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BUILDING. INSPECTOB RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/EneroV
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />[\,4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Beq.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL ) /a/'td'e
<br />Certilicate of Occupancy t I
<br />Notes, Remarks, Etc.
<br />OWNEn BUttlrltR DI,:LCALATl()N
<br />I h@r" ,Tmr unt. Furt or Frrn, tur I n .rnp! too rh. (rJ'h16 Lw tr* ,ot tlE tollor6,! E&d (sd ?011.5
<br />Busin.ri rd Pfrlsion C{nc) A.y Ciry.r C6un! whkh rquirr i Fni r. mi{Mr, d, irlproE, &mlbh.r BF, dy
<br />,ocrrE, pdor k' ir. ssuec. lls cqriFr rtr .rpltdt fir such p.mn. ro 6h ! 3itr'l3rrcrnr rh.r h. or .h. ! lictrsJ lle.d
<br />r. rlE lhviin' .1ttE Contr&tor'i Li.nsd ,.r (Ci.B.r ,. Co'rftEin! wih Sdritn 7fir or Divni,n I .I0E ABiEs lrd
<br />PDf.si,s Co&r r rlll lEq \rE i.trIF 'hc.nDm.tn ilE l-a tu, rE nrerd.rn+ioo ry tEhii,. of sdit6 70r I 5 li, ..y
<br />sptlic.nrforrp(m(subjdrrlE.ppli. r r. !.ivilFNtyofmi mG ih.n fiv. hu dd dollD (l5m).
<br />l. a o*E..rrh.ImFnv. m my ciphFa wnh *.3.r u rh.t ok &Ep.d.4 vill do rll wrt r,i tlr iME a mr
<br />icrldl d olf?aj rd d. (Sd 78.1. BulEr irl PreadirB CdL: TIE Ord*rdi li.e L- UE d Trl, b u ow. ol
<br />rlr F{dy wtD hriU3 q lqDE iEla .n vb d(B *t wt hrrMf m hartf q dourh hi! ( lE ot.t?br6.
<br />pr.vd.d rh.r rwh ir+.nEGdr e d id.d.d n .ildld nn .h ll lrffi. rrE tliEio! n ingoErd n sld *ihin G Fr
<br />or $q,hrirn, ilE oqM Buitla will h{E lrE hhLr of Flvii[ rhd h. or tE dil rr tui! or rtp.nE 0E DDFry tur dE purp{ of
<br />l. r o*ffi or rlE FXE!y, m .r.ldiv.ly .oddhs w(h lr.trql .ddlrrs ro o.{M th. FlFr (S€. ?(}l,1. 8oliEs
<br />anl hridsq CbJ. TIE Codetor'! l.ic..$ Llw ilc. rpplyk, oovErofli)Fny*tu hx,[sor impov.r ih.ro..
<br />rnd wtF mdBk 16 rucn F,j{c wnh r Clddrodr) rt.trscJ pur@
<br />'o 'l! o'nirrdols Lhe ri*)
<br />-l
<br />D .eqr uila Sdr,
<br />l){!( ()*nt
<br />EAaf,!&!CA!4r!!tArIn!
<br />AA(:ldEAIlg!
<br />I lkr.B .mrm ud.r FMIy oi Fnlry oD ol rtE rolhrot d..ldbB
<br />-l
<br />h.k ,J, grrBn,u ! C.n 'lE,r. of CdN ro S.IIIDUE for wort.rl latrllEuarioq !s Fuvi&d ror Iry S.crion l7m or rh.
<br />trhr cqlrf,d rrE FIm ol rh. Eort ld *nih rty Flfu s s*d
<br />zllEk rnd ull N' !h s'n n @trp.Mr,. DruhE., .( Equr.d by Sd'e 17OO of rlE tlnr co&, for rlE Ff(,l:Il: of/ itr udl rd *h(h rtu lqmi n Fci.d. My *'itf, or{.tuinn Num ffi dl IEIEy Nmhq (\ 9ia.t? tJ lrr(u.ru,".re (e.
<br />\s ,,. a- Ic-r \
<br />-l
<br />c.niiy rhd in rlE F.farmE oltE *.rt Ln whi.hrlu Fmir n !s.d,I rhil mr.npby sy Fbn u uy M
<br />s a ro b.or ilt'rd rd rt ud.tn'on{ldrn Lrt .r C.hflru .d r8G th. 'r
<br />I rt&b tEor !F r. tlE
<br />* li6 omFNrDnnreBDB olsdpr ir@of rh. L.&r cuL,l idl, f8rlNdh onply sirhrtE F!B@
<br />WARNNC: Frhr. r. KE w(kds err{EMrrn .ov.nA. B unhutul. lri drll suhrd
<br />civil llfts up ro oE hundral rhDlrlnd dollar* (llrxr.(I dddlDtr h rh. c.! .r cd
<br />Iiarr)n 11076 of rlE ljlrr CuL, hr.Er .Ir!
<br />lrrr r \R\llr,\
<br />I lrrtr, .rm uiad Fdr, of FFy rll I 6 lx!'E d u'&. Fviris .l ChrFa 9 l(:tl]wrin0 virh khn 7(Itr) ol Divilhi ]
<br />of $. AuilB !n PtDLrB Cod.. .n my Lle n tr tu[ flE .d .tLd.'))
<br />?:16 - 1 0
<br />COI(STTUCTITI{{ L].\IDIN{: AG'"Y
<br />I lEhy rf'mui& FDl,of Firlilsr rlEt i..:derbn tfllior ryr, tu rlI Ff llld of rlr wt tn rd!.hrts F il
<br />arEd (sa. ]1197, cir c.l.
<br />APP TCANI DECI {E T'ON
<br />I ne*, dtm un&r Fulry of pq]lry oE of t,E folt ,ut d..Larkrnrl
<br />D.mlrion [trdl^.h.sG lldifdiin Ftna.l RquLri* (TaL.(). Pd6)
<br />R.fliEd ldi., or Nditrani,
<br />N
<br />-f,!' .-,r, ,", ,* t--t .rL,Du Er.rd,nr .!hd,or ltmhl G ., Eplr.bL 'o
<br />,h! FF
<br />-l
<br />6'ly ttd I lIE Ed rnit .p?liri6 .rd dn. rhl E .b$ intorn lion n cqrEr. I .re to on'Cly *nn dl Cty .!d C@dt
<br />ordDrrr.s rnd Srar. l-r*s Elrim3 t, t{ ln,!CrylndCou y ro 016 upon tlE
<br />rhnr mnri.ftd ptuJEdy Im
<br />?- 15 -lo
<br />IIIIIIIIII
<br />Rev. 08'07-2015
<br />Subf loor/VenVlnsulation
<br />u.,., 3- \6-4,
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