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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWIIB EUILDIN DELqN,iTON
<br />I rH.ty rrrm !nd.r FMt, ol Frry thd I n .r.npr 6on rlE qhrElm LiuE Lre for rtE lo:lowirS lasn (Sd.?0!1.5
<br />ABi6r !n PmfBsb. Cod.): Ant Cn, or Cour, *tih EquiB. Ftu ki ondnrr. rrs. i,9.ot, .lmlnn ( EF, Dy
<br />sM@, rir b . n.um., .l!o EquiB llE +riktd ror eEh l.mi lo n!. !€r.d rtr.,Mr rlIr h. or C. i! liertn Frs.d
<br />ro rlE FDvhmr of d. Cffin\ LiaEd trr (clrtr6 9, Conftrll! rah Scti,i ?@ ol Diyitbn I of tlE ButiEs rn
<br />Prclcsbns Co<L) or tur lE or $\c i! cxc.rpr rlErhom Id rlE b.!i! for trE alk8.d .r.mprion. A,y tbltlidn of Sdtioi 7011.5 by u,
<br />.pplid lor r Fmn sbFt' dE .rpltd ro r civil Frlry ol br tuE tl!, nr h!d,.d .rolbs (!5O).
<br />_1. rs orF o, rlr FoFny. {r my .,IlbF: wnh *r!s ! rlEn bL onFdir. wil di dE H,t rn 0E -rx1e b tur
<br />inEn d or oficlrd f.r sL (Sd ?olt, BuriF!.rd Prof6rh6 Co&: TIE Cd.*ld i tj.x* L,* dEr d tp?ly lo u @F of
<br />th. Forsr, *lr, txildr r irinffi tlEatr.ri wh. d6 un E hirelld lEmlf or lhourh hi! a lE o*n.'Y{lloyc6.
<br />ptuvirLd rhn *h irlM d n* nde dofiird fti rI ll twq. tlE hoiBlt c irFm !$U*lhrc)ar
<br />of(rpbrb,,. OE OwEr alilkr *in llw 0E hftt n orFDvinS th,l lEorni dil ml hoiU or i@DE [E p,t Ely lt tli FrqbEot
<br />-1.
<br />$o*ffi otrl: Fursty. m dcbiEly cd rding enh litnsd.o dc b oNru.l llE FoFl (S.. ?Orr, ButiEn
<br />.rn mriincd. Th. ConlBtor\ LirnE t t&Erml.pplylooo*E orFoF.rywh. b{iB. or imgreE.lh.@n.
<br />,nd *ho conrftcls In skh Fo,.dr with r ConrBlons) li.rnEd pursulll lo rt Codturor'. Lj.ctrr bv).
<br />-l
<br />Mcemlt !n&r Serio,r ,B & P.C. torrhirE$n
<br />t.r.: Ow:
<br />]!!Bf,}:8Ii1O!ISBTAIIAN
<br />I}ECI.ASAIIA!
<br />I h.rby,,imudd.rFntrhyorFrjxrromorrh.tulk,sin8 dlihrxrns
<br />_ I IBE rd *ill Mi .i. . C.nifEd. oacon(nt ii, S.ll.lBUr. nr F.t6 oflrENinn, u FtiLd td by SqrDn l?m of rlE
<br />Iirr C6d., a6r rlt Frflm! of rlr $o* for whth rh. F6il n i\srEd
<br />l h.E ond *ill mainlrin rerkcB onp.nroion iNlrdc.6 nqlitd by Serirn.!?fi, of rlE Lalxtr Codc. ror rlt rcrfmtlllE oI
<br />rlE lorl ld which lhit llmn F iqr.d M, *at6 @,f.ni.rbr i!ffi sir !n Fliy nutlE a:
<br />Polrv Nu mb.r
<br />-ErpiE!
<br />__l.eniry rh.r i6ltE Ftorflr. of rlE m.l ror whih lhir Frmn t ir$4 I rhlu hl ciphr.ny FMn in sy nuF
<br />s ri ro b.<oE wtixr ro rlE ant6 @nT.nrri,n L*r of C.liromirl lld {rE rhd ilI.h.rld t .or sul,Fl to llr
<br />k16 snFNrion prDvilirc ofs.<rir :!7m orrli tlttr C.4. I irll fofih*ilh dtrd, wilh ilE FttniiB.W RNIN(i: FriluE ro sE wtcn sqErs.liln ovm8F it lnlr*ftrl !n th.rl uhj.rr dploFr lo diniNl F !b !.d
<br />civil 6Er !, ro oE hundd rhoulrn &iL6 (t100.0@,. i! o<dnio. ro dE (d ol6qEN'i,c dm,*.t P.lvij.d for llE
<br />Sccrk n 10?6 ol rtE Lilr, Codc, inr.cr rrd lnlmy r ld!.
<br />Drr.: - _- _ appt*'' LICENSED aoi{rR CTdR
<br />lt[:ttSArxtd
<br />I lrEby rrrm u lcr Fnity ot Frjury th.l I rm liensd undE !'n !iri,, of Chuprc 9 l.unmmn8 w h Scrb. 70dr) of Divisn,n l
<br />o( rh. !BiB. rnd PrnfKbB CorL. .d my la.r i! h tull loN rn dl6t
<br />L&nr. NunlE:
<br />-
<br />sa$xu(E0NrErDrtc{iEl.la
<br />I h.rcby trmuds p.nrhyo(Frjuryrhlr rhc i! rco.rrucrbn L inS .8.8y for ltE IE ornw. of lh. tr.1 for *hhh lhii Fni b
<br />ir$n lsd. 3097, Civ C ).
<br />AIIIISANLIESJ8AIIO!
<br />I hdtt'y rtrm und( F rx y of FIry om of rrE folhei.S d.cls.li.f,s
<br />O.mlnirn P.rnir!-Aib.src NdifEdiin Falcrl R.8uL!ionr (Tilh 40. P.n6)
<br />-RcquiEd
<br />L.rla ot l*rifErin
<br />-.1
<br />ccn i,y lh, !& ,idc'l Eglhiis! Eg&ling Emv.le { {?h.nb n, rhkI'$rd
<br />_l ldrily rhd I hcvc Eld rhi\rhc ct w inroMion ir.:Frd I r8rd h @,rril, wirh .ll Cty d CDury
<br />onnnrtua\,,nl Surc Iis\ rrtrr a,^ .r, lEEt'y ldbriE GrE-tr.l iB or rhir Cir, .,n Counry io arc ulon rlE
<br />ubovc aEnrnxEd |n'IEny for
<br />{d c ns.rerinr):Gei >\".nfu)
<br />7-23-U
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil
<br />FINAL 7/tct/t-1l--t,nx *,4"4 )
<br />Certificate ol Occu anc
<br />Notes, Remarks, Etc
<br />Rev.0B'07.2015
<br />tnd.rt ad&6r
<br />-
<br />Set Backs
<br />Subf looriVenVlnsulation
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