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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OTvliET BT'ILDEN Df,LC]AIATK)N
<br />I lRlr, .rrn u'is Fany ol F+ry $.1 I m .rnpl nm r Ctu6 tiw U* f.r rlt foll,wng re. (s.. lll 5
<br />Bulixs .,n PmfBsbn @.) An, City Cdlry qtih EquiB . Frn b orrL1, .ta, in{.ot, &mltli r n?.n Dy
<br />lrEre Fi, ro ir. irrilrG, .ho Eqliri rlr .t'plird tor uh Fmi b nL . !i8i.(i dr.@. rltl lt d {r i! linr.n F {rn
<br />ro rlE Fb iniB of 0r C@t 116.! Ltcnsd Lis (Ch.prd 9, C.nmrin8 rirh Sdrbn 70(I) of Divilion I of lh. BuiE$ !n
<br />Pmfc$bnr C.d.) or lhrl h. tr .lE * .rcrpl llE ftom .d oE halir lor tlE rlk8.d .rcnp.ion. Aly vioLthn of Sdli,n 70J 1.5 by lDy
<br />rppl4rnrkrrFmr {bFr rlx rttli( r rornvilp.Mhyof mrmr rhtr nv. hundrcd d.lldr (l(Grl.
<br />CZ-| s oer. nl t* ,oFny, or ny .trIbEr unh *rt6 s ltEn $b on{ENtbn. wiI 6 tlE eqt !d tlE |cEiE ir ml
<br />i.rdfi d nf.rcd td rh (SE 7(X,4, BurBr r.d Prof.sirN C6rt TIE C.,Idc 3 tiae tr* di.. d lpply ro o ow of
<br />rh F{d, }lb trilik d igDE dEd.rn wb dd rhhd hilklf h.eltr rrftllh hh d tEr om.n!br6.
<br />FotiLd rhj ah nnFdED$e d ilrdiLd dofrqld to d. lt hffi. rE biElBd i'qfreEd i. ro5 *tninft ,nofd,r*iir tll OwE Buit 6 wiu lrr d! hilr of Fdinr ,r h. q {E did ni tlild r il+tuE dE fqrrry fti t. rirFi ot
<br />_t. !t o*hd of rhc I'$Fny, !n crcln\ikly cnnrralr ing *irh liccnrd conttrdoh t, .o {tu r rlr phFr (S.. 7&4. BrsiEt!
<br />. h,tasirn C(xlc Thc Contrerorr l,i.cn$ ljs docs not .nply l(' rn owncr o( p!,Frl y wtn huildr or ihnrovcs rhcran.
<br />.tu] *ho qntrrts ror sch Foj.fr unh . ContrEto(s) liftn*d purunt rn rh. (1)nlrdois Liftne ljwr.
<br />l-lr.r, lO i 2.2
<br />DITJI.AaAIAI
<br />I h.rchy rllnm uhdd Fnalryof Fpryom nl rrr l,nlo*'nE Jftlaftri,nr
<br />Ihsvcarldwillnurnl0in.Ccniarur.ofCon*n!toSclf.lnsurf(rwolt. uon{Ensdion,os F,vii.'.ilor bySslhtr l7m ollh.
<br />btrr (ixt . ti, rlE 0.n rI*-. of rlE woll tu. which rh. psmir hru.d
<br />I h.E rid *ill mi'rliI wortcn odtffirlion iBurrE., .e r.quircd hy Salion.lTm of tlE l,tr Cod.. ,q tl! Ffflfu:. of
<br />llt $rt aor *nth this Frmn is isFld My val6r onp.$.lir. 'n{re .efi dn lEliy rumlE E:
<br />]f (nrl,!hu rrhc Frfrmrc nf !hcsrr lff whrhthisFrnril n n$cd.l shsllnol eq,loylnrFmo in any mnM
<br />{6 sh'lrn r \uhFrro rlr $dknt i'n!x.er'on I'qrol Crli,,'m'r, dld laR rh.r 'lI .lbtrld h.<.m tubF! ro rlE
<br />mrtc dnryEnslion pmviihtr! ol S.d ion ]700 ol llE bbor Con , I tull. tunh*irh or{iy lilh rhrE rh,tiri.ne
<br />WARNINC: f.itur rd clu wrt.R ontlnqri,n 6htc n lnbwtul. rd $.ll NbFr d arpbFr to dimiel FEha. rtol
<br />.ivil lifi ut ro oft hu,iftd itru{n d ld (! l @.0@,. i. tddirhn !6 rrE .d or .onixtrr' io( d.rr8.s a Fotd.d tur
<br />'rESdion to76.l th Lkr cln- inrd
<br />^,.. le/alz--"a4-
<br />DECllrAflol!
<br />I lfEht ofirn undcr FMltyofFrjury ltul I rm liatrsd unds pmvish orChoprs 9(com,EEinr wirh Selhn 7000) ofDivni,n ll
<br />of th. Busims !d P,Dfc$ions C.d.. !n nry lic.tr* n in tull n,@ xn .fier.
<br />coNATlijc'rroN r r\nlNc ac9'\(-Y
<br />I hcEh, .titfl u c.rf,Mltyof Frjuryrhrl rhcEnaotrsru.rhn lcfrliry l8ery nr rh.F.rru. i)rrh.eork ru riih ihn Frnir i\
<br />irsucd(Scc .l(r)7,Cir.C.r.
<br />Lrd.r'r Aldsr:
<br />-
<br />aPrrlcrna nrcl ^t^Tl(}l\
<br />I tort, ltrh !'d.r Fulry or Fnry ot o, rE rob,ing &(l,,.rDn3
<br />Dcmlilio. Ermils Arb6lG Nolificnion ldhl R.8llrhns lTnt ,()- Pln6,
<br />-RcquiEd
<br />ldis of Ndif$lhn
<br />I cd ily rhd rh. Ld.rl ESulx ronl Fg{din! $hcnoi Em!.1 E ml rpplElbh lo Lnn FtrF
<br />d c.nit,t !,'t trt Er fis.p1lkrr nn rn tr. rha r}E .6rr n rofrrbn k ffi I .!E b otrdy wnh nl C.y md cMt,i,rdm rd sd. t r! rhr.t
<br />'o
<br />hr'Bhg ffib^ rd h.rd,.'nLri- E rld{iB oarhr Cirt rn Cou*r ro qra upo.0r
<br />rhrrc Nnrknrilnn,p.nt nr mspcrr
<br />,rnpli$nl or A*61SkMl "w@*--,,14141"-o
<br />t-t flklEa
<br />Forms/Steeli Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathinq )
<br />Shear Wall t I
<br />Framino hn.\',&4)
<br />lnsulation/Energ y J ,, )... t 'l-rZr;, ,^11 v'1,1-.t ,/
<br />Drywall /-/-z ,J --M,td
<br />Ext./lnt. Lath ,/?/zz/zrth)':;H4,,1 )
<br />Brown Coat J/ziJ+//tz/*z('.',,14t)
<br />Masonry
<br />Pool Fence
<br />T'Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />il^^
<br />FINAL /U2.,/tor/ ,4,$,[--ur )
<br />Certificate of Occu n
<br />Notes, Remarks, Etc t-/
<br />Rev 08'07-2015
<br />Set Backs
<br />Ereclion Pads
<br />Flood Zone Certil.
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