE'ICY
<br />I lEEb, rltm ud.r FMly ot Firyrh, rlE! ir r @durrr Irrlht.E!fty ror trE Ff{ru of tlE urt tli }tr'h ih! Fnr a
<br />nsu.n (s6 lo9?,cir c )
<br />AEEIIAINLIECI.dBA:EOTI
<br />I Hry rtrm u,rLr p.nrhy ol p.rJur, om of rh. follo*n3 ddlr ons
<br />D.rEk.n P.mreArb.i6 Ndifr.i-r F.lnl R.!uLru!Onk t4, Pd6)
<br />-R.qut.'l
<br />lJ(.. of l.ldtf(drbn
<br />_l .dili ihd rlE f.d.rul EroLri,B Eg$lin3 rt cno. Emtd E d toplHbL b rhi! tnrar
<br />lL,.-rr,hl,,**-^u'trrppL 'oi ul {dr rhlr (h! rbov. inlomrion n co**!. I rtE ro.lnply ! irh llr city.,rl cou y
<br />-,rJflRfl !n Sr.r. Lrs Etdr! ro hILl[! ulr{etim Bl h.cty rdlrria EFdiiB of dE Chy d Colnry ro dd qDn rl!
<br />Jlu. nrnrx,rtal pfl)Fny ,rn
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulationi Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />ltrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Reporl
<br />Flood Zone Certif.
<br />FINAL ?/tt 'ao-ro ,<*L1i)
<br />Certificate of Occu anc
<br />Notes, Remarks, Etc.
<br />Rev.08.07-2015
<br />I)rt_
<br />,,,, q-24'ro2o
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