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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNN BUILDEf, DET,CAXATION
<br />I lfrh, rrr r trid.r l.Mny of F U, $.r I o .&qn tm tE CotuEm li.ar tr* for llE aollo*ht l@nlsd.70rl.5
<br />Burak$ rnd Pbf.$io. C.d.) Aoy Ciiy or Cdlry *,hin 'quiB . Fnil lo on ut .rd. it$hw. d.mlnh or qrn uy
<br />inrdm, Firr ro ilr lrlltN,.ho EquiE! rlE +dird ror sh Frn lo nL r.itrEd rlr.@r drl lE d cE i! li!.!.d F r[
<br />ro tlE Foviriotu of 0r Co !.rr'r LinEd L.* (Ch.9rd 9. ConErilE ran serion ?(D oa Divitbn ! of tll BuiEs rn
<br />hsr.sbnr CL&, d rlrr lr 6 rlE i..r.qx rMom !d irr t .i! tu rn nlr.d.Eidih. Ary vhldbn orsdrion 701L5 by uy
<br />.r'9lhn ror.Ftur {hFrt rt rpplit ro !citilpcohyofrEr mE rir fi!. hin.ddollri (1100)
<br />-1.
<br />.r owB ol rlr FlFny, d m, .rpbrcr rin q+6 c rll.n ,l. otr9.elb[ wiu <rr tll wt ud lE tuc ! d
<br />ddi.d 6 ofi.,ql lr .!. (Sa.7oaa, BuiEf rrd PioLsiE Cod.: TIE Co'rrt'ld r Li@ t * dEr br.Fl, b d dB of
<br />rll. FbFr, *lo hild d ngffidEE^,n wb dG uiwt hirelf d lr*lld louth hi! a lE or..IPbF6.
<br />FollLd rn r iBh lqFftlrt e 'd irod.d dofiEld ro. r.! la tbffi, r,E hlrBryd iToEd ! DE wihn c JEr
<br />orod?lrra llt OeF Buius !i[ hr tlE hrd.r of ,,wil! dEr ,r d {E ilil Er t ild o..!ra r,E FrFry lr lll F4orof
<br />-1.
<br />.r ovB .r rlE ,retEiy. m.rhsiwly ccrlrrir8 ynt li!trrd cdr,d6 b 6tu rrE FoFi (s... ?044, BBiIK
<br />.rd hn*.$ir Cod. Tt Co.ttrrolr Lirnr Uw &Er mr l,nly ro e ord of rroD.iy rh, hoildr 6r inpDEr rhd6L
<br />'.d wtl, ..tu! r uh ,rDF! pilh . C. rro(s) limsd puMtr lo rlE Orrr&1m r LirN L.*)
<br />_lrncr.nFl u.d.r Sdrbn_. B & P.C for rhi Easn
<br />Drl. (r*h.r
<br />rc8trE85:.sqwArArA!
<br />DECIJXAIII]!
<br />I her.hyrrllmu .,lEnrlryof lE juryoncofllEfouowin8dclsolions:
<br />I hlk lrl r,ll nlinriin . c.niL.lc ofconsnt b Sclf-lnrurc Ir workn {,qrnt{ ion, !r lroviiGl aot by SEri,n .t7u) or rrE
<br />t b. Ctic, n, rlE Fdomk. ot rh. uort for whkh rh. p.rmir is issucd
<br />_l h.E rnd wau tuirrri. hrk r' on!.Nrtio. i6uft.. 6 rqui,rd by Sdi,n l?m of E L.h.r aod.- lor tlE Ff(rmE. of
<br />LIE n l ld shi.h rhir Fmn ir ir*d. M, *sk6 6trp.nr.li'n insmc orir !n poEy nunnc E
<br />Polty Noibd
<br />-Errnr
<br />_l cniry rlu in rlE FrfdmN orlrl mrt f6 r'hah rhi Fni k irsu.4l .rrll ml cqri,t &, Fdq in uy mG
<br />F 6 h llm obF lo rlE qrt6 onFNri)s hE of cllifodir. .ad r. - ri{ ir l .L{ld tEoG snFl io lll
<br />*qln .uFGrrion FtrvirirB ot S.dio l7m olOE r-.hi Cod.. I fill Ldhein odr rilh llE Frvnia
<br />WAnNNG: F!tuEh mwt n o,txdi{ oe!. it u *nrL.!n I {6Fr d 6rhF b €idn l FBli!' rn
<br />cMl 6B\ up b oE h{ rd rlDusn & hB (tloo.od)). h .rldnbn lo llr coc ot @n$.di.^ d{rrd ar Forikn 6r rlE
<br />s.r1!ri 1076 of rll tlDd C.dc. infri ,!d artfty . fG
<br />Drr.: Abot. r:" LtcENs@ coutmc_ntn
<br />DECIJSAIIO!
<br />I lEcbyttfm u Lr FMlryolF rury rhr I m limslu'dd provili'noIOuFa 9(om r!w h SErion,ff)) of Divtbn -lol rrE Bu.iBr d PDf.lrk,nr Co.t . un my lt.E is in 6ill foE e,n cfi<r
<br />,,i(nse( l6sr
<br />-Liebs.
<br />Numb.r
<br />D.r. (-orrmtor
<br />1;IJIIIBIjSIONIEDIIGIGIN(}
<br />I h.rchy rfinn' tr'rln Itmlrt ollxruryrhrr rh(r tr a .!tr{rucrr. ,cfr.lnt oAcBy itr rh. pcrlorlllm. of rhc *ork frtr shth{hs lEnnt n
<br />n\u.Jlsr. ll,)r,C'! (')
<br />l.drrr rhr h. t rLnl n!!L'$.r rc8lnD8.d.slo. Emul,c [i q'!li.'l,L t rhn rn,Fl
<br />-l
<br />(diry lhd I hE E.d rhi! rpplinhn rd i.r. rh,l 0E rt E irronnlb. ir 6lH. I .!B b onply *ilt dl Ciy rd Cour,
<br />ddiaer .id Srlrc lrwr Ebrirt lo hoil'tin! .lfui.( .d h.Eby .nlErit EFlsrriEt ot thir Cir, .id Counly lo oio I4.n tlt
<br />rh.vc 6.riad F{Ery rd inrpcrhh FrFs.
<br />Appll.m! or AFol Slrulurc
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorivenUl nsulation I
<br />Roof Sheathins //af /:o't / 4$711
<br />Shear Wall v'
<br />Framing ///ot/ztt),-a-u I
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar //h/tt Dt#8k
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />tl,2-d1,\Dkvfl
<br />Certiticate of Occupancy
<br />Notes, Bemarks, Etc.
<br />5
<br />I
<br />Rev.0B-07 2015
<br />FINAL
<br />A.TIIICANI.IECIJEAIIA
<br />I lad'y.fh !id.i Fut, 6, Frry oE of 0i folh*i,B ddLdit.r:
<br />l}mlnbn F. nai.ACE{6 t*rifkrbn Fd6d R.pbti,nt (TiL,lO. Pu6)
<br />Raui'ld Ldrd of l'adlicrin
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