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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Shear Wall
<br />[Iq4ing
<br />lnsulation/Ener
<br />wallD
<br />Pool Fence
<br />T-Bar
<br />En ineer Final Re ort
<br />FINAL -JtL l,t7
<br />Certificate of Occipa ncy
<br />Notes Remarks Etc.
<br />r)llNrrR Br t)t,Rt,tL( \RA (r:!
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<br />ro llE Frvilx,m .r rh. Conrr*tm s Ltc.rn L.r l(.rEpr.r 9. ComErins *irh Salhn rOD oI l)ivnion 3 nr rh. Burir.r rld
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<br />dmli$ni nn ! tErnil .uhtrk rlE applrinr ro i civit FMlty ol no! mrcrhln6v. hundr.d Jollnn(!5fl,)
<br />-1,
<br />r osE of rh. FlFny. d ny.n{'L,yE3 *iln *.!6.r rlrE ek $np.Niln. pil rlo rlE nri uil rL.nnE ! d
<br />id.od.n ot ollcEd fr s!. (Sa ,0,1,1. BurnB. and Phr*i'nr Cod.: TIE C. rddi Litn€ hw &Er mr qply ro r orNr nt
<br />Inc rmltny who buildr or inpmr: rlEBn. rid wln drB sch wd hins.lr or h.relI or llErlsh ht or hcr o{n crphyc.\.
<br />,rhvid.d rhi .uh iqmwdr E mr hrdd.d d ottEd fi, rL lt tiE\q. dE tliuiE or irrFftrn n rU *irhin m l.ri,'o,!l.!ia ltl Oe6 Bdlr( *ill h.r dE hr&norFrvrB r tttrrlEdUr tnild q i.rlmE dE FrFty lordE FqnroI
<br />l- $ oaE of rlE F'rdy. .n.r.turiklt.ornrr!D! *irh lien*d.ddr{o6 k, $ntur rli rrej.i rss 7o,l.l. 86r<
<br />.,i Mr(in Cd. Th. CohiBloi! l,ic.nE Llr d{s n lmty h r.*rcr or nmFny rho buildt.r rmprov. h.ron.
<br />rtut *ful mnimct ! fu such pnrFk w hnC.nrturo(s|liccnr.npucuonrrorh.Cln m.kr'iLicnelre)
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<br />I h,\t rd *ill mi,[h. Cdifrr. ot(nn$r ro S.lf lnsE r[ *irt6r' o,qrnoion. .r FbriLd rd b, sdi,. ]7fl] oartr
<br />L,rrr Oll.. ror tlr Frftrmrr or rlE *,t rr .fith rlE ,rrmn i! iskd
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<br />-lccnitylhll
<br />in'h.FLrmftcof ih.*o lor uhi.h lhir Frflir ir i.rucd. I rhlll nor c'ri'br .ny rER,n in .ny rumr
<br />$ .r ro hcror sutrcl lo r,E qil6 mqEn{nn b*r of (ilromil .nj .8re rhd if I {.uB h.roft ruhF.r tu rli
<br />*0116 onqFnrrbn FDltb of Scrnn l7m or rlk Utry Cd.. I {rll_ a.,rrNnt sn{'ly * h rrD. r,ov6k n!
<br />WARNTNC: llaihrc ro suE *d*6 i'op.nrari,n.svc 8. i. unlaqrul. rnd rhill suhicr ih nplortr k' snliol Ftuhi< rnd
<br />.iil lir! un ro oE hundEi rlnueJd dollr.s ItllD.UJo), i. .ddilhn b th. co{ (r coqxnsrio.. drtuS!. .i pmrii.d tor rlE
<br />sd i,n $76 of rlE L,nr Ccr.. inr.fr rd ,r(n, t fer
<br />,,,,,",q-25- lq
<br />DECI lN TION
<br />I lrrcby lllrfun unjlr pcntrlryor lrrury rhrr I am Iidcn{rl rnLr pnrlnir,tr or chlprf (,l.omnEncin3 *ith sc.lirtr Tlxx)) ol Div!$i l
<br />nl rh. au\ircs r.d tflnt(bn\codc. ul 'nylactr{ tr in lull i{trNrnl. itr
<br />tJ':.-lol2zno
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<br />COIISIRUCTI(N I T\I'IN() A(:FN(:V
<br />I lEEby .rfln uftld lEMxy or t$rory rhd rlE t . mNNr,n Hh8 .afty ru rh. Ft(tur o, rIE *qk frn rttt rhr Fmr 6
<br />UFER Ground
<br />Rool Sheathinq
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Handicap Fleq.
<br />Deputy Final Beport
<br />Flood Zone Certif .
<br />c)/'LS //q /-i
<br />nrkd (se. .l(r7, civ c ).
<br />lrdcr's N.nE
<br />- PPI iCANT NFCI TI^TT}N
<br />I H'ylrmudn Fn.hyorFr]llryoR orthe nnhsins d..ld.rhns
<br />l).nx,liri{rn P.rmih A\h.dor Notifrcation lcdcEl R.Suhrio.r (r'ir1. 40. Pm6r
<br />_R.quFd ldd nr f*rifdi'n
<br />_l.diryrh.r thc lc{cr.lrceuLrbns Ee.rdi.g i\rtdo\ rc'r,r.l.E mt.J'pltrbk r. rhk rmj.rr
<br />-l.drryrhd
<br />I h,kEdrhnrp t.riotr .,n n.!. r tur rh. ah,r 'nrnrturiir i\ cor.<r I 0src ro orrly wnt aI Ci! y rnd Cou.ry
<br />odin!trGs mlsr c lrsr rldins ro buildins ron(Ncrnrn, dJri h.r.hyaxrhrirc EpE<nlalikr oathn Cn, lnd Counryt. cnl6 uFn llErhr. mnri,Ed nmlEn, for h.Frrhn trlrF,F
<br />App,c.r,or^rd,sk.,um JP . *'. 9.21'Lq
<br />P.m.c.E,prrno: /1m^ Alt;*
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