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BUILDING. INSPECTOR HECORD
<br />SITE-WOBK DATE ID/SIG.COMMENTS OWNET BUTLDEI DELCATATION
<br />I Hr, .lfrm u.&. p.dry of Friry rtIl I u .r.np' 6M rlE C.trEr6 Litr Ur ror lll folbsns d,n lsa 70ll 5
<br />BNin.$ .,n Pmf.sion Cdc): Ant Ciry or Couty with EquiEr r Fdir to @BteL lt6. inpow. &rclnh or EFr m,
<br />nrL1E Fix ro ir. irsm. .ls. EquiEs rlE ..,plt.r lor rh Fmt ro lil . sirn d sr.r.ngr rld lt nr Cr ir lic .d In {!r
<br />'o rL FsvtitB ol dE Csrrxlr ! Limid l.Y tcll.prd 9. Comri.! rah S6rbn ID of DivnEo I ot rE auiaEB .n
<br />t'Ff.$ion! Con ) ( rhar lE r slE i! crcq, rh.Etrcm nn rlE b6i! ror rlE .lk8.d .r.nprbn. Ary virlllbn of Sdirn 701 I 5 by u,
<br />lrFlicn for e rEnir sble|r tlE rif,licur ro !.ivilDcelry of er mE lnd livc h,nr.d dollB ($m)
<br />-1.
<br />I o*Er ofilE FlFny, d my .r{,hF. wnh w.t6 !s tlEt sL odlEnldio.. *i[ do rlE ,qt !n rli etraiE ir bl
<br />ifloi.d ro,IcEd ror sL (5d.7lx4. aBins rnd Ptoldrio6 Cod.r Th. Conr.dor'r LtcN t w {b.r mt .pFlt lo s opEr of
<br />rlEFtrFny rh.lnilk q.rst]c 0EEtr !n *ho &B qn s hiElt( lErlf q lldsn hir dlE oqc"ilorc
<br />!rcviLrlthd rEt inq!ffi & m' dlid.dGofidld ldrL.ll lDRs. EtriBirrd i,pmwril ir$ld *lthm rr
<br />ol.on{,b$tr llE ovEr auiB6 wil llr dE h'hLn of ImvinS thl lE or slE did d txild or ir{nE tr pnrEly for lh. F[Iis of
<br />-1,
<br />N owE or rhc rroFdr, m cr.lurivcly contncrinB *irt lkcn.d conk&n'F io onnM rlE lrore! lse 7014, EBiEs
<br />rd hdLrsimCod.: Tfu ConrEror'i LienFc t B dftr mr amly lo d outur of rroFdy wti blikt! o. inrbE! rhcron,
<br />rnd !n' olf-r3fG uh Fordi *nn. Co.rrllo(n li.rff.d porurr rorlE Cor.r-rq\ tilM t *r
<br />lr .rr rpi un,lcr SNrtr
<br />-,l,
<br />& Pc anr rhir rc:bn
<br />D!r.: o'E.
<br />wonxPRs' coMPTt{s rloN
<br />DECIIAAII(I!
<br />I lrrby r,Iim uid.r FMlty o, Frrrry oN ar ft rouorii* ddLErbnr
<br />I hg\r !,t * ill minr.6 c Ccnific{c ol Con{nr b S.lr.lnsurc tur *ortcB .orirEnsolhn. !s rmvli.d ld hy S$li,n l7u) of rtc
<br />llhr C.n., for rlE Ffrl1rN of dE *rrt fr *hEh rlE Fmir n Eru.d
<br />I huvc rnd will trrinr.in workcrl comrEnsrli{nr iNun'Nc. &5 rqui,cd by scd ion l7lD dr rh. l xh.r c(,rL, ror rh. p.raonrtrN. ot
<br />rlF so for*hihlhisF,ml is nexn M, wk.rl oryxn@i)n in\unm..M.r lrl I[Ii, nlnrbo ac4 L;.*!i ly6.2 z/ Zo t
<br />_lc.nrfyrhrr ir rh. FrfarnBmc of tlE vork tu *hich rhk Frnil istM{ I sh.ll ctrFby yltrsnindytuntu,
<br />s .r h lE om sbFr to llr *stsi co,qrnrdhn Lwr of cllromi. d tte in (I rlblLt hGnr suhFr b ilE
<br />*r,16.onFdir.pmvni,6ors.db.]7{Dordrt,rbrCdl,I.hI.nrhqnhotrpl,withrlEpmviiB
<br />WARNINC: Fniturc Io suE *(k c' cotrlxtrsr ion .nvns! it urh*tu|. od rlhll subFr tu 6phF i. dmini F nax .rd
<br />.iil fim\ up n, om htrndrd rh{\.nd &,lls^ (3 rh..or or.o,Fn{riotr d.mlcs rs FEik n, rh
<br />s&lrn I)76 ol rh. Lw ctJ. rr.E{ xrl,rVct/zv
<br />Ih.rEbyomm!.rI.nlhyolFjlryrhdt!nlisnslud6tmviliunolC]lpr69(c.m.f,xin8withSerbnrUI )ofDivnion3
<br />oI r BusiEer .nd PmfcsbB Cod.. .,n my ltcE n in tull foN rn c,Ial
<br />L>
<br />L- L\(2 3r\ t3a-{oto4f
<br />I rErcby rii.m uincr Fnilty or Frjury rhrr rlrrc k ! 6.{rudion Lndin3 aB.B, fo. rh. pc,fornllN of rhc eork r.t "tih thn Fmir k
<br />isud rse. 3091. civ c )
<br />AI2LIC/INLDIIIIAAIIIIN
<br />t hr!$y dIm un&r pcniX y of Frrry otu of rlE f,,lb*in8 ddbrri,nr
<br />D.mh$n Fc.mdr A{t{.x f**ifrnnr kral R.!!hnnr(T k.lO, Pd6r
<br />-ltcqlircd
<br />l.lr.! of Mrii(oti.n
<br />-l
<br />..n'fy rh.r rtu r.n d qlhrio.s rcssrdDs rO.nd rErll re mr rirl..bk ro rhs tmF'
<br />Idiryrh.l I lulr Erl rtu rp?li.rti'n.,n trd. fi.r llt.tioE inlof,llh n orsr I r*E ro $nply *irh .ll Cty rd Coury
<br />'rdi rr dd Srar.l,*! EUry ro hiuin!confil1E(lErcr't rdhoM EFd.rr!! or fin Cily.'n C.u yl.6rauFntlE
<br />un,vc nE ioed pn)lf,ny ld
<br />\I,l,li.rn or \An \il:Mlur.q4il co
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framino
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lalh
<br />Brown Coat 2ltt,t?\D,+ +f :r'1
<br />lrilasonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Beport
<br />Engineer Final Report
<br />Flood Zone Certif
<br />II
<br />FINAL z)u -74 >wy6 r
<br />Certilicate ol Occupancy lr
<br />Notes, Remarks, Etc
<br />(
<br />Rev 08-07.2015
<br />T-Bar
<br />I I
<br />If--
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