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BUILDING- INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS
<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 />Framino
<br />lnsulation/EnerOy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Beport
<br />Engineer Final Report
<br />tY o-k G I /*2,'1d k-e..tA 't't'5 )
<br />A, ?oo/ fa*-e-1- // -2/2-c-21
<br />}TNAL /.r?41 Z cza tzats o2V
<br />Certilicate of Occu pancy
<br />Notes, Remarks, Etc
<br />&
<br />OWNEI EI'ILDTX DELCATAIION
<br />I hr.b, stnn undcr llcdlry of lcrrrry rhlr I m .rc,rrr 6om rlE Conr[cro6 Lans Lrp (, rlE folk vi.il .a.sn (S< ?r)] 1.! r
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<br />nMm.rirlons i(llu.. $ rqiiiE! tlE tdtd ror lkh Fdil !ofiL..(n d sE.IEr u ltor !h a li.rtrcd Fni.r
<br />!6 rtr FDvnioB ol tlE CsiErn r LicnEn L., (Ospa 9. Collrrins rih Scrion ?flD or Dilnbn I ol itr sBE3r {dt
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<br />llr FlFnt srDhil!onFElltluErdwb&cssn{*hirell h.elf d rlmo,i hi. d lE. om.n9k )id.
<br />ppvitod rh.l sch urg!'mllltcd irdd dotr nd i, xL.Ii hreE, rrr h.irCi.8 d irtftErd ir$B*tiinG F,oforrhb( tlE OwEr Builj.r wil tEE dr hnt n of FDvi.B lh, rE o. slE did d hi! 6, inrmE tlE FoFry ad tlqEF4 ot
<br />l. r!opFof dE FDFry. r6.rcb.ir.ly ddrdin8 rnn ltinrn crdr.r6 !, @l!d&lrL FrF lsd 70ra, aGlBIn P!.aann Cod.r Th. Conrdroar LitrE t 1&E. tur .o,1, ro u.*F of DrcD.ny rln bliBt or ihomrr rh.6n.lnd *h. con0.ars ror sh F,,(dr *i$ ! C.ntrEro(s) licMd purur lo llE aonrdm ! Lj..E &s).
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<br />DECI.AEIIIO!
<br />I rrrbrrlin unds lxrull) nr Fjur, nrc or llE fououi,l3 dchrlhnr
<br />1t rur "g *,tt -,r... CcnifEdc orcomnt ro S.tf.ltr urc ln wi6 osp.Nrio,, rr Fivih fG byS€lnn 37frJ of E
<br />Gn crn . fm rL Dsr{llm of rlE xrt fm lhin dE odru u !er.d.
<br />I hlE n.d wr ll rMr rr *orl.ft 6mFn!.rio. itunn c. ( r.qlirn by Sdin l7m or rhc trl[r Co&, fd rl! FrflfuE. of
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<br />'url Islay nu'nhff u.
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<br />_l.dily rhl! in rh. p.rfurde. ot th. hrt lor which rhir Frdir h ised. I shlll nor e@loy.ny Fe.6 !n, mnE
<br />s asrotEcom birl ro lh. wksl mqE.{'ion hsr or Ctlirimir !n raN th.l if I srsut tt or $ni!t lo rlEhlt6 6n{ENrbn F.dri,N of S.drm l70O of rlE LrrB Cdq I {.lL ,onhenn orply ,nn r,E Fovi.idlW iNINC tiilm lo EW wt6'ortrMion ovfl8. k unLwtul. .rn nrll $bFr r drpt'F ro c uul F 16 !n
<br />cnil fiNr up to om hunjEd lh,usd dollr (tlm.oo). h lddn E .d of coqE.dh( lnm8.. e I'lviLn fo. llE
<br />Sccrio. 1076.frh.libo! (irlc, mrcEi !,n !n(m
<br />/t/-/3-D
<br />IJCEIIEgDBdANB
<br />DTITIIAtrO!
<br />I lrEhy dftim !'ncr Fulr, or Frjury thl I rm lisrd uidd FtrEbn ol Ch.$6 9 (o,tEx[3 whh Sd Dn 7uD) of Divirn. I
<br />of rlE Burircs ond PiafclrioN Cod., drn my &.rE is in tull foE .rn dlel
<br />a?t7€1?at?44
<br />1;OIEIIUCIIIJNIADDIi.AIjIN(I
<br />I hEny lmm unLr Ftuhy of tE.Jury rht rlEn ir . o.rdr,n bnding .8.ry f rtF Finle ol ih. *rl rd f,tih rh6 tstu k
<br />trEd (sa .1(l)r, civ c.)
<br />AITLIIIILDECIJSAIIIJ!
<br />I Hry.trm un.r Fn.ll, of Flrry oft of rh. rollNi.8 &.l,, ions:
<br />D.mlnion P.rmnr-Asb.( \ Nriifl.llion F.d.r.l R.glldioni (Tirk 1tO, Pdn6,
<br />R.1u,6l l.rr.. or r{ril-rcnn
<br />_l csi'fy rll.l E 6cr.l E8uLriG rqldin8 .t iG Emvrl E d {'Plt.r,E b rhn FoF.
<br />E anir, rhd I har Ead rhk lpplkiron .rn n c rhri 0r rhlw inlom io. ir 6Gd I l8E io .onply wifi .tl Ciry rnd County
<br />Itrdi'[mr\ r,rl srrrc Iiu1 rLii,rS ro huiLlinS con(uthtr o h.rchyaulnria r$rccnlrtiEr oflht Ciryad A)unrylo dls ulr,trltr
<br />ator! rnrioEd ,'mp6ry tu hgErrD
<br />,tppli.ml.r AEml sUBluF
<br />-
<br />x,". /ts'rJ'LeT,Z
<br />II
<br />Rev.08-07-2015
<br />DATE
<br />Ext./lnt. Lath
<br />Pool Fence
<br />Flood Zone Certif .
<br />,**rn*(A'?' b ,.ftn*Nu,)b.,
<br />o.nh/3' Lc" ,*,,-,,, !;tt//*
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