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BUILDING. INSPECTOR BECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<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 Beport
<br />Flood Zone Certif
<br />FINAL l Ltlln )brno"AW
<br />Certif icate of Occupancy \
<br />Notes, Remarks, Etc
<br />OWNER BUILDF-I DElIAlrtTrult
<br />I tEEtr .rrm un&r F n, of Firy itur I h .rcrgr fird rlt Conrn<rm tj..nr trw for tlE followh! Bsn (56 701 1.,
<br />Burin.$ rr'd Ptuf.$&r, C.d.): Any Ciry or CtMy phth GtuiB r Fhi ro drlrrEt .16, lrpFE, &mtrn r EEn ny
<br />nmluE Fii ro iri nrum. lho EquiEs rlE lp|li.anr for su.h Fmi ro fiL. siAt d .l.1.@l lh.l lE or rh b licrsn Frrlr
<br />ro rlE FlvnbN of rlr Conr,-rq! Lir6cd L.r ((:t+rd 9. Cotr@ra.S wli sdb. 7m of Divili,n I of llE SuriE$ Dd
<br />PEfc$i'nr Crnc) d th.r lE o..lE ir.rcni, lta.6on.d tlE h.sii for dE rL8.d.rdrdi- A.r lilldbn otsdrbn 70115 brdy
<br />.pplkrn lor t Ftrn $bral. rlr rmltmt ro r civil p.Bny of id mr rh, aivc hundrd dollrs ($lm)
<br />_l, as .wr of rlr Imr.dy. d m, c6pbF! wirh $!!$ a rh.ir *!k d'rpcnstlion. Mll do llt wnl a lltsrrIlw n d
<br />idoi.d or off.En tu st 156 7(tl,l. BuiiEr ud PrDf6\bx Co& TIE cdrddt Li.w us dE mr rpolr ro r ow ol
<br />rlE rrolrdy *b txilds or rpr6 dF6d r.d *ho dft. och krt hiru.llor lERllu lrEUSh iis or lE own cnpby.n,
<br />l|rovid.d rh, lut !qD!tr' ! E d irdinl (oiEtd t{t.h lt hdw. rlE triEiB d nrt'ffin i 5ld silnir tr Fr
<br />ofd)trphellEO*EBuiU6wilIEEllEhd..ofp,oviBlhdtEorsLdij,hildorhvmt[tFpqlyfdt!FrF.6t
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<br />_ld.rnllr uid.r sdbn_. B. & PC. forlhk Emtr
<br />D.l.r Oh.r
<br />taaf,DBs:t0ufBtar!.N
<br />!EqI.ASAIIq!
<br />I hrr.hyrnirhu lrr FnslrtofrE)uryom olrla Iolh*nB d(Lrdi'.r
<br />I hrv. sd wrll Einlu. Ccniard. of Co*nr to S.lf-ls@ l( q{tsr' otrFnrri,n, ( F,viH ft, by sdtnn IID of th.
<br />lrbo. C.d., ror rlE Fnormm. ol ttE wod ror *4th lh. Frmil is L$u.d
<br />I hdE lhl *ill run,ain mrtcrs compe nsdion ift!rur.. &s ,cqliErl h, s.cri,. ]7m or rrt tlb.r C.<k, fm rlE Ffffi. or
<br />rh. u( ro. shi.h rhir rEmn n irsdj My *(is orrE.di)n inruln. ffi in pola'y.umb.r E
<br />-., H-A"gdtueP I',r.rnr*r.r?1h)EA+i 3 v-tt<+[(z\
<br />,(,"",1
<br />6drrlEt n (iJ.. inrftr r,rl ofv'116b L-ct ^ou,-n O\
<br />LICFNSED CONTRACTOR
<br />DTIIT8AIIO!
<br />I h.Ebt rllim ud.r ltndlt, of Frrrry lhd I d U@Ed u'<lr pbabn or Ctupld 9 lomEir8 rilh Sclbn 70@) ol D'vi!i,n l
<br />of rh. Bulimss !n Proa.{ioB Co&, id my li..M h ir tull forc atn .,Idr,
<br />L <G-79?4
<br />112-lze .-,-,* €c-iD 4 LT c ?tvf.T r v€ 2
<br />COISIBIJCIIONIEDIdGICEICI
<br />I lrEb, !,Im unLr IIo!, orFlry $r thft ! r 6d.di,n EdtU rSdy f( llE Ffulffi. ot tli wi lor enth $h Ft r b
<br />it{.rl isd 3{197. civ c)
<br />Lrndcir Nrtr _
<br />,.a&r.l Arr'tBr:
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<br />_l ccdiry rhnt rh. lt&hl rBiLrbtu rgdinS arlxlka m'v.l d. nn .!t r$L b rhir pml6l
<br />-l
<br />€r'ry $, I tEE E d rhE +plilrn rn r.r. rh.r dE .br'r btom.tb. ar .6d I .88 b oIply ,nh Cly rtd Count,
<br />n ltllNr ud Srrr. Lr*t Ehritt ro hr,ldinE co.tuuol\ .,n lErcby rulrbriz rcF.r triE of$n Cky.d CoBr, ro oxi $onll!
<br />rtoE rnrnrd pmldy lc inEcrm I'[rF t ,(*-*,*,. A-V - -'.-1-t>-!]l?N.
<br />-,\--r,.*rea,{,, MtI4f FLoFZ+
<br />IIIIIIIrr
<br />Rev. 0B-07-2015
<br />Erection Pads
<br />_l cmitr rlb'
<br />'n
<br />trE Frfdmrc orrh. wor* ror whrh rhir Frnn ir tsu.d,I sh8ll nor cryloylnrrq$n in !., B.E
<br />v' rs t' tcom $bj.{r to llE q,rdl @trtE.sci,n Lws ol Crlifo i.. lid r.fr thr it I dhuld b.<om snfd to tlr
<br />k *6' orFnsrion ptuaishtr! of Scdion l70o or rh. tibr C6d.. I rtull. forlhw h d,tr{,ly lilh rho: potilioB
<br />W TNIN(;] FaluE k, sw k{t R oqEdion omrc r uL*tuI. r,n 3lr[ 3ubii d9r.lF b oinifll !.MIi..r'd
<br />.ivil nfts u,' ro.ft hundEn lhousd dollus ril(x),O0()). i. oddnhn lo rh. con ot corFNrioG dm!.r.! F.viLd r.r E
<br />AISLISANLDECI.ASAI&!
<br />I ha!b, !trm unL. p.ulr y of Fllry oE of rlE folb*iry &<Lnrhns
<br />D.mlirion P.rmjk.Alhdl.s Nolifr(nn tu 16l L4uLli,nr lTtL rO. Ptn6,
<br />-R.!uiad
<br />t tr.r of t*rilt.lirn
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