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BUILDING. INSPECTOH RECORD
<br />SITE-WORK DATE IDISIG.COMMENTS owl{Et tt lt Et DEI,(: r^roN
<br />I H, ifth uds Fn Iy ot Fr,lry th.r I M .rcEf,r tum rtE ContElm' Ltde L* lor th aolb*n! ltun (5<.?011.5
<br />aGi sr rrn Pmfcsi'n Codc): Any Cny d GdI y strth rcqliB. Fnn 16 .o.rnat. .1t6. r!p6w. d.mlilh.tr rr.n dy
<br />.t'I1@ Firlo its iffic..to 'lqriB llE +tli..n lorsnFmnb 6t r ritn d .lml rh lE ot nE i! lianrd pNul
<br />lo rn. Fsvi.Fa of tll Coruarol! Lidnr.d tle ((]rprd 9, ConwEu! *lt Scri{ 70@ of Di6i'n I ol rlt BliiE$ !d
<br />Ptu,c..irn! C6do d lhir tr o, slE i! .&!rot irlr6m &n ft b.ri! lo, rlr .lL!.d .r.rpd. Ary vbLibtr of Sdi'n 'rol Lt by u,
<br />.mllrd fot . Fnn $hjd! lh. .t ltul lo r civil p. hy of nol mE lhu 6!c hunEd doll&s (15@)
<br />_1. !s oeE. olrlE FDFny, n ny.n0Lt6 witl *.a6 B rlii sb o.lhsrbtr wiI lt' Ur wt rd dE tuE ir mr
<br />idarld doilcGl forsL(Se.?tl44. Bulirc udPmf6rioMCo&:fuCdterdrtiret *.ti.!d4?1,rodowBor
<br />rrE Frary rtnh Lhtr itffi ttEq.rd wtb d6 sh H,* hiNlf or lEMlf or rlhqh bi! d,Er ow. cmpldr.r,
<br />povid.d rhd ru.h in{m\tffi c d iidd d ofrdrd ft. ql lL tlrc. E boilliB a i,In,w'n i, $ld vitr * }r
<br />oron{ilcrir[ tlr OeM Brj].Lr will liw t]E h!d.n of I!D{€ fir h. d {E dil or h{ild q hyrcE dr rftiEly ti. tlt !torF. ot
<br />_l- trs owmr ofrhc pDpcny- m.rcbiElr.o'rrdht *nh lnrtrrd cqrrrrou ro @'rr.E:i rh. preJar tS6 7044- BulBr
<br />IrlPtoaB6inCnd.:Th.CanrEroa.Larn*trsdo.r,q'rlylo&o*mroaprop.rlywhbuildsorhpmt!rlEor
<br />rnd wl$ ollld. fd fth FoF<s *iin r cl)ddo(t lirnkd lurud lo tlE Codrdr\ Lftns L!wl.
<br />lIlt85EIIt:Ct}MfAltAIUt!
<br />DECLAf,^IION
<br />I lEEhy.rfim uBhr FMh, ol p6,'l., oft of r nnbuin3 d..Lrdb.r
<br />-l
<br />h.E nn ril minr.il . C.nifEir. of Coenr ro Sclf'lnsrc fn *Gt6' .rn{rdrrion. a FDv!.n fq by Saib. l70o of dE
<br />ll6or Cod.. fd llt pslm ol fi. q,t ld rnilt dx pcnn it id.d
<br />_l h,E r.d *ill m!id.i. workcn omJrngrion inrunEc. r r.qund by Sc'bn l?fri of llE L.!or Cdq fd llE,E rllre.f
<br />dE *rr td rhih thi. Fmil 6 is$d M, rst6 oqEMiin in$nE eni.r !n ,blay nunbs E
<br />- laniftrld in
<br />'lE F.f.,tmr of rhc h* ln wnth lhir Frhn h iguc4l ihall ml .qrloy.ny Fe. in ymE
<br />s d b nllm $hFr lo lh. qltB onF6rDn Lh ofcrlifomL ..d rSe rhri il I lhould b..or ii6Fr b ltE
<br />wort6t'rod+.MlbnrEvii,6ofsalion3Tff)orlhhtrrCdeICr[r rn*ih ondy onn thoi Foviria.
<br />WARNNG. Frilu( ro r@ wlcn o,p.@rio, @rng. ii uhwful. rd .ndl qbFr e dl?bF h sinirl FrIi, !n
<br />cMl fi6 uI h or hridEn rhousln &16 (lloo.ClD). ii lddirEi ro tlE .{r.t or.oqxnsliolr .rrm! a Foirial t6r rtE
<br />Sdli.,n 1076 ol lll tlw Cod.. i .d !d l'rlmy r 16
<br />D.L: Ap?{sl:'' ucemm crrrrrrc-nx
<br />DECIISAIIO!
<br />I lErby .frm udcr FuIy of Frrury rhd I !m lianEd ut&r Flvi3ioi of Chrprs 9 (LtnftrinS rth Sdrirn 7(x!) ot Diairi,n l
<br />of tlE B$iF( rn Prnf.sion! ao&, rd my lr.n* r h tull roE !n.fid
<br />LEnE Nun$.r
<br />-
<br />glUsragcuoNLBD.uclcEaIl
<br />I lrEb, .rm uiih. Futry of Fjury rhlt rh6 n ! oniru.rion Lidh8 rlcry for rtE p.,fornft. of th. wk for *tth lhir Fnt i!
<br />':n&n {sc 1097. civ c I
<br />aDPt r(]tN{ f\rc.l rt{Tlor!
<br />I holt y rlIm urL, Fnily of psltr,, ot o, ll. tull ei.! &.ld! id.3
<br />D.mnnion Pemrih'Ast$lo! Noriar.rion td€d Rcrulalhns rTilL,r0. Pd6)
<br />-R.quiEd
<br />Lrllcrof tldif.ciN
<br />|.dityth.r rh. f.d.mlESubrions Etord,ne rsbc\ros .cm'vd arc n lppltltl. ro dlir ImF!-l
<br />-l.srify
<br />rh.r I hrE Ed rhn.pplt rbntn{&rh.r r.bor inromii,n nsd I .t E h on?ly *nh rll Ciy r.d CoDry
<br />ordi@ fi d Sl,r. l,w. EkrlB ro briUins .onnnrdio[ !d ttEr,, .r!ho,ir. EF.!.ttuiB of rhn Ciry .d C.ury b alE upon dE
<br />.trE lBrirxEd ForEry fr itrrPc<ih lulos
<br />\!rlionr.r'r!$r Si(nnrn,(
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Shealhinq -7llbl7t
<br />.1 ,frY)o-t *FZ
<br />Shear Wall I
<br />Framing
<br />lnsulationi Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL 1l1Av.a )ft!',n@ krf I
<br />Certiticate ol Occupancy N
<br />No tes, Remarks, Etc.
<br />Rev.08-07-2015
<br />Erection Pads
<br />Ext./lnt. Lalh
<br />Flood Zone Certif .
<br />L,u.r.DI Ltr(lcr Se..rrni .ll &1,( lirrhnnxqn,
<br />Ilrl. ()rer
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