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BUILDING. INSPECTOR RECORD
<br />SITE.WOBK DATE ID/SIG.COMMENTS (,IINI'R BUILD}:R DELCARATION
<br />I tErchy !flt od.r I,.n lly ol fcrrr,, rh.r I o cknv fn'm llE ctrlrdlon Licns tls for tlE rolo*og ,ar,n ( sd.7ol l.t
<br />Busi..$ nd Ptur.srctr CdL): Any Cily or Couly whth r.rloir.\ r Fml h Ltn(dt. rhcr, irtrovc. d.rmnsh or EtIt My
<br />(tuclurc. prft r,' irs i{u c. rl$ rcqlid tti !0plf,r tlr teh Frnil tr fik,3i8n d il,rcntfl !h.r h.or dE n licncd nur l
<br />ro rh. F)lisio.s nt tl! Conrturor's La.n<n Lr* (Ch4r.r 9, CoomkhS rih Sclion'7O0() ol Dirimn :t ofrtE Blsids. dd
<br />PNfesions (idc) or rhar lE or {E ir c&lrpr rlErnon rnd rhc tErn [n lh. dLSd crcnlFion. Any iol,tirnolsftrsn 70]l.i byr.y
<br />ot'f licsnl io! . Fnnil {bFts rlE lDfli.{nr ro r ciril l4el y of n,r mE rhln 6vc hu'y.l,cn doun ( $5fi,)
<br />_,1. !\ ow'.rorihc ruFdy.,, ny.mnloyai *irh wrxF is lllcn sL Ndttnsri,n. qilt dr
<br />'h.
<br />rmk nd lnc \turE i\ mr
<br />mr$d.d r ofitr.d for slc lS* 7 -a. Bu\iftis lnd l}olc\i,tr\ Cdlc Tt Cnnt&rr i Lr.ne lj$ dE! d al0ly ro e owtur of
<br />rh. rh,rEny wh' fnilll{ or impnMr rENrn 8rl wrF der {(hh* hilNllor h.ttlror rhn'u8h hn ir hr own cnPh}t*.
<br />F)vil.Jrhrt$chin{mmEtrh@fr)ridc.dororTotrlturehlltbwc\Er.lh.hurBirsornrFormdn$!*ahin(8,w
<br />Dforpkri.,tr ttr ()*'mr Br!(nr rnl hh th. hndctr ol !r,vi.s rh.l lI or dt dij mr buiu or ll:}rnM rtE l,qdt for llE porF$ nf
<br />-l-
<br />$o*K of rr* !ftIdy, amcr.lu\ir.lyLr'tudin8 sith lKcnri .onrrodoB h .onitud rh. tmlerl lR\ ?044.ltosiN(
<br />rd ftDfcsin GrL:'l'hc Glnn-b s Li..nrc l-.w ddr nn s,Tly b rno*B ofprcFrr, wh. builds o, imDmvcs
<br />'hcron,lnrl wh. Nrrdsaor \uch rrici3,nha CodElon\r ltrnkl prrslnl brhcConlrrttr s liItre bq).
<br />IJn.r I trn,tcr Srno - .ll ,\t'( n{rln.r.r!{,
<br />lhr. (rsne.
<br />WORXFILS' C(}\iPF\ISATION
<br />DECIJAAIIa!
<br />I lrrch, .Lm uo<,.r Fnrlry of FJllry om or r,E ftnb*inr drlr.rionrl
<br />,/ I hnk !d *ill tuiin'i. r C.llitud. ot Co.E.t to Sclf.lniun ts srtsi coittosdidn. B lrl vi&d for by Ssrion ]?00 of rh.
<br />L.k, C.d.. nn lhc tl.rf(lmN orll.E k l lo *hi.h rlE Fmir is is$cd.
<br />Ll hra trlld w,ll mdlm ! rk.r( cnnrEn$rsr nsur!r.. $ 'quirn b, Sk'sn l?rn of rlr Llhor C.&. lor lnc Dc.atuc of\rN r.* ror r hlh thA FnDt A ssEd My r.rkai srpcrdnn rhuBB ffrr rn Fl.y run{q e.
<br />l-trS, fa\nJ
<br />D
<br />_l(n''yrh inrl*Frf.nmft!nf!h.sorkf(tr*h(hrhi!rfln i\ K\u.J,I \hrll fr{.q:lorsnyltrun tnuyN.rcr
<br />ct alroh(onEsubjLsrol,EN si dint{.sri)n laer or crlrromii. lnd .rEc rhur if I ltpuld trom bid''orrr
<br />*odo( .dtrlltneri,n tn vnions ot Selhn l?m ol rhc tatry Oxlc. t {Erl. tonhwnh $nrdy w h rh.s ImliinnB.
<br />W RNINC llillr( lo suE *'l|i $,{rnqrin n'v.h8c is lnhslll. ani shall \uhr.{r an mFlortt t, .rlmirrl ltMlris nnd
<br />civil lifr! !I h oN hundal rh'!\Md d l$ (Sl(x).ogr,, in ldnim (' lhc corr ol.olrlEneriir. drmScs $ Fovid.d for lh.
<br />Sr.ru, J076olrh l:htr (ixlt, $r.E\l xldlMry'\lcc!urAtilrulzc(r*",/I SSLC
<br />urt:!s!:l,|Io}I&1(!!1tsItlrlJ&!rc!
<br />I hcEh!.fllr undcr Fulr, of psrjlry lhlr I am lEnsl undd pn,vivon ofchrPl€ 9klnxEmir8 *ith Slibn 7Ul}l ollh^irn ]
<br />ol rh. Au\in.$ o Pn'f.snrs Codc, !n tny lrcns. t in flll lotu in .lrdl
<br />tx'*r\
<br />-l.i.cnr
<br />N!.rhc,
<br />-
<br />Ll0 sq3o
<br />!\ltL,\2u tu<t uew-tr.4n.tnUa
<br />call,ll8lllJllrltllNllNlirxi}x{:I
<br />I turcny rllrm!BLr Fnrlry olFrjrryrrtu rhcr i!. oier!.'r)n rcnnins rsc'xy litr rhc Nrronrb(c orrhc *nrk lnr *hihrhis Fl n
<br />tfrl rse 1097. civ c ).
<br />t ndcfi NiEr
<br />-
<br />ld cr's Ad&c$
<br />-&TSANLDEII,A8A.II9N
<br />I hfttry i,fim uadn p.orlly of,rsJury onc of th. n,lhsnu d&lurrnonl:
<br />tcnm[r l,$tr \.^{ri.] Norin.miotr Fld.rnl Rc!u[ nnN (IirL .t1t. P3n6r
<br />-ta.quirctl
<br />Lcrrcr or thrldaoi
<br />f I {nir} 'hn thc knrol Rsul{ntr. FE{'litrp rd(nu\ rmn a, ,,. D { olnl(dhlc t' Ihh I,n,Fr
<br />LXjlcdrryrn l lE c rc,,t 'hF .nrlrrrr,n mt <rrc rhar rtu at r. informlion s crdccl. l lrre ln co'noly sirh rll cily trnd counly
<br />nl[-rre\ {'d srur. ll\s EhtrE ro ho'['nB.or{Mrxr !d lrEtyauhtrnrqrcr ,xtr\6rthisC y:ndGutrlyl,rc.!..uponlhc
<br />(Jt-rc n.nrnmd tmn(ny tu u,qErpnprI,'G
<br />f-epptttmr or rror stmrun 4A+tl
<br />l\-*-*..,rnr,,-- J l?((r{us *. tlll&lzo
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenYl nsulation
<br />Roof Sheathinq
<br />Shear Wall I
<br />Framing /i /t//zrzt,,"b1;')
<br />lnsulation/Energy - iF--\ 'r
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL lzl/rlzo D#b.?
<br />Certilicate ol Occupancy I
<br />Notes, Remarks, Etc
<br />Rev.08-07-2015
<br />Pool Fence
<br />Flood Zone Certil.
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