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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNE BUILDER DZLICARATIOII
<br />I lErcby .rrm un&r F",l,t or Fr,., O.r I m.r.dir ,ffi rlE Coirra!6 Lto* LrD lor tlE tolD*nge$n lse 7oll.5
<br />Burift$ r,n Pn,r.sio. Cod.). An, Ci!, or C.udy *hah EqriEr. tEni t Miru1, !hd, r,prcE &ml!t.n qE Ey
<br />srtulE lrir k, ir! tslac, ![q, Er|uirs llt lttttror ,or iEh Fmi 'o
<br />nh . .i8*n n{.nHr lhd lE or slE ir lEnrd F,$tn
<br />ro rh. Fovniotrr or rtE Conr*kr\ l-t.nr.{i bw (Chp(cr 9, ('onmNin8 wilh Setion ?0m of Divnion I ol lh. Bulift$ ud
<br />Prcr.siotrr (}d.) or rhar tE or stE is cr.n{,r rlmlrom ad rh. t.ti for rh. dkscd dcqrion Any viohrio. ol Sdb6 701I 5 byuy
<br />aIlI,liod f{tr ! rrnir flbixlr llI rmlnrfl ro d.ivil Fdhy or tur mE rhe fiv. hudr.d dollss ltJm)
<br />_1, ( omr drrlE F.Fny. d my c,pt'F. (nh srlq ar rh.t eL o,lEdi'o worl' E H.t.,n dE surE a ml
<br />i'rsi.d 6 ofidrn fr EL (Sa ?04,{, BoriB3 ud Prof<ia C.d. TIE Ctu( r t.i(tM trs dB mr $t!, to u o{E or
<br />rlE FDrdy rtn t!il6 r irrrlE oEq rn *b dB sh *rt hiIErq lErlrq rldlh hh r lEr 6*n.tebFa,
<br />F.t*lcd lhd rlch in{mwdi e mt idqi.d doficid rc El Il lIes, dE ttrildi.a 6 uqEru. nsUEanhcF,
<br />ofLnnpLriotr lh. OwBr Buillr will lEw dE hlddr of FDving llEl lE or .lE {ln ml hiiB or ut{ft Ut l,orEry fd llE ,rrFr of
<br />_1. $ o*F ol rrE litrFlly. d crcir.i!.ly conidins wirh li..n.rl .dnodo6 b str{M rlE Fsj.s (S... 7O{4. Blrtrs
<br />!,n PnftsinCodc: Tn ConrEro* LienE br da3 mr q'?1, 16 u 0*6 orpn,Fdy *ll, buihs or i,pmEr rh.G'n.
<br />.nd sno $ie$rs d sh FDFrt rnt . C,.rddr) lfttrql po,{,I ro ih. Colrr-kr'r trl@ trs).
<br />-l
<br />m.r.4i !nL, Scrbn-. B. ll P C fd rhir Eo.
<br />D.l.: O,rE:
<br />lQf,f,[8liioMfErAlrQN
<br />PECI.AA&UAN
<br />I tE(hy rlnmlklcr Fndlry olFlury ukolilE folowint ddhrrirrN
<br />I h.E In wilr d,rtrha Ctnifr&orc.rir l. S.lf.lnte tu hlt6 @lttENdio B ,rovir,.d rd bl Scrb. ll@ or rlE
<br />Lrbd CrL, fd tlE Fflm 6r dr Et rd *'hii rlE Fmn 6 isu.d.
<br />Ul h.E.nd will oid.ir *ort6r' on{Enlrion iffi.. B ngoind by Serbn 17@ olrL t bd CorL. for rlE Ffltl'l.N of
<br />rr. F r'::::* z:T(m'u*c
<br />cu'!r un F."v runbd m
<br />0-,.t,.-
<br />( a-O L 7\ <l(,V '('1.'-II
<br />_l c..!fy rhr in rh. Fflrl'ljrN of rlE s* fd *h.hrhn Frd ir !.run- I sldl d crphy rry Fl!6 ir xy tuE
<br />$ s r. hc<E obFr b rlt u{.ls mrpcnsdion hB olcn omi, r.d rsE t.rr if I $dr5 b..oft $rrFr b r
<br />s.t6 snliM,i,. pEvirh^r of S.<li{ 170() 6l rlE L,nd C.&, I irn. fdthwirh 6nply snh dIE lrFvisions
<br />WAf,NING: F.ilurc
<br />'o
<br />rfu wdlc otr4.n ion svdgr i! urltutuL !d shll lubiTl u onplolt. r. oihirl FGhit td
<br />civil fimr up k) om hundRd llbus dol,xr ($loo.frr). h rddirion ro tlE cosr ofconlrnsrion, {i.@g.s.s tft,vidcd ror rh.
<br />iL4Il d.r! r'rlrrt,'ry \ lrr\
<br />pt c.-F- tr ur'
<br />DS;IJIAIIIX
<br />I Hy .lfm !'!c. Fn lry ot Frrlr, Ini I m liord u b Foviri,n orch.trd 9 (omring with Sdnn ?0Ol ol Divsio. l
<br />ol i,E AuriEs rd Pref.sioG Cod.. rd my li€E n ir tull loN .id cfi-l.
<br />(.-to \r:19G0tJ
<br />,". s q lru(zr .-,.-*(Fr.-t.- {., c-J..
<br />IOISIIUquI]trj.ETDNE'AGEI.I;I
<br />I lEEby srm udd rErlty of rErrury ld ltm B r etr{nerbn Lndin! .8.8y rd rh. Fftffi! of E mrt n, fith lhi. IEnl is
<br />ixsd (sN 1097. civ c)
<br />AII'.II:INLDECIJE'f1aU
<br />I hdlr,y.fm ud.r Fn.xy of F,lry oB of rrr folbwinS .k hrdi,n.l
<br />Emhion P.rhir^eb.rtd Ndifrdbn lid.r.l R.Erlrim.lT k ,lO. Pd6)
<br />-RcquiEd
<br />lrtlcr of l{rirrdion
<br />-l
<br />c.nrlr- rlltr rl'd l.J.rrlrcgtrlxrtrh rtinJtr'g r\tl{o\rr k,vxlrrr rnrll{ahL r'rh^tr!((r
<br />v4.drIy lh l I hE E d lhir +plirri,n lrd r!1.ltnE i.forndior is .mNl I .Br r,, .r,'qily vnh d Cay .irl Coqry
<br />ordtuBs n s'.rc lrur EhttrB ro hrildq c dd h.rny.dbrn. aF.r diEr orrhx Ciiy.rd C.snr, h 6rd r+)tr rtE
<br />d.v. ftnrrn.l lnrFny fr inlHbn
<br />Appli(nnlorAxd SixmluE )C 11
<br />r*n* -* rpano, lagrll
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Exl./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif t^l .,fu)llfiEs llFlDt ttltxtk t4a
<br />U t^:t
<br />FINAL 4lAXt0t MVJfffi n*1
<br />Certilacate of Occupancy t I
<br />Notes, Remarks, Etc
<br />Rev 08-07-2015
<br />SubllooriVenUlnsulation
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