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BUILDING- INSPECTOH RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing B'3 do d)rrtAz,;laY
<br />Shear Wall
<br />Framing
<br />lns u lation/En ergy
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />l/-(DFINALtlltlaYo(zt'r/d.bc<a
<br />Certif icate of Occupancy
<br />Notes, Remarks, Etc.
<br />OWIIET EUII'SI DEI{ANAIG\
<br />t hoit!, rr.o u,r&. F..ny or lEilry thn I 6 .rctrvr ft llE C6'rr.cl6 tllE tiw rM ih Jrto-i'g lasn (Se.7oll.s
<br />ABinBs .,n Prcf.$ion C.n ): A.y Ciry or Co!.ry *hth Eqlirt r tEi b Mnnxi rn6. irpmt, &mlilh c EFn uy
<br />(urw. Frr b ir lsule..&o rqlrB rlE.pplid lor Mh Fmt to fiL. ri8tEd {ccdr thd h. or {t i! li.!,B.d I,,!{r
<br />ro rlE EUtirnE of dr Cdrrrq r Li6!.d Lr loqr. 9. C.tmrh, win Sdi'n ?0m of Dvirb. I of ItE BuiEr .nd
<br />Pnncr\hni Codc) or rhr! rE o tE h .r.ryr rtmliom ad ttE b.ss lor lh. rlks.d .rd'prao.. Any vsht$n of Sdin ?O3l.J b, uy'
<br />lpr r! ror . Fmil {hFtt rh. rlDli.sr io . .ivi! FElr, of mr mtE lh[ fiv. hundrcn dollr! (!500)
<br />_t. ts ower 6f rlx Fotxnr. r, m, oq,k yBr wirh *l8s $ rfi.n sb @tiFnerio.. wil!.b 0r wk !n r stErE! d
<br />i drLd o. ofi.Ed ,or eb (S< Ix4. BNIE* d Pr.f6.ioN Cod. TIE Conlrrlol! L,iaE L.w &.. br .Cply ro e osEr ol
<br />rh. Frrdty *ho tliti q iqffi tlEEn rn rln dG rxi wt h'Elr tr rEErf d ltFl!,l h'r r td om.rl9riyc.
<br />pturi.Ld lh.l trh in{rcw'ni e f,n ilrai.d m oFald fo, sl lt lskE rE l'lilir m iqlleE i b i,!d wthb c ,
<br />of d,npt lio( llE OrEr Builld wil trE ltE hd.n of pmliit lh.l lt or {E dn rll hild r inFtE tlE Fvdry for ltl p'npos oa
<br />-1,
<br />is owN. ot ttc pFp.ny, .n .icturivcl, co.r[d irg with uc.nsn conrr.bn ro codto.r fi. pnFr (se. 7{x4. auE$
<br />.d Pr!..1u Codc: Tl! Cnnrrroi! LEnq Lr* .!o.s mr +ply lo u orE or rroFd y wno hlild! 6. anpmE. rrEr6..
<br />.nd *tn ol'fd. rc sh Ftrj.rlr rirh r G) r-ionn lif*J ,rl!d ro lrE Cotua&ls t&r L,*).
<br />-l
<br />6 .-rpr ulid s6rbi . a. & P.c. d tlti, t!&n
<br />Ih.: OvtE
<br />la8f,E8li:glulatalltrN
<br />DECIJIAIIOU
<br />I lEnhr..rmon&r It XyortEir,y or orrll folowh3 ddLraiDN
<br />!a,lh,kdr,lln, u. Cdrr.!. orc.ncd to &lf.lNe rr ert6 NqE!dbn. s F.vi.Ld fm bySclnn l7mof E
<br />;i, csJ.. rd rh. Frffi or tlE q,t 16 *tr{ rrE Fnit ii i.rucd.
<br />t.E onIENlio. iNUEE. B rqli,trl by S.11bn:l7m of lll L.hor tu , fG IIE Frfoffi ot
<br />! 6r+. My u,r6 @trFndbn unlld (ffi !n Fk, nunbs E{un&
<br />,06-ol- LoAl
<br />I cc(ify rlEt in rlr F.fornr. oa rlE *orl r{r *h.h rhn Frhi r i.tu.4 I 3hll rcl aillh,..y F@ '. y lME
<br />$ rsrob.o@ bFl b rh w,t6 snFMb. Lws or Cdifomir. Dd rrE oEr ir I rhoutc tt<or s'nid to llE
<br />workss' .orIENll ion ImvirioN of S(lion 1700 !f rh. trbd Cnd., I rlEll, fonhwith mt{,ly wili lho€ poviiion!
<br />wARMNG: hilc ft, 6uE rfik n onixtrdbn oE a€ i unL,ft,L !n {EU .ubFr { apbF ro aimifll Fdi.! .d
<br />.*il fiEr !p t6 oE hu.dct rrbus.,n & rn (tloo.flDr. h .rldiion ro r,r 6r or orFNrD( dtf,rr. s lrcvllcd tor E
<br />Sftl ion 3016 of llE Ltnr tuc. inrcEn !.d drfty s rct.
<br />*.,",i _pt;eO^
<br />-; - Jo,^7ur4 At,b&-:..-
<br />urEMlDlaNractr)8
<br />DEICIJBAIII]N
<br />I rErt'y rrm unlcr FNlty or Frlury $r I m laur.d !'rdci FoBn. orchrFd I (s.tENiry vilt Salbn 76D df Ditnb. l
<br />of LrE Buric.s ind PrDr.sionr Cork, t n m, li.M is in 6iU foN rn .fld
<br />c->qL 63SL
<br />o.,., t/'o?-Lo .-',-,*-(-Vt (q2'A
<br />g]IISIBIIIJITNIIIDTIGIGEdCI
<br />I lr.!y .trm ud.r p.mi, ol Frr4 lhr lhdr n r oldnEbn lddin! .3dy r tlE F6.lft. olllE wt tor ititr lli! P6nt i
<br />i$Ed (se. t097. civ c.,.
<br />AIILII]/III.DEGIJXAIII]tr
<br />I hsn, lrm !i&, Fmhy of Fjury or or tu folbwin8 d..lrElbnr'
<br />Dcmlirion Pcrmns Aslsior Ndrli.dk,o r'.d@l R.Sul4hnslTnt &. Prn6)
<br />-R.quiEn
<br />l-.rlsof N.rifE i.o
<br />_l dily rhr rlE tu nl E8lLrbN Es]dins !6.sros Emvd e hr .rplilr)L b lni proF
<br />yj 6riry lhd I tuv. rc!.l rhh amlic.tion .nd sr.rc rh.r tlE .hor inrornbrion 6 Nn&l I llc b onply wirh .ll cny .nd C.unr,
<br />odimms ml Shrc tiwi Ebri,B ro hri ri6l! rn lE rny rdhoriz El'rd.liEs of lhn Cily ltn Colnry io drn lpoh ill
<br />,bot cnri*rrl FoFny l' i,qd
<br />{Iplicmtor {!dl Si!tuhrF
<br />r.*r,- --.rmno, )-,AL'Lol
<br />t/-o? -20
<br />I
<br />Rev.0B-07.2015
<br />Brown Coat
<br />Flood Zone Certif .
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