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BUILDING- INSPECTOR RECORD
<br />DATE ID/SIG.
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />Handicap Req.
<br />Deputy Final Beport
<br />Engineer Final Report
<br />Flood Zone Certif
<br />I
<br />FINAL ualrL)PN \rv vx61
<br />Certificate ot Occu pancy r l TI
<br />Note Rem rks, Etc
<br />Z 14 ,L 7 - -ltI
<br />--7
<br />o\rNl,R It It_Dt_R t ,:t,( \R,t t loN
<br />I hcfthy aflirn und.r n nihy of perjury ih.r I m.x.ml,r tmm rh. CDdracMs Li..nk Law f(n rh. f.lhsin8 r.asi (s.c.7oll5
<br />Buin.s afll Psr.sion Coa.): Any Cny.r Cou.ry whi.h rcqui$ i p..mii ro co.nrucr. !lr.i inpmv., dcmltt o, r.Fi, oy
<br />itucrur.. lrhrh irs isiuanc..ds r.+n.s rh. lftli.r t,such |]. mtr, fi|. a \ign.d (d.mnr rh?r h.orsh. k licen*d puiiuanr
<br />r. rh. pmvi\ions olih c,'ntrxrois t-t.n\d l-au (Chfl.r 9. C 'nm.fti.g wirh se.rion Tlx olDivki.I olrh. Bu{n.s ?nd
<br />/tn,f.sinnsCnd.)nrrh ,Ior\h.k.\.mflrh.,.frnmindrh.hnsnfo h.all.B.d.x.mlion tryliolati'nofSdionTi)1l.5by y
<br />l,!n1.,ntr.n1.",'nr.,6,.,,.,* inplhi L' xciv'.nenilr).'rnor ma.'tun rnc hund'.Jd nI6'lr'x,,,\4-
<br />'a.J/flrr' otrncr or'h. DhEnr. or myemnl,,ve.\ *nh */Er ar rh.n e,le Nnp.n!.rioi. uilldo rhc Nork and ih. ntuuE is norYliJ.a -,,raa r," *r ri- roir. a^ii.* *,r n.r!*o* c * dD.\ n.i anrry r' !n wn..o.
<br />rh.r'oFny wh hralds.r iq'hv.srlrB)n, rid !h) d'h n'ch {nk himr.lfor h.rr.lfor rhn,u8hhn or h.r oM cmrhy?.r.
<br />povklcd rhlr such imlrcwnr e un i.rcnd.d or oftErt fitr Mk ll krw.nr. rlE horuiry or irq'nv.md is sU r ihir nn. )tr
<br />ot mr'Illction. lh. Owne, Buil]s will haE th. tuftlei oarDviu d h.or$.dt d t{ill or impnnr fic pop.ny forr,t l[qneor
<br />-1,
<br />aso$n.roirh. pr.I.ny. !o.rclusively.onr.din8 siih !i.en\.J c.ntricr.^ h c.n!rucr rh. f'mler? rh)tssnn Cod.: Th.Conkrcrn s I ic.n\.1-.r dc( ndI npplyh an Bnn frop.ny*r$ huildr
<br />rnd who contr.r\ ILtr n'.hpnr.ct\ sirhr s)liLrn\.tlJru( (,ih.{n m.rn \ l-icci
<br />** at
<br />Ih.chy rffifln under rcn!hy.ln rjury n..rrh.n,lLi$inEd(lrn i')il
<br />lhdvcrndsillminirinaC.niff,{.ofCon*ntt,Selaln\u..tuHnk.^('mFns i,n.asF.vid.tlf.rbyS..rion:l7lx)otrh.
<br />l.ahn Cod.. for th. p.rlormE. .f rhc w.rk aor vhrh rh. O.mir i1 ksu.d.
<br />_l ll3v. aid will mrinrain pork.i( comD.trsuri'd in{r.nc., rs eqtriE hy Se.r ion l?rrr of lh. l rh.r Cd.. fo. i,. p€rfome. of
<br />rh. Mrk for *hi.hrhn O.rmI n irs.d MyrDrt.n mhl'.nsr tr insuian& canh and F,lay numh.r ar.:
<br />hb.r'-l
<br />{olk.rs mmp.n\arit)nnn,vnionsofS.dion]7urofIh.
<br />wARNINO F.ihrc t' *.ure *orken c.FFnMrn,n.'
<br />(ird.. I shal. ftrnhwirh..mpl' rnh rho
<br />i 0.lnqi[|. and \hall \rhiecr !n e
<br />civil ,ines up h oi. hundred rhnusrnd dolh^ ($lrx).(
<br />l;;'fi;0/?4)o
<br />IJ,STAAION
<br />I h.Eht ilirm undcr t .ilryofrErjury rhd I !m,ien*J uid.J pruvniun DfChrfl* 9lc.rmn.in3 wirh Scdi.n 7Ox)) ofDivisn,n l
<br />.i (h. Busik$.n,t Ptufrrsbn\Cod., lntt my lic.n* n ii frrlllon-.. and.fi.cr.
<br />cgxslxuclloNrliullNc-Acl;Ncf
<br />I h.Ehy alfirm und., Fnilry.i p.rjury thd rh.E t aconqrudi,n lndin3ag.ncy nn rfi. F fomam. of lh. *ork tin whih rhirp.rm n
<br />issu.d (sf 1097.civ. c ).
<br />A"TTLICANfDIiCL'.BAIIA!
<br />I lfttry nlUm undd n nrlry.lli.4uryon.ofrh.lollorrng ..l nr)ns:
<br />l)en.l,ri.tr l,..mirvA(h.(.s Norilt{ior F.dcnl Retulit.i\ {Til|c,10. Pfi 6)
<br />R.oun.d liucr of Nonlf, di0n
<br />Ll !.n1 rh'r rh. f.J.'rl drlldi,a( FrarJinp a\h.v,^'.m\al
<br />f^L4-*'o *n, r*..r,n^ rrnr*rtr,n dir {r,.,hd ,h.4h\. ,n Dn i\ cotr..r I rlr&. rn.o f lt $ih rll ( ny xnd Counr!
<br />o 'nrn(rsrrrlStrre Lrs\ r.ldins ri
<br />rhrr. mdioncd nrrFnyntr
<br />mliu l.rArrntSiBnnrtrr(v':,;Til;L
<br />Ilcv. 0B-07 2015
<br />SITE.WORK COMMENTS
<br />Subf loor/VenVl nsulation
<br />T-Bar
<br />zo
<br />l.'..i\. Cltr\ l.i..n!.Nun,l)s
<br />(onrru.n'r
<br />q
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