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BUILDING- INSPECTOR BECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lns u lalio n/E nerg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />A\
<br />FINAL 5-7-n
<br />Certif icate ol Occupancy l_/U
<br />Notes, Remarks, Elc
<br />OWNER BUILI}ER I'ELCAMNON
<br />I hlrcry umrm lndg pcnohy of Fr/r, lhdr I m.r.nfl a$n $. ContkloE Li..n€ b* fttr rlE n h*ang E ei r$' to1r r
<br />a$imi. d Prof6rbn fin r ry Cty ot Counry *hth r.qun ! Fni h Nn.lru.l, rltq. irynw. &flnirh I r.rq uv
<br />ilrErur.. rrfi lo ns i\snuc. cl{, Ertuircr rh. lppltonr lor rkh Frdit h 6lc . sisn.d sl.r.mnt rhri h or rlE it li.itn purrd
<br />!o tlE ptunirnr ol E c(,nrEtr\ Lilneri tr* (Crqnd e, o)mrrins $irh S..rbn 7m) or Diision I ol rlr Butifts md
<br />Fml€siotrr Co& r or rhar ltotsrE k.rcn{, rh.Efiofr ond ln l.Eris ntr rh. dk!.d cx.mPthn Anrviihrion.lScdi'n7l)llrhvrnv
<br />ll,trlE nrf r tEmn sbF.G tlE lpplf,r"r rorotnp.MXyofmt nErtm alv. hondEd dollr^ (ts{rl
<br />-1.
<br />s\ o*F of llt rmFnr. or my .nl''loy*. *nn *rrcr .r rlFit rlE NnFnliion. wi! dr' rlE k,t .td dE rn(e i( n.
<br />id.nlcd .x ofi.Ed lm {L ( Ss ?fi4. Busift$ ud PrDf.sionr Cod. T1* Co.r.c(oar Lacflt L.e docr nor lpdv m u o*B nr
<br />rlE InFrry llr, hlildr or rpm6 ttKr ]n *h. {h6 trh r$* h'mr or lEElr or r}mugh hr r ls orn .i+ldF.!
<br />pmvlt d rhrr .Nh iqrormnk c mr iu.BLd or or.Ed ftr sL lt tEk6, rlt t illi.a or inlnMEni i! bli rihin om Fs
<br />ofrnpldrr. tlE otrBr 8uilj., *ill h.E tIE hnh orFlvir{ rL lE.r lrE dn n biu d lqmE dr FeFr, rd rh,!tIE oI
<br />-1,
<br />aso*mrofrlE FmFnr. 6.x.luiiv.ly.onltocl ir8 silh liccnsd codrr"d.nto $nslNc lE lnntd (SN 7o4{ BBim*
<br />arn Eotarii Cixr.: Th. conrdor r Lic.nr Lr* &.t mr l|l'lly k! t 016 oI FoId y *ts tuildr or if,PEE! rh.ron.
<br />ed *l$ ofiruli for.uch I'n,jet. with ! Contrunrno li.cn{d plEun.r rorhc Conridors Lau* lrw,
<br />-l
<br />!mcr.nDr unrlc, S.rri,
<br />-.lr
<br />& l,C lurrn\ rclu
<br />t)elr ()*n.r
<br />lloRxl'I{\' ( (l\lPt \s\l-los
<br />DI(JJ3^IAT
<br />I rr,$) nttn un'l.r Ftrrh\ ofIiru') ,{a 'n rh lrnhtrtrt3 d.( l:llrrr*
<br />-l
<br />har ltJ s ill mmhin . C.nif.rl. ot Conenr lo s.,l lnrlR fr, rorlds ..r{rndi,n. :s F,!a.n fo, hv ssr i'. lTuJ ol lhc
<br />Latnr Cdc. tu lhc p$fornEm or lh. work fnr *dich rh. Fmi k nrkd
<br />-l hrk {nd wrll mrmrin workc^ conrFnrsrion rnrui.n.c. !( rcquitcJ hyS.rri,n l7rx)ot rhc Iibot C{xk ld rrE isitrmN.or
<br />xmil n tqrd My *dr6i sn!E.u.. inrurgrxrt\rd)a c\ce k
<br />ZO\C\,o2200 -\-
<br />I Ndlfyltul in rlE,ErformE orr,E *od n, whih$n Frmi is nihd, I rhtll ml ctr9k,rrny FN)n in..v Mtr
<br />s' slo hccotu slhJcd t, rh. vurk B $mF.nsltirn lasr.,Crlitomii. d.sr lhll raI rh ld h.ftm.ui'F! ro!h.
<br />q,ltsr' orrEtrsrion Pfi,visbnr of S&1i,n :l7{l) of lrf, l,r$ GrL, I slull. fonh*ilh @rq)I, wirh rtIE Imviriohr
<br />*ARNINC: Failur. ro suE ktrtcB .lmtrhIirn t\rvcE3c iq unb*rul. rnl rhrll subr{t crihF b ffil If,Els rl
<br />.n'l likr uD ro oE hundrci ihnled &rlls l!lm.lf,$), i. sddnion k' rtE.oq ofcotr{ttr-lio.. drE8.s !r nrcvdcd ntr rh.
<br />S..riotr 1016ol rhc lltitr L,xt.. crcn lel nnorrv t r..r
<br />^,,,-*,1&L \tfNafi\
<br />I rcENstn coMrr^ cratlo
<br />b-z&?ofl
<br />DEIIAEAIIOT
<br />I lmbyllIrd o Lr Fmhy ol Fri'ry lh.l I m li$ntn ud.r Fnvhb. ofch.fld 9(.onmMin8 *ilt SNrion Tulo) olDiriti.rn ll
<br />or rlE Busituss ud Protc*ionr Cod., un my lic.R ir in tull fore a,n.fiar
<br />L-rt q4ffif18 -5Vo-C:t*pfL..,,*€N!$e t(
<br />coNsaRU(_Ttofi t F\ l)IN(i ,lGtlct'
<br />I h.E$! llljnnuBkr lrtulry ul tu]ury lhrr rhsc i\ r.onirurrk,n LidnrS rgcn(y ntr rhc lirfunr! r.c d! rtE *ork ntr *h(h rln\ P.nni n
<br />i$u.d (s€. lo9?. civ c ).
<br />l.nd.r'! Nrc
<br />-
<br />ki&r'r AJdr.s:
<br />-
<br />AELIANI.DECI,A8AIIO!
<br />I rE$y ulinn und.r rEnully or D.rjury o.c ortft rolhwin3 d(|[!rhns
<br />D.ml,rr,n PcrnnrAslBrm Norirrrrion k l R.gulrhnl (Tilc4). Pd6)
<br />R.quftd L.ils o, tuifFrd
<br />-l
<br />.sr'ly rhd th. lirlcnl ESrLri,B ElJdan! ri.{or .mr.l c d{ {tltlbk tu rhr pnrFl
<br />-l
<br />dify rhd I lEvc rc.d rhn r rrhn .,i (.rc rh.r rlE .k)k inromdio. !.m.rl I rst k,6'r9ly vilh .U Cn! rnd (t)unrv
<br />orl rn.e\ 0J \lrr.litr\ 'rlrri',! I (,n. a hcchy rurhtrrc rclrcrnuri{\ oarhn Ciryanl Counry i, cnrd uFn rlr
<br />ah,vc ftmi,ftrl pr,Fny ln
<br />I 4(\C\
<br />2e2q1
<br />I
<br />Y41il,
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />T-Bar
<br />Flood Zone Certil.
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