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BUILDING. INSPECTOR RECOBD
<br />SITE.WORK DATE ID/SIG.COMMENTS owNtr aoll,Dt:ta t ct,clR TtoN
<br />I lrEl,y llfm ud{ FDry of Ftry dlr I m .vrrr fEn rlE Oo4h!6' lIN L.v lo. d. ,olloyu{ Bs rsd mll.J
<br />AuiBs .rn Prnr6iin C.d.I Ary Ct, n Ctudv shah E{!ir r Frd r. on!M. <. in+roE. &n{li.h .r tFn sy
<br />,llhE, rrior (o dr stIJ.E. dt EqrB rh. +plt Dr tu luh rd ro 6L r rlrJ lrr.rDr rhr h. or dE ir ltrtn d Pu]Id
<br />ro rrE !6vir6N.r rlE conhr ,rr.iccnsdI.e{(hr.,!.("---""r",ni*'-,a*'.Ii,i"'h^r.filrlrdiEssd
<br />Pnr.$r,n! Cql.r d rhd ll or iE !.r.n+ rh...tium.d rlr h&rB for r1I rlk .rt.kr+bn ryvirldbnafsdbnr0ll, bytny
<br />aDd.ld fG n Fmn sbFb rh. +?lis to ! c'yil p.Mly oa mr ffi rh.i fiy. h.dEd d.'llB (ttm)
<br />_1, 6 o*mr nlrh. rmp€ny. 'r my.qftyer eifi wuri ri rlEn nl Fhr.erhn, willd. rlE wxt !n rh. ide it d
<br />inErll or olTd.d fG rt (Se 7o1.r, BriEs .nd P'bf.sioN cd.. Th. C.drdol. Li..n€ lr* do6 nor eply to !n owr of
<br />rL FtrFny slD tuillr d iftFoE rtE@ ud *rs dB $Il vdt hieff d t-.laor rt@uth hi! or tB oM.'rpbr6,
<br />FnliLd rhd sh lrlrnEmdr c d id.d.d rolEtd ft, r.L.ll k*!E, t|l b{iBit ry r4.GlM nF! yinbc }d
<br />or.r,irl,Hs\t,Eo*EBriE,lh.EttEhn6olFov,\rrl!l'cCEJiidbuitjrurFDEirEFl?aylrtlEPqEd
<br />_1, r o*E ordr FolEry, o.r.briv.ly6dErin8 *rh lkd€l.dftnF r. ell!fu[lr Ftrirl lS6 7041, BuliEn
<br />rd PtiidcuL Th. Co dd r Lr.e b* do.r d qrly ro i 6vE ol FoF, rrr 6oild! d !i+mk! rhdd!!
<br />.nd who sdd, Id rrch F,Fr *rb r Cdrrro(.) lr.E d Frla ro rll Cotudd\ lilr b*)
<br />_l!n,.r.mor trtu1.r S.d
<br />It!18f,[ES:Cl&ttENAna!
<br />DEILABA.II!}!
<br />I h.rclry ofirmundcr I'.nll(yof Fiulv.E.f rh. n'l!)liry d,{&rri,B
<br />_l h.E rn,ill midritr r C6rftd. orc*.! ro S.r-l@ ft, wl6 €np.Mirtr 6 FDvil.d tx 6rsdio! l7m of lt.
<br />Irlti Cdq fc ih. psrl:ffi of rh. rqt fd *'l .n rE lEnir a iqrd
<br />_l tuv. .nd vill rui"rri' s'k r' conp.N!!i,n in!ud*., rl EquiEd hy Sarion 37m ol lh. Lihor Cod., for rlE p6fot]1fu of
<br />th. wl ld whrh rh! Fdt n lsEL My srl4r' oEFM[n lffi ffir rn FI.y N.$.r 4
<br />_l dtf, rhr i. rlE Friorllrlc ol rt: *ql fd *tih rnn Fd ir i.ul I $.I Dr .iplry uy IsDn u uy M
<br />i n t h.6ft rubFr ro tlE dtdr'6nFd6n hwr of Crlrtomr. !n.tN rhd if I rlruld tE r rnlr.d ro rlE
<br />mii6 .lnFnrrDn poviiirN of S+lion l?0O of rlE hbd Lotl., I d!ll. lonhwirh Nrply wnh rhoG FDBbB
<br />WATNING: FntE b sr *ntft oqENnbn cowos. ir u.L*tu,. 8l shdl ,ubid s s,pbF k cinild F lil rrl
<br />clvil fiF! op h oE hud..d rh.u{d d.lre ('l(n,fix,r. ,' rjdrion b lh. c.r or 6trFBrio.. .,lf,rr.t E FDv!.d rd 0r'
<br />SdrM !076 of rlr L.h, C.n , ir.d u, drrrEy r t6.
<br />IrDllmr,-
<br />I lcENSEn COMTnr\CT(}npP,.irn rlo
<br />I h.rby .llrm ud.. IEDI, of Fj.r, ihd , D l{tEn ud.r FNBhn .l CtrFd 9 (6nmEirr {h Sdni ,dI,) .r Divni,' l
<br />ol rh. BsiEd lri Pmftsbd CuL. rn my l..ne ir m tull foc rrn dLd
<br />Lire Nudrt r
<br />cQlErf,lrq]QxrEdDllc-AliElcr
<br />I hfth, .fliD un&. Fuly of Firy il| ilEtr i. r o.rdD l!li{ rsdy lor rlE Fftrle ol.lr wt ir rnEt tl8 Fri i
<br />i!:d rsd l{97, civ c.).
<br />AIILICANLDICIAB^IIO!
<br />I hdtv rtrm undd ,E.rhy ol p.lury on. of rh. louow,na &.I&rionsl
<br />D.mlrEn P.mirsAib.{G t{dir^rlrioi Rd R.tlLrbn' Ork.(), Pd6)
<br />-R.{uircd
<br />l.rtc oa Niiifdti{
<br />l..niryrhur rtE kn.ralrgxLtri,nr rcgIn'nt !\h.{osRnx'hlnE 'nr rtfl hl. b rhn nn)r.r
<br />_l cd,fy dr I h.w r.rl tbi rppli.rb. &i rr. 't! rh. .bt. nlodim n.rlld t .gE ro ltddy eah rU Ca, rd C@d,
<br />qrli,ss !d Si!r. L.wr ELrr{ b t! dd! coldturi,c !d lEEby rdlbE rFtdriB..f ftr Cry.41Co!r., !o dd t4o. tlE
<br />rhtt ddl,Nd pmFny f.r Np.diir puFet
<br />Appllot or &dr SEdr!F:- Drl.:-
<br />Set Backs
<br />FormsiSteel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenUlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Exl./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL
<br />Certif icate of Occupancy
<br />Notes, Remarks, Etc.
<br />Rev.08.07'2015
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