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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BIIII,DEX DEL(i{IIATION
<br />I lrrchy rlfrm md.i D.nuhy or Fr,tlry thrl I s cx.np lnin rlE Conlrdnn Lir.s L$ fo. tlt folhDi4 i..s. (Ss.1,.1 I 5
<br />au\ik$ rn Pnf.siln C.n., A.y Cily or Coun', Ihah r.qun r ! Ff,'n b on(81 .td- nqmh. d.d nh u qrn my
<br />datm. tf,i, n! irs irsl4c, $ hltiB itMmlb.d ror sxh IEmr h nh ! \i8r.n rldcmnl rlui t dstrhlic.nEd Inruer
<br />kr rhe Flliiion{ or r}. Cnnr,cbas l,iccns.d Lae (lnnpt r 9, CommRin8 enh S(li 70m of Divirion I oflhc BusiR$ Md
<br />Pr,tu$an: Cod.ror rh.l lr or JE G .r.n{,| lhrci,om !d lh. h.rk ror llE nlhs.n cxcryrion Ant tiolrlt[ or s..ri T0ll5hyM,
<br />$tli.a' ntr r |l(rni $bj.rlr rIE ,mliL t16adlilp.Mltyotfr{mErhofi!.hudrcddorlas(S5m}
<br />t. A owFr or thc F,,rn y, ofury cnfl.yr.s wi! h wuEcs 0s ltf,t s)lc onlltn\irion. wll do rhc worl !*l lh. srurh i. d
<br />hrcolrd or oljrrci fd qh ( Sd 7ff.1, llu\incs an,j tt.fc\sionr (irL Th C nlrdcrols Li..n{ Liw (lr\ mr q{ , r.r M owr ol
<br />rli lfntdy slb h'lt( (r i'\mE! rhBr sri rh) Liis r-h *rnl hitrL*lfor lEmlf or rhnuahhn d h.r o*ncnlh''Tca-
<br />0ror icd rh{r su.b imFrrntnis uc rn idcBh or ollly.d ii, sL ll tnr$. rrE ttu,U'N .r i.tnrknrnr is *ld wrhn oqsd
<br />olorthrion, r,L o*mr Builtlcr will h!rc rtu lui]ln o! I'nNin8 rtur lE or $c dil nn lDild or rnf,oh rr. lln{dy rd rh. N{bk of
<br />_. , l- !1o* F .l rlx popcrtt, nm cr.lurirtly conna.r inA trrrh li.cnyd .drdoN ft, con{tul rh. FoFr lS.. 7l}ll, nuws
<br />! tlnl&!i{('(ile'licC nrrdrni r l,iccn\c La* doli not umly rn an n*N ot ri{,Fn r wh. buildr nr imrorr rh.rd,n,
<br />JrJ uho c.trrmh nn ruch prol.ch 'nh ! CotrrrEitrh r licctrrd punuln' hrhcConrr!cr.a\ U.cnxc liw).
<br />_l un .rchlr und.r Sdrir_
<br />D.le: Om.r:
<br />lloBf,E8lil;outlNtA.UgN
<br />DESJAAIIA!
<br />I lu.by al llm ud& Ftulry of Fjory oft df th. L,llo\ ine !^Llnn i) ]
<br />Ihrv.r,lwrlliuirniir(cnifi.dc,'lcon\ctrrr,Srlllrxur!lnrwolkr!(o{En\0linr,rsrovi&,llnrbrsc.riun:17fi}nlrh.
<br />ljhtr Cixk. r.r rll p.d{r En..olrlr wolt ntrrhihrh. pcr.nt A Nru
<br />_lh.r. vill $.inloin Mrk 6 mnraE..llion i6ursrc. !s Eauncd hy Serion l70O or rlt Ubor Co&. ror thc F
<br />thc wort lor {h*h thr Fmn! is s$.d. Mv *orkcB o,mnsli., rnrun^c csnrr sd nnlry numtfl &
<br />,*, - sTlrr fLt\ r /^,,,ffi-L-eLtLe-o
<br />-1..n'r,
<br />rh'r,nrh. F,rr,m* r,* ** u, *n*n,n[.**--."n*, "*", -*Il-f^qr !rrob.(nE sbE{l lo llt warclm'rrEN.li'n Lvsotc.lifoftn. !d.sB lhd iII nuld hdoE rubjd ro rlt
<br />turksr snFetion nmvi.io6 of S..rhn ]7m of rh. 1,b6, Crd., I slult. fodhfih snd, wirh 'lr s pmvbio s
<br />llAtNIN(; I'nr rrr t) {'.flr sorker\ (. j{r\rrxri (,trcnlr \ !r rtr . ,tl"y.r k, si'nirrl Emlrf,\ l
<br />.rrl inc\ trf t'.N hulldri rh.u\itr(l ([,11 .\ l!l0l].(xx)r. ir ldl i,tr,. ,ll R!c\ i\ r,('rdrJ 1,tr rrf
<br />Y;'")WW ADDli0rn: X
<br />, lt,.ht lllt lnls l.trlliy ot Friury !n, I am li[tr{rl .issn of Chlptd 9 (.\rnnrEinA *ilh S<nn 7{xrr,.lDivthn.l
<br />!r rM llusN.!rnn ft"l.strn,s(itrlL. x'rl Nyli..n\. n iu
<br />c3'/Lien{Nudrh.r:. /00857
<br />*,,!10/2, fz.czo ".",,*,",1\ all lrr',]:ry?
<br />fJtNrlalJqxur.LBptdti.f,Glrrql
<br />I l.'chyrfln ufll.r Fmhy ul trrr!ry rl rhcrcNn.rtrqrudhr Lndin8 aacN, itr rh. n r,onDrrc nlrtf, trr'k l', trhrhrhi\Frnit N
<br />i*rd rsc. .i0,)7, Civ C )
<br />AEUCANLDEO.AEdT]N
<br />I tu$) aninn!.ri(r |tnalryoaF,u., om o,rfu lolhr4 ddh,,rrm!
<br />Ixnn,lirnr ItnrirsAsbc.ktr Notifi.dion l.cdcrul RrruL(ions ( l t 4rr. Pan6,
<br />R.quktl I rr$ol NorLli..{n
<br />dir! r\h{o\ krrr*Jlr,. rn r|l|'l($L n) rh \ J,n'J(-l
<br />n (or..r I iSncIo.o {'ry *irh all Cny lnd CoMrt
<br />rqrccnr.ri!.\ .f rhia Cirylkl Counryrocnrd nF rlE
<br />Jit{ fztavrst"*i * *n*,raoo,t(.4*,-
<br />Set Backs
<br />Forms/Sleeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/Venvlnsulation ,L -t
<br />Roof Sheathino nlT.ulu bfrryxt
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL /a,/i-b /z (,s ,)"/7o*v2f7
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc
<br />Rev. 0B 07 2015
<br />Shear Wall
<br />Flood Zone Certil.
<br />tl
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