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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS Ot4'f'lER B(nl,DlrR DEL(-^I T|ON
<br />I hcrcby aflirF und* ,cndry or Frjury ln.| t m lr.npt fmm llE ftntDcloF Licme lrr t{, rlE folhwinS ren (Sc. r0l l.,
<br />Bfiimg .Jt Pmf.rlirn Cod.r: Any Ciry or CNd, *tth rquiFr . pdru ro Nnnul, .xa, inprcv., &mlnh or EFn I;y
<br />fi(l@. rir b irr i\n!m..le, niluiG trE {'did for sh F.nil b 6L. lisl.d {ttur rhi }E or {E a lift.d F,er.d
<br />io rh. FoltioN ot tti co.u*oar Lar.rn Le (Clr.prd 9. CollmEin* $th S<rr,. IrD ot Divsbn I of rlE AuiEr .trd
<br />Pmr..rhn Cod.) or lh.r lE or rh. n crctrpt llEcfrom irn rlt bNi! for ilE dk8!d.rmplion Any vhlarion ot Sdlion 70ll J h, uy
<br />rpllicrnr ln i Frmi! subjels ttE rpplter ro . civil pcMlt, of fr,t md rhd fiv. hun ti dollfi l$5m).
<br />-1.
<br />! NF of rlE IEFny. d ny .nptr,6 Barh 86 .t E, iL @qENlrtr rill dr llE Ei .ad dr t rEE it d
<br />i de .rofr.Ed ld sk (Se.7Or4. BusiEs.,n Prof6rir6 Cd. TIE Cdr.ldt tl.fu llr dc ml rpply lo u o,E of
<br />rLFrFr, *li. hrild. or ,Fro6 oEE( !d *,b d.6 *h mrl hi,elI or lEMlf or llwulh hn a hd oen ctQl6Fd,
<br />povid.d rhar 3uch inrr@d. a tut i d&t oroltk d for sL ll rbw, rh. boilli4 or 4mvlGit L nB erhin ft F,
<br />oforFLrion tlE oaE Builtd *ill lrE lrl hldd orFlvilB th.l lEmJEdii nr tniH d in+rq ft FnFry ftr E Flporor
<br />-1.
<br />i. orK ol rhe pn'!slr. u .rctutivcly cor rari.S wnh L<nsl o.rsLloF lo d,ddd rlE FlJar ( ^*. 7014, AosiN\
<br />rln l\lfdsD Co!.: Thc Contet{tr\ Lic.ns.lrw doci dn rrirly k, Mowm utprolEnysho builds or impmv.s lhcron.
<br />,nJ wh 6nlE*( trtr s.h IreFdr vith s C.rr x(sr lianrd pur\@i b rhc (-oMd \ tRN ll*).
<br />;:*"'=:\i(t L\Z
<br />I lEEhy !,im unjs rEn l'v or rE rty or or llt foll,*!a {hl!di,.3
<br />I h.vc o.d *ill ,Binr'in r CrnifEarc nr Co.sm h S.lf.lnsuE fr wo*d! $qxtrsalion. $ Frvi&d fd hy SNrirn l7fit of I h.
<br />Ldn CirL. for
<br />'lE rEdnrn@. of rtr *o* n, eh(h rk pdmir ir iisucd.
<br />_l hrF rd *ill mid.in md.n'onFn..l.n i6mE.. s EtuiEd by S(rt'n t7m orOE t ls Co&,ld llE Fftu of
<br />$. *trl lor shth rhn Fmn ie isrd" My rdt6 otrFnslion inlrffi fflr .,n Fli, .utr*Er e:
<br />Polkt NumrE
<br />-Erpcr
<br />-l
<br />aniry dBr in rh. FrfdmB! of tlE mrt tu shth lllir Frnu isErL IrnlU mt.nploy..y FB6 inuymG
<br />s B ro tEom dbj.c' ro rlE *ftkdi cor{rMraor li*! ofcrlilomq. d.gE.lhd iflsld!t coft !!bi6' ro llr
<br />sorloi @,qEtrrliln pmvisirn or sdrion J7m ol llE tihor C.d.. I dEIL aonhwirh 6nply sirh rlbE FDvi.hn..
<br />WAiNINC. F.illE b sr rqt6'@nrEtrs.lbn ocrs. i lnhwtuL ,n rhdr obF & dr{,bF l{' qhnrl Furi' rn
<br />cryil 6ftr up i' oft huidFd lt,u{rn &IE (tlc!o.([)). i. !d.hi,.E rN of.onpcn{rioE drd!.r .t FlviLrl fo' rlt
<br />Sdr t,n 1076 ot rlE trl C.n., inr.E{ .rn . nEr'r
<br />9*r\t--
<br />I tfthy .fm un Lr FEhy of Frjory rhr I d lidlrd unrtd Fovnio. or Crltid 9 (oltrEh! *ith kbn 7(D) ot Davirion l
<br />.f ttE Bu.ift!! .nd P6fcsio.! C.d.. rn my lt.M i in tull fod srl .OGr.
<br />qXN:IAUqTNLI.EDIBG.dGBqI
<br />I h.rbyrrmun&. FnrltyofFi,ylhr dR ir r6 lru.l.tr lsiils.BcE, d rlt FolrtlE of dE lmt 6. itthnFni i
<br />no.rl lS<. 1097, Civ. C.)
<br />trni.fr Add6i
<br />-
<br />6@ICl\NfDpqJSArI0!
<br />I hdrq.flmu d ll.nrhyofFrjuryotu 6frh. rolt,*iig d.clrhrhns:
<br />Dcfr)lirbn F.rnirArh6rc Ndifrrli,n tu6rl R.3ulrionitlnb 40. Prn6r
<br />-R.auiEd
<br />ld'.r ol ttrittdbn
<br />_lccnilyrhsr rhc acdcml rrrLri,,nr EEddirt trih.nos runrrvdl!rc ml qlrliul'lc r. thi! pn,JNr
<br />-l
<br />.dny d.' I h6E En lhit lpdi.rrion rn lnd tll .tnrt mroldDr n ffi I .sE r., @rply *nh rll Cay .rd Cour,
<br />ordiuftrr !d Sbr. t *!rLri.*rot ildi4 rrlDrir rcFcErrrriEr .r rhir Cny .nd A,unt, to drs uFn llr
<br />at$. ftnrirn d,'x,F.ny Ir I +4b\Drlnsnl or \[sl Si*nrrum
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req.
<br />Deputy Final Reoort
<br />Engineer Final Report
<br />Flood Zone Certif
<br />_-L
<br />FINAL 'lt2lat lnt.blil,w6v
<br />Certaf icate of Occupancy tt
<br />Notes, Remarks, Etc
<br />Rev. 0B 07 2015
<br />Sublloor/VenVl nsulation
<br />T-Bar
<br />I krnE Ndnrb.r
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