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BUILDING- INSPECTOR RECOBD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />DlLrn^.+19Subf loor/Vent/lnsulation
<br />Rool Sheathinq
<br />. lt'
<br />Shear Wall L,ty7Framino1DllfDo
<br />lnsulation/Eneroy lv
<br />Dltwall
<br />[Ext)tnt. Latn 7-<)DA)4oo ,-# ff
<br />ts?-rown Coat il
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />l(I I
<br />FINAL 1lt3 -/i '-V?,, +6-/!|Certafacate ol Occupancy t
<br />t t/ t)I
<br />, Remarks, Etc.
<br />t-@
<br />OWNF.I IUIII'I,:R DITI,CAT TION
<br />I lftby rrm ud.r p.Mty ol D..rr.y rh.t I m .Enpt iom rll (bddr6 lj..r L.v lo. rl! folb*h3 F.en (Sd 7011.5
<br />BusiEsr .d P.oa.sh. C.d.): Aiy Cny D. Cnunry whth rcquitx ! p.rmi r. .oinMr, rh6, iq,mE. &mlirh or EP.tr -y
<br />iootoE. pdr [, ilr nsulu. a].k Equm( rh. qDltd t$ such p.mir h 6k ! si!ftd n.r.mnr rhd lE o. slE it li*trql purDul
<br />b rlt pmvi3iotu.rrh. Conrftror'r Lkr.*d l1 (Ch!F..9. CimmEin3 wirh Scri,n 7(xxr ol'l)ivi.hi I nl'ih. Ausift. rnd
<br />Pmf.itirn. CdL, r rhrr lE n $. i!.r.n!N ihd.6.m lrl rh. h$! lor rtr .!.!.d .r.trrFlD Ar, trLrioo of Sdbn 701l.l by m,
<br />rpplkld fd ! Fml rbFB rlE .!tli.rd ro ! or il p.M!y or mr m.. lh5 liE hu'ldEd &rl,rn (lqnr.
<br />_1, a orn.rrlE FnFry. d my..rk'Fr *nh r{6 ! lh.n {L o,l{Edr4 *in do iwrtrn ttucad-r.ild d olY.Gl ls ql lsc ?04{. Bu|tEr .rl ADfdbE CoL: TIE Cotud! ti.6- L.e .rB d 491, r. d owr oI
<br />rlE filx.ny wlb llill! n irymE rt!.E( !n eb d6 *h s* hrrMll or lErlf or rlEurh hn , lH om.rFlq€!,
<br />poyiLd th $ch inp(Mctria d ilrdd.dorofiad Ior sh ll hoEE, EtoilirBa ltgwdd i! $U *lhh@ r.r
<br />oI cort trin rt! ()wE BuilLr eill hrE rtE hrhLn ol potiry rhd lE or ih. dil d hill or irImE 0E prFi, IDr rll pdp.* ot
<br />-1.
<br />a ow 6f rh. Flratr. 6.rh$rl, oB li.3 *ih liqral NdErmroonllM rlE FoFl lsd.7o+4. BUB
<br />.!n A 6slrc&L TlE Co dor'! Ltlns Lr* dlx d rprlr ro d 016 olprotrny eio t{fl! o. uprcE. rlElta
<br />.nd eln odBr t( '*h FFr win . C.nad(, li!tr d tEhd ro rtr codFd r LEe trw)
<br />_l D.r.nq, uir,.r Sdbi- B. & P C rrr|ha E&)tr
<br />IIOBtrEEILCAMIfAEAI]ON
<br />DECLAIAIIO]T
<br />I tmby.mrh !fllr F.rty.fp6juryor of r tolbsi4 dclniriN
<br />f\4a* ^ *r, *,^.r^,fl{. orcl,E b s.rrM tu ei6r6 lrdFdi,a.t F.yiiLrl fs b, sdr6 3?@ orrlt
<br />rib( C.d.. ld rh. Ff(nlu. ol ilr rqt fi ,nin ri. Fon i iled
<br />_l tur. ri s,ll eidlm slt.n ..rfrd.ra. hsuhN., .r Equmd by Sdrion l7m of rlE Ltrtr C,i., for (lE Frftllfur. .r
<br />{a$w+-'qW Alcl
<br />zlzt lz.,
<br />-l
<br />Mrtr rtd d rlr Fnrlrc of rlE xin ftr *trh th! IEmn ! ssi!.1rhel d.rpby d, Fei in {, l[ffi
<br />e sro benr slrer b rlE wto'@nlcdm hy!.tc.htm( rrn {fr lh. iat !}E!ll,D.(-r o6rrt brlt
<br />slt6r' oqrnitEn nrevili.E oa Sdpr lrm of trE lrt r adL, I rhrll rDnh* h Nnply ,dh rhon pro@
<br />ul 3tax $hrJ { cmr'F ro srEln"ffi'""*"'""WARNING Flitur. b ecu. s..Lr'd'nlttMrrn
<br />I
<br />'Dgllif,al&d
<br />I hely .rrm u.&r Flly of Fjuy !h. I n lan .d un6 F.virbn .l CIEFa 9 (.lmEiit dn Sdion 7000) .r Da6n. l
<br />ot rh BuiBr !d Pbt .s Cod., td n, l!.E i in luu lor !r.ft<
<br />'13 4' <, r B
<br />U. tq-2o
<br />colsltllcrla!..lJrlulc.Acxds
<br />I h.rby rf'm u,d.r Fuly ot F ltt.y rh, rtft ! t .laturnn tnlur {dy lor E gsnllrlIlE orrh. *!it for *tuh rh6 pdd a
<br />ir.e{ (Sa 1097. CrY C)
<br />AETANI.DECIdEd.UAN
<br />I hd*y Jrm unl.r Fur, or pri,., o* or tE rolb*ins d<hd r^l
<br />D.mliEn P.mrl^'h.'rc tidrf.r.. tuL..| i.ruhti,B (T.l .(), Pd6)
<br />_RquicJ L.I.r of Ndrh:rion
<br />I cdfi rlEr rlE L'l.ml rcguhrnn$ ..gr'ltr3 !sh.$or Enr)vllrE,k,
<br />I r!@ ro{nlcly vnh lll Ciry.nd Coud,
<br />{'E ',frhr ([y.tn Couty ro dd uF'ntlE
<br />b lz +l,o
<br />fzitta
<br />Rev.08-07-2015
<br />- 11il7,4)
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