. BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OIYNT|I BUII-DT,]T DEL(}TAII{)N
<br />I lEcb) altm! uda FDty of p.rDry thd I e .enpr frum rh. Cddr6' tltM lrv to. rll ,olb ry E -. lsd 7011.,
<br />Busin..r .d P.olisnn Cod.l: Any Cny d Cnu y *hrh EquiEr r Fd r. o.{M. rlrs, i.pmE &mliih n r.t ir uy
<br />nMh. ru h hr i!@, lka ra+ir trr !mli.r! ,i,. sh Fmn to fil r trgEJ rrr.rnr ih! lE or rlE ir lititJ plBd
<br />to lIt pmvisioB.frh. Conrrclm'r Li..nr.d I* (Ctudcr t. C.mmEinS wirh S..rion 7im ol Divniotr I ofrh. 8u'EB.nd
<br />PoreslioN CftL) o. rhtr & or \lt is ei.r{r 'hd.from ltrl rlE b&tn hr
<br />'h.
<br />llLs.n .x.n'Cu /sy viohriln of Sdi'n 7011.5 hy rny
<br />lpoli.$r ro. 3 p.f,nir $6jeli llr rpplic.nr ro ! cir ir !.uny .f mr mrc rhan ny. hu'rlEd dollm ('Jm).
<br />l. a ord .l rh. tmp.ny, d ny .n?hFr rih rrrs a rlrir sL md!.d b^. wil d. rh w* !n dr rMe - d
<br />ndrEi d olLEd fd sl lse.7or4. BBiE( .nl ProtdlB cql: TIE Conr-rn'. LEE tr* dlE d +pJy ro - orE of
<br />tlI FtrFiy vlr brrt q lrFiE 0ltq !n who dls rn efi nilrr d ld-lr r tlnrth hi! r tE om.npSFq
<br />Fori,.d lh.' trt 'tqlr]*fn, E d n.rH d orH tr gl ll lleE, lllEliE4n urFotdt ir eld vih.6 rqoltr+hia rlr ()*d Bdilk 'ilt hrE dE hlrl. or F{t rhr lEdJEdn d toiu d in+roE tlr F ql, tr t Fr?o*or
<br />-1.
<br />a! owkr of rh. pml8ly. !F.rclusir.ly conr!(nt q h lr.n\.! c..lrdu(F k' connrud rlE F)d I S( ?or.l. 8u\irE$
<br />dd Pn ssir Cod. 'l r'. (inhcro. i Lic.nr. Low d,E\ nor rpply b an own.r ot r r'.f,y wl$ hu ildr or irynNr ih.rd,n.
<br />and qlr!.o.t.Nnrru.hpft&.8*irhrc(,flBlll(Olr.Mdtu^urrk,rlEC.ntrdtrrLi.tu.tr*).
<br />I m.r.nfl uBLr Sdsn .8 rtPC fortl,n Elhn
<br />]IQBf,IIII(OIITf,TIiAIA!
<br />DEgaTf,AIIO!
<br />I lrEby .fi.m !n&r FMI v ol lEriury oE or rlr tull,r tr3 d..bra r'N
<br />_l hav. ad *nl Binr.i, r C.nifrrr. of CoMni tu s.lr-luuE rq u..t6 (r'nllrNlon. u FrviJ.d tor hy Sd Dn ]7m or rlr
<br />hltrr Cod., ft, rhc ,ErLrdmc o, rhr woll lor whah rh. Fnir i! ils(d
<br />_l h.v. &rl wrll murlu wod.R co.r{'.$rr i.n i.tu.btu., !r EauEd hy S(rbn 37(lO of rh. llbor C'od., for rtE F.r l!le. ol
<br />! ({El. M} s(l6r dntrNbn Burn..d$ ul F,lry Nn'hd d.:I
<br />TbuecAxe ttca.--*r3/2.)
<br />-l
<br />cdni tMr rnrh. t].nornrr. ol rh. w.rt nr *htrh rhir p..mn n $.u.n, I rhrllnn.nr0lry dy p.r$n o roy nsF
<br />$ .s t. b.6m suhFd ro ih. M*ds otrpcMnon k*\ or Crl'fom( ,nd !8R rhr ,l l st uld bdom sbj.cr r. rh.
<br />woA.B'romp.n\lrin,fovi\iororSNUonlT00orrh.,ihor(ol..l{vll.ronhwirh.ohdyrirhrhdsp,oviirro.
<br />WARNINO: hilu.c n' :cm x)rt c .sn{rNdnn owr3. ir un&wnrl m(l sl'lll Nhicr u ctr{lo}u ro aminrl F hh uvl
<br />.'v,l fiE\ up to oE hlndcd rh.trsnd dolllc lil(n,lr0l)), ri ldJiiion r. rh..nn ol conlp.Nhon, &m3* as tovrl.d fo. ttr
<br />sdrbn 10?6 .r ih. lihr { ir,. inr.r{ ifrl
<br />z/zc /2"
<br />I lEtby .,tim u.&r Fdy or Fjury rhd
<br />DElIJf,A[qN
<br />utrd.. Fo6n. ol Outi( 9 (comrrinE vii Sdhr ?(xx,) d Ditubn l
<br />ol rh. Blsrs. i Pn,f.s06 CdL
<br />t\
<br />2 ./ct D o
<br />I h.E6, rrrm urir.! FEryorFriry rlr rlEr i r enrers Hnt. rsdy f{, rlE F(*le ol tlr wt br *tBt rtu t*d !
<br />irEd {Sa. 1r,, Cir C )
<br />ATIUCIdLDECIA8aIIA!
<br />I ha6,sfmunJ.r Fnrlr,ofp.rj!ry om or r folb*r3 J..Lrarion\
<br />D.mlrion P..mG-A1tr{o! ruif..ibn F.rknl R.BlLr!n\ (TnL.l0, Pd6)
<br />RalueJ l!t., ol Nd,fratrn
<br />I cd'fy rhd rlE td.nl E3!Lrir6 E!r'JD! ntEnoi Emrlrl E d $?lrrhL b ihb ,r{Jar.
<br />E1?drr, rtur I hlE M,.t rtur {'plE.r'on dn i!r. rtur rh. rhrE lnrotuio, ir cl)6r I irE ro $nsly vith lll Cirr. Coudy
<br />odi nc.s rd Shr. hw' Ehiinar. b{ildrl3 co'dtu!1r( !i h.*ny ort$riz rrr!'r{iwr rrhir Cry ard CoDnty tu.nid uron rlE
<br />Jtx'k mnrkr..J pr)t dyntr 'ntFcrtr'n
<br />,\pDlio.lor 'rArnr Si(nntur.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />lrrlason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif.
<br />I
<br />FINAL a/zP /zzo ^2,
<br />,gql)
<br />Cerlilicate of Occu a
<br />Notes, Remarks, Etc.
<br />Rev.08'07-2015
<br />Erection Pads
<br />Ext./lnt. Lath
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