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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNEN BUILDEX DELCARATION
<br />I tf,sby r,ftfr u.d.r p.ndlry ol p.rjury rh.l I M .rcnpt fNm rh. Codradon Li.oc t,e ror ft foll,sinS R$n lse 70ll 5
<br />Buriksr xld Pmksnn Cod.) An, Cnt or Counl, !fith EquiB ! Fnnir ro $Brur, !!6, imPmv.. d.mlnh or EFt uy
<br />ntur@ Fi,ro k hN,!k EqriE. trE +d-.il f.r ik_h rE,n kr fiL. \i!td rldcnhr rhd lEor tr irlaffn Fmd
<br />r. rh. ptuvilions or dr Conlrdol! Lt.,sd Lrw (Ch.pl.r 9. Colmri.s wiln S-ri6n 70(Il olDiviii,.I of llE BuiE.t xd
<br />Prer.rsirni Gn ) r rli lE or {E n.rm$ rhsd.om .rd rlE bd{r ror rh. rlh8.d crmdion Any viohlior ors..li,.70.rl Jbrdy
<br />{'plkr.t lor. p..mil $hrdi llE tmli.ul l. . .ivil nc llyofDi mE$e nE hud,.d dorhr lttl),.
<br />_1, s orr of rtE Fnpdry, n ny .n?krFs pnh u86 ( rlE oL omFnldFn. *iU d' th. sdt .d th. stuiE it mr
<br />irrdrd.n o. or.En lor d. lsr 704d auriEri ,ld P,or6rb6 C.d.: TIE Cqrdqt l!!s t w &.r d .pl y lo u ow of
<br />rlE Frtdy plF hik on,Im6 0tun.,n *ho.ro.r Mh mrk niNclf or lENlltr l,Eu8h his d lE ow..trpLy.B,
<br />!6viLd lhd sn inFoEEm E dx h.id.d c ofEttd 6. rl lt lteE, E tuiniB irFw'i i !.lB *thh tr )dt
<br />ol onDlcriol tlE C]eM Buildd *il h.w [r h,n . ol F.vur 0Il E or rlE dn 'nr hild or itprnt t t Ft?dry rd tlr F,Fr ol
<br />_J. lsow6ofrh. rtutcdy, ro.r.hrsikly.onr&1in8 with licnsd.o rf,tos tn.olrcnll t FoF (sc 7044. auE.i
<br />,n EnGsir Co<L: Tl! ConrEror'i LirnF Lr* .lc rcl rpply ro x orE of prcFn y *ho blrlds o, inptot! th.@n.
<br />.nd who conElcc for sh FoFr! *irh . coitErodn li.Bd ,r6M b rlE co.rlffl lirM L.*r
<br />-1.m.!mF
<br />lnt r Serii--, A. & PC. (srha Een
<br />D.r. _ ______ or!r_worrrrstnr,psr-srrrrw
<br />DECIISAIIO!
<br />I tmby rrm u'xLr FDlr, oI rEn!, ot of lh. rDUoelE (!a,,t{ioN:
<br />_l hrE in $I manrrn r C.n!frd. orcoffir ro S.lalnre tr rvt6 orrEnMion. & Fovil.d rd hy Sdion l7m ofth.
<br />L{bor Cod.. fin r& pdfofur olrE erl ro. whi.r! rll Fn i nsu.d
<br />_l hrE .nd pill fliuin wlt.6 mrrEN.lnn imnE.. .r ,qricrl by scr.. l7m ol llE t lrr tu. fr l,t Ff(ffi ot
<br />rlE mrl ror *hich rhis n mir is nild M, wlft sntE.s'irn inrum. ff-t .d poli.y .u!6.r E
<br />_I ..irirt rhr r rhc FrlMmE ol rtE *,rt tu ettt rhis Fml ir irru.d. l ilbll nor .rpli,, uy F m in Mr rMffi
<br />$ ar ro ba-m {bFr ro tlE Et6 onFNri,n LB6rcnirom(.d .gc tnr ill asld tEor snF:l to l,!
<br />h*d snp.trqrionpDvilioN of S.dion .1?00 of
<br />'lE
<br />t bor Cod.,I JEIL fonheith on9ly *irh llDr poviibnl
<br />WAININC: rrituE to sw wtn or+.Erbn ovat! n unLrtul. .nd rhll .ubrd u dploF L dimi[] Fi.rC .td
<br />rivil fiEs up lo oE hun&.n dbus,rl &lltE ltlm.oq)), h .ddnbn b tE cd of ow.Mirtr d.,rr.r a FoviLd for llt
<br />Sr'ion -1076 oI rlE lltor Codc. hrcE( and ..t(ry\ rB
<br />DLr_
<br />- --
<br />Appro,l:'' LrcP,\srt! oolYrt^c'roR -DECIIIAIINIH'y.lrmunbrF lryof Fruryrhr I rn liMrd undd provilion olchrpIE 9 (o,lExin! w Sarbn 70u)l or DiviDn l
<br />ol drar.iB!n ProLsi,BCo&, &d myltcE n htu flGan.ficl.
<br />c(lNsrnucrloN I r\DrN{: a(:r:\( Y
<br />I trmhyalfirn u,ncr Fn0llyofrErrury lh:l rherc n a conrdcrhn kndine tr8. yntrrhcFinrn@cc of rhc*orl forrtlrhrhnFrni n
<br />i\lEd (sa 10e7. civ c )
<br />AIIIISANLDECIASAIIO!
<br />I h*t'y.rm uBbr Fdty ol Fjury oE ol th. folbein3 &cLr ioni:
<br />Ocmlirbn P.mi$Alt.id Ndiltdirn turl R.gu&ri'n5 llnk rO. P!n6}
<br />-R.quirql
<br />t licr or Ndifxria
<br />_! cqrily rh.r itx f.d.r'l Esulrrimr EgedinB r$.dos Emvll aE rr E t'licabL t lhi( tbj.{!
<br />-l
<br />enily thlr I tuE Eld rni! .pplilion lld i.i. di dE rbow inforflthn n mn.rr I .srd io ot9!y wnh r[ Cly r.d Couly
<br />dirrsdSd.t $ Elri'g ro h.ildin8 trrrErbtr rn hal5, rl!lb,i! rF€rrriB of 'h! Cily !d Clu.ty lo 6td ut n tlE
<br />ctnE rnriord !&pdry f6 iaqE b. prpo6.
<br />Ap9llr{l or &61SkrluE
<br />Pml(a Em (prlro:
<br />Set Backs
<br />Formsi Steeli Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation I
<br />Rool Sheathino z/tz/rzt -rKt nt/
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL 7st:2,r kAr P*..r3 -Zr7
<br />Certilacate of Occupancy
<br />Notps, Bemarks, Etq
<br />)/I
<br />Rev 08'07'2015
<br />Shear Wall
<br />Flood Zone Certir.
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