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BUILDING- INSPECTOR RECORD
<br />I lsdry rrrm und6 Fndly of Fiury rhr I m .rc,r?t fiom ltE Co n.i6 Lhar tre lor E folhsht lEsi (Se 7011.5
<br />BuriE* !n Pml6sbn C.ncr: Any Cny or Co,,ry rrth Eq!i6 r Fnr b odrut rla. nrpme &mlilh d FFi, dy
<br />iMm Fr ro r i*u.N..$o EquiEr tlE.pplt.! nn .ah Fin t6 fiL. rirrd id.IBr Il lE tr dE i li.r.{n FFd
<br />tu rh. Fvtions ol tlE Conrrcrolr Lt.nEd Lrq (Chrfld 9. Cotrexi.S rilt SBthn r0O of Divtion I of llE B$irs 6d
<br />Pref.si'N C.d.) ( rld h. or {. n.rnv Oaltm.rj Ehrirfd E.ll4.d cElliin Ao, virhritn ofsdb.70ll.5 b, ay
<br />!!tlic! lor r Frmit $bj..ll ttr rppliclnr ro r civil Fdhy of rcr mE 'ho livc hundr.d doln (1500)
<br />_1. s o*E of rL rnFny. u d,.nq,loFs wirh *rgs a Et $l.6npcN.lnn. *illdo tliEtlntutuE i n{
<br />i cti.d or oII.Ed for $L (Sa.7044. Buness lnd Prcf.*io6 Co<Lr TtE C.nr.cioas Lk.nE L.* do.r ml rylly lo eowd.r
<br />rtE Flf.ny wlb t ildr or or.N dEqa !d als dc uh qrt hilrrq n *lf d rhlud ht r ls o*t.r?br6,
<br />pi{,viLd rh, sh mFowtu c mr irdididotu nn sb.lt lreE, ttEt ildiI3 q nln&ld n $U qtnin * }4,
<br />or drnphr it^ rrE oqEr EuilLr sill llE rrE h!d.n of tFeins rhd lr q {r dil nx hiri d iltlmE dE pmpdy for ilE purlDs or
<br />L sorEof rlE I'orEdt, m.r.tusiEl, .onrndbs *irt litntn.odtuoE tr 6tur dE rmrcr (Se. rlx4. gsEs
<br />.rn Pbc{nr cdL: Th. o)dd.ls Liuc h* d6 mr lrply ro r o*E or Dropdy Bho boi*k or mpmEr rhdo..
<br />snd wh. @nrn.k rd sch Imj.\rs *ilh o C..hdo(n lilnsn rurtunr lo tlrco trcttr s tr..c trw,
<br />_ I m .rmF ufrLr Ssr
<br />lh. - _ Offi -vionxrqs ciruporirTrrrr,r
<br />DEIIIEAIIq!
<br />I hEr,y .rm unir, FEI'y or F,ury oF ol rL folhsit d..Lr.rbc:
<br />, I lEE rn will Eifltin . C.nirrd. of CoNfl ro Sclr.l^r@ 16 edt6 o,tEar!i.n. a FoviLd for b, SeioD lr00 or rl!
<br />t-rr. C.d. fd rlE Ff(m of tlE sqt fq 6itr tl! Iai it isu.d
<br />hry .,i will mnnlin *orldi co,ttn\dio. 16$.r., s rdtriEd b, Ssri,n lTO0orllt l,ktr c(xl., rd rlE Frfffi. or
<br />n irud. My edldt oqEdon iNUBN ffat .tn Flty .unhd c
<br />arsi4c<6 u)Z,c
<br />_lc.drryrhrr inrh.FrrdmEor Emrt lorvhatrhis Frn is b*d,I lhdl.d rnplry ypdsninmymnE
<br />$ .r ro lr<-E al,Fr io rlE krrdi en!r"!.rion bs. 6r Crlilom4 .,n {G dld ir I ndB bocor {brcl ro r}.
<br />wt6 onp.M.ion pmvni,B of S..rii 3tfl of rlE lltd C.n , I rlrlL r.ahdh 6iply wah tlDr rmvirix
<br />WARNINC: Failurc ro :tr workc oqEnsrion.o@E! ir unbstul. !d rh.ll subFl u anrhJtr lo oinir.l Fdln (d
<br />civil lmr up ro oE nrdEn lbuqn d'lLE (tl@.@r, h lldni,n ro d. or oI otrp.Kliotr drnrrB .. IFvid.n for rlt
<br />Scrbn 1016 of r,! L.bor Cnd.. a.r.cn In drmyt rd.
<br />Ih.:_ Ar0fol:
<br />r rcrlsrtr crtln.nri'rrrt- -DECIdSAIXA
<br />I h.Eby rrrm udd p.Mlry of Frury rhr I u lisrd utid F.vni6n ot Ch{r6 9 loIwNhg *nh Sa1br 7lrD) of Dirtbn l
<br />ol rhr lnAnr\\rnl P'or.$(rn(irlc. nlnrylrctrn N fl lulln Lr ! .llc(r
<br />8 \0+
<br />O,,," (U I t5
<br />(a),uBlLltorLrJ2alr.tlils(I
<br />I lraby rflirm u,rlcr rc@lryotrErjury rlur rhdr ir i condru.ri.n lflrin!rg.Ey nr th. |'flolrlm oftlE worl l $t'ih ihi! Fml b
<br />itsrn (Ss 1097. C.l C)
<br />I ccnify rh,lh lcdcrclrcBUbrions r8ardins r\tEdoi rcmvrlxr k dlrlr.bk ro rht t'oF1
<br />ify rhi I h.r Md rhir .orlrir ion dd r.k lhd th..tsw inroldi{ k (E d I.tE !o onply rirh.x Cay.rn (td,
<br />sa Sr.!. Llws Elsrurs tr trildinr cotrdntl io( md h.i.b, suhoria ctm*nreriEs of lhI Cil y ud County ro cnrs uFn llE
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />.Framing
<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 />Engineer Final Report
<br />Flood Zone Certif
<br />I I
<br />FINAL L 'rt xl DAry[,f
<br />Certiricate o, Occupancy
<br />Notes, Remarks, Etc.
<br />Rev.0B-07-2015
<br />".,,,1:1Le/2Ea
<br />aELIgAlLD&qlaAIto!
<br />Ih.rt,dtrmund.r Fn.hyofpdjoryon of llE folhwin! dcla ions:
<br />Dctutron E n+Ash.{d tidirEdion tu-.| R.8uldi,n, Ont .O. Prn6)
<br />-R.{uiEd
<br />L.rlcrof N.afr,lion
<br />Subf loor/VenVlnsulation
<br />!nsulation/Eneroy
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