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BUILDING- INSPECTOR RECORD
<br />SITE.WOBK DATE ID/SIG.COMMENTS OWNET AUUIi:T DEI,CATAIION
<br />I lEEby lrfrm utujs p.En, of Frrry tlEl I u .rnpl ton tlE o) 16 l,].rM Ls fd rt ioltovha m lse.70ll.5
<br />iurm.r .tt Fll.Bnn C.d.): Any Ciry or Cfrdy *hai rlquiEs . Fh'i ro condto.l, rhE, imphE &mlnh or Ep.ir iy
<br />linrte, Fs to tt i!@. ltro r$iB dr @hd lq str Fnut to nL r lrtEd {&cir thr h.dCE ! lrqE d plt'd
<br />io th. lxsvi3i.B otrh. C.nk-rn r l,i.cn!.d lrw lchrp{.r 9. C.ltmri.t *ih Srrb. T(ID oa Divti'n I .frlt EuiEs.rd
<br />Pior.$Dri Cdj.) r th.! ll c tlE ! .r.trpr trRltln ml rlE bBir tn .h. !kr.d .t.mFi.n Any virliion dfserbn 703I.t by my
<br />rpplald ro. ! p.mi. rubi.rB t& .ppli. ro r dvil p.dltyof d tu rhr nE hu,iEd dolh^ (ts{Il).
<br />_1. a o*rr .r rlE FFny, n my .nplol.d yit r.!.. a rlEt oL $qrNhn uI & rh. xrt ,t !h. ndE . mt
<br />iefllel d olT.rqi rM sL (Sd.7O44, BoliEn rnl PrDldim Col.r TIE C.dd6,! ljtr t r d6 d +9l/ ro d o*d ol
<br />rh.Ilr,r-!y vrD h)llk c urE6 ilEq !n *ho &B sh w,t hi .ror has.lror itrDu8[ hn d ha os.npl,or.d.
<br />pmrircd rh.t tkh ursnwB E d i..rd.d d.lk kr.l ll. h.kE, E boiEit d uFrEtrd n.td wiin ft )a.
<br />ol€npllir 0r O*E Boiljd sll ruw E talnL. olDovins rhd h. or slE dil d niB.r ilv.ow UE F.rqly r* rll ti,|,< 6r
<br />-1.
<br />s owr o, rtl Flpqrr, 6.rcMrwly oddha *ift li(.trq] odErm ro @n{rucl rL FFr (sc. 701,4. Bu.iEs
<br />!'d hrlsio Cod. TIE Co!,Ekn\ Li..trE Lr* dE B .rrl, b x o*F or FoF, *lD hoidr or -rbwr rrrm
<br />.rd wlrJ oda! f( luch FlIds with r codturq'(, lt.ed lua@r h r,l coirdoar Lt.N b-I
<br />-l
<br />lnr.EBpr urL. S{rbr-. B rtPC 6rthi! Erv,n
<br />UAEf,!&T.9]Ml!!lAIIq!
<br />DICIABAIIA!
<br />I h.r.b, lnirm und.r lEmny ol o.rjury oi. of rh. fi,lro*ir3 d.cLri i.trr
<br />-,
<br />h,v. !d wnl ni.r|ir ! C.nifsrr. of C.ed 16 S.ll louE ror urtat $nv.!di,r! .! FovrLi ltr by Sdion l?00 of r
<br />Lrfl C.d.. Id rlE Fld|:Er. ot rlE rdt r qhth rlE tEmr ! nsud
<br />_l h.w.rl will Dhoin klt.E .ory'.uiEn rnsunr., 8 Eqni'.J b, Sdriln 17m of rll trhtr Cdi.. tu rlr Ddf.t]w ol
<br />rlx *od lix vhrh thir Fai B iqr.d My wl6' onFdp. uure ffi rrl l[lty rudxr el
<br />lp 95v qcq &n
<br />-9qtut slry /?0,,
<br />_l d ify rh.r !. rh. ,Efomr. of th. worl fd whi.h rhi'Ermi, n ssE 1. Lldl d .iploy ay pcDtr in a, l,r:JE
<br />$ a ro lEor !ol,r.d h rh. 6td 6n+.M6. L*i .f C.lir.hu, .d lge lhr 'f I itsuld h..nE .ubrd io rh.
<br />e rD c(6p.nerir pruvili,Bofsdbn l?moltll llE c'qL.l tldl, fdhwih Nnpry*nh DrtoB.c
<br />WAXiINC FrrhiE r. N wt6 @mFudDn c.wn!. ! unL*tu|. rd shdl 3ul'ici m .t{Ioy.r ro Eimnd FMIE drl
<br />cieil nEr up ro oE hudrd (hou.,n d.[.6 (lllxlrl). r iddnb. o rh. Ld or.o drmg.s .i prehld fo. rlE
<br />tC., mrdn lnl dr'my s f..\
<br />c,l
<br />PEII4TAIIII
<br />I hciby rlrin unad F ,ry oI Frjury rhrr I th tienr.d !nd.r Fviri.n of Chrrrs 9 lsnrumina u h s.ctbtr ?oml ol Divrbn I
<br />ot rh. Bl)rG! rn PDi.sirB CriL, El my lt.M ! a tul ror nn .nd
<br />.*. f/o c'l ,44 t3
<br />QG lA0l'LLt1\
<br />ctlNrf,rJ(IroNr.Dultlc-actlcr
<br />I lrEby rrfm un( FDly of p.r,'ty rlEt rlEE irt.or{rudD. Eril,g rg.N, f{x t& Frfomu of rh. }o.t lor }ruh rhn p6n i!
<br />ksed ( ss. lrlr97, cn c.l.
<br />AETLICATLDESJBAIIa!
<br />I h6*,!trmund.r p.Mlrtofp.r!ry oE or r foll,pin8 &.Ldir6
<br />rr.ml[on ftmirlAlb.{o, Norin..'ion !'.d.nl R.3uLtpn! (TnL r0, Pd6)
<br />R.qtrft J Lrr.r 0f Norf{dru,r
<br />_l c.nify rlu rlE frd.r.l c3uLiio Er$nt rlEnor Ed,!d e nn !091-.bL ro rhs tnFr
<br />(1,..,,,,y$ l hrE EJ rhi! opt ..rim &l s.k lhd rlE .ho\.,nroturn hmr I agrc ro nxq'lt w h rll Ctry rftl Counry
<br />md Sirrc liqr rclduBh tu!.trnt h.cby rutrria E Ecddi6olrh! C(y onl
<br />.ho\. Enri,rJ Fordy lm
<br />Appll.. orArdrsilDtun
<br />(r
<br />u10
<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/Eneroy
<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 />Engrneer Final Report
<br />Flood Zone Certil.
<br />FINAL /' f ".u ,/lryl 7dry4[
<br />Certificate of Occupancv
<br />Notes, Remarks, Etc.
<br />Rev. 08-07-2015
<br />l)rl.
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<br />owr-
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