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BUILDING. INSPECTOH RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNEII BUII,DER D&LCATA1ION
<br />I lftt, n0nn und.' rEulry 6f Fqrry rhrr I m .r.'tnr r$n 'lr (t nl!.cio^ Lt6{ I i$ ,or rh nnl'$hg t ,$n ls{ 70.r 1 5
<br />llonft$ lri Pruf.$i)n c.d.) Any Ciry o, Coudy rtrh r€quds ! Fm io onsrtrr. dlrd. inlJ'nnq &mnnh o, r.r!tr uy
<br />rMrnr. r,fl, b ns isru*-.. nh Equin. rlt appncinr t" such Fnnil lo lil. o risrcn ndrcMr rhar lE ur dE G li.cn*d Pxi\ud'
<br />r0 rh€ Fovnn'ns of rlr Conteiofr Li.n*d ltw (Ch,nlcr 9. OnnflEEi.8 qnh Sdi.n 7(mO.t Dilirion I olrlt Buims rfti
<br />PNrcssh.r Codc ) or rhd lE or dr i\ dc'rnr trrr.rrm' ,d lh lEsis 1n ll* llkEcd cros i,n Any v5ld.nof Sdnn 7oll5 hyiny
<br />uFplt. lnr iFimi \utJNrsllI lpt'lic.nr r{, i civil rrEliy or ft,r nrrcrhm iv. hudrcndolhs (S5lIr)
<br />-l.a\osErofrlEln,trnr.ortrrtchphyr!\enhwrrcs0rlh.tvrLmmItn\alnr*ill(ll)rh.*ok!
<br />ltErlnrrmntu
<br />idorled r oficGl n, sL lse'- 70l,l- 8n$ftis ,nJ ftofs\nnr Cod. TIE Conr.lrois t.icnc taw dt\ br ln0ly b 6 o$H of
<br />rh.Flrdy *ts triklid nnl,mB rstr.Bl{hoJ6snw nnr.lf or ltBlf d rht,ush hL n lEr uun.m0h}.6.
<br />flnvdcnrh $ch irlx,wtrh m tur mr.rtdl nrofiLrl n, sk ll txlwcEr. ltf, hillin8 or int,ownr irhllwirhinom}tw
<br />ofco.pLrinr rrr o*B Briud wilr hnE Lk ttrrLn ol llnrirr8 lhd tr or shc dil n'l tnlild or iniiotr th. Iln)tdy rot rlE PUrIbE ol
<br />I
<br />l.a\.wmr.lrhcn,,Eny.rrc(ch'\ivcly.onrra.rin!wirhli.cn{.orBdo^i,$nsnklrh.pr*!r(S.(7l}r{.llunrs
<br />md Pnf6i{ Cklc I h (btrlr!.ktr \ Lacr\c l,r* do.\ Dir apn ly ro m o$kr Df Pnlt y B ho b! ild\ nr nnnruvt\ rhcro..
<br />rnd $hr!.onhl\rir\u.hF,j.{.trilha(iddi(\rlEn€Jl,urudr.ilrGd.adofrt-kcntlarr
<br />1rtr,.\. ,tr 1tr,1.' s..!on .lr,\l)( l(r lllh I.r\{'
<br />l)rr€ ()strrr
<br />w()RKI RS C()ltlP*iSATl(lN
<br />UE,CIABAITON
<br />I trrch!,Jrltrmundrr pcnllry DrFiury or.nlrlf, r('tl.wi18 d(ldrari(,N
<br />I hlw {d * ill ftErrnn s C.n ir.dc .tcon*nr b s.lr.lnsuE rr *rks .-'nFffarior n\ Fovicd fd by sdr M ]nD of llr
<br />tjtnr Cod.. for rlE rrdfo.mNc oa rlI sd tu ehih rhc t'crnir c is$cJ.
<br />-l h,$ n.d *ill @i.fiin *orlcr' .omFnsnli.n iBur!B!, s rquird lry S(rioo -u00 6a lhc Lih.r ('.&. ftr th. Frr(Ifrm ol
<br />rhc knt hi shi.h rhl. Fmir n F$.d. My e6tG otqrn$rh. inruBm ruir a,n Irrliy nD,'b.r @
<br />_ErpiEr:
<br />V( rnrtv rtur in rrrc rrrr"mr( ofrhc *,{k rn' sh.h !hi\ Frnrl n isucd. I rull tror cn{loy lny rEGon in sny Nnnerqi,rroh.rdm{bFrr,,rh.qrld\'!r'r{Eoqk,,l$. ICllrx,nu. dlgN rh,r 'l I \houlltd'o'E \ubFr r.Ilr
<br />sfftd{ .nqErrr ion PmvisirB ol S.dion l7m or r lit$ C.d.. I \thll. tunnwnh omllly wilh llIE liDvi\bn\
<br />$,\RNli\(; liil . n) Y.urr $orkc^ .o ln!N (,tr eolorSc N utrld*lul. rl rhrll suhF.r tr c rtl,rlrr kr d ntrrl |xdlri.\ rtrd
<br />.nil lnk\r'Jrn)o.I' ndr.,lihotr\nnddoln'\illrxrrirr) fl i,l n,'ti ,trntx1Mrrfl. (lr uUrs n\ t,rorklcd r;r rl('
<br />sdF. ltl76 of llE Ubr Co&. inrcEd aol ltoEr'i lir\
<br />I 0' ?O - Zz)Z ()
<br />^pp,,".,,
<br />I lErby annn nircr rrdlry oi Frrury rhd I n'n lksed lnLr pnnilim or Chatno 9 (L{'nmtur8 rilt SNrhn 7uD) of Diris$o l
<br />ol rhc B!{ircss Md ttnLrsiri. Co&, a,n nry I'c.M is in tull loEr rl clfsr
<br />,.*^..r-, C- tlf t1 z-7
<br />l0':Lo:2oL.D
<br />I l*tubyifin undcl,roDlr,ollErjury thd rh.E is ! coNtodion Lndins iscky tur !h. lrrlnnMrc oflhc wort for whkh lhn 0cnni n
<br />TIIUCANLDf.qIdXAIXTN
<br />I lElhy rlllnn od.r FnrlryofFriuiy onc ot't* nrb*n'8 ncchrilnrnr:
<br />lxmliriu Pcrnrih A\trsros N'rilio'ion Fcdci.lReguhri,,n\ (Tirlc to, PM6)
<br />Rcqun.d t.1rs ol t{dif.drn
<br />I .cnify rh.l rl* lidc.Jl rc8lhrions rcsldin8 aslE(o\ c nv,l c m ,mlicrt L b lhn tR'rar.
<br />-l
<br />anify rhdr I tvr F.d rhG +dt ii,n {rl s.rc rhai llE.brc hromli,n is d'rc.r I agc lo co,ply rnh Cily.dCoun'y
<br />Dnli'rtrn(\ rlShrc lr'q5 nllrn3 r, hurliirB hcrcby rui}x,k rc|r.scn( ivcr (,1rhis Ciryrtr! Cotrtrry ro cnrs utrrihc
<br />trh)vc ninrk)md p0l{rrr ntr rtrrr
<br />Appli(ul or AEol skoluE
<br />f,cmir6M.e(prrnr. V4 tr,1 4 (:uzt::lO-Zo zoZ\
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<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 />)
<br />FINAL tll li I hta)tllMF,,
<br />Certilicate ol Occu anc
<br />Notes, Remarks, Etc.
<br />Flev. 0{l 07'2015
<br />nftd(s( ,1097. civ c ).
<br />knd.as N!nr:
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