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BUILDING- INSPECTOR RECOBD
<br />SITE-WORK DATE ID/SIG.COMMENTS owt{Ex tutlDa DtLcAt Tt()rl
<br />, hmby.frrn u<t r Fndty of Fi,ry dx I m.ktrpr nDn llE Cmdm Ltor L.w lor lli fulloehS tur tss 701,.1
<br />Baimtr .rd Pmf6*,n Cod.) Ary Cily or Cdnlt wnth EquiEs . Fni lo cGdrBl, rlls. !t"row. &trnUrh or GFn ry
<br />'iMe Fr ro ns 6.llN..ho,quiB rlr {!di.d lor st F n lo 61. sigEd .r.Mr rh lE d ti i lirn-d Fner
<br />ro rhc Fovhionr of tll Conr[crol3 Lt.nEn Llv (Ch+r.r 9. Clflftfting qnh Sethn 70O ofDivtion ] olrhc Sulimi ind
<br />Pref..ir.! Cod. ) d rh.r ,r 6 {r i. cr.qlr t Efhn rd rlr b..i fq tlt rlt !.d .rdtgb.. Ary vi,ldirn of Sdi,n ?01 L by xy
<br />rpdictir for.Fra bFl]rlE lppltur ro.LivilFElryof mr nmrhefilc hudEd dolhr rt5lDl
<br />l. a o*B orrtE FFnt. d ny.rpr,F! *nh wrg- f,r lhir sh onF.dirtr $Il rb lh. *,t ]n ErLrRi! d
<br />intod.d tr oflcEd tor eL (Sa.70{4 B!.iE3r Md Pr!f6io6 Cod.r TIE Co'i[crtr r Lid* LB dB br rptl, io .. o*E of
<br />rh. I,oFny *tD hi[t or l4os rd)( .,n who dB sh srt hirela d h.Mlf o, tth!8n hi: a h.r 6*n .ophy6.
<br />Fovrdal rhd tsh inpDmd. @ d n !!.Ld cotu lo qt.l( lfliE ft toildiq d nllF6tn l! sld *tiii E rEolon kib^ tlE(rE Build.r wilhE dE t &n orFlvir8 dd lEGllEda [ll hrB lrI,w lrr FotEly lordE,uFEol
<br />_1. .r o[M ofuh. pn It rr. !n crcbriEly co n riDr ,irt lirnsd .onrr..lm rD o^rtu.i 'll F,Fd (Sd 7044, sBms
<br />un lkf.a\in Cd.: Tfic Co.rrrrols LrGrE Lrw dB Rn .a,pl, ro e o*8, of nrcp.n, eh. hoild: 6r inrprokr rho6n,
<br />..d who drrrrlr lG uh rmF! rith ! C.ddrir, ti.nEn Iorw,r ro rlr Conal( ! LitE t a)
<br />- _l rn.&npr u.&r Sdr icD-. B &PC rd rhir 6$n
<br />l).r. O*n.r
<br />tvoRtFCs' coMFtxsATtoN
<br />Dl;cLA8arlo!
<br />I hcrchy' rfiirnuidcrFnrlryof txrllryomorrh. ft,lk)$tr,X drilx'tuon\
<br />I hiE.[l *ill Bidrin. Cdifrd..f Co.Hr to S.lf.ll:s tr mndr'odtEMi,n. .r Flvtdcd nr by S&lDn ]1I).r rlE
<br />t4or Cod.. rnr rh Frtorlft. of rh. *o{ for *hth rh. Fnir ir $sudl
<br />_lh.r.'neill inrin e s @trp.N.rirn MB..a 'quiEd b, S<rnn IIEof t,t trt.. Cod.. rdrtE Fft!fuc or
<br />rhc $o* ror whkh thn rE nir ir nnxd. My wlra mqEnsrion inoM. @4. !d lrli., nunb.r e:
<br />_l c.nifythr' inrhcFrforruE.of lh. wor* lor whih lhir F,ni is i!$.d,I shlllrcl cnphylnyrEson h uydnF
<br />s !r kr Eom abrcr ro tlt *rt6'onFNdbn hv! o, Crlifomir !d .g,r fi.r it I {Nld 6.(oc ohjar lo i
<br />sri6 oqEMrrrn t,ovkbB orS6ri,.lrq)of E l:rB C.<L,l slLlL foihwilh onplr rnn rrr FovilbN.
<br />WARNINC: l'rilurc !o rcE work 6 cltrp.nsrion mvag. i! unhrtul. !d shll subFcl e ol{,loy.r ro qinitul Fmlrir ud
<br />cMI nFr up ro oE hu'dld rtnuerxl &,lla lllm.(xn). h ddnbn r. tlr cor of snp.Ntiotr d.n$. a Fovit il tor tll
<br />serion 1076 of ltE t-{v (-.d., inift. .fl di(fty r t6
<br />Da.r Apgrst_' Ltc'ENsrrrcbMrxic'mR
<br />![cttSarro!
<br />I tmby.rIm un&r F tyof Ft[y$d I u liEu.d un& FDvnion oaclBprs 9 (enGrba wirh S<ri,n 7G)) orDivL&n ]
<br />ol lh. Busircs rn PDrc$ioN aod., .,n my ltcM i. itr tull roN orn c,tal
<br />qJASTAtcIIOUt BD&tilGISCr
<br />I lxEby lmm un&. FMxy orF4ury rhd 'he ir r ondMion L.din8 r8cE, ru rrE lEfollffi. r'a lL Rnt for *fii:h rhr Fmi i.
<br />n$.d ls(. lul?. civ. c )
<br />apPl rcrNr nr(.l 4RATtoN
<br />I hodt ttrmldt , F![, or p6iry dc orft aolbwin!.L.Lnri,tru
<br />Dcmliion hrmns ArrErro: N.rir'.alior Fcdml Rcglhrion! Onh,(). Pad6)
<br />-R.1uir.n
<br />Ldk of f&lirdir
<br />-l
<br />.dify lhd rlE rcd.6l E8!Lr ions rc8.din8 6lE(ot emvrl rc mr {rlt!t'h ro rht pDj.rr
<br />-l
<br />ccnil, rhar I h.vc Eod rhis q,Dli.nrion ird n.!c th.t th. {tnvc innrnErn,n h corr..r I asr ro o.rpl, *irh nl Cny .nd Counry
<br />oilimturs rd Srr!. bqr rhrnB k, h{ildinS con rd6( arl h.r.t, rulbir ETcmrdiE! oflhi C y.rd (tunl, k, dla ursn tlE
<br />!h.t. mnrinEn Fqdlr 16 iqrri,n prFB
<br />A D9li.$l or A16l SilElur
<br />P.milE r.ne (0.in0:
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation I ^aRoof Sheathing ?r?r26a \btrful ?W
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL i-7-h E C,*.'?./?D3 *7ry
<br />Certilicate ot Occupancy
<br />Notes, Remarks, Etc
<br />Rev 08-07-2015
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