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BUILDING- INSPECTOR RECOHD
<br />SITE-WORK DATE ID/SIG.COMMENTS owNl{a BUll,l,Ua DtrI-CllaTloN
<br />I llEby rfrm un d parhy of D..pry rhr I m .r.rpr lrom rh. Codd6 Lft L.* lD. rh. folbwirt E.s (Sd.ro3l-l
<br />Burirc ind Pmacsh. Cndc) Any Ciry o. Couiry rh.h rcquiB ! IErmi ro on{dL .lrr, irfi.rt dcmlirh or E .ir Dy
<br />,urE. Fir r. i! iw.. .ls. EqliE. rlE.r'pli.d for lBt Fror ro 6L ! 3irErl nd*nl ihr t or,& i lnrnGl F6rr
<br />to rlE Fylrh6 of rh. Codrrn r l.i.r.'.d L* lct pcr L C6.mrin, ,hh Sds 7m of rnviri'n I .l th. Baru$ rld
<br />Protu'r.N Cod., d rhrt lE d aE i, .rnvr rHEm t d .h. ha! for rh. rlh.d .r.mgbn. Any v5ldD. ot S<lbn ,0r 1.5 by rny
<br />.pplic.d ror i Fmir subica rlE lpplicenr ro ! civ il p.mk, oI mr rmr. rhun fiv. hondEd dollln (lslxJ).
<br />_l. 6 .qF.l rlE Fqrdr. nr oy.nph6 *nh r.t . ! rllk hk mrirda.. vll & trE wrl rd r {dErd
<br />inEricl oroll.Ed fd sL (Sd lO14. auir8.nd hnfdioN Cod.: Tlr Co krr'r trde tr* do.. d.r,ply b D ovrr or
<br />rh. Dn'rrrly *L, h{il& .r irpDs llE!4 .!n wh. (l<s uh *!.t hint.ll or lEii.lf.r rtEugn hit o. tr. om .mpby.€,
<br />proiLd rhl rEh irFwdr e ({ i.l.e doll.r.d t !L.Il. h*.q, tlE t iEu! idrorrd irsB wihitr* j.8
<br />ordrt,hria rrEOqE B{iLE willrE tlE hnkrorFovrle dr lE JEdndhriuditr+lEdrFlFryl4 EFrF.of
<br />l, r! ow ot rll P.EFrr, a .Eluriv.ly @dBrin3 *nh l.rel Ndars ro @n{N rh. P.Di{t (Sa. ?Orl. BBiE$
<br />nn Plr,tscil,. iE Coddd r LE.ne b* d6 d 4?ly ro e ovE of FoFdy rl, h{rld! q itlpEt: rhdFn,
<br />i.d uh. dddr tm uch Fsj.tr *nh r C.dEti, lEtr<J pu6!d
<br />'o 'tE Codrdm.' LhM Lrv)
<br />_l rh.r.n{ u i.r Sci
<br />ul)Btr[&::(0!l!xxlauarils{IA3ano!
<br />I h.(hy r,lnmufr,( rnDtv.lFJUn or ol rlr nnr)\u3 d..udr)a
<br />-I
<br />h.t. lti wrll minrrin rC.niaElr. olcoM roS.lfimuEntrwd6 !$np. {i.n, G FtrviL{t fo' ty S.crirn l'700 of ih.
<br />tnu cli., 16 rlE Fro.lla. or rlr *o.t td *hth rh. Fnr i irtu.d
<br />Zh.€.d $lt mdrii hrk 6 conp.B.rbn hlunm.. B EqliEd t'y sarD. 176 of i,E Lbor cod.. fr trE Ffoffi ol
<br />rh. * rl fd phn h rh! IErmr ! nsl My rcl*d Nmr.di,r Nutu. mr !n Fllty .uhhd cl
<br />cm: hLL Ln;, -n
<br />-l
<br />.drry thd r rlE Fnqllte of rlE vo* fd *hrh rh! tE.oi n !tBl. I rlEll d .trpby 6, FE. o uy llw
<br />e s h tEer {llis to tl! srr6 @nT.Mbn hs ot Crhlml rn tr rhd if I rlnuld h.or EbFl r. rtE
<br />wrt6 onllln*rDnpolsDsofsr!1Dnl?0oofrh.L.bo,cod.,Ish.ll.tdhwnh$rp!,*nhdD*po$n.
<br />WAXNINC: Frturc ro s.w qnt6'c,n{EMi'n coEru. ii unlrvill ..d ddl .uhJcd m .dphylr ro ownn Frtis rn
<br />cNil fiEr ut o oD hldBl rrE6.ri dolL6 (llm,Uu, m ddni'! b rh. cod oI @n?.dion. d.n{.! a povir.d lor tlE
<br />liidini 1076 or rh. Iih, (uL, -r.d .nl dlmyi rd'.
<br />Ltr'u\su,)-r(r\Tfr(-r rR
<br />!l:rl1lxAl!l!
<br />I h.rhy ronn undd p.nrlry or p.rjurv rh! I .6 lEn<n undc. lmv on or Cirpr.r , rcn'rtuminl *irh Sdhi 7rxx)) ol l)ilahi ]
<br />of rh. Buift$ rtol PBfrsi',6 CGL dl .ry li.r* B in tull l,tre .ryl.lf(d
<br />A Lia6. Nunb.r 96etco
<br />1-->6 - )-c\
<br />CQIEAICIAII,AOIMi.ACD!.CI
<br />I lEEbt .rIm ui&r p. lt or p.4", rhd rlE i! r d,neturi,n b lirS rtcBy for rlr Ffdlrrn. or rh. Ert l, rtlih rh, Fd i.
<br />nrBl tse. 1ur7, civ c )
<br />ATEICINLDECIABAIIO!
<br />I h.ri, rrm uRls FMh, of p.r!r, oe of tlE tullo*o8 (k l&r ions
<br />D.mllsn PmilrAtb.rot l*rif.dbn kd R.tuLtbn, Ork,10. Pd6)
<br />R.quicd Ltr.r of Ndiff,trion
<br />_l cdrt rhc rh. li<k6l E3!bri.6 Errrira Bn .r.3 cturrl e d erlr.bL b rh8 IroF
<br />,z-12fi,,"r) rh.tr I h.n. '.d{rhh,'ptn'..trri', d rhd ttE rbov. Elomuren n .oBi I c3@ ro omply wirh s Cny rnd Counry
<br />.nii!N.! a8l Sht. ljsi Ekriry n, ho i,r .!}LE6, Nrh,& EpEerr!'iEr oi rhn Ciy rnd (tuoiy b dnr upon r
<br />!ho!r nrnri.,ftd I)r,Fn,fd 6n d
<br />.i/
<br />7->{-^
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubllooriVenVlnsulation
<br />Roof Sheathino
<br />Shear Wall L
<br />Framinq 9-2\-70 k.ur\(r
<br />lnsulation/Eneroy i1 I
<br />Drywall 3-2VA l"tl H'
<br />Ext.{ln}. Lath '*.1,)t
<br />Brown Coat
<br />ltrlason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />,\
<br />FINAL 1-z-14 v)o AT I
<br />Cerlilicate ol Occu nc
<br />Notes, Remarks, Etc
<br />Rev. O8-0 /-2015
<br />3- Z)-7.t V I\J
<br />t'",, L+( - )-o "-)
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