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BUILDING. INSPECTOR RECORD
<br />SITE.WORK rD/stG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />I\ilaso n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Reoort
<br />Flood Zone Certif .
<br />FINAL o6ta
<br />Certaficate ot Occupancy
<br />Notes, Bemarks, Etc.
<br />owNLL Stlll-llDL DELclLaTloN
<br />I tftly rlfm ud.r FrIy o, F
<br />',.y
<br />rrrt I 6 .r.r?i tmn rh. Cro'h16 Ii@ t w lor tr luloma as (Sd.mll.5
<br />BurircN ,rd ft.fcshn Co.lc): Any Ciry or Counry whici rquirc. r p.rmn h .onrMr, rlrd. imp.ow, d.mlEh or Epch ry
<br />tuw.rftr!,ir! no.E..l!. EqlB rlE 4di.d tulEhFEd io 6l.,8Ed{d.id 'brlrd{lil,.a!.d FErli
<br />t. rlr Fvirionr ol r Coik&rol| l-a..sd tr* (Ch.pr.r 9, ConmEi., w[h Sdhn 7ml.fDvnion l6llh. BBiB sd
<br />PmfBliom Cod.) - tlEr t d ,lE ! .rqr dE iioh dl rL b.rir frr r,l nl8nl .rdqr$tr Ary virhion ot S€rbo'r0l I 5 by rny
<br />.ppl.!d Id r p.mi .ubFk rlE .p0tt! ro . cirn p.Ml, oI mr llm rh., fir t{nd,.d .rolL6 (tJ([)
<br />l. a o*c.frlE lrpcnv. d ny.iphFc wii *.!.r s llEn nE onpcdrr4 will d, dr *rt rn FrM@id
<br />i .clql tr olY.rcJ rn xt (S€.r(x,r, BuriEtrr ud Fltdir C.i.: TtE C.dBn r Lrtu L.r &E d +ply ro o owr ot
<br />rh. t$tdy wt huill! r iqnB rts6( ad plD &B sh Mtt hirern lrrklf or rlErgh hn or *r oq.npblEi
<br />En\ ij.d rtur Mh 6prnlGtu - d n..rLd ofidld tr el lL lbrffi, tlE hoiEiI n ilF@rd i' h! viEn d Ftof.oqtri,( tlr Os@ BuillE *ill hlE rlr hdLn df Fnvit rhi lE d dE di, d huill oru!!.trE lh. Flpaiy t( tlE Fr.pE 6,
<br />L a ovftr oI rh. Foo.ny, !m.rclusiv.l, .odhcrint enh ii..n*! odturon b mmrod tlE Druj*r (Sc ?oa.r, Bulrs
<br />.!n PDL.gn cod. TIE Collhnn i Li..ne f.s der nr .prly to a dsE ol FoIrny vh. trilr! or "iorctr iLr@
<br />.d wb oddr td t$h FrFt Mn r Coddtr(, lr.'Eol ptEd ro
<br />',E
<br />Codr<oa! LiiM tr*)
<br />I u.r.nfl un&' sd$n- B &Pc 6rrh! E:on
<br />1!q86[StglMI};NAfll!
<br />DECLAEAIIO!
<br />I hdchy rflnh uuLr Fulv ol n .jury oE of tlE lolbruu d.cLd irB:
<br />_l hrv. rl wll nEinrain ! C.drfr . of CoMnr rr S.ltlNuE t,r wo.ldr' !$n{xnsdi'n, .s lxrvrLd for by Sdrion l?00 of tlE
<br />Lrr{ C.d.. rd rlE F(fdllE o1 rh. rqt ld *hih rlE FFit ! $Ed
<br />IhrEr willmid.inkl*.R envf,trsrion in rim..I Equi,ld by Scri,r 17m of rh. t lx,c.)d.,fo,rh!Ffol]rwof
<br />rlI q,t nx *h.h rht p.tu ir itrr.d My rdlft ont!fu-n |lee ffi rn F !.y runlE E:
<br />P.licy Nunb..:_EiriEr
<br />_l ditrh4 in E Ffor'ffi of rL *dl ftr dli(jh rhB p.rm, ir urErt. LlEll d.npby yFirrxyllrlE
<br />$ r ro h.r$ft srhl..r ro rh4 wkal mlltEnsrion l.vr oI Cdifomr.. r l r3r rhd il I lbul:t t c.r $hjc! l. rh.
<br />h a dntFdi,n ptutnrB of Seriri lTmordE bhd Cqi.,l trll. Ldhprhonplyri.hrlEr FlltiE.
<br />WAINING EilrE ro tu wlda orpdobn srn!. ! !nL*tu|. .d ,idl sbjd m dr''r,F b slErl FdlB !n
<br />civil 6Nl uI, b 6e hudrci thouri .rollb (llm.Ul)). in dirion rD rh. .od of cotrfEMrid. d..r8c! B Fovdod for lll
<br />SEron :1076 of tlE lrtor (ro.L. irec rrd .ttnr'! i6
<br />UCEINED.I]INI3A13jB
<br />DECIdIAIII}I
<br />I lrrby .rlim u,lda FMly .r F jlry rhd I 6 li!.i.d ud.. lrnwih .r Ct pl( , lc.rftdin8 *nh Sdiri 7(m) .f l)hisni 1
<br />ot rh. BurEs rn! EDLrioE CBt . rrn my k.n. ! s tull foft lrl .lTd.
<br />ooI\[STRUCTION I T\DINC AGr'{CY
<br />I h.rhy lllmr urdd Fn.IyolFrlryth. rtEr it. cu.ttodi.n h ry{.r,t,rt Fdomr. ofth. *!.t tu whihrh! Fnr is
<br />i!s.d rs€. 1,97. civ c.)
<br />AITLI(AIID}i(]48AIIO!
<br />I hd!b, rlTm !nd.r Fnrhy of DrNr) oE ot rlE folowini &cld!rrn!:
<br />D.oDlirion P.mir*A$.nor Ndifrdbn l-.d.r.l R.3uLrLm (TiiL.lO, tun6)
<br />R.quiBd t ns oftt{trrrrM
<br />_l (d'ry rhd rlE rdi.fll Eruhln* Ealrd(\3 atErtr Emv.l rE n* qrplrlnb io rhn pDFr
<br />_l.dii rhd I h.€ F, rh!\.p9l..lb.,n ltd rll.hot rfo[nri,i n.dEd ItlEroonply*rh.llCly.d]Cd ]d'ltr0r.sr Sr .liwst&rnl8 rdhflr Elnsr.iikr ol rlu! C y lrd Coudy !o .n.a uF). rlE
<br />r,!c nErri,ftd ,nllEny ht *.t \B .TaZC
<br />II
<br />KfiZ7A
<br />Rev.08-0/-2015
<br />DATE
<br />'qultozd
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