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BUILDING. INSPECTOR RECOBD
<br />SITE.WORK DATE ID/SIG.COMMENTS owNl-r llt,ll,l)]:l. Dtil,cAl{ TIoN
<br />I h.Eby ofarnr und.r p.nllry oi Frjury rh.t I im .rnlpt tEm rh. cbr{dro6 ljcr Lru for $. folloeinr E.en ( Sa ?01 1.5
<br />Iturinc* ind PoLsn! C.'dc) Any Ciry nr Coudy whth r.quiG i Frmir ro &n!tocr, .hs, i'.prov., .kmlnh or qrn .ny
<br />,ortoE. pritr r, irs isumq do EquiEs rtE appliclnr ,or such p.mir ro 6L ! sisftd sr!.Err rhd Ir or tlE 6 li..rej pum!
<br />r. rh. FrvrFD oI rtE ConrErol! l.t n..d lis (OEIa.. 9. Cof,r(in3 virh Sdrion 7ftI) of Divi.hi I ol rh. A6ies rnd
<br />Prn.r$)nr CnL) or rh.r h. n, rh. N .rn+ rh.rnom rni rl* h$s inr r rlLg.d .r.tr flrn. An, vbhio. of sdn. ?01, .5 b, $y
<br />lpplrcrnrforrlEnrirubJ.chrlE.pplicanrrorcivilp.Nlyolmrmr.rhsnliv.hundr.!dollr^(15{l)).
<br />_1. 6 n*m ol rh. rmtEny. or my cmphF3 *nh *r!.. e rh.n $E srrEMrn. pill d. rtE *,t ard rlE {MG ir sr
<br />hknlat or olt r.n tu d. (Se ?o14. Burtrs rnd Pnfd6ns Cod.: TIE C.dr-G s Li.n< t * dEr mr .r!,ly to m owr oI
<br />ih. Fr{Eny wh hi!! o. ir{re6IEEI nd rln llE (h urt hi'Bf or ,r&lf or rtuDugh hi! tr h.r om.nplrF..
<br />pr.!d.d rh.r sffh iryFwd. e d id.d.{ or nf.r.d for sl Il. lnwq. lll tuildiq q ul+.otdd ir 5B wrhin m F{otu)nrLria rh. o,u Bu 16 sillh.E'h. hnj.n oll,Dviry rrd lE or {E did d hri! or itrToE t& FoFy d E F,!o€ or
<br />_1. .i nwr olrlE Fordr. .n.rctusiEly coddir8 *irh lr.trq, codrrm b Nn(Mr tlE FoFr rsa ?o{a. a6rs
<br />.!n froaii.Cod. Thc Coddoa! Lt.nE Lr* d6 d lpplyto uorB ofproFny who hoil&o. -{rrcE3 rhdsn-
<br />.nd *t $dNr Ir r(h FbFts wnh r c.dtu'or{O lFtr!.d poEd b rlE c6'fidt LjdN br).
<br />I rh.e'r{{ u ls5d.
<br />llaSf,uSf.routlrsallQxDtgdrdra!
<br />I h.rhy rlltm un.rs FEly !l FJU(' oE of tlE tnu.ruB d..l2d rrN:
<br />_l hrh ]i w,ll midrin. Cdifsr. of C(Efl 16 S.lf.le fd sdt6 ..n+.d.( a FoviL\d fd by SdDi l?00 oltlE
<br />l:f cd.. Ir rrE rqlm or rrE *dt rn *hrh rtr r@, x K\rd
<br />/[iL*., -,rr*-.. **- .orp.Mo r.ur.. s Equiat ttsdri,. ]rmofu& Lt", c.d.. ror r Frmor
<br />ly'rE *.rt lq *hrh rh! Fd !.Ld My uatqr' orp(d,r uffiffi ud pohry Nn6.r r.
<br />c.3
<br />_l ftnny rha in rE F forlllIt of rh. vorl fry vhth rtn Fd n to.d, I Jdt mr .n?lry dy Dq-n ! dy tll.N
<br />s r b lr6ft rubF ro th. wl6 6.rF|gi.rn L*! of C.lrrom( .rn rlc rh! if I dhuu h..oE $bj.s h rlE
<br />w\6' orfEHrirn FDi$6 of Sdbn 17@ of rlE t bor (jr]C.I {dl rdfiwah..rrly wnh thor piowla.
<br />$AINNG FrhE @ iG *n&r'oIpqurEn mEry. 6 u,l,vtuL .trd :ldl ubFd d.tr lrF b dmr pddB !d
<br /><Ml lirr !n ro oE hurlr.d rthu.ld dolLR (tl{xr.(lr. !n.dd ro rlE cd oa.oip.uiid. d.tr{c! a provir.d for rlE
<br />,"",3/AJloJgt
<br />DICI'TAIIA!
<br />I lmby .rIrm ui&. torl, ot Firy rhd I m lia.E d u.d6 Fnyirh .l Ci.pid 9 l6'mEi.! yth Sdir ,(m) of Dtuirni 3
<br />of rlE aulc$ r.d Pr.ft..i8 CdL, rl h, tile i i. tul foe !n .itd
<br />6o
<br />cQt5lBllctroNr.fdpldcrcllcI
<br />I lEEh, rramud.r FEh, of lEriryrtd ilE n t d'furn LBrnrS.t.Ey for rlE F.,mr of rh. wt lor rtEh lha Fm! a
<br />AIEIIANLDECIJBAIIO!
<br />I hdrttlfmu t r Frlry of rE U., oft ol rlE rolb*m8 d..Lnrionr
<br />fttuhion P.mk-Arb.noe Ndia..riJn F.rr.El Rqul.lionr(Tnk r0, Pd6)
<br />R.quiFri lrn.. of |l{fubn
<br />I cdrry rh.r rlE f.J..rlEguhriotrr Eg.rJr ng .\ti. roi Emv rE mr +pliabL ro ihil pnrFi
<br />It'i),ful t h.r pr rh! lpplk!
<br />'{Umr.tnri Srd. L8r ElruUtn hr
<br />rion .nl nar. l,lar rh. ahovc i'Iord ion n .orar I ild ro Lir+ly v h rll Cir, .id Cou$\
<br />coNrudntr .!rl h.€by .uiho.iE EFeturriwr oI fii! ciy rnl coun.y ro 6rd upn rh.
<br />.'rrtr. nnrkn'.n 0iiFnr r,tr
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenUl nsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framino
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Frnal Reporl
<br />Flood Zone Certif.
<br />/t )
<br />FINAL 4.,7./zl -t.w//
<br />Certilicate ot Occu an
<br />Notes, Remarks, Etc.
<br />Rev. 08'0/-2015
<br />,$P-kq6
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