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BUILDING. INSPECTOR BECORD
<br />SITE.WORK DATE ID/SIG.OWNF.R BT'II,DER DEI,(NRATION
<br />I hcrsby irrn' und.r Fnnlry ol ,Erjury rhdr I m .r.rpl tion
<br />'lE
<br />Conr..roF Lic.ns tr* for l,r follD*h8 usn lS( 7011.5
<br />llusirrs! r'n In,lN\ir C(rL): Atry Ciry or Coutrry whEh rcquircs ! If,mir 1,, .ondtur. ali.r, improv.. &nbli.h or tpan dy
<br />nf,Krur.. ,rr{ h i* ksur^.^c. {ho Equirs ltl lppliconr lor such Frnir ro filc o si8Ln srsr.ngi IhIl lE or slE rr liccnEd puFuur
<br />lo 'h. Frvtr)ns.l ttr contftclr, ! l-i.cn$J trw (ChoFlcr 9. ComnEftinr wilh S€lhtr 7O(I) ofDivnion I of rlE Buru.$ md
<br />l,n,fcs!on{ C,'lc)orthor h.orrhc ir crc,q rhscltr,m!.n rhc h&rn tu rl.E dlkscd.lmpri,n Any viohri,n ofsdion T0ll aby y
<br />upllic!trt lor r rErmil subl6ls llt rpplicant lo i civil p.mlry ol trot mrc tho fivc hudEd doll{s {5500)
<br />l,,r owmr ol rh. F,Fny,.r nry.n{,l.Fr *irh *aB6 N\ rh.n sh mmFnerion. will do Ewtrl.,n dE slfldw is mr
<br />inroxicd or ofcrcn tr eh tsd 7014. Bu\irii ud ltors\i(,trr Cid.r Thc Cunh.r.i s Li.n* bw iLxs mt q{,ly ro e o*ffi oi
<br />rlE rnrdy wlr ttriklt or in{mEs llEmtr irn *ho do$ "*-h mlt hinclf or hcrcll ( rhnu3t ht c b., .*n .rploy.6,
<br />pn,vddlrhd rkh rlnivgnnlr e ml irci&i or ofiml ror d.. It kN.w.
<br />'tr
<br />toiBin8 .r i,qmErrr ir $ld *lhh c ]qr
<br />or.on{rhri)4 rlr Ovmr Buitt r wiu IEE it hldcn nfl'.vin8 lhd lEorrh.dn d lldi! n rImE tlE l,olqry for ttE pur'[s of
<br />-1,
<br />ar o*E or rhc Inrpdr. m.rcbriEly .o,rr..rin8 *ir h liccn$n co, rdm ro onntu rll |i.,r (se. 7o4.t, Btrsift$
<br />.rn FlGdn Cd.: Tlrc Conrrro* Lic.nE t w dfts mr t ply ro u owmr of rmFn, *ho blild! tr inpDEi rhcen,
<br />.nd who onrrL-rllM uh F].r1. *nh r Conrrhnr) lEtrcd nurMtr lorlrCrrrmroi. Lire L,*)
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<br />d.Bn{i tid., Sdrion-, B &PC fr thi! E$.
<br />Itrlc (hnrr
<br />n].rf,rl:&I:(ailInii ra!ll;llaSdllo!
<br />I lrr.h!il,trm unlc' Ftulr! ol Frlxr) om ol rh knLt$tr,S dNLrtuon\
<br />I hlk lrl *ill minrei. r C.d irr{c oa G,n{nr n, Sclr lmrc fr k',ts' (rtx.sr( .i FrliLJ ror b} Sarb. l7(x) ol rlE
<br />IrktrGxt, finrh. I{.ror!tIr.of rlf, *ort ror*httr,EFmir n iriucd
<br />lzqzzn(t-.1 z 1 I
<br />I edity rh.r in rlE FrfdmN of rh. hrk fn phi.h rhB Frd n aiEd. I d.nploy&y Fls r xy ffi
<br />irl nhE b.toc sutFi 16 rlrv' B k, h.dm sbFl lo llE *ri6 mnF.Blbr L*! ofoli,omir rn
<br />Mrt6 onFNrbn pbvirioB nf Selir lm)o(ih. lrtE C.d.l CrlL
<br />$,tRlil\(: l.r,lm h' r(urc s,i\.,.
<br />::r'iihA'*
<br />oqEndi'. d,6r!! n u.L*
<br />{trllB (Slm.o(Dr. ( .dd'ri,,
<br />m drl)bF b aituMl FEXis drd
<br />irrd d.f,g.s a Fovd.d lor E
<br />^n -*X
<br />l]lrllllu&\
<br />I tEEtly .lIm u.d.r Foly of F tliy rtr I d lirord uidn Fblni@ of clEprd I (6ffiiu eirn Sdir. 7m) of DivirbdJ
<br />of rlE B!ffi rn PlDfBnN Co&, rn my ltc i! h tull for !n dlel.
<br />l05.tl cl .-,*,".x t
<br />SIINITIICIION.I.EIDIMiIIiEICI
<br />I rEEby .lfrm und Frhy of Frtry rhd rtEE B . oBtdin E din! .8try fc tlE Ff(,rlre of llE {ed tu rlth lhn Fni i
<br />irffd rsa 109?. civ. c )
<br />apPt r(lvI nFcI An{ToN
<br />I hdrl'y lfm ud.r FEh y or Frlry oE of rlE toll,*int &<Ldirnr
<br />D.mn i'n Pcmi\A{Eskx NolirEri'ntu tll R.BULl h.r (Tnb ,l(l. P.n6l
<br />-R.quftn
<br />tr(cr ol tlrrtudnn
<br />-l
<br />ccnrfy thd rh. f.rr(.!l rcglLrsn! E3&lin3 .{..tor Enn.lN mr qrqla.bk lo lht F.Fr
<br />I.d'ryrhj I h!v. E.d ths nppl..rrn orn {ar. rh{ dE !t!!r in
<br />mliMBri.!n 9!r. l,H Elrilt ro b{ildinS c.nitrri,E &n
<br />lhrE rnri*d rmlEry fr hqEdbn purxB.
<br />?
<br />onply shhdlCirun 96ury
<br />hnC v sd Couruv ro cdt lDon ilr
<br />-,. - ti /t/
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Roof Shealhing
<br />Shear Wall
<br />Framino lt'9',o [A4Me )
<br />lnsulation/Energy
<br />Drywall
<br />Exllnf Larh llt tq 70 D**v 1
<br />BroWn L;oat
<br />ltrlasonry
<br />Pool Fence
<br />T-Bar / t4 /zo b+Yffi
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Beport
<br />Flood Zone Certif .
<br />I
<br />FINAL (,Lzlal D,RYr1
<br />Certilicate ol Occupancy
<br />NotegrRemarks, Eb
<br />-)
<br />Rev. 08'07-2015
<br />COMMENTS
<br />Erection Pads
<br />Subf loor/VenVl nsulation
<br />I h.E .tn *'ll flinr.in ert R od{E6.rion inonE.. a 'quiEd by S<rbn 11@ of rlE L.En Co&. ,r rlE rEfo]r'r of
<br />llE e lor *hi.h lnirFhn ii ilocd My wt6 orIttr.lhn inlum.tuir rn Fli, nunrE m:
<br />rpptr.-r o. Ag-r Srg-lr*X
<br />l,tmlrc mmt lpnn|:*,\aCdc.--v'\
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