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BUILDING. INSPECTOR RECORD
<br />SITE.WOHK DATE lD/SlG.COMMENTS
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Rool Sheathing
<br />Shear Wall
<br />Framino
<br />lnsulationi Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lVlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />xn.A -t-?/
<br />FINAL /,717 o/I VlYtt
<br />Certif icate of Occupancy
<br />Notes, Remarks, Etc
<br />G
<br />oWNF-R BI]fl -r'FI DNI,(IEATION
<br />I rErchy lrrn uli.r Fnalry or !.r,r, thlr I m .rc'iFr nDn *. Clnt6cr6s LieN. U* for trE following ren (sft.7ol l 5
<br />Au\iEr. &d Edcrlion Gn ): Any Ciry or Couln, *'hah Equnlr. Fnil ro onrnl.l. .rs. inV.!E, d.mllth tr EF! u,
<br />id@ Fir ro irs iffi, .r$ r{oiB llE +ditn ror sh rEtn ro ft! . srrn d d&lld fi. lE or dE a lt 'Ed Frld
<br />ro rlE Fowirtr! ol rrt CdlrIrryt LiuEd L* (Cl'+rd 9, C.,ftrint *ln Sdbn 7000 of Diviibtr , ol tll Aurirs rnd
<br />Pmr.$i,ns Cod.) or llEr lE slF k .xctr{,t rltr.frod rnd rtt lrtn ior rlE alkr.d .rcmFi,n. Any vioLti'n of S.<lhn ,01I 5 by a,
<br />+rlicunr fo.. Frdir {bFk rlr rppli.rr ro. civil !. lly ol mi mE rhe fiv. hudEd drllo! (l5m)
<br />l, .s osEr of rh. FoFny. d ny.r'pbJdr * h s.jE.r llEt $L @4mtdi,.. lilt d, ot {irt !n dE gffi ! mr
<br />iddrLd or oll.nd fd sL (Sd 7o*L Bus]r.rd PrDfBbB Cod. TIE CarrIttr\ Lars L.w dii ii {lply ro s opH of
<br />rh. rroFny *lht iho, illtrc tllmtr od*tndcsh u,t him.lror lEelf or mudr hir G h.r o*..r!I,hy.6,
<br />,tuvkt d rhd ioch inFomn! e Er idcnr.d n ofr.6d f6r sL ll h.sE, rlE hliltin! or inprcmd n hld wtlin m )€t
<br />of$'rfiLrin llt ()*6 Builda *ill hk Ehtd.nofFovtB$rhdnrdrirrhi!niq,ftdEFFryfdllEFrFFof
<br />_-1. nsow6of th. rn,Fny. !mcrcturiEl, conrtNtin8 *irh lilrnsi co.tldon t,otrihd r,E t'rFr (.)s*. 7044. BunE$
<br />ml Pn{6iir (.d.: Thc Conrr&1o* Lic.nrc lxw d@! mrq'rly ro uostrcr oapr6p.dywho builds or impbv.s
<br />'h.r$n,lml *ho ontdk ror sh Ftdr ailn r ({nrErond lirnqi I,UMni h rh. C.nr-rrr.l titN ,ip}
<br />I d .&nF u(t.r Sdl,._, A. & P.C. for $t Een
<br />D.r. (rw.
<br />woru(rr-\' ( (wPE{siTl(rN
<br />DEIIAIAIIII!
<br />I L..by lmm uds F"rliy ot Ftry od or rrr roll,wing &rl,{io.s:
<br />.y'3 h.w,,n\itt N'nt,i ^Crd'r(6rc olCon..oo s.lalNurc td mrt!!s' con{Ens{ion, $ FoviLd for bySEli,n l7O0 ofllE
<br />L.hr Cnda rd rlE nqfn'rlft nf rli h* fo' *hrh rh. F tur i! n$.d
<br />.fl'n n,,a-,tt*'n . *o,t6 omFNdnn ffi.6 r.quiErl b, sarbn ri'@ or0. bbor Cod.. rd lh. Ffm of
<br />_ 0E rwl lor *hEh rh6 Fmr r 6qrd. My srlm orFMrn 'NutrN ffi, rd ,slay nunbd c
<br />Ac[ l,-,,tn
<br />Pntrrrq -r-Ldlg o sl/=7
<br />-*fc.nf y thnt r ttE pcnnr wE or rtu w* rn whEh rhn Frmn i! Lr .d ! llEll mr.rploy..y F&. 4. ey m6/6 s ro b@tr qhF ro rlr *,t6'@rltdhn L$sorc,hrotu,.d tgft thd rlI .lsld bdor $tFl lo llr
<br />wt6'oiiEMrionpEviiirEofs6ii.nl?Oofln.l,l'orCod..ltdLaont*nhont t *ith llE Ftvfio6.
<br />WAINING: FrituE lo ffi 6L6 onFmli'n @E !. i! !4!.rtu1. .d drll sbj.{ x aphF r, ditin l Fl.li.!.!n.iv'l {iE. up ro oE hundEn rbusn dnLn (i l@.(In in ..tdirbn tu rlE cor of o,qEurior (,lm!.t B Fovij.n lm dr
<br />S..r, .10?6rjrlx l xhtr(itrlt.. tr rrrj ri,lrrrn
<br />' 70,/ Zg f zg
<br />^,,,4rq* 4 'LvACS (e
<br />DECIASAIIO!
<br />I lEEhy ortr'n ud.. ,enalry nl FrFry rhd I .m licnrcd und6 Flvi.ion or (rufl6 I l.omrmirS unh Serbn 70@) oI Divtion l
<br />ol rlE Busims rnd PrDL$ions Cod., .d my lt.nE n in tull loE sn .fiEt
<br />G bssftb
<br />1o /26 / 2",,,,*4 €a.ss"t z=o.
<br />coflsTl(llcTl(N I r\DIM: a(:Fl\lcf
<br />I lErcby arm uoLr Fnnly oI Frlrry lhat rnca n r 6.rMbn lardin8 .8!By for rlE F.lolfu ot rh krr f6, wh.h rhn lEmn a
<br />i\sucd lsq.1097, Civ C )
<br />AI2LI'IIII.AECIJSAIIO!
<br />I hdrr'y.fmr un&! Frlry of Frry oE of rh. louo*in8 &.Ldbns:
<br />D.mrlir.n P.rmirr AslEis f&rifEdion &.1R{uLrbnr lTnb {O, P.n6r
<br />-Rc1!iEd
<br />Llri.r of t{difrd$n
<br />_l .sriry thd !h. r.d.fll r3ulr'inr E8.rdh8 1$.im Emrtl E mr qDli-,bb ft, inn poFr
<br />-l
<br />.dily rh.r I h.E E.! rhit +tlkarin !n rn. rhrr dr rhrw 6folmlb. n oF.(l. I 4r ro otrly warh rI Cry .rn Coury
<br />1',1 , n.,. r kls t IJ\\ '.conrru.tDtr lrl h..hylulhtruc rprc*nrarivc\ ,'l
<br />ni)u mnri.trctl tr)Eny for i
<br />Arrll.al or.tr6l SiEEI
<br />Sd <v(^Arr,nar< (rz,'
<br />rhirCny rnd Counry ro al.r utEn rf,
<br />D.,. /a/za/zo,.-^ afD
<br />IIII
<br />II
<br />Rev.08'07-2015
<br />Set Backs
<br />Subf loor/VenVlnsulation
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