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BUILDING- INSPECTOR BECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq
<br />Framinq D*,nn<^-+r7lnsulationi Eneroy
<br />Drywall ,c lv>.aua r'.")a)
<br />Ext./lnt. Lath at
<br />Brown Coal
<br />[/ason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL ,&8,
<br />Certilicate ot Occupancy il'-
<br />NqteF, Remarks, Etc.
<br />+
<br />OWNER at,Il,DllR Dl,:l,CAll T|ON
<br />I lEEh, !rm, und.. p.tuhy of p.r!ry th.r I n .r.rpr foh rlt CtntrruR ti..e I} lor rlE tollowiry Eo{. (Se'7oll.J
<br />B6rm5i .rn Pr.Lsir Cod.lr An, Ciy 6r Conry rhkh Equic r IEnr t. c.n{d. .116. i.r{reE, d.mrlE[ nr Ep.r uy
<br />nBrw- Firto nr ffi..lro r$rB rh. e?lrd rd qt Fd ri,6k. rEEJ n&mnr ttrh.ortErlraEd F&t r
<br />ro tlr t'trvtrk'N.r rl! Co Erdi l.a.^Ed lrw lchFd 9, C.mmrin, 'lh Sdn. 7llrl oa l)ivnir.I 'tth. A6iEs r.d
<br />t\ .sbns Co& r e rhd ll d stE F .r.q'r rlEr.ftDm rd rll bB6 fitr tlE !lt3.d .r.mFrn Ary virlrin oi S..rion 70l l 5 by my
<br />..pplicrnrforap.miruhrcBrh.opplrlnrrorcivilp.nrhyoln.rmrcrhlifiv.builrcddolh^($rxr)
<br />vJfl,
<br />"**, ",* -0.,". o, my.q,r,w' v,h r.!.r s rrEn sr.drlEdnn. *rr d',," wr
<br />d*,6a1 n ofiflar r.i ul. ( Sd 7rx., BurBl .nJ ProI6iirh Co!.: Th. (.odLitr r litnE l,r .lc d +plt r. a ow or
<br />th. F+.ny vtD h,iltr r UiEDB rIERn rd *h &E iEi *xt hrell or lErf or tlnurh hn r lEr om.n+hFr,
<br />prnldrd rh{ u.h mlinrmn, e d id.d.d *ofl.nd Iq sl llts$w.{Et ilting d lnr@md ir $tl erhM m F{
<br />olNnpUh( rtE O*Er Buil&r wiu hrE G. hrnLn 6rln vi,3 rhd tr n slE di.l nn bn l G int'trE 0E pDFry nn tu pEposof
<br />_1. Eo*Eoa r F Fny, @.(lu.iy.lt.!ndb3 *nh lN.ql @ddrm ro @Nrur tlE Fojc( {Sa. 7oa"a. AunB
<br />!d Msrrcod. TtE (odldd r LEay t, &H d !p?1, io u osE oi rroFn, *lr! 6o,tlt n rproEr rhd4
<br />$d wnr 6dh: d'!.h Frr.ri *irhrco .Ei,(n lt.tu d F]tud t' rrE cdrdd, l..w br)
<br />AECIIf,.AT(d
<br />I h.Eby ,firm ud.r Fn ny of Fhry o* ol rh. l6lloqin8 d..Lr.ri,B
<br />_l luw cDlwill rriir.in ! CdifEd. of CoM ro S.llnluE nr Mrl.tr larnF63rion, r{ FrviLd tu b, sari,n r7m or rh.
<br />L.ki C.dc fd rlE lEf'rlrc ot rlE rdt fd rhib ih. IEmir ii Bud.
<br />_lh,Elndw !tuBMh*d lanFur5. i unr..a EqniBl b, SdrDn l7m of rlltiorCod.,ft,t&FrIm6l
<br />lh( vdl f{ whrh ih! Frtu i! iliEl My *6t6 n}.rrrdEn aurar (rE rd pol.y nur,&r t
<br />Polay Nun$q: ErpB:
<br />(4,D,I..*r,,r,. .,r. p".r,,* urrh. ron ro *hrhrh! Frmn L! !te{,I !h.I d.rrl)by.ny Fs u dy tMs
<br />Ul&r, '. hom ruhr h
<br />'rE
<br />6k(r @mrEd6n hs nI crhr.mE, nl {r rh.r 'l I {ruB rr(or {hFr h rlr
<br />krt., \' Junu.n\ rn otu! i\rnt or S.urbn lTm or rh. Gbi ( dt , l stvll, lunhsih lrr$ly s h rhor pmvDDnr.
<br />WARNINC: Fdlurc ro EN. rtrL.r' s,{EBrtion owq. n un!*tul Ud nu! sbFd o.rfby.r ro mi,rl p.MIa rd
<br />cMl liBr ut, t. or hr.d.!d rho{sid dolls (iIfi,.{rr,), rtr .ddiri.n !. rh. $d of cotrtluriotr. d.E8.r s ,r$vd.d Ior ilr
<br />s(irn !{)76 orr& Iihr OdL, -r.d .d dlmy s l-!
<br />' hirulum
<br />!&u.684ll!r!
<br />I lEftbt rrnn ur!d.. FMhy .f Fjun ihr I rn lienr.d u,i.r t'nvnhn of clqrd 9 (6FRri.3 virh Sdh. 7lxx)) .a DivEirn I
<br />of E Aljsr3r rd P!'tsiE CdL, -1ny li<B i B tu roc ul.lLd
<br />Li..d. Chs:_Lie6. NumtErl
<br />corrasTlucTroN t,ElDlfl(i ac}.NaY
<br />IlEEby.lfmu ..F lyof p.rrfy ttu rh.E a. @dBrnn hnuu r3!8, nn ttE p6lllfur. of rlE k t lor rtEh rh! Frd ir
<br />nlkdrss.1097. Ci! C.)
<br />AIELIIANLPECId&I&!
<br />I lElt'y lfmr urd.r n nuhy of !.rjury oE or rlE lollowrns dehrri ioni:
<br />D.nbliipn P.miL.Alt !B Ndirlcrio. !.J.nl R.Boliri.tn! lTnL tO, Pd6)
<br />-R.rtuiBl
<br />tdt.rof ftrtfs.rih
<br />_I.d,1,rhrr rh. Ld.rrl rslbriom rgdm8 rtrios EmHl m n {ll rrhL ru rhn pol..t
<br />W?II.E
<br />Rev. 08-07-2015
<br />Shear Wall
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