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BUILDING. INSPECTOR RECORD
<br />SITE.WOBK DATE ID/SIG.COMMENTS otlNltr BUtt,DEt( Dtit,c RATroN
<br />I rrftb, lfrm liLr F&ry or p.r!,y tnr I D .knpr iuh tlE Clrdtu ti.E L:r to, th. folkri{ llrm ls..mll.5
<br />BuiiBr In Prolsi'i C.d.) Any Ciy o. CNdy *hah r.qum, t Fd r. @n{nrl, .lrs, ir?.nG &mliih o, RFir my
<br />nutuc, Fitr ro ,. isB., .l$ EquiB rlE .ppli.rr ior ruh Fmii ro 6L a igEil rrrft lhr lr o. cE i LrDa, prunl
<br />b rlF Fn6c of rlE Cdrdi Li.!.cd lrr lct Fd 9, C.|mri., *.h S(di. 7G) dl Divni'n I or lll Bucs ,n
<br />Pror.ibnr Cod.) d rhi ll or rh. E .r.rpr rtErtrbn t d r|l bdir tor !h. .lk8.d .x.n{rDn. Any eioLrion of Sdrion lol l.5 5, ey
<br />arrli(s lor r !.dir $bFB rlE .pplk.lr ro r ciyil ,.tuIt ol mr mr. i6 fiw hlndrd dolhr (lJ{X,)
<br />lai. rs .*ns orrl! r6Fiv. or my.mphFr w h rr8.s r ll*t $L smp..dh., rill & rtE w.,t D,l rlE,M@ k mr
<br />rtnlal d ollrat fr rL (Sd 71X.. B@r .nd PlilaED Cn&: Tlt CdEw . Li'd! llt dG d .pplt ro b ora of
<br />rlr FtFry *r'o hilt d lriroE !tne! nn plb d6 d, h.t hi|Mf 6 ha*lf r fta,t hir ( ts 66..PbFq
<br />E.vi,cd tur .(h inporm . e rfl i .nd.d oiolt(d r.r $t ll, tr*.E , ri. hrildint q inpowftd i. sE vihir d Fi
<br />ofonpttie E (rs B{iUs wi! h.E E hr}rofFDvilt d.lE(dt dU d hrili d !rp6€ tlE FnFy nr UE F,Po. ol
<br />_1, co*Forrh. ,.Dpsrr, D.r.lttiv.lyNtudhs vih 1i..tr6!.o dxro 6n{M rli Foj.{ (sfr.7ora. Surirs
<br />.d Ar{s.Cod. Tn Co doar LEne b* do.r d rttly ro u dwm Dl Fotrdy wlb hrlrr or mgDwr thd{r
<br />ind vh. 6.18rr Lr tu.h Foj.{rs *nn r c.d8n,(O li(o*d luAwr h rtl C.drdoci L-.e l,v).
<br />I im.vlnm trnJ6 SdNn
<br />2fclJf,Atro!
<br />I &rby rnirm ui&r FMly or tE lry oE ol rlr folllqin3 &(L.dbB
<br />I lrv. dll *rll nrinrar u (tnff,d.olC,'n!.ir in S.llnluE lor *or\ds' .o n,!.rsr i'n, .r F,vid.d n{ by S.c!.n ]7m ofrh.
<br />U1u Cad.. , rtl Frl*IlEc o(rtr rnl i, *hth rlE Fnir n bul
<br />_lhiv.aBlwill inhin work d conD.Ntrhn inluhtr., !r Equiftd by S.cr ion 1700 of rh. Lrbor CsL, for rh. p.rfomd. or
<br />r * r r( *hrh ihn F .!l tr iqrn My *116 oqdbn NUrN ffi rn p.nr, ru.lE ft'
<br />Poliy Nunb.i-IirpiE:
<br />_l .dit iha i! rlr Frlqffi ol rt *ort fu !h.h rnn Frnir n .!ud. I rlEll d .riploy ry Frer i! u, llIM
<br />$ L t. h*.m strd ro th. h.tdr'6rp.Mbn h*r olcrlrfom\.fi1*B rha,l I rlnuu b..6c
<br />'ubjcr
<br />to rtE
<br />*orloj $nqEDrtion pDvi\ins ot Sdirn l7m of rlE tihor ( )Dd., I JEll. tunh*nh &mply wilh lhos pEviiiou.
<br />WATNINO: FlnE ro xc u(t4 otrrFsE.6qrr. ! unLrtuL !n rh.I $hrd x.trpbF ro (dld Frr* rn
<br />ovrl fiNr un ro ok t{rd.ar rhou.r{ doll.6 (!llx,.ux)). r tldibn ro rh. cd o(@np.Etro., d.m!.r a Pmvd.d aor rll
<br />s(r(,n 1076 0f rh. Ijtq cirl., inr.r.n anl rn(ey
<br />c\lollL.u^
<br />DFI-r-al-a1()ll
<br />I h.Eby rffr6 und.r p.dhy .f F+r, rhd r 6 li&trlat und.r Fnvkhi .I clqiq 9 (mnmmin3 wnh S<.n ,(In) d Divnbi l
<br />uf rh. BltiEs! .xl PmE@B OrL. rrn my l..nE ir in tull Lc rDl cfi{t
<br />cQNirSl:groxlJdDlN(.i.atiD!(a
<br />I h.Ehy .flnn und.r FMiy of p.rlry rld ilft ir ! in,nfld i'. L'rli"! .r.E-y nr rh. tE trma! of rrr *o.k ntr lhih rlB Fn it
<br />ilsrxr! (s( !rr7, ctr c.|.
<br />ATTLICAIfl.DECU&IIIIIB
<br />I Mv rrnr ud.r F..hy or Fjury oE ot
<br />'lE
<br />aolb*D8 &.L,rrbnr:
<br />t).nDlirion P.rmih-Acb.{or Norificnili Rd...l R.3u Lr bnr (Tnk .10, Pd6)
<br />-RatuEd
<br />r.ns or Ni6c.ti6
<br />_t .dO rnr rlE f6krl E8lLriE EB.rdnS 86.jd Emrrl e Br +pl.$l io rh! FrFl
<br />!11(d'6 lhd I h.E Eld
<br />'hir
<br />rrpLrrion 8l rr. dd rl! rbor i,tomrion n c@1 I ltr to Ntr$y *n,l.[ Cry rd Counry
<br />d\luuN6 .nl Sr!r. Li*r EIIII ro txrlla! .odru(ru rnl llth, rdllrE ..F{liiB or
<br />'L!
<br />ci y .d c4!r, ro d'r6 r+.. .!.
<br />uL --Kont\ l4o
<br />a lzrzo
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubllooriVenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lns u lation/Ene roy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />N/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Cerlif .
<br />/n\
<br />FINAL 3-V1-U kllr1r)
<br />Certilicate of Occu anc
<br />Notes. Remarks, Etc.
<br />Rev. 08-0i'-2015
<br />u ' o\ /or1 lw Lo
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