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BUILDING. INSPECTOR RECOHD
<br />SITE.WORK ID/SIG.COMMENTS
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulalion
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif.
<br />"h)FINAL 7/tu1lr )u/
<br />GlzfrflaEtE'|rrcEt'n til
<br />Notes, Remarks, Etc.
<br />owNttt BUlLDur D&,cAtlTtoN
<br />I ttGby rlfm uatr Fulry ol F.pr, tt l I m.rtrpr tom rlE CblBrd ltrr L.v fd rlr 6lbwinr Ers {Sdrotl.s
<br />Itorimrs .rn Prof.shn Cod.): 46, Ciry.r Ctu y *hEh EquiE . p6m( ro d.{rud, !116, itrpoE. .Lmlnfi I r.Ftr -ysrM@, I'ri, ro nr isuro. 'k, c+a!! rtE.rrltdll for iuh llmir ro lih ! skrn lid.rni rh. h. or rlE i l&rnei p!o.!r
<br />k\ rlE FDvabE oI trE CotuBq r l.hn .d l! lchc..r 9, C.mftEi., *nh Sdir 7m or Ditilbi I ol rh. BuiEa nld
<br />PnrLs,N Co&r 6 tt. lE 6 ilE ! .ktFr rlE tlm !n il' b.r! for rtE .U.a.d .r.ngh /hy vEhra. ol Sdbn ToJ, .t br my
<br />rppli.nd rorrFmi ruhJcl: rlE .pplt r b.c8ilp.Ehy.Imr mr. rh.. nw h!.drd dolhB (lyx,).
<br />-1.
<br />a o*E oltlE FFy. tr my.qrby.6 llrh *.3.r & rh.i, hk 6qrMi!., *ill d. th. wrt.r 0r {d@ a d
<br />!.ildl d oatda, ,(r rL (Sc 704,4. BGiBr lrt AbGshB Cod.: TtE (.oddri tias t r dE! d rpplr ro r o}a ol
<br />th. F+ar, *lx er d! s utF.DE rlE'a o, vlD d6 rrn qrt hirerr hdslf or tw{!h hir or tn oM.ftClrF.3,
<br />Fruvi&d rhu,u.h irt,mwGd! E mr id.nd.d n ofl.ftd lor sl. Ir, lr*6, rlr ilill!tr8 o, inporGni is sld sihin or l.&
<br />of.onpldio( tlE O*M Buir.la will lIE ttE hrd.n or Fovn, rhr lE n Jr dil d hrirl n irrqnE rlt FoFr, rd rlE F4.c oI
<br />-1,
<br />esown.,otrlE FWCny, rD.rlurv.ly.oikErirt snh l&tr*rl co r*tuh !o !!.{rud rtE p.!rs (S@.70aa, BosiEs
<br />! l Poi.sirr Cod. Th. Conkrior'r l-ic.6. ll* dE! mr lmty ro !n o*Er of proIEn y wtr blild, .r impov.! rhdo..
<br />.nd rho .odrar Id $.h F.FL *ni r Codr'o(sl lartrrd Fl!!a h rlE Cdrd( r lieE l-.*)
<br />-l
<br />m,.r.n'N undd Sd
<br />!0!f,!et:C(}!ttl!0A!gr
<br />DECIIXAII}!
<br />I ts.by rtirm und., ncMty ot nc4u.) oE of rtE lolhvin! delrftricN
<br />-,h.Er,'UtuirhrC.niful.ofcoEdtoS.r-l6uEfGHrta!orp.Midrt3,otr&llorhySdbrr?00olrh.rltr Cd.. td tlr FflxrllE oI rlr wt td *hit rlE Fnr : E(n
<br />_l hrE .nl will minrlin eorl.R ..tr{EBcri.an in\uEN., !5 EquiEd hy Sari,rn 37m of rh. ljh,r Q)d., for rh. E f(mx. of
<br />th. w.rl fitr *hrh ,hu rErnt ir ilrkl My vo*(J .lrlEMibn iNrd. (si.r 8rl Fl.y ,urn&r se
<br />Policy Numb..:_llrpiE!:
<br />-l
<br />adtry thl F ih. lE.turDG o, ttE vort fd l.trh rhB trrd iJ Bul, I rhrl nn ..pby r.y Fr{n r my lME
<br />s at.l4rmsuhF tolt xrrs FqEMi.n Lerofc.lrtomr. rJ {r rhd !f I rlDuu hc.nE $bis ro rlr
<br />uodisi .!q,.nsaxo, FDvilioB of Sclion 370{ oI rh. Linor Cod., I JEIL fdhenh (lrply wnh rbs pEvirir6.
<br />WA&NINC hluE t. Ee slt.r oa+.d$n.oEnr. ir u.L*hrl, {d $rll uhFi &.r+lorr. to @iid !dli! drd
<br />.Ml liEr !p r..E hrdEd rtnudd dolLr (tlrl,ul)t,
<br />'n
<br />rddrirn ro i con or @nt erid. d&r!4 r Fyitcd rd r|!
<br />, nm! ! dtEy l td\
<br />aC
<br />I h.Ehyrlrimund.rn !yoIFrju.yrh.l l.m lic.F.vRb..lClulid 9(.onr(i.3 v{h Sdhn lrx, orDnnDr I
<br />.l rlr llLNncsnd Pnnc$ionrO c dln,y lk(nr i,n tlllnmrnl.!l.d
<br />I h.Eh/ rfinmund.r Fmkyofn rjuryrl rhcE r
<br />n\!.d rs.r t0i)? Cir c )
<br />Ln'luig!8.'f,yntrrh.Frtt.nu'r. f rh.*orr ktrwhithrhrFmnr t
<br />AT2I.ISATLDTCIAMIIAX
<br />I h-dv tlfm, unds pc hy of pqJury oE or rll folo*r8 &sL..tbns:
<br />D.mlirian P.mih-Asb.nos llorincdbn F.d.ril R.Suldions (Til..lO, Pd6)
<br />R.q!r.J l!r.r of Ndfds
<br />I cdfy rhlr rtl t?tl.f,l EBUbri. Eg.rd,n3 .rh4ros Em)vrl G ,rr rtllllf,lhL t, rht pB,*r
<br />-l
<br />.diry firl I haE rc*j rhn .ppli..rior .nl n.r. rhd rlE .tot. r.Iotuon n .!d. I .38 ro .lrnply *!h rll Ciry .d Coud,
<br />r*il!rr..nl srd. hur EbrnS ro horltha :4 rJ lErhy rrhrc Etlld{r6 of rh! C., rrn Cddt ro da uF. ttt
<br />Jh^. nrnrDn((l truF yr,tr
<br />i\Dplicant or ,\rcnr si*nnruF
<br />Rev. 08-07-2015
<br />OATE
<br />-,. ol/zt/2.
<br />Erection Pads
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