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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNEN BUILDER DALCATATION
<br />I h.Ehy rrrm und.r p.ndry or Frrury lh,r I m.r.dpr iiom tlE C.mrrr6 Li..N kw fr, lrE roll6sb, !8i (Se.roll j ,l
<br />BurEls .tn h.r.sbn Gn ): &, Cir, or Cour, rfian Eqlid . Fni b dnrM- .rs, hprcE. &mlth s RFn or.
<br />lllrhcFirhnt &ll.N,.8 E{uiEr E +did ac trh Imr ro liLr liti.d.l,.mr st lEorrtE ilh.-d F, r
<br />r. rlE Fovi N of llE aonfxroli Ltm-d L.s (Ctrrrs 9. Colmrins ,nh S6rbn 7m of Divirr. :l or E Bu.iEs ri
<br />PDfr$io.r Ctrd.) 6r ih.t lE .r rlE n crc'ifl rha€fim rn rlr b8i ror lE nL8.d cr.(Fio. tuy violalbn of S.dbn 7031.5 by.ny
<br />.fi,lh.nr loi r Fhir $bFr! rlE rlt liur ro rdvil FElyofmr mE rhs fi!. hudrqt doll& {!5OO)
<br />--1. s ouEi of llt FD,Eny, u hy Gtrpt'rE *ilh qs6 d dEir ol6rqEni{irn. *iU & th frrl.,n dE ffi i! E
<br />jnr.,ial or off.rdl for slc (Sa ?044. 6uiiE$ Md AlfBioB Cod.: Thc Co.trcror'. LtmE be do.i Dr r!,!ly ro u o*Er oa
<br />rh tFFry vl$ hrilds G inF)G dle( In wh dB tuh s hic.r u ltBllor drcu8n hk r hd o*n .nokty6.
<br />,mvirn rn! rEh i,FDwdre ml iEd.ddolYsd triL.lt lrreE,lL trills u bFodEn i! n! lthhft,4.
<br />otNrpt in th.o*E BuiEd wix lrE dE hriLnofFEtiE r rEdrrt dil d llib d ipr* lrE FlFry for dE F,p6.or
<br />_1. D o*E ol i& r,oFnr. m dcbrirly .stadins wiln [c.nsn rddm b .rdM tlE Fsiil (S... ?o44. Bu]iEs
<br />rn FtrtsinAn:TIEConrErol!LirtrEtr*&E!tul,prlyroe6rffiolF$Fny,lbbildtorimtmE.rlE6..
<br />lnd wth d, Bs fc sh rFr.dr uli . co aonr) licctrrn Frqn ro . c.n ald r Lr.B ta)
<br />_l em.rmpr unLr Sdr
<br />l)rrc
<br />]ra&i};8rg)u!:lrtautlNulicldn uaN
<br />I lf,'.hy rffirrn tr i(lcr Fnrlry ol t$lury ofr. I rlI folk)snr! d.{lffJn n1
<br />,_l hrE rd riu mnr.b. Carifd. of Co.mr b S.ll.l..r fr r6d6 orp.clirn. B F!vi,.d fq brlqli,.l7O of rlE
<br />ulB Cod., ld rlt Ddfdrc .f 0! srt for rtit tlE Donir h b.u.d.
<br />f h.E ahr,ill miltrrin sd.R onqENtiotr il!me.. u 'r{!iEd by Sdbn l70O of rlr Urrr C.<t . ror lrE FfdiI.N of
<br />tlE *ut fq rhih rhie Fmn ir isEI M, wckqr' onF srbn iNllrc {i.r .d poli.y mhbd e:
<br />il,r-7( | -^"/t/talt
<br />_r dary rh.r m E Frdf,N orrh. mrt f wtth rhB Fmn n irrEl I nE[ r,r sl?k,y.ny p.en i. uy @E
<br />$ Nro h.mm $hjc.lro rlE *nt6 mnrEnsrion h*rofCllifodi. {d rC@ltur irl slbuu tE oE subFr lo llE
<br />*oltdronlfnqrio,l)r,vi!id6orS*ihn1700ofrrEtjborC..L,Isldl.fonhwirharnply*irhltnErmqrh.
<br />WARNINC: t nur. ro se wk s'.otrIEnsion o@s. ir unLstuL {J nrll tlbixr t drrloF b simin l FEIB !n
<br />cMl frruprooE hu'nEn rbossd d t E (tloo,ui). hlddn6nbuEam or 6,Fnsri.E d.mr.r a Fovi.l.n tudE
<br />Sftlbn 1076of rlE t hr Cd..,nt.d.rd drmy i fa
<br />o*,t/tL/7-e
<br />Lr(l;NILEQJT&rllll
<br />Dfct t&lror
<br />I lrEhy ltfm trd$ F.llrror l.rj!ry rhd I m lisrd ufrLr F i.i,.of Ch.rl. e(orlmrcitrr rirh 56ri,n 7(mroaDrr^Fn 3
<br />ol lrE Busir.r\!trd Profc$n',r Code. uxl nr,licetr{ n i.liill foN L^1.firL
<br />E:d<(eJ(
<br />COIEIAI TqI.LEDEG.AGSIqT
<br />I lr6hy .film ud.r p..dr, or lr.rrry rh! lrEE ir . onrEdbn tndnS .3.Ey tn llt Flofu. ot rtE k t ror *nth rhn Fni n
<br />irs.d (Sd.:1097, Civ C.)
<br />AI2LII]INI.DETIdSAI&!
<br />I hdrtt.tr'm urtr FMhy ol Ftry or or rh folbwin! &<hEri'.!
<br />O.mnnbn hrndrArbarn Ndilkdir. tucr.I R.8ulrdFns (Tnt .(l. P!n6)
<br />-R.quiEd
<br />kller of lkiar.rbn
<br />-
<br />I diry th.r rlE &r.l qlLritr E8.diry .stEiror rcbr.l & d ltrpli$k b rhB Fir1
<br />V1l c.nify thar I h.rc rc.d rhn .ppliclrion rn sl!r. rhor lnc ltrE infordrion h sBl I r8r to onply wnh .ll c y ond Counly
<br />onlillrN! tun sLr. Lrw! chilt io bininS co.fuiitr $d h.rcty .dh.rirc EF.srsliEr of lhir Ciiy .,t C6!nr, ro 6r? '{b. lrE
<br />lh'E cnrirEn r$Fn, t( inqrrionI,cF6
<br />,tppli nl or,\x0rl Sitn,hrr
<br />r.-r. * rpa,u 1.{/- [(.! tJp;rz-1 ^,,flJt(/to
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenYlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Dtywall
<br />Exflllnt. Lath Lt D*td4
<br />Erown Coat l/rl )A Dr*tc 5f./k/ ?ttvn-
<br />Masonry I
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil
<br />I
<br />FINAL I tl A u{t'{6-l
<br />Certilicate ol Occupancy ll
<br />Notes, Remarks, Etc
<br />Rev. 08.07-2015
<br />Drr. l ll /r6
<br />llBlcis Ad&.$
<br />f-------T------
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