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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNts,R'UIIl)II DITT,cARATION
<br />I llEby lrflrr u .. p.Mlry ol Friry tld I M .r'rp' toh rll cirdBl6 lj.rr Us fo.rll tullo,h8 E.en lsatu]r.s
<br />Busirc$ ,t Pmloiotr C.dc): Any Ciy .. Cddy vhah rcquiEr . Fd ro @.rM, .llq, in9rt* d.mli.h or tp.ir sy
<br />ih@e. Fior r, iu issude. d$ cruiEr rh. lppli'er lor tah Fm, io 6l UIEJ !rr+l{ rhr tl d dr 6 li€rei Frod
<br />r. rlE Fnvdi.r. or ilr Conk&ro.'r Lh..'cd lr, (Cn |r .r 9, ConmEi.! *irh Sarbn 7lrx) d Diviri.i l of E BuiEB ri
<br />PDf.!r.N Cdl., rr th.r lE n ttE r .kq{ rh...h,n rrd ih. ba! for rtE llLr.d .EndDd Ary vnLtion of S..rlh 701 I 5 6, D,
<br />.pplE.d fE . Fma 'uhrdr rl' lpplic!.r ro . ov il Fn.hy ol mt mB ltun nv. hundr.! dollar (lt(xl)
<br />_1, .r .wEi.f rlE rmp.nv, ( my.npbEr *nh *r!.r.r rlEtr hL mqEdn., ndri,l*rt.rdrh.nMcimr
<br />inBrlql or olt EJ fd sh (Sa.rO4-,|. Buies rrl Pbfairs CuL: Th. Crdrdt Lt6s t * dE d |ppl, b u 6vd of
<br />rlr F.t ny who h[lj! q iqrcE ttsB,tr.!d wh, A6 uh q)* hilulior lEBlf q rlIou8h hil d lE ot.rqlorq
<br />For n d lh, lEh ir+..wdi G d ii.d.d n nllr.d rd el Il, lh*.E, tlE tuiUtA itr+.6rrd i! $! gini! d rrof.qrpl'ria rol,EAu ld rill hE tlE hrn,.r of Fovr[ rhi tEor.lE dil d hrtl or ltDro€ 0r p.opaly In llE FrrF * or
<br />-1,
<br />A ow*r r, ih. pftr.ny, !n cr.lu3ivcly .odBrir3 wi$ li.tr ! codBrc r. !$.{tur rtr p.oirr (56 ?04,r. DorilB
<br />atn ft.Es!.Cod..Th.Co.trir'!L@n€I-!wdesn{rpplyrooow,E.tFop.ny}tnblili,o.imp.ov.!rhae
<br />..d *lh oddr fd ikh pmj.dr vrh r Oddo(!) lartrerl pu^uer u rlE C.drd.lr Lir@ t *)
<br />_I rm.r.n'pt utul.r Sec!kr
<br />!t08f,!EE:.C!)!t8[!SArl9!
<br />DECIdSA.ITIIB
<br />I h.Eby lnth u.dcr p.nalry ol p..jury Dr .f rh. l6llretrg d<Ld i,E
<br />_I hrh lrl *'llmi D r Cdfxrr. olcongr ro S.lf-l'$uE r,, *0116' !$nlttMo( 6 Fovd.d tu bysalbn lrOO of tlE
<br />blE Cdc nr rtE Fldlrle of rh. rqt rm *h-h rll Fnir i{ Biu.d.
<br />_l luv. rnd *ill Errri' *o't n c"nD.srri'n nruRB.. r Equild hrSdrDn l?m ol rlE bb.r Cd.. tu rh. FfllmB ol
<br />,p.tru0n Eu,b-. crtu rri Frry tumtEr r.
<br />€..i1"
<br />tt lqleo
<br />_l Milythd h rL Frfo,dR of rlr *oIt f{n ehrh rh! p.rhir ir Bsu.d, I *ull mr.r$!ry my Fsn in ey llglE
<br />$ s ro bdnft $bFd ro rtE *dtda 6n .Mnn Lw\ oi Crhfomr, ,rxl !gE. rhi rf I rtruld t ..r sbj6r to rh.
<br />hA6 (rnqEMbn pmririrB of Snrion l7m of E lrh.. (ir&,I rldl fdherh ltnply wirh rhoc DmvB.B.
<br />WARNINC, luluE to Ecr srLn' c,n{.Mion oEEA. B unE*nrt rtd rll ohFl $ dpt F ro ml p.MiB .rd
<br />ro on. hutr'lr.d rhou*nd dollr^ r!l(rr.(xr)) 'n
<br />rl]'1trntr h rh. co{ ol cor{ENrion, d.mA.r a provd.d for rrE
<br />?1,t
<br />D&qBIUITAX
<br />I tmby .fikm ui&r F hy.t Frjlry rhu t.n lienr.d undc. f.vki.n of Ch.frs 9(.o6mEi.3 sih Sdim nrl,).l l)ivnbi l
<br />ol E Bu!m! $d Psfr.dos CsL. .rd m,liccn* is m tuU irc !flje,lar.
<br />,*"."*-*,- \cr44
<br />corilrBllqlraN"l}]$txcacrlcr
<br />I lEsby rlrm utd.r Fuh, o, F!r, 'h, rlEE n r sniBiDn tndDs !r.Ey ror rrE tE.folrla. or rlE ru.t ttr whih rhn Fnd i
<br />k{.ri lse Ir97, Cir C )
<br />AIILIC I{fDltLL[dIIOX
<br />I harB .iam undd Fnrlry or Frrury o.r of rtr folldwrn8 tldlult 'on"lt).tuI'r'on P.mnk-Alh.nor Nd,f'c.ron [.d.nlR.3uld'otr: (T lc.l0, Pd6)
<br />R.qut ! l.ri.roltdr'auriJn
<br />_l dit r h,r ,lE f.,i.,!l Eg{h' i.d ci. l'nt ah.(.t Efr\rl ffi d rprL|bl 'o
<br />rhB nmFl
<br />/J4rn, * , ,"*.:.l,* rp?turbn.n ric,hrr rh.
<br />'bor. 'n[omri,n n.oG-r. I as,c ro 6ipry vnh rtl cry nrt c@ y
<br />oiliBLs.lr Sr.E Lr$ rcri[ r. ho dinr qn@d!tr &] H,y.urt @ EFlrd E of rhir C y ad Cnu.r, ro.da !F,n rtr
<br />rlrtr. nr.rr)tualpn,Ilny rar iNpdit'n
<br />c{-
<br />a>lzc.t
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation )
<br />Roof Sheathinq l/z /il -t o-?r)
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />Itt
<br />FINAL i/a /201c tjl^-
<br />Certificate ol Occu anc
<br />Notes Remarks Etc.
<br />-'l/
<br />-
<br />Rev. 08-07-2015
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