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BUILDING- INSPECTOR BECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS ()\\\tR trt fl lll R rn.r ( \r{ \In)\
<br />I H,y rrs uid.. Fnnry ol tE,jry th.r I m.kq,r fFn llt codd6 tffi Lr ror rrr rdrirrtF-n (Sa.mll5
<br />Buqm$ rd Pmr.r$n C.d.r
<br />^ny
<br />C y o' Cody Eh.h rqu'Er r Imir ro onrM. .lo. ur{mr., &linhi 'i rF! My
<br />(utuie,mr r, r irruffic, rls r.auiEr rtE rprita for tlch Fmr ro fiLrrign d rrd.lml lld h.or rlE ir li..nin Frslln
<br />lo lhc Fnviliom of tlE C,nl6dn r Li.rn{d Lx} (Clq cr 9. Contrfti.8 with sertun ?uI) ol Divisiotr :t oftlE B!!iEN ud
<br />Pmr.trirnr cod.).r rh! t or sh. ir cr.qt rLEtom.d rtE ttsn for rlE alkscd crcdprion. Any viohti.n of Sdhn 7oll.5 hysy
<br />apnliccnr lor r Fmn r'ixk rtr q!0lkdr ro r civil p.Mxy ol nrl mE lhe fivc hundrcn dollur (lr@)
<br />I. ri dmol E FoFny. r mr.nphFr! *nh q{6 r rlrir nL onFNdi,.! *iU dr ilr rdt d dE stEE i! d
<br />ilrdi.rl d o,Ic..n fd ..l. (sd 7(xr( AugBs ud PtDf.sb6 Co& Th. Cftrdi tiw t * &.! tur rFly ro o otfr or
<br />th. F$psry who nrill m inFG tlEqn rn rho &x< qh urcd h,mlI or h.Elt d rtlDuah hn a lE orn.npbFs.
<br />Fmvild $.r Mh iqFwrE c d irqi.d qolrqrd ltr x! lt ho*.w. dE hixho or irFoEE'r t sld einin G F
<br />olonplliotr rlr OwEr Buildd vil lrE tlE hrrt n ofl'oqi8 rhrr lE d {E di! Dr bua! r intmE ilE FoFl, ld tlE Fl4rs of
<br />TOXf,D&LIOIITBTA.II9N
<br />DElIdSAIro!
<br />I h.rhy rmdontlcr FMlryof IBJui, or nl rlr folhein8 iLrlnuri'rr:
<br />rhrE!n* l mituh. Cdif-{.olcornr ro s.lf.lnlE ta rql6 @nFtu ia.. Fovibn ld b, sdi,n trm of dE
<br />Ltu Cod.. ir rlr Frl'lm ot tE wt ld i:n dE Ftrn it iq,.n.
<br />_lh.E.dwillmi lir wrt6 m,p.nqrior iNnrc, B rcquird b, Sarbn l7q) drrtE brhr C.d.. fn lrE Ffm. of
<br />llE mrt lo. vhth this p.mit is i$.d. My rrt6 @qEnt lion iN.rE ceif, at Fl-, numbcr E:
<br />-!tnn.s
<br />_l.dify rlrr an rh Frf('llte of rlE E t ln shihrht Fmi ii isxd,I rllll r, .,!pby.ny Fs in u, nrlE
<br />$ B r. tEoB stFcr ro tlE x,t6'o,p.asri'n L-t o( C.lifodi .rd lgc in t if I J$ld tE oE $tirl lo llE
<br />wl6'onFMri,nFbiriJBorsdb.l?mof$.btorC!&,lttrllronh*nnotrplr*ih0eFovilkr6
<br />WARNINC: liiluE to w Mrtm otrFn!.lion co6s! ir lnlrrtuL .rn rhll robFd rn dtphF io siniri FMIii ]n
<br />civil nmr !p lo oE hornEd rlbusd drllE! I5100,0O), in .ddirir,. ro thc cod ol conp.nElio( d!m8$ .r provktd ror 0E
<br />S6ri,i 1076 of ttE Lih.r C.d., inl.En rnd .nomy s fee.
<br />ADldlt" tcEtsPnclt^lnacro-
<br />DECbAAIXI!
<br />I ffiy.tfm !'nd Frly of pd|,ry lhr I d liitd!6d ulrb Folirb. of Olda I (ffiirt witn Sdi., 7@l or Ditili,n l
<br />ol dE AudEs .,n AlfgbB Co&, rn hy UrE i! h tull ,oc d.trcl
<br />CIIIAiIf,UCEONI.BDIII.ACEqI
<br />I lEEty .lfm uid.r Fml, of Ftry rhr r hc ir . 6.rddirn !.ai,B trff, fc tlE Flolrlld of dr 6t for *nrh lhb IEoi it
<br />i$&d (5d. lm7, civ. c.).
<br />A'PLICAIYI IIECI AIATION
<br />I hodry.fmundd Fn yolFriryox oflL rolh*i,t daLrrrbn!
<br />D.mlnirn P.rm. ! ArtEior NdfEd rn lddrl R.r[ld i'n! (Tnb {r, Pd6r
<br />R.quft d tf,lr.r oi Nolifi cdi'n
<br />_l ccnity rhli rhc rcd.nl Eguhlir! E8arninS .rh. m Emv,l sc ml qrlicatk ro rhn pNFr
<br />-I
<br />cdtity rtd I luE E a On .pplirrir. ,i rx. $r dE rbw inlondion t .ffir. I rtr t, on9ly ,th dl Cl, .nd CoEr,
<br />odnurB !d S[r. lr*. Etlig ro hildin! cddrEii,tr !n H'!.lrlBn! rq6iri6 ofrhi. Cty.d C.dy ro rs uponlE
<br />.6oE r.rin d ImFry fa iqarbi pq.E
<br />lppli(rnr 0r,\!o! sixnlluE
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Sublloor/VenUl nsulation
<br />Roof Sheathinq yxt-E 2 At^u ?$^t2i
<br />Shear Wail
<br />Framing
<br />lnsu latio n/E nergy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Beport
<br />FINAL 7Z7Za lz (/, a ,ua€r8 ryry
<br />Certilicate ot Occupancy
<br />Notes, Remarks, Etc
<br />Rev. 0B 07 2015
<br />UFER Ground
<br />Ext./lnt. Lath
<br />Flood Zone Certil.
<br />_1. r o'G of 0E FDFry. e.rturiEl, conldin8 vit[ lien-n cdrrrtm ro o'rfilr rll FoFr (Se. 7044, AuiEs
<br />sn PDElin C!d.: Th. ConErlor'. Lilnc lrr &E d +9ly ro o orE ol FoFny tlb b{ilttt or itrpowr Or@.,
<br />!trd *ho o,rrdr ftr sh FDin! ,i0! . C.'r.3qlt liaFcd Frt8.,l b E C.ffi! tit* trrl.
<br />-l
<br />m.EnF ui.tq Sdbn-, A. & P.C. fd lhi! lNn.
<br />lLr. Ow.
<br />1 i..tr\.( Lr$ Ln.trn.Ntrtr {,
<br />I)alr (''r rNlo.
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