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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS owNf:,l Birllrt:It DDI-cltaaT()N
<br />I lreby .fm u,i.r Fulty oa Frjury tn I n.&nA too rh. Co'dr6 Ltu tr* for th. tolt,ml EleD (Sa.70ll-5
<br />EusE\r rd ftnrc$hn Cod.): a.y Ciry.r CN'iy whrh rcqutd r tEmi r. .oinM, d, inpr.E. &mlsh or EFi' uy
<br />srrudm- l'rior to iB i\ruRt. rto r.quiE! tlE q'',Uui in. ruch Fmir b 6L r siyrd nd.Gnr rh, ll ot rlE n lEBal 9rN.
<br />ro rlx omvhiotu of rlt Cont*ro.'s Li..n*d t& (Ch.f.r 9. CommEi.S qirh Scriln 70m or Divhhn :l ol rh. EuiEs ind
<br />Pn,f.nio Cor.) (r rh.t lt n rlE a.r.trpr lh.EfNm lrl rlE h.la! lDr rh. rut.j.r.n{riro 4., drkri,n of Sdb. 7011.5 by u,
<br />.!{tli.!nr fo. ! Fm r(bF.r. rlE lpolic..r ro . ovil !.Mly or mr mrc rhr nv. hu'rld doll& {tslx))
<br />_L a .*Er.rrE F+..y. n my.n+lrlr- dh yrF a En-l.otr.dF..virdrftnrl.n.rr.ddE.d
<br />n dal aolt cl rr {b (Se.7o44. aci'r r'd Prd.rgx Cod., TIE Cd'd iLic.nELrqdBd+dyboowof
<br />rlE FlFiy *b b{ildr ( rtEa iEq rd st dEshrEtr etrortrElf ir rlEulh tt d tn om.nDl,Fl
<br />por,&d rhx tct inFrwd. E d id.rn d mon rd nr sl. lL t$*E, rll tlildiia d inliMftn i. -E *irm d )a
<br />ol.onphb( 0E (xvEr Blilra *ill haE tL hRln of F,hs rti lE6rft dil nt bciu d inprDE dE FnFy lor E Frposof
<br />_1.aro*mrofrt Ffdy. n.r.lBiElyodrdiry rnh lieraalco Er6bNn{Ed th. Fojel (Sc 7l)aa, Buli&q
<br />!r, Pr.a5sn CcL Th. (llddo. ! LirM f.v dB mt .pDly to u ovs of l,oFy who blildr o. itPbB rh.ror
<br />.!d vlr 6drdr [r 'uch F)rdr vih. C.d r,nn lt.a{d F6'a ro rr! codrad ' tj.w lrr)
<br />-l
<br />rnd.h u r.r Sd1
<br />W(llixl.:!LS CONIP}:^ISATI(|N
<br />DECIASAII!!
<br />Ih.rehydtumundc,n nriynln.juryoEol'h.rnl[*insd{Dnri,s
<br />_! h,E !d Bill di,xin. Carita{. orclE b Sdt-lBe tu Et6 6rp.dbl! I FDlid.d a( b, S€1,. ]7m otdt
<br />lrE C.ne fn !h. Fltu of rh rqt f( *ti$ rln Fnn ir isdd
<br />v-l h.r .!d 'rlt Ifuu sxtm ild b, Sdri,. l7m or E bbor Co&. lbr rlE Ffqffi ol
<br />th. qdt lor vtnh th! pqd ! ird My *da srI.MEn 'rr.lltrc tuir -r Do!.y od.r c:
<br />(*'v>f 0'r- a-D
<br />-lanitrha
<br />httl FrlnrrE ol rm nr *hrhrhBFrmir G $wd.l rlldlrmtryeyD.luBayllw
<br />s Iro b.rft iullj(tr r. rlr wt6 drpcdm hqr .r Ci,f.mir ..d 4ft rh, i,I arild t .or ot d h rli
<br />s.t6f Nnp.nrr,n FUvtrrB of S<txn lrm of dE trt r
<br />.,v,1 fiE( up to oE h!d'.'l rl.u.ul dollrr (llrx,.rrD,,
<br />S(non lr{,76.frM lrhtr(ixk. rnr.En'd r nry 1f..!-D-
<br />DECTASAIIA!
<br />I rrEb, .riir6 uid.. Frr, oI Fi!.y thd I m [aM.d u,i.r FDvirb. .t (lilfia 9 (
<br />.r E BuBr rn PD,cdn cod.. tn h, li.a ! ! tull fod !d .ff.d
<br />(9tsc
<br />I rEEby .ffm !ti.r Fuly ol Firy rhl rlsr i' . .TdulEn
<br />rsEil lsd llr7. Cit C.l
<br />tr rh. rErfo|lre. or itl r.d t, *hirh rUr FmU !
<br />arttl(At[D[(tlBAllt]x
<br />I ERhyultmund.r p<nilryolplrjury oe dfrh. nnL)w'n! J(l r'ons
<br />rknrliriunP.rmivArtx{uiN({lfd!rDnF?d.tu1 R.3uLrr,n\(Tirl. {l,Pd6)
<br />R<uiEJ Lndoftl(ifr.rbn
<br />66 E3&nn! rslEsnx 'tfl)qlft d.rrl.rbL h rh6 rmFr
<br />rb.r. 'nlgtart. r.oBr I r3E ro @nlply *trh rll Ciry rd cd y
<br />8! h.ftby:urb.a Elar€trrriiEi orihsC[y sJ Counry kr.drt uIDn rtE
<br />.Lrr^( trrflrtr'crl tInlklrt nn
<br />L,/
<br />\/I
<br />D-zD n
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation ,a
<br />Roof Sheathinq /Jr;28)/1t74/6a HA
<br />Shear Wall t/
<br />Framino
<br />lnsulation/Energy
<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 Certif
<br />t.t Ar /'t-
<br />FINAL ,lfbl1{tt ilWa!'t1r6 0
<br />Certiticate of Occu nc
<br />Notes, Remarks, Etc
<br />Rev. 0B-07-2015
<br />lrrr._
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