BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS oWNER BtIII.D}:R DT,X-CAR TION
<br />I h.cby rflm! un'l.r p.nilry ol p.rpry rld I im.r.nq rtunr rh. (t{retod' lr.tr{ uw for rh. followu,3 Eren lsd ?0ll I
<br />ausi{s md Proltsior C.d.) Any Ciry or C.unrv vh{h Bqui(r r llnnn !r .oinnrr, ihcr, imptuv.. dcnnkh or Er'.n , y
<br />sructuc. f n h irs issu!&r. nbo kqr'a!rlE rppliut l{su.hp.m b 6L! siSFd rr .E e lEor st ( lrc.Nd nr^u6d
<br />i. rhe ri.lNirnr ol ft Conreroi. Lic..\cd lis (chrnrs. u. ('onrc(ing virh s.dFn 7(xxr olDivkhn I olrtE Bwi**\ and
<br />Pr es$nr Co{.r o. rtu lI or rrE B.r.qi tlKtion 0]n tlr h$r ln. {rE 3ll.3ai.i.q rn, Anyviolzii'nofs.crsn70:],.5by y
<br />npplNm ror r Fnntr bFL rlE applcnd io !c,!il,r hyormr 'mr. rh.n fiv. hu lBdd.lltd(t51x,
<br />-1.
<br />a\ .src. ol rh troFn v. tr my c'mhr.r w h *agc\ ,\ rhflr !,k .omrr.nd-n. *,ll d rtt utt ri rtr nM@ t mr
<br />ri.dLd ororlfr.d nr vhlseTrll,t. Bu{n.r\ lnd Pmlc\r (ixl.'flrC Nd.!n-tri(.trrLlw o.snorrpplfnrrno*n.roI
<br />rlEpn)|!ny w[, h'ildl or tr{'n,yer rl*.nI uo]wh'd,sn'chtr rlhin,\cllorltr\d,lrrrhnnrBhhilorh.rDe .n{L,Jt s.
<br />Fr.ridrd rhirnch imrDrmnr ,rc d{ i .n&d or o,fced Lr $1. ll, h,"cri r}r hrildinA.r irFr.vcm n$ld*thioor)t{
<br />of.onrLroo, (h. OsE. BuiL|.r vill IEE rh. h!d.n .f por'n! rlli lE .r {E 'lil rn hu'U or tnln'E (]1. ,'mtEny ltv ilE pxrlrrc oI
<br />-1.
<br />a\ osftr o,rh. ForEnt. rn.r.lu$.ly.onrdm! *[h h.treJ codr4r.^ h on{tu( rlr tmFrr (S( 7u.1.86fts
<br />rl hie,$ (iil. l'h. Contrctoi r l-rc.nsd l-,w &x\ tror ,tl|tly t, atr o*ftr ol Fop.n y *lv) $u'ld! or mtm!.\ rlErd,n.
<br />Md wh. cnnrNr l,tr \uch prnj..ri wrh. ConrEcL4!) lr.Nn pu^uMr k,rtt (nnrtutolr Li...sc bw)
<br />-l.m.x.nn
<br />lnJdr Secto
<br />-(,2/l
<br />IE(lA8AtrA!
<br />I hdreSy xtilm uodc, F rly ofFlry ok ofrh. folbrinl dkb.dr&:
<br />lhav.lnlwrlln'rinrrin3(tnrlic..r(r,a.nrr)S.lllrrtrntu*orl.^.o$,xtrsrrotr.3\pn,y'J.Jfi,hyS.rronrTmofrh.
<br />I-rhtr ('( ..l,rrh. p.rfortuft.olrlx w. l&*hicht]In.r ir i\ i$tr.,|
<br />-Ih.v.lnd*iUnEhr.lrkrt6con{ENrridi.suh.,6EqucdbyS.un.nl?0oufli.Lrl,.rCod.,forrlEFfffi.ofth. wl tu rllkh rhtl |Erhn n illel My e.rtda .r,r{.rdk,i ,^'!rffi mr ul Frlay NnlEr d.
<br />-I
<br />c.nity rlul rn tlf, periornrre. dlrlE *oi.Ior whrhrhi! lErnir ir isN.d,l shiln r (n{loy dy p.Gon ii rn, tunn r
<br />$ x b tr$ft snid b th. m*.rJ .o rtr.Nhon hws .f Crl,li'm',, uftl 4d rhr iI I Jhuld h..om soht r r. rh.
<br />tru,li.6 (onrlEo\rrDn Drovir*,B of S.diotr l7{J0 of tll ljbor (rik, I nu[. fodh*irh Nnply rirh ilxr P,uvirbn{.WAININC Fdlur h ru *.ll.r'lrntEMirn orErdac N u.hvtot ,rn rhrll *brd a..plorr b olMl Fstis rnd
<br />.Ml lircr un !, .n. h!'ncd rt ed d.llnr 1st0q0fl,,, n ddibn to rh. co{ .f.onI.@rion. dm3.r 6 prov:d.d fG rlE
<br />Sdron 1076 rfr& bhtr Cod., sr.E, !a! dnfty s fe\
<br />D!(Id8d.II!]N
<br />I h.Ehy .,Irn ud.r Fnrlry or rxrju.v rh.r I .m bc..rd uidc' I(rvBion ol Ch4{s I l.d'ntrri.8 vhh S.d an 7flx)) ot t iviri.ln 1
<br />of ih. a!ikr1! Pm&sim GxL. sl.ry lf.M iti.tu nrc. !.fi.d. ,
<br />COIEIBI]CIIONIINIIINC-A9DISf
<br />I llEby !mr.! u.rL, IrNIy of Fiury rh, rlEE $ ! .lNurDr ltrlog a!.Ey fm (r n dolrrElr ol rlE *ul lo, Ptrh rhB Fd ir
<br />N$o.r rs( \or7. (ir c I
<br />aflllsdNl.ptigtdr rIali
<br />I lEtn'y drm o.d.r F.lhy of F.iu., oE of rll folbwhs J.(hr.r6.!:
<br />D.mliion PmrlA.b.{or tldln({Dr f.J.nl R.3uhtDn! {T k.xr. Pd6)
<br />Raluir.d tr(d oa t{<{ifr{.n
<br />d C{trdyk'.nr6 uF,nrlr
<br />t4
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino .1
<br />Shear Wall -fi tffi )
<br />Framino v
<br />lnsulationi Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />l\,4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Cerlif .
<br />I t I .,
<br />FINAL ItlT -lu DWD a
<br />Cerliricate of Occupancy
<br />Notes, Remarks, Etc.
<br />Rev. 08'07-2015
<br />Iti(l.ar Arl,!'r$
<br />w-
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