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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS OWNEII BUU,DER DII,CA I'ATIoN
<br />I lrrby ilfnr undd p.nlty of p.rjury (hrr I M .r.ipl fom tlE Cbnhrm Li.N L.* d rlE follrpiry Ersn (Ss7011.5
<br />Auiiftr. rn ProrBrhn C.d.l: any Ciy or Coudy *hth Rqun.s ! Fml 6 mneMr. rho. iqr.w, d.mluh o qrn Dy
<br />nturr. Frrtu nr i!l1llx., r15 EqG rlE 'pplid torsuhFmr!o fik. r{Ed rd.Gd thd&o.rlr!l$r-rl pllJui
<br />i6 rh. ImrBbB nt ft C. ftr i l,ienr.d lru (Ctrds 9, ConRrin! virh S6rhn 7fiD.1l)iviri lorlll BsiE!.rd.
<br />Pnf.$r u atl. r r rhd tI or dr s .x.tr{* rh.cntrh .nd rlE h'.D ror rlE J,qql .r.rgm ny v.Lrnn of sdr,D T0l l 5 by rdy
<br />qD,r.d fnr t IEmr tuh)..8 rlE q,tli.lnr ro r civil FMlry ol 6t mc rhrn fiv. hondEd dolL.r (lslx))
<br />_1, a .*m of rh. trFdy, 6 o,.npbFs r{h *.tc. 6 rh.n ok onp.dn4 will dr dr wt rn ErMcrd
<br />indrlal r ollddl r( rL (Sa 7lX,{, BuiE$ rid Pmr...im Cdi.: Trr Cotua 3 trac Lr &q d +P1, ro o ow o,
<br />rh. F+dry ylD trild! q inFDB itEE[ rd *tu do6 Ed, rrc.t hile,f d lEilf or rt({rh h8 d ts om .npb)c1
<br />F.ri.d rld kh lllrswd! & d i.d.d ( o&t!d nr.]. !( lrB€.ot hriBrq 6 iat.Nrd ir ha dhld t.
<br />ol.nfllt4 tlE ()yB B! 6 vi! h.E lll hIh oaFDvr{ rtrr tE d dE dil d hrilll r EF)E ilE Fq.ry ix rtE IxrFE oa
<br />-1,
<br />s o*B ol rlr FDtdy, m.rlBjv.ly oddi,3 knh liuel !dxr6 ro onqd ltl FrFr (sd. ,o,l,a, BulilB
<br />.d h*qr (otL TrxCodd( tLt rt *d6d !I?1, to u o*d oi For.n, wlx, ttrrt& d lrllot! ri.l!*
<br />&l ylF oddr tq s.t! FDj.rB rrh r C.nar.x(sr lirdd pol\d io ilE coddd! k.e L.r)
<br />-lr,.r.E
<br />unL, S.4r
<br />EABSlIlt..c9!{fESi rl)!
<br />DECLATA.TS!
<br />I h.r.bt rfinm ufrt r ,ln ny of F!.y or ol rh. lo[o]ii, d€ladFN
<br />_l h.E !n vnt minru. Cdl.xrr. of C{]N ro S.[-|NE for kI6 onltnd.n, rs l,lvri.d i, bysdDn ]700olth.
<br />Iru Ork, Id rh. tELrllrr. of !h. rdt Id *hich rh. Frmn ir isud
<br />_l hrE u.t *!ll rutnru m .B .or{EErrbn in$rm., .s cquir.d by Sdrioi 1700 ot ltE lrbor Co&, t . rL lqilffi. ol
<br />rh. *uitn, wh.hrh!rcrd ! nqEr My
<br />< AIP
<br />c)<)I
<br />I rcnily tlur inth. I'crnrrurcc,)f rh. sork Ltr whi.h rhis ncr.ni ir iru.il. I rhrllnn.q)loy lny lEr!)i r tny mni(
<br />e6hh.c ft\uhjcclhrh.*o&cBcomp.nsarionl.wsofcrlifomir.andagr..rh.rifl $uld h..oE hj.dhttE
<br />uoA. NtrqEtr\.r Dn l)r)vloB of scd ion l?ul of rb. L ucon.,I:rull fonheirh$.Dlywirh rl$x pDvuD.r
<br />WAnNNC I'.rlur( t, ae w{trt.E c.ntxmdx,n cowroge is uolxrtul. ul shull Nhic.r d d.U,I)r!t o.nnutul t.e[E ud
<br />uvil linA on h on. hundrBl rh.u.u.d doll36 (llur,Uxr). in addnion ro rtr con of.on{.n$rion. dimr.s ar !revrld r.. rh.
<br />L,4. tz'to o
<br />DECIdSAII()!
<br />I h.rhy rfllrm und.r F{ty ol n rnlrv rhi I !m lt n*d und.r Fytion 6l ChrAs 9 lc.nd*i^t s h S.dnn l(ml ol l)ivnM l
<br />ot rh. Bulms url Pr'fdiotu CsL. .rn n,y li..e a in tull for rrn .lfd
<br />a (oolq?3
<br />o
<br />golEraltcrolIBD&GlGB.gr
<br />I n Eby lrm un& Ffxy or Fi,y rhr ie. b r ffi-n hni,\, .!!Ey ld 'h. Ffl@ o, i,! Ei tt !6an r'! Fr, i
<br />bcd (Sd. hl9?, Civ C.l.
<br />AISJCA$LDECIAf,ATO
<br />I Hy rtlm uBL. Da.ly ol Dsiuy m of rrE folbvE8 d.(LdiI'
<br />D.mlnE. PE ril*Ahc(or t{dir.atr FdLnl R.guhitu (T.L .lO, Pf6)
<br />-Ra|uiEd
<br />L.na ol tqrlft.lir
<br />-l
<br />.d(y rhd rtE ,.d.nl EB.L.i,^r Eguln! s6.!ros EmHl E d q'r'li.!bL ro rha Imlat
<br />+l (dift rh.r I h.{ Erd rhir rppla.ri,. u! r& |l5r trE rbow infodio' n cl)ml I .tB ro conply rih .[ cny .a! cs y
<br />{rJtrD'r.s.ndSr .li}sEtlur3t'h{rllm8con{dd ail h.khy'urh.rn. rrngiltEs ofrha Ciy iBt Cdu yk'.nr.rtrFDrh.
<br />lhnc.urx,Rl Ir,Iiny nn mrFct
<br />,tpdi.rnl nr Agonl Si,tMlun n,,6,4,zo>t,
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB FIoor
<br />Sublloor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />ltrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />/,/ -/n _4n /) ti tz . Lzz-c< 4m
<br />FINAL s 19 tv -r'-/O L2t 2 , -z /v,a-/ €, . //
<br />Certilicate of Occupancy
<br />Notes, Bemarks, Etc
<br />Rev.08-0/-2015
<br />ID/SIG.
<br />Eru. cmk ul plky nunnH e:
<br />Forms/Steel/Holdowns
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