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BUILDING- INSPECTOR BECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS ()1!NtR au -DUR DUt-CARA',ITON
<br />I h.r.hy rfliirn ond.r p.nrhy.fl. tlryrMr lno.renfl fn,m rhe Conka.nrr l-i.?ns tiu ln rlE f,nk,winE rerq,n lser7oll5
<br />Busi..s md Pruf.$ion Cod.): Ary C(y $ C.unry whi.h ..qun s a n rmi( t, $n{nd. ih.r. itrlnnr.. '}mnish or rcrun .my
<br />n duE. r'ritr h i{i n\u!ncc, rls rcquirc\ rll. rpplicrr n)r \uch Fmirn' fil.r nSFd \rd.m rhn ltor\h. n lic.i{(l Nruinr
<br />b rh. Iln)ri\i)nr nf rL Cuntarroir Li..nql Lrs (('hrDr.r 9, Comm.ncins sirh S.cri(,n 7(rx) (rf I)ivFion I ofrh. Bu\in.s rnd
<br />Pnrf.ssnrnrCod.)Drrhd h.or$. is.r.nfl rh.r.fromrnd rh.hrsi\ litrrh. rll.scd .\.mDri('n iyvi'tld;ndfSdirToll 5hyany
<br />olll,ci ntr o p.rrnl cuhjsB rh. atllitrnr t,arivilFnnlryoanoi 'fttr.rhln liv. hun.lr.J doll s(l5rxrr
<br />l, ac nrrd frhrnhnflr.ormy.q,hy..rui(h*rs.\r\rh.ns)F.dnl(n$t,n.silldoihr*okitrtlrlF(ndukFn
<br />i .n&d oroff.r.dny\ k (S( 7rl1-1, Bu\ii.\s md lt"f.\sion\ C('J. Th.(i,ntrcrnsl-i.n{t.rwtln.1iot.r'r'lyn,ri.**r.f
<br />rh. Inip.ny wh, hoild\ i,q,n'ws tlrG)n, mJ sh) dr6 \uch *tr* himr.lf .r h.^.lr ot rhn'tr8h hn ,n htr o*n .'nnlny..\.
<br />lffr$dal rh.r nrch nnlrnEornr tr. nnr inr. l.d .r,)fi.rd in sL ll h)i.rn. rlr hrfilln3 .r inpn'v.Nnt k q,kl {th'i oN ,tt
<br />ol srpltion. rrr Ow*r Bui[e, *ill hrk rh. t{d.n of nn,vin! rlra h. or \h. drl mr 6ui( or imnnx ln. rnrFny f', rlr liurTrx. nf
<br />l. i\.wRr frh.!'n{eny.{n.r.lu(iv.ly.onrmdinr*irhli..n€dconr to6h. n{Nd rh. n(,i&1 lS.c 7{!1,a nF$
<br />an Pu,f*(bnC.d.: Thc Contr(oir L.ic.ns. t.rr do.\ nor rnDl, t, in nund.frnr.ny qh, huil{l\.r nnpn'r.: ih.r.oi.
<br />and {h', cunk.r I'n ('ci pmr..h $ith aConkx.lo(t licrn{J nunm n'rtuC nrrktr s l.i.n\e Lr()
<br />I xm.rt rd und.r S(.ri(tr
<br />lrcatrl;aii:g]uLrs ro!
<br />IIIILASAUA!
<br />, lf,khyrffnmunderpcmh) f |xrtrry.neolrhef,nhnvlnsdc.hixri,)n\:
<br />lhrv.andsillmainriinrtinif. ..fC.nrdn)S.lfln\urcntrtrorI.A.otr,Fn\rri,n,8 nnr!nbilnrhys..ii'r l7lri,olrh.
<br />l-ahr (rxh. n!rh.p.'nrunc!,'lrh. tro* nn which rh. p€i,n i\ n{rcd
<br />I hiv. rn(l *rllm nkrn w.*.6 ..nl]tnvri n in\urrnc.. r! rquned htS(ri')n:r71x,!'rih.l rh i (nlle. nntht |xrf.nnM(of
<br />rh. w.rl ntrrhichthn p.nnir i\ isu.{. My s.*.h' conr.i$ri('n inrurrkr .rrier ard F)lty nu ft( rr
<br />frt,i,.\
<br />I c.f,ifyrhd in rh. p€rlonnrR.^.ofrhd uork f'trrhrhrhslt.nr ir isnEl.I \hillnd.n[ht xni|Fr{i,i tryn'rri.r
<br />c,.rn'h.(im{hl(rn)rh.!u.Gd.Dl).nui)nh*sor(rlifitrniarnlrEft.ih(ifI\hrlJh..om{rhr..rr)Ilt
<br />* *.r\ umFn\arionpnxnioniDrS..ri(,n.l7lrl frh.lrh,(i'(le.lsh'll. nnh*irhconrly $irhrh,t Dr,vi{oi1
<br />WARNIN(; F.'ilur. !) {cor. sork.n .rtrl|(n\t n c v.mge i\ rnltr*ful. r \hnll {rhr.cr r.rnfloy.r ri crininrltxnxl(ie\ rnd
<br />civil fin.ru0rr.tuhundkdrhnr.nd(l.llm($lri).lrnr.inrddnn)n(,rhro(,'fronr{|!DdrmF.sr\nrrxllinnrh.
<br />Sc.li n:10T6oIrhf lrhn('frl.. inr.E{ rnd dinEt'\ fe.\
<br />lrot.: Appll6nl:
<br />LlcENsur aaN iR,icrrR
<br />UIiCI,AAAIIQB
<br />I h.Ehy.ffim unds D.nahyoln rju'y (hd I rm lic.i\eJ und.r Il(,vnirn.fChinr?r q{c.rn'ri.,ng Bnh S..rhn ?lrrr) oll)ivr\i'n:l
<br />ot rh. B!sin.$ and Pn,f.s\iorr C.d., ,rri mylrcns i\ tn tullin..rd.fl-cr
<br />TONSIXIJCIIONI.IiNDIIG.ACI'ICT
<br />I h.rhy afiirm und.r n nahy of p.rjury th.r rh.r. n 0.onqrucii(rn knd,n! li.ncy ntr th. F fom3i.. ofrh. *uk nn rhih rhi\ P.rmi n
<br />niudl (sk 1(p7. cie c I
<br />alll,rcANt-ll;g.axatIlJli
<br />I h.rch_vr0n,nufrl( FnrltyoIn rluryor. rf rh. tulltirintd..l ri(Jns
<br />D.n)liri,,n P.m rA\tF(o( N.0fi.rr i,,n rm.rrlR.ful.ti,,n\ r'lirl.lr). Prn6)
<br />Rqun.d Lend oI N,rilf, di'n
<br />-lc.nifyrn
<br />rh€Ld.nlrsuhri,n\ r.smlin! hrno\r.nr^rlm. r"r rmli.rhl.r'rh'\ n(,r.rt
<br />-lc.niiyrirt
<br />l hrve r.id rhi\ applir ionmd (dcthnrth.fitr. iintnNni (c.tr.cr lrlrcehc.'ntrll*irhrll(\ry rtul(i'umr_
<br />nnlinrft.l ind Srd.l.rw\ Eldin3 r, htrilding c.n*nrcri,,n, rJ h.r.hy trurhtrnt r.nrc{.nritiv.\.lrhn ('iry rnd Counryn).n(d rt{ rlE
<br />rthv. mnii,,ned tn)l.ny ntr insr.rion
<br />AIpli.a .rARttrrSkn.r!rc
<br />l'r ,ir,t n. iprn$. ,-huq n {r--
<br />,,,,,.-8t/s'- /7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorivent/l nsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Energy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />ltilaso n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />I
<br />FINAL fl/s t4 [1i t{h v+
<br />Certilicale of Occupancy
<br />Notes, Remarks, Etc
<br />tlev 0BJ)/-20,5
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