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BUILDING. INSPECTOB RECORD
<br />SITE.WORK ID/SIG.COMMENTS ()WNllR atlll-Diil Dl.:l,CA tl T|ON
<br />I lEEt'y ailrD udcr Fn lty of p.rrury thll I E .r.qn tDn rlE CodBra lr.M U* ru ilE tollo*ini E.sn lsc.70ll.5
<br />AusiEs .nd Pror.shn Cod.): any Ciy or Crudy whth rqun r . Fm. r. c.h{d. rlrd. iipmE. d.mlirn or Ep.n uy
<br />nMrE. rin ro ir! llsl:ru. ,I!o Equ6 lh. +phr, lor 3kfi l:m'ir b 6l r r$ftj lrr.ftn! ihi L or CE i! lxlNal pu$d
<br />r. rh. tmvkk'6 .r E Co.rdc,' l,i..nr.d lrv (ChrF.r t, C.mmEini u[h Sdr.7(n.aDivnh ].r0E AuiE$ rt'
<br />PFf.sDaCod.)qrh.rtEdrlri!.r.qrrlrtr,o.dlrllb.r!r.,rlrrll!.l.r.nI,u,,uyvbhionofSdidT0ll.tbyrt
<br />{'priod fo. r Fmr iubFBrlE lpplt, b !.'v,lp.Nnyolmr mc thrn riv. hu'nEd dollxr lllr).
<br />_1, a 0*6 nr$. FlFny. d nry..+hF.r wrh w{s a lh.n sL omFdni. *i[ d) lrE $rt.d t E rlrfu i! d
<br />Mr.6l r oll6.d fr r] lsa.?(x4, BuiBt rd PlDIG.lin CoL, IE (nddG'' l-Ia. t r dc d .Cfl, to a orE of
<br />E Fq.r, vlD hrilh d itrgDE tlEq rd er! d6 uh s,t tulEtrq tsElrq iEutf lir r lE ou.npltFa
<br />Ftrir.d fid *h nlTrl]trdr& d ndi.n (dldd fr r.] lt L'w. rlt t{i!i! € E!r@n ii $ld ttri. m ra
<br />.t qlpliia 0E O*E t til,s viu h.E tlE hldEr of Fwit d. lt d ir Jn d hil, d ittftE l,E FFr, 6. dE F4o. oa
<br />-l-
<br />a ovE of rrE Ftr?qlr, Ecrh.rEly @lhrxi *ah l(c ql ddr-in h (srd rlr FoFr (sd.70a{, BGiB
<br />rn A!€3in Co& TIE Co dd\ Li..& Ur d.Er d rfl,lr ro a "rE of F,Fny *ho boildt or rp@wr rh.tgn
<br />rid *t .rfur td ruh FtFB }ih . C.dd.(r) lftri.d Co6d ro rh cdrdM r tile L.q).
<br />-l
<br />rm.r.mF urd.r Sdirn-, B rtPC nnth( c.vm
<br />Bl]tf,Et[c0ldf.I;urAlo!
<br />DECI,ASAIIOd
<br />I h.aby rmrm !n&r p.Mlry ol pdjury oE of th. nnh*h, .kcL.ri.trr
<br />-l
<br />hxka.d* minrdn r C.d'fHr. ofcok k'S.l 6uE f{r rorL65' (r'n,Fdion, :! I,Dv'd.d tor by Scri.n lru of rt
<br />ritb. CMc. Ior ih. F.lmmr. of rh. *ork ffl Bhrh rlE l.rm i,r Rlkd
<br />-l hrv.r willnainiain work.6 .omp.Nrrtrr
<br />'n\uBnd..
<br />r\ R,tr'ftJ hyS..r(tr':17(X)o, rl'.lilxtr(od., it rh. rErfomE. of
<br />'!i!n(rmi h sdrn Myrr'rul
<br />lall E Lalt+
<br />..n\.Nrro Ntr'rn..r"u l['l'.y nun'har fl
<br />r fl-Aoott47 -ol Zc
<br />-l
<br />dify rhx i. r,r Fdorle of rlE *ort tr *li.h fiir F.nrir ir ! al l Jrll tur .r?L'y d, FiDn ir ry rut
<br />$ r ro bc.om sbi.{ to th. hd6 6np.Mlon L*3 ol Ctl',on[ .tn {E rhd ir I .bulj lE .m ruhid b t&
<br />hA6 @nrp.n{ion pFvirb6 ofsariri l?m of(tr lrn GrL.Id l, fdh}ihNrlply sirhrhorptlviiDB.
<br />WARiiING Frillr ro l.@ wtuB'd.r.i'.rri 6rrr. ir mLvtuL &l rhil hj.d e dlphF ro in ] Furii: &d
<br />c'el lirr up b or hlndEd rlbuEU d.llrn (tlrr.qlr, h rllin r. rh. u.r ol (odp.Mtr .l|mr.r u Flri.d for rlr
<br />**.d.,*.2f- ^ / I
<br />,.".1/or/zoz, M.P ' UCEES4g'NIIA NE\ DBgrxAllrrd I I
<br />I tftb, rrm oi.t r FMry ot Fr!ry dr I m lkr6.d o.'d., Fn6m d oqi6 e ronGmq elr{dni ?lfi, orDiilih l
<br />ol rrE Buim$ Ed TEsiE C.d.. .n my Uro ir tr tu roc rrl.rd
<br />lalsr3&cllau!aurG..tcldc(
<br />I hd5y .iin u!&r FNty of Firy fid l,lft i r @dd.n ldiirt {.ry fo! th. pdrtu 6f tlE EI6r *n!t tt'i! Fbi ir
<br />iqEn ls€. 1097. Cit c.).
<br />AItLlcAU[DECIdSAtrA!
<br />I Hy sfm urd.r D.nrl'y ol p.riury oft ol rh. ro[,u.x &alrn! ion!:
<br />D.mltion PcrmirsAsb.ros Ndiftr.ru FcJcnl R.s!lrrio.! (TirL a{', Prn6)
<br />-R.quial
<br />krtr of lttlfi @rion
<br />_l.dify rhar rtE f.d.ral rcgulaiions E$rJin3 r$.dor rcn$vrlrE mrlmltllhL n, r[n 0tu or
<br />Ll .tfy $"r t h"*,",,1,1,.
<br />"p?li.dion
<br />ul $!rc rhd E i&,v. 'nromurion tr.ocr. , r8r- ro rsnpl, wirh lll cn y !'n counry
<br />olULEN.s 3nd Srar. fr$r ELiog ro r!im3 c.lslrDc .rt h.Ehy r lrtr 'r wr ofrhn Ciy rhd Counryro.nid uponrlE
<br />rlrn. R.nrtrrn.J B,B,nv ntr
<br />o zo>o
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenUlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />[/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil.
<br />l
<br />Certilicate ol O ccu
<br />Notes, Bemarks, Etc
<br />Rev. 08-07-2015
<br />DATE
<br />?
<br />L..dq! AddE!:
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<br />FINAL //zi/zr-2,/ -.v&41
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