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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER'UILDE DSLC{X^flN
<br />I tEfthy rrrn und.r Fnnly ol F.rrry lh.l I m.r.n+ 6.m tlE Conlr-lo6 LisE l,* lor tlt fou,ebi Bsn (Sd.roll.s
<br />Busim3s rn PDGsion Cod.): An, Ciry or Colry *tih Eaui6 r Fnn '6
<br />@.dre1 .td, uproE. .Lmlilh d EF, y
<br />itMoe Fn '. i'r i'@..lo 'qriB tlE {"li..n ror sh Fdn lo 6L r r|!Ed ni.nGn tlllr h. ot aE b lti'Ed Fralr
<br />r. ln. F.virioN of E CmlrErol! Lt.nsn Lrs tci+rs 9, C.ltw in8 sirt S6rk'n '70(10 of Divirion I of th. Bulir$ rd
<br />tursbn! C.d.)- rtrl lE c dE i!.r.rpr dr4toB!n rlEbsir ror E.ll8.d d6f(ih Any mhi). ofseri,.7oll.5 by ey
<br />.Iplt.'r ror r Fdr $hFrt tlE rr?lirl ro r civil FEhy o, Er t|m rh- firG hodld &rU.! lt$o)
<br />d,.-.**,,***r,dmy.,pbFr*irhqldsri.irnt o,!.ntr-!tr willd, E wt.d lrE s'lrtE it ml
<br />nnon d r DlIcEd fd ot (S< 70a4. B!.irs .rd Prof6.i,6 Co&: TtE Conlrdd i t-itr l,s .L.r mr .a?ly to m orEr ol
<br />llrFoIEr, qlb ttuitl6 irIrcs tlEEtr.,n F &E trnNrt hirerr lEEltm lt@u8h hn c lE os.nihr6.
<br />nmviLd rld uh inv.oEErse d ier.Ld d olldrd fnrl.ll lw€. tlE hlirlig d inv.oEEd i loA dhn'tr jr
<br />orcoryLrioc tlE O*E Builj.r will lEw 0E hr&n of FDvirS rlIl lE d nE dn ml hild or inrmE rrE Ft Ety f6 tlE Fllrs of
<br />-1..srvEolltE
<br />FoFny. m.r. Mlr.ffiin8 qiih lirnEd.qrr'lm ro @n(Iucr rL rmirr (S...7Or4, Eurirs
<br />!n fto&riio Cod.. Th. Co.rEttrt Licnk uw d.a mr .0ply lo u oeE. oI,roFn, qho builh ot inpmwt lltKr.
<br />c.d *ho conhchfnr s.h Fo,c(r. pi$ r C.ntExrlr) Iiencd pllMnr bih.Cotud rl}relrw).
<br />l rcxcmll undcr SNrior_.
<br />n,r. r l(- 6 Zo LO x-.J
<br />I rt(by rrm udo Fndry of F1r!ry otu of rrE fouoslB ddbr{ioLt:
<br />_l h.E rn will minlrin r Ccnia.dc ofcdBnl ro S.lf.ltuE fr * h6 ftnF.sliotr a FDviLd fm by Salion l?m oldE
<br />l,t r C.d.. rd rlt tErolrrrd ot r,l hlt td rtit ri. Fmi b bocn.
<br />-lIEElnd*iUtui
<br />rinm.cor{EB.lnniB!.!r..rilqliErlbys(tbnl7{DofrlELi.rCod..forrlEFrfffiol
<br />tlr hrt fn ,nth Ii! psiu ir ho.4 M, *dt6 otrF.drih inffi ffi, !n polr, .unbd e:
<br />I\rlryNlrnbcr
<br />-lrpn.{
<br />Nl.cnifyrEr in rtE FdoflErcc of llE srk lor whih rhis Frmr * n{cd. I sruu Nl .!r}ror.ny Fr$. tr uy lmE
<br />s s ro t <c ohler ro rlr *dt6 otrFndnn L*i of Crlif.oi4 .rd r€rE 'tu il l .krld h...8 .r'Ft
<br />'o
<br />rlE
<br />srl6 ortEHri,n FsvnbB ol Sdin 37m of tll tiu Co&. l filL fonhwith onplr rirh tlD. Fbvtia
<br />WARNINC: Frihc ro tu q6l. conFn{ridn cDErs. h lnl.wtul a,n .rrll rlbi{l rf,.f,{,lorrr lo siniM! FExi6 and
<br />chil liE! rp ro 6fr lfuidEi rlbrsi d,lL6 t!lm,{ID,. h .ddnb. b $. .or of snFBlioE d.malr 8 FrviLd tu tlE
<br />Sc.lirn 10?6 .f rlE L.E CqL. inkEn.,n lmy! fft! )
<br />D^., . tt- 6'LqLO A,,u,..', )4 e-
<br />I hcrcby am,nud.r ncnllry of rEqury rh,r l.m licnyd undo rrcvi\ion otChefld 9{.ollmrir8 wnh sdrirn 70fir) ofD*n[n:]
<br />rr rh. BusiE$ and Pmr.$o6 Co&. !n ny lr.M iq m tull loG ,n dl6r
<br />clrBsrf,ucuoNtlllllclclNcr
<br />I t Eby !tr6 hd.r Ftuxy ot tb]l]ry rhd rho. ir . .otreMi'n Lrdh8 r8cry for rh. Fn(lille. of llrc hrt for *ith rhi Fnji b
<br />n*d lsc _11D7, civ c )
<br />AIILICAII.DEqJSAIIOIi
<br />I hdd,rrmu,ibr t6 ryorFluryor orrh rolhqint &{lrflri,.s
<br />D.Bnilnrn PcrnnlAstErto! Ndifrdirtr Frddrl R.slld irn. ('l'irh :1{l Psn6)
<br />-R.quir.n
<br />L.tlcr of NdirE.lion
<br />_l .d!ray rhrr rtr frdcd Et[Lrm rElldil* tdc{6 ED\al e d rBl..lrk ro rh! FDF|.
<br />Fl4.-r, * , lE* *- ,* rr'plErbi rn !r. rhd E .trE hro"Eriotr n @ftd I rsrs ro onply rirh .u ciy rn c@ry
<br />o,nir6r.rd Sr.t t $clriltrohlildiigcdlrnrliotr!dhddy.ulrriaEF.<diE3oflhirCilyInCountyloa'rcuFn:
<br />t",., -1!:6'i4'2o
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation I
<br />Rool Sheathinq ///o//ZtoO zra Wz,/.n
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL I -Z-21 /i rl va
<br />Certificate of Occu nc
<br />Notes Remarks Etc.
<br />I
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<br />Rav 0A 07-2015
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