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BUILDING- INSPECTOR RECOBD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVlnsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./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 />.FlAod 4one qertil-,I ,a
<br />'Yft|ytatlt ;4IEIN W,
<br />I
<br />I ,tl
<br />FINAL 4il6W aruthl,ra5
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc.
<br />OWNB BUILDER DELCARAIION
<br />I teby rrrm lndq F.,!, or F,Uy rh.r t o .impr tbo rrE Ctffis Le bw ror E rolrNru E;n (s.c.ml 15
<br />Bsin.si dn Pmfcsion C.d.l: Any City or CoMly whi.h Er|uircs r Fm lo d'nslru.l. .lls. inlpow, &mtuh EFtr my
<br />rrrr!!r, Fir
<br />'o "r irllec. rle E9'r6 rl! .rdt.n ior rh Fmr lo lib. i'ri.d nrcmr rlra lE o, dE ir lih<n FltlE
<br />ro rlE FDvibn, of d. Con|lrrolr Li.nEn L{w (CX.I,rd 9, C.nmmiI8 *iih Srrion 7(lq) ol Dari.bn I of rlE ButiE$ ud
<br />PrDr.rsirni Co&, d rld lr r dE n .rcq* rhdrAEm rn rh. hrir tor rh. dkg.d .rdrgm. Ary vbLrbtr ol Sd.n 7011 5 by x,
<br />dprlic.nr ft, r Frmii ebitll rhc lppltot ro. civilr.ulry6ttur ec rhM nvc hlded dolldi (151tr).
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<br />s owEr or lh. FDpcnr, r mt .i{,b}er wnh wr8B $ ltEn st omFndion. w,ll {b dE }o &nlllrEErEi! n
<br />darrcd ordtd fd rL (Sd 7)44, BldB.rd Prof6.irN Crid.: Th. Cddn. Li(q3 llr dE ml.,''1y lodowEol
<br />rbc pmFn, wtp lniU, or iqr.w: rh@n rd eho &a Mh hlt hinr.lf or h.mlr or lhDugh hn c h.r own.ftploy.6.
<br />Fovilcd rh.r sh irFEE'r! E d nai.dqolHtr+.1( lr,,!E. tl! tliBi'q d inF&nid i..ld wrni.ft jd
<br />of$nptlbtr tlr OwEr BuiLLr wi! llw 0E hnlcn of FovinE 0u lE or $E dil ml hiB m i,pmE iE FoFly for tlE pulDs of
<br />L aosEolrlr Fpdry, d.khsiwly.ffih8 *nh krn dffio6bodMrlEFoFr (S< 704,.,6usiE$
<br />rd lhaFnin Cd.: Thc C.nrrtor! Lilnr Lr* der ml ,prly io o owrcr or pbFd, wtb hild. or impmv.. 'hdo..!.d *na snrr*r ror st lloill3 * . C.' aront l.tnsrl F,tgtr h rlE Codrrtn! LitM t w)
<br />_l rn ck"'F und{ sdri,
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<br />wonxrrs crxrpr saTtoN
<br />DECIIBIIION
<br />I h.rh, rrfim urtLr lrnilr, ol F rur, .E ol rlx ,olh*in3 dc.lan i,N
<br />I h.E drl vrll ridm r C.nirEk of Con ro S.lf-ltBm fr srtd otrtEMi,n. r Fvil.d fd 6y Salnn lrfl) olrlE
<br />tl&lr CdL,lor rlI Frf()mmc otrlE hlt fd whiclt ih. Fni n i.sucd
<br />18 hlE aid will mdnlrii rcrtcB mmFnsstion iNrrNq s rcquiEd by Sclbn llm ol tlr Llbo @c, for rhc l6fffi. of
<br />dr e lm *hit lnn Fmir i! !{.d M, srksl drT.nt lion iNlre uir rn Fliy nor$q e:
<br />UtcJ
<br />Faea Ll \ VT<6
<br />^Ll
<br />aniay thlr in llr Fdorrc of rh. eork for wnih tni3 F mn is i$Ed. I .hll mr.tpby.ny FMn in ey ffi
<br />- a lo bdm dbir! ro dE Nr6'@riEG.rbn Lwr of C.ti oml., rd.CiE ul lr I iEldt..rr[F to rlr
<br />srt6'otrp.rErri.nrovi,b6ofs€rb.37molllEt lor Cod.. l JEll forlhsilh 6rdy wilh rlE previlioN.
<br />I{AINING F.ihE ro ce krld enradbn @6!. b untr.nlL .rn dtll $bFi s dlpbF b sidnd Fr!.3.d
<br />.ivil nftr up b om hu.dan lhouu'd r,!U,B (tloo.qlo). h rddni.'n lo dE .d or.onp.trsrioG d.Eld d pmvi.r.d tor tlr
<br />ScdiD ,016 of rlE L..!or C.d.. hr@{ rld {(my . f6
<br />o*. l[ pl u ^,*-,- Ar J d( r{t ( c..r,r' rtcE s@lalmAcraB
<br />D!CI48AI!qU
<br />I trcby ,lrm und6 p..!hy of Frj!ry rhc I rm liM!.d unda pNvilb. .f Orpie 9 (6,@fttr8 wiln Sdbn ?olD) or Divia'n 3
<br />of rh BrriB rd Pro6sioB Co<L. -d hr lift ! in tull foc .d cfrcr
<br />c-\o loZ 1 644
<br />tlrolt .-,.**f{...,r"^ [..".,..
<br />colsrBltclrc .tEDldcl{iEllr
<br />I h.r.by.lfm ud.r Fn ty of FFry rhr rnfr i..6ddi,n lndru.tmy fa lh. Ff-llrN of llE NI ftr *tth lnii Fr ir
<br />tMd (Sc. 1097, Civ. C.).
<br />AIILICINUTESJAAIIO!
<br />I ho$y aftm unrd p.nrhy ol pdjuy oB or rtr ,olb*inB d.rLuari.'ns:
<br />DcBrhion PcmnrArlE(G Nolifr ion tu6rl R.3uhlhnr (Tnb {O. PlI16l
<br />R.C!tr rl tit.r or l*rifdbn
<br />, drry rhd rh. ldlcnl E8uLrrrnr E8.rdn8 dE(6 rcmlrl e d {rla$L k, rhli pmFl
<br />6L...d yrhi I hrk Edrhn +plndiBnlrs Jrn Srdr. L.w! Ellitrs h)
<br />irr.n rrn r,rc rh,r rtr ft,w 4rolfli,n 6 (r,el I .8r b 6nply rith .ll Cay .,n Coury
<br />ofil hcEhy dhori- rcr.rnrdiEr .f lhir City and Courry lo ctrl.r utDn rlE
<br />rtbn 'rnriorn pn,Fry rc htErion
<br />Appli(lnr or \sn SisDluR w
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<br />Bev 0B-07-2015
<br />SLAB Floor
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