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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNBN DUU-DE'T Df,I,CA ITATION
<br />I l*Eby lfmr ud.r FDhy of p.rlry rhx I a .rrpt tDn rll Cod.xloE tI.E t e fd rlE tollo*iry us ls-.'r031.5
<br />IturiEs .in Prolisbi Cnd.): Any Ciy .r CMy vhrh r.qllcs , Fmt 6 on(M. rd. inphE d.mlirh o. r.Fn rny
<br />iNrrE.Iritrb ! i! re, ato Equr rlr ipdid lor sBt F.!ur h 6t ! nsEd ri.Ed rhdllortl,alErsl Fnun
<br />rn rh. flnriri.N o{ r Co dtrl lj.lnrd lrw tch.tsd 9, commrcint wi{h srrhn 7lII} .r Divni.n I or tlE Boi*s rn
<br />Bblisir Co&rd rl{ ttd {r B.rnpr rha.ioh1rl rlE h.r! fM r h. .lkB.d .r.nv Rn An, viohrhnotS{db. ?0ll.l by.n}
<br />lppti.d fM o ,xmn {bFc rh. .ptis ro i dvil p.Mly ol d Dc rhs iiv. hudr.d d.llM (trn).
<br />-1,6
<br />oqNr d,rlE tmFnv. r my.trltllys' vth *.t rsrh.nsbotrF (hi,wiud.lrlt*ikrdrh.{dGid
<br />iidrjal or ofi.Bl rd.h (S*.7Or4, AoriB.nd AotqiioB Cql. Th. (drdtr r li.n.I-v &.. Nr r$ly h u (r@ oI
<br />rh. pnIrn, wlD h{il& 6 iqrcB rlrca lrn wno dod ,rn un t hi!!.lf o. lr Elf q rlmn8h hn or *r osn.rPLlts-
<br />proqd.d rh.! $.h lr{wEtrlrr & d id.d.d doll.!.d fd r] l( lrsB, rlE tlildilts or rqFEGd k sU *rti. w Fr
<br />ofcnptii,a irE O*E B{ilb *ill hrE rlE hrJd olFtrymA rhd h. * tE dil n bui! or irFE rrE Food,lorll! parFx of
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<br />sorrro[rh. F]p.ny, u.rcUivcly.! stl8 rirh lk.trqt co *rdro!$Nrtud tlE Poid iS<.?(xa. DuliBs
<br />,n Ptlfr.r{ CflL TlE Coddor'! LEn* trs d6 mr rppl, b d owffi of rop.dy *hD huildtr or trpov.. rtHan,
<br />.nd s.ir a, rdr fq $ch FDFr rirh . Cdmro(, la.r.d ,lonud r. r,r C.drs 'r LiaM Lrr)
<br />-l
<br />d.k6ri !n'1.! Srru-, B lrPC ntrlhlE en
<br />votf,[lrt..c0utldtaua!
<br />DESAAAIIIJB
<br />I rs.hy rnth undd n Mhy ot l'.rrlr1 om of rh. r(ll*r! &chrlriotr\
<br />I h.E &rl prll mdrin r Cd jtrd. ol dr ro S.lt:lNuE tu urt6i'lDn{tuba I FoviLkd frr bySdi.n 1700olrlE
<br />ljlq C.d.. Iq rtt Frfq']llr or (r md fd *tih rh. tErmii b iru.d
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<br />h* rnd $ll md.6 mrt.6 coniEMrbn iNr!m., r\ EquiEd hy Sdri, l7m ot rtE bli, Cd., tu rlE patlll]ilE ol
<br />rlr *trl l,r 'hi-l' rhi, p.rd R i!*d My rdtdi c'qtdDr Nurr. cuiT dl lrlIy nu' E e:
<br />Policy NuhrEr-Erprr
<br />-l
<br />dily tlu in (he ,,.rfi.nm ol rtE *rl tu vhEh.h! F ni i' lrual. I rllll d .n bysyP.r-r r..y'ME
<br />- d ro lE nr ruhjdl ro r *xI6'@np.rri.n hv\.rc.firm[.^l lAe rh, ilIrlnuU b...r obr.d orh.
<br />Bda onp.n{D. povili.B of SdEn l?00 of rlE L.bd Con.. I 6.ll. finhrhh o.lply *dh rlE DmcDB
<br />WAirlINC: F.ruE ro Eu. Dnta otrFdio...E sc ! unL*tu1. !,'d ndl ubi< { sr?r,F h m.l Fuli6 !'d
<br />civil liNi un to oE hurlEd rhoe,n doua (lllx,.ul,). r .ddnb. ro E cor of cdqtErion, d!fl!.r ts f.vn.n ,.. rh.
<br />S..r.D 1076 ofrtr Litu CaL, irrd ud d!fty'r rd
<br />LICEIEED.CIIBITACNE
<br />DECIABtrIIAN
<br />, h.rhy rltm undd p.dly o f IE.iury rtd I !n li(B.d unl.r Fnv$.. of Ch.B6 , lcnhllffi.g v{h Sd,r nm) or l)itnhi l
<br />or Ihc BBmlt.d Pmftarioro ccr.. (d .lly ltcnE i! a alll foc !n.r{r
<br />Dcl.:_ Conr ror
<br />cQNSrEUqIrAUrEdllNr.AGrBg
<br />t h.Ehy rtrrm uni.r D.M!, ol p.iry tld rtft n . @aNs t!n!I: lacry for ilr Ffor@ oI rlr wt i, riih lhir FEI i
<br />iro.d rsr. lr7. C,v C )
<br />AITIICAXLDEC'.A8IITOtr
<br />, hdrt', rtrm unld Felry oI p.rrury om of lrE tullo*n3 i.Lldrrb.s:
<br />Drtuliritr Plmirs-Asb.dor Ndf*iir F.d.nl R{uhnns (Tnh,lO, Pd6)
<br />-Ratuirai
<br />L.(d or Ndfrdih
<br />_I ddy thi rlE f.d.El E tLti,a Er{int atEio! Emvrl E mt !rpl.:bl b lh! poFr
<br />Er *,r, ,r,", r r,.'" .-l ,r,. .p?Ld on rn {r. rh.r rh. !bov. rrotuion n .oBi I .sE
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<br />on?l, vnh d cr, rd ( ei,
<br />'(dnLs rnd Srrr. t *r cLr4t ro l.rdDt codkrm lrd lrEby rdlsrir nFEddrB of rhn Ciy !i C.urr, ro sn( uPon llr
<br />rll . md'o d tr{Eny li, aIEd.B pr{FB ,^A2:l:J4>
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framino
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />I\ilason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif.
<br />,-- -\
<br />FINAL 6 z-z)lL cs/)lrz{ 2t) )
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />*{
<br />Rev. 08-0/"2015
<br />D.t.,-
<br />1-,n- --. rp.rd),
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