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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNBA EUTLD}:T I'U-C,I TATx)N
<br />I hEty rfrm ud.r Frlty of F.iry tt r I @ .enpr tbm rlE ctrtu1o6 t$e t w ror rtr ioltowh, c.$. ls<.?0r1.5
<br />lluliN3r rd h.l*iri C.d.l: Aiy Cny .r C.uny vhth cquid r Fmr ro oi{tu 1, 6, in!pr.F. .kmliii o. EF uy
<br />!rE.rr. plir b ir! lrnt*, dlo Eqri!! rlE ll?lt!'r for rd' Fmd b nL..trd nlmd .h. Ir d # ir lErcl FsEr
<br />rorh.FirnioE.frh.CrnrE'rl,tardl.r(ch.Fd9.cnmmintu.hSd..?0(I)6lDiviri'nIorrl.BBnEsrnd
<br />P!.r.!irB Cd&) n rhd ll d th. it.r.r+r !h...,imud Elrinn r rltrrd.!.tqbo ny drLri,o6fsdbn 7011., byiy
<br />.pglard aor . Fmi rubj.$ E lpglixrr b ! civil Fuly o, d mE lh.n livc hunddl dollEr (t5fir).
<br />_1. 6 oqncr nr rh. pn!.ny, or sy .nPl.y.!r w(h wr!.. 8 rh.t $k ontENsi. qn d) rlE slt ,n rlE dME it d
<br />d.nlal d oll.En r- rl (sd.7{x4, Buri6r ..d Pllt-riB cl'&. TIE cltu:rd! Lrr t * dB d @ly ro D o4r of
<br />rrE FDrd, *h' hi n r !,!roE irEq d wlD rlB rrn sxt hilel, or E rllor rlFruSh hi! q lE oM.oprortr3,
<br />Forld.n rh.r rkh nryshmdr & d id.d.d.rolr.*n rG sl l( is*cr. rlE b{itog d mFoErfl i: $! *idtb or ).tofcqpl'ia ltl Owtr B!i!s *in h.E rrE nrb o, pFvog thd lE or 3lE iil r{ h!i! ir ulP.sw dE F.F!y ix ttE F4cc of
<br />-l
<br />a o*H.r IE Ffdry. m .r.tBiv.ly .!n.d!A wirh li.rtrE{ urtrk*rDF ro 6n{Mr rlE FaFlr (S€. ?041, Buirs
<br />.rn PE*srr Co<1. Th. Conrtuttr ! Lrc.nt. tiw der Ln .rrl, t| an orH ol InoFny *h. buldt n nFoEr tlEq
<br />.nd *,ir c.ddr for rxh Ford! qh. Codtrbni) k.a4n FrlM b rlE codE s Lite t *)
<br />I M'.\.n!i u'rL, Sdrn .lJ &P( li'rrlrsr.Nnr
<br />!!oa.[&t5:(0ul}:ttAlt0x
<br />DEELABAITOX
<br />I h.rchv allnni und.r rtml v ol FrNrv om ol rh. I.lt,* 'n! d.clIrrk,a
<br />-l
<br />h.E !d w l Bd.nt. Cdrfd. of coMi ro s.l(lsuE fd ffitd onlp.di)tr !. FuvlLd for lry S{rion l'700 of rrE
<br />L,lI co&. rd tl* F,olillr. or LIE *il fo shj.h rlE pqmir i irsld
<br />_l hlE .nd uill md.B v)r*d' d'qEMrbn i.tunE. 6 Eq!w!, by Sdti,n rT@ of r t,l[r CaL, fitr rtt tE lm of
<br />rh. k*t f., *hi.h rhs ,od ir ireEl My edt6 orllr^d!. ilwr. ffi Nn IDl,y NnlEr a
<br />P.lty rilmtd _ErpiEil
<br />_l..nify rhn in rlE O.rf.rmr. of rh. wort for whichthn Frtu i. !$.d,I rhil mr..rol,y r.y F-o buy 'Ms !r t. b.!sm !!bi{r ro rlE H.tf, orFdrn h*r otc.hron8 .d Ee !. I3lnu! b*afr {tj.d i.tlE
<br />sdi6.lnpc.jDnp.uvn.Bofsrr.rl?@otrt bh. (dl., I ldL fdhwnh Nttpl, vuh rlD. prceirbB.
<br />WAftING: FatlE ro .M rirtas mn!.dl,n 6(n . ir unlrwtuL ird lhdl rlbrd {.i{lhF ro min.l F lE.rd
<br />.ivil nE, up to oE hd.drcn rthB d d.llm i,,m,Or), in iddiion ro rh. con ol.onFMrion, d.mSB a Fovn.d ld rh.
<br />S(rion 10?6 of rlr L.rry Cod., h'Gra rid .ffirt a6
<br />LICFNSED_
<br />DECI686Igtr
<br />I h.Eby .rrn !.dd |EDhy.r p..iuav rlu I a lirrd ud.. Ftr66r or Ol.|rd 9 (.oidEi.! eirh S.dh. 7m)) .l Dilnhi l
<br />oI tlE aBft.' rnl Proftirim Cd& d hy lid< b n tu[ tft &l .rt d
<br />COIIISTqDOSIIfrDIIGJCEN'J
<br />I tEEby lrfrh udd lEulty of p.rjury rhlr ih.E a r ordMr,n ldrt l3.Ny tu rlr Fflme 6l tu *n 6r *ti:n rhi! FEI i.
<br />ns.! rsa 1fl97, Crv C).
<br />AITIISABI.PECTdEAIIA!
<br />I hdrt, llfm !i& D.nthy or Fiu.y m ot rlE lollrro, dfrL..rin:
<br />D.mlnion P.mire^rb.$. tdiiaE.bn F.Lnl i.luldior (TdL r0, Pd6)
<br />-R.quiF!
<br />t fiq olt{dift.rio
<br />-l
<br />ldily rhd rll tdchl E3uhrnm EluJ'it rtb.nos Em,vrl E d +!ru.:hk tu rht proi(
<br />_l .6iI, $r I h.f E:d rhis ippli.iion ul lro rh.r rL !bor. 'nfomrion n corar. t r8F to .lrply rnh .[ Ciy afti Coo'ry
<br />onlirE_., ul Srsrc t *r Eliing ro t u nmr cosrtodt,E un llEhy rdbrr FFr-'r.rE. of rh! Cdy rfi, Counry b dd uron tlE
<br />d,v. ririo*d nolEny r* mFdr,. pEFEr.
<br />l.brhr, A.arsbdrn
<br />P.6llcMrDrinll:-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation ,t r
<br />Roof Sheathinq ('lfflrril l*ytur)tp
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Nilasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />ll a,
<br />FINAL u'%p{tt'.aa4lu w0l
<br />Certificate ol Occupancy t I
<br />Notes, Remarks, Etc.
<br />Rev. 08-0/-2015
<br />l)rlr:-
<br />lr.t. _ Cqr r+._
<br />lhl.-
<br />/J
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