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BUILDING- INSPECTOR 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 />Sublloor/Venfl nsulation,/Pt\41t ar/ <br />Root Sheathino fiLreatxi/r.jfr*xr <br />Shear Wall Sraa .gr \l€.*-\€t c, <br />Framing ra<r.tr- f-o- I.l <br />lnsulation/Eneroy dr., .rru <br />Drywall I <br />Ext./lnt. Lath <*si ,ot <br />Brown Coat <br />[\,4ason ry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Enqineer Final Report <br />Flood Zone Certif <br />FINAL a/rqc'z)i-vv <br />Cerliticate of Occupancv / <br />Notes, Remarks, Etc. <br />OWNrI DUIIJET DN,CAIATION <br />I lEEby rtrm u.d.r p.Mky of 0.ryry rh.l I m lr.npr ium rtl Cb'kt6 U.N lrw fu tll folbEla sen ls€.?o]l.l <br />BuliBB d Pr.tsrhr Cd.): Any Cty n. Cddy *hth EluiB . Fd r. oicd, dtd. ir9mE. d.mlnh n' (Fir ey <br />n rw- Fn b ir, isu.E..&. '!quiE! ttE.pp&d fo. lNh Fmi ro 6b ! usEd rrr.ffir rhr lE q Ir i lkncl F]!'d <br />t. rlE fmGh.r of rlr Co r&roli La!.sd tr* (Ch.pc. 9, C.mmma.8 *{h Scrih 7G) .f ltvit.n J .r rlE auiE$ .rld <br />PtufBr.ni Co&, r rh, lE m nE it .r.npr rffiDm .r!d rtr h.!6 lor rh. lrl.3d .r.rprDn. Ary vDLtim of S.dion 701Lt ty .ny <br />.t)pled fM i Fmn !bFl, rlE .pplE. ro rcirilp.Mhyofmr mr. rh.r fiw hlrlRd dolLa (lvl,) <br />_1. r owmrcfrl: FtrFy, ( nyctrphFa wih r.*' e rlrir ak sn+.dhn, will & rlt srt rn Or {dG r d <br />urantd rolls.d lr El (S€ ?oa,l. BuiE$rd PltrtsiE CdL: TtE Cod rr'rli-asL.edEdslyr.uodu/ <br />r& F+sry vlD bu&!. d iIrcB rtE@ o, vlD de3 rEn wt hreU q lE qlf or i@th hl1 .r lH ovr .rq'loFr. <br />Frvd.d rhl sh rttmmdt & d i..d n.fi.r.d nr.t.Il, hxe.0E hiEtt r EFedd ir Dld wihn d F-oi(tnr9lritr !h. owE Buir,E IlIEdE hD.blofFDviE rL lEtrCE.lil d hr!tr!T.oE d. FFl, fdrE F,!d.or <br />-1. <br />aorB.olrhF!t6r, a.rluriElymndiry *thlNreld'aBt otB ,E FsF (Se 7o,!,|.l6ilr <br />{d hDBln CdL TtE Co dor'r Lt.tr* br der d.iDly r. u o*Er olFoFny Dho ll{rll! d up.oEr ilrrdl <br />.nl *lF dfldr Id sh F.irB rth r C.ddd(ri licEd Fr:d !o rlE Cddd! tEr lrv) <br />_l m .krri un&r Sdbn- A & P C fd rhs r{i'n <br />roaf,rall(aufrdsarra! <br />DECIA.BdTTO! <br />I lrrhy ,ll tm unnd Fndy of Frjury oE .1 trE thlb*in8 d..lrdbtr\ <br />_l hlw rfil srll midu r Ctn 'sr. otco@ b S.ll-lNE nr q).Id NntrdD( .r ,lDviial tu by Salion l?m trf tlE <br />l,ru Otq lor rhc F.Iotu. orrh. *qi lq *tth tlE F.nir i\ ir\u.i <br />,>\Ek r l *ill mihhii m .u corD.Ntri.n insurN., !i r.,tumd hy s<rDn rToO .l rll Lix, (qL, lo. ir Flol:]u. of <br />rh. *trk l(tr vhxh rhn Fhir i! ileEl. My workds' orrENloi ,Bura. ma ,rl F,lf,y dnlEi e: <br />6LE-/?-<-<T- <br />lsnilyrhrr inrlE tErfortua..frhc *Drk for uhich rhix p.rnnr i\ nrudr.I ibnllan.q'loy my p.GUn in rny nrntur <br />s 6 ro h.!-rc $!.d hrhc *olt.tr c.mpctrerion law\ olCrlifomir. od sgrr rh! ifl slsuld tEc.m $bj.cr ro ilE <br />sD €i (.mn BurDn pDv(r^s oI S.don lTm of rh. tibor Cod.. l Jull. lMhwilh rxmplr *irh rlDs pD!si,6. <br />WAININGT Fi,lu( t, su. eort.( oqEmlrsn.owG!. Ls un)a*tu1. adl !tull ruhj.ct s .n{,I,yfl b ruml FuhB uJ <br />rivil liEr ufl ro.n. hufllr.d rhoBand dollm (tlG),txrr), in addirkr ro rh. co ol.otr{Etr*r'.n, dim3.r !\ pmqd.d for rh. <br />sRrr)f, 1076 0lrlr lihtr rr.r.rrDddbEy \ L.\ <br />-Z <br />Lt!L$Ej.|l!2]ll&!(a!!Ilr!!lJ&rl!.1! <br />I tftby rJlrn ur!d.. F ly oI Firy rh. I m lia rod utdcr Fwilio. oI Cluais 9 (omdBin, yith S<lhi lttl) ol l)ivthi l <br />ol rL Bller .nd Ptuft{irB Cod.. nrl m, [..M i] r tu,1 fo@ .fij .rId <br />!)L2 crc 7??/za <br />Z o '- <br />(ot$I3rcru)ux}Ill!{i-Acllcl <br />I h.rby rfrm u!&. Fuly of Firy ild ilE! ir . (r]{rfuih lEd{a ltFBy t{ rrE ,qf.rrl*t or rh. wt tt *nrtlh! pdd il <br />nehl rsd. 1197. cir c l. <br />ATSJCANLDECIJSAITO! <br />I Hy .fm ur,.r ,.Dlty ol D6iry oE of lh. lolbrDt daLdbB <br />l).mhrrn P.mirF^lb.ir6 NorifHri,' F.J.nl RcluLrbm (T.l ,r0. Prn6) <br />-R.qumd <br />t tr .of tldiE rih <br />I r.n'ryrlBr rh.r.'tr l..gulJrk)n\ rc!&'l'n3 rit'dor r.nrn rl rE R{ rrTLrhL i{, rl'tr pn,Frr <br />_l.a'Iy rfiir I tuv. rad rhir rppli..rion s^l nd. rhai rh. ibo!. mlotuDn NroB!.1lgE ro r$nlply *(hlll airy rnl Counry <br />,'nlwN* a'kl Srir.lxrr Ebii,,S ro bnddbS codtodi,4 fll lEcbyrurhd. E..grdrE! drihr C(y r C.utrry b.nrd uF)tr rrr <br />rhr. nnrr)ncd |rl,n ny ntr n0.d0n <br />7i@EE <br />Rev. t-18'0/-2015