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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEN BUILDB DELOIIATI(,N
<br />I tEt, .rfrn ua.r Fn ly of tEiry lhd I d crnFr fid rlE C6d..rB tJ.G Lrs lor llt folb*n8 rs.ls6.mll5
<br />BBiN$ un PDr6i,n Codc): Ary Cn, or C.dy "tah r.quiF. r F n lo clnrrrt rid. inpot, (Lmliih q qrn my
<br />luarue rrt ro irs isum. rld r.quiB rlE .!?ltrd lor rEh FDil lo fiL..i8,'.d rd.nEl rhd lE or nE i! lk rd F,$!r
<br />ro rrE Fviihm ot 0E Cdlrxrd\ Liri$d L.* (cl'+rd 9, Cdimrin! wrh Sdrirn ?0O ol Ditti,. ] of llE Builrs ud
<br />Prcfcisi.n! Co&l 6 rh.r h. or ill. ir .&n$ lh@a.o6 .rn llt h..n ror llE .lL8.d .rar9lir.
<br />^I,
<br />ioLlion of Sclbn '7011 5 by ey
<br />.pdictd lor r Fnir $birrs rlE {rltDr ro. civil rE lr, of 'Er nm Ur, fiw hu..t d.tolbB (tilD).
<br />_1. .r d*F or llE
<br />',DFdy.
<br />r ny cnprrrE3 wrh *.F B tlr sh onFrt lEq ,iU & t ! wt !n Effii!d
<br />inro&d or 6,Ii,rd fd slc (s(.704a, aunn.$ lnd Pn,r.sic'nt Cod. TIE Cornadois Licd$ lfw dd.t mr rttly r, !n owmr or
<br />rlE F,rEny *tn hriBu ill'Il6 rlEb adqho (h.rrtq,l hilellry ltEllq threorh hn d hd own.npby6.
<br />lmtd.rt $!r $ch iqmtqEnb E er iddrt d o.ofrdql fn.b. lt lbms. tlE tritin! m irtlmm'n ir Eld walin ft F
<br />ofonptrio( dE olxE Buila eill IEE tlE h!d.n 6fF rls,!,lEdrt dil n, hqits d ir+.ok lll Fttdl, fordE IUFEot
<br />t. aio*EorrtE FIdy. tm.rcb.iElyo.rdh! * h liu-d d,'irrcr6 ro @dM 'rr FoFd isr 7oa..46fti.
<br />srld Pi!&rsin Cdcr Tn. conrdor's Li!..i. t * dmr mr .lrplr ro u owrcr ot pn,Fny whd bu ild. or ihpmv.. rhcrmn.
<br />rnd !t .rffir ld *h tmFt wirh . Coddono IEn€n ,'urs,r b llE CodE$r'r LltE Lw)
<br />_la .r.q,l und.. Salin-. B &PC rotrhir icr$n
<br />Dir ()rfur
<br />lll8f,EXlillltll8N5arla!
<br />DECIJAAIIO!
<br />I h.rcby.rmudd F lly of FJU.y om or llE lolor !s &.|&ihnj
<br />Ih,E!,n*illdi.inrCcnifrlrcoacdn$.r'os.lalormfdsrld{N,rEn9lli..arrEviLdfqbysqriJnl7morrlt
<br />L.rnr C.d.. fm r,E F olmr. of rlE n* nr wnri i,E pdnll a n.o.d
<br />_l h.k rd vill did.in s'rt6r' mnFr.dio. ilurBr. d Equird ty Sclbn l7m of dE tihd Coa., ld rFnmof
<br />lhr qo* lorqhrhrhNFrmi n ^$.d. My*mts o'{tnqtnn T{dR rMi(r 8rd rnliy numb.r e
<br />c,i€, - cA Slafe fcrJ322 tt z q 3- 6- 2/
<br />-l
<br />eni y rhr in rtE p.rro.m or rlE krt rtr *nah lhn Frnr r isrd t shtlmr.npk yrn, Ftu 'n
<br />ey mE'
<br />$ a\ to b..nm sbFl L
<br />'lE
<br />wtrtcE frtrp.Ndn. hei utclliromir.oid lgN lnrl ifl rh,uld lEcom tubiccr rollr
<br />{dt6 oniENri,rForirD6olsdh lruofrlE t td C.de l tdl. fonh}irh@rFly *nnob-l'bvti s
<br />WARNI]TC: t ilurc to sE wt 6'orrEnsiion mMsc i! unlrt6,t. .d ilEll $bFr .. dtph}tr io simin.l Fflrt! un
<br />.ivil fiEr up ro oF nudEn rhustd dolh^ (Sl0o.Ul). h nBnio. ru rlE d.mt.r B Fovid for l,E
<br />S.crhn 1076 or r,E L.trtr Gd., 6icE{ tud .trffy't 16
<br />lo-t)- 2.,
<br />^
<br />I tmby rlIm udd Fn Xy of Frrury rh.! I rn liuEdu'l(l.r FDvisidn of Chrptq 9 (oltmrin8 wnt S€lbn 7m) of Division l
<br />ol E Bu:iE$ .,n ftofdiE Co&. .,n ny li.E n in tull f{E ad c,Iir
<br />/3t
<br />to-5a,zo
<br />I trEhy lllrn uder I.n lryofFrjury rhd llErc n r sn{ddirn h.din8!8cNy for lhc |trinnuK olrh. wort for shhh rhN p.rmir k
<br />nsxd (S.. lil)7. Cl C l
<br />AITIII]INLIEqLAEAIII]N
<br />I Ht .frm uLkr FMlry ol Frury oE or llE folhwiry &(L6rbn{
<br />Dcfrnnn,n PrrnrirlAstErior Ndific.rion lcd6.l Rc8uhrhtrr (Tirk,qJ. Prn6|
<br />_R.iruiEd l,.r( or l{('arrdb.
<br />-l
<br />cd'fy rhlr tlE f.n d 'crllIi.ns Esrdh! rd.<rn FD!.1 x. mr x{?li..t'k ro rhii Flid
<br />Krs I hnt Erd rhn {plirrirn .rl q.r. th.r rh. .br info.dm i. mr I .!r lo o'rI,l, snh.[ Cny.d A'u y
<br />iB olrhh Clyrd G'!.ry rb.nro lFn rlErrrr li'rr Elnr + n) htr'ld trx
<br />ahtr. rnrorcd I'mp.ny f{
<br />Appli$nr nr A*dr SiaMrtrn b:Zo:?Q
<br />Set Backs
<br />Forms/Steel/Holdowns u u lz-rd+6
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenUlnsulation
<br />Rool Sheathino
<br />Shear Wall
<br />Framing 12 lo ao
<br />lnsulation/Energy
<br />Drywall I
<br />/Exitlnt. Latn lo 10
<br />Vrown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Reporl
<br />Engineer Final Report
<br />Flood Zone Certil
<br />I
<br />FINAL )TWD'
<br />Certilicate of Occupancy I
<br />Notes, Remarks, Etc.
<br />R6v.08-07-2015
<br />l..dn\ N'm..
<br />Plwyt
<br />DA'*8fi
<br />tu \7\
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