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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNIIR BUII,DER Dl)-CAl{ATlOlt
<br />I lEr.by rfm un.Lr F.!ry of F.iry thd I n.E pl ton tlE Lb tur6 lrtu br to. rlr folbviq E ei lsd.mll5
<br />BBrNri rn Pr.l4!rn Codc): a.y Cny n Crudy whrh tuqu'r' . Fd ro 6.id, .x6. imF.e &mlEr!.t EF dy
<br />dEdE, nrior b ns i$utu. rl$ FquiE tlE rrpli.rr ib. $cl, p.mu ro fih r 6trd rrd.r.r rh, lE or dE i li&Md plmd
<br />r. rlr tmvshB .r rh. C..tdr(l Ltusd lrr {Cr!F.r 9. C.ldEi.a vlh Snril. 7UD of frviton I ol 0t BuiEs .nd
<br />Ptuf.$xo! Co&) drh.t t 6{x!.r?q thd.trom rrn rlr blat tor rE rlL8.d.r.rlrirD Ary vihlrn ol Sdbr ?Ol l rbyDy
<br />.opli..nr t . . |tmi rubj€u rtE !ppli.$r ro a civ il p.Bhy of ml mrc th.n liv. hutdr.d doll.6 (15 )).
<br />_1. a owmr nf rlE F.rEny, r my .il0kDE6 unh v!8.r D rlEt $L ontrMi.i, *in d. rlt wr* r.d OE rME a mr
<br />id.n al n ofl.Gl ror ql (SE.?(xl, aui6r rnd ProI6 ns Cai.r Th. cl'dBror'i Liuc tr* d&r d +ply ro s owt oI
<br />rlr lrlfdr, llE t{ A r (FoB tlEa !n wb dG st uxt li@f or trelr i, d6u,h tu! d lrt os.rplqtt,
<br />Folrld rh.t rkh irlFtrw r E d id.rx,.dnr.lkcd fc sl. l( h.ww. tll hildrAor dF.ftmn irsU wrhhm )d
<br />.lcoipkrbtr Eo*E Boilb wi! lIE r,E nr&rolp.lvi,s rhr lEorr& dll er tlild inPrsE E FoFr,6rnE pu.poEof
<br />-1.
<br />d o*Er ol iE P.oFly. m.kturiv.l, odLrins rnh li!trql Ndrui6 ro con{Mr rrE Folar I Sa. 7oaa. BuriEs
<br />!d ft *rm Cul. Th. Codd(. Lr.r! Lrs d6 d.ptiy b r o*E of pnFdy *t h{ildt o. itrpBB. th(qn
<br />.nd wth) .odt3s ltr ech FtrJ.ds rm. C.drlmin la.n-d foBrd ro rh. Codtdd r La.M f.r)
<br />_l m,.kmpr uftlti Sdri,n . R & PC h rhtrr.:v,'
<br />lrg8f,lBr:c9llllrisAra!
<br />DESLAAAIIOts
<br />I td.by rflnm undd p..r,lty d lEjury oa ol th. lbllr*in3 d.cbht6N'
<br />-l
<br />h.v. lBl w'll Eirirh r Cld,frrr. ot Coed k' S.lflBuE nr wl6 !rnll'.d-n, r! p.Dvii.d fd bt Sa1.n lr00 ol rlt
<br />L.hor C.dc. ror rrr rE liru. of rlt Md lq *hth rh. Ffrji i !so.d
<br />_l hrE t'ri w'll tuidrn srt 6 @rl) Mrrbn inrunE., r. E{urd by Sdre l7@ ofrlE tibor Cud., ft{ rlE Fllm Df
<br />rh. *..1 ltx lhih lhn p.rmi n ir@I My worldJ smp.Mio. wur.E_. (ftr trl Flty nombd ft
<br />_l c.nri rMr in tt FdbrdE olih. work d shth rhi,r Fr6ir n islwd,I iBU d.,npbydyFrbn inryMrr
<br />s s ro t6m ol*.r r. rlE wt6 .mtldm Ls otcr'f@ rd ..fr rhr irl rhob lEr obr6r torlE
<br />h^6 6i!rr.bn Drovi'.B ofsd.. rZD ol E tio CotL,l ldl, fMhwiihondt PnhdE DrowDB.
<br />WAXIIING: FriluE ro ..u brLd omFMi.n @E a. h unb*nJL .nl sh.ll sbtd a.nplryr ro dimiBl p.rri!.ri
<br />c il fiB up o oe hrdt d rlrErld rlolks (tlm,U[), D idain ro rh. d or.on$.erlh. dm3.r a Fovn.d r( rh.
<br />Sdrbn 1076 o, rh. lrlq Loa., ida, ..d nl(Er's ,*'
<br />LICENIE.CI}uI8AIruE
<br />DECIjf,AIIAB
<br />I tftby nrrm u.d.r Frty of Fioy rhd I m li!,r.d uri.r p.trE.. dl (tl.lrd I (.mftrht *th sdis 7flD) ol Divirior I
<br />or rrE B6er ud PDterioE Co<k, rn my [c.M i! r tu U ro@ ttd.ftd
<br />COIEIBIqU!|rI,BDIdG.ACIICT
<br />I tErb, ffthridd FMnyolpdiry rld tlE! L t @ddDn tnllla r!Fr, for th F (fiE otrrr wt htr rtlchrti! Fr, i
<br />nswd (sd. 309?, civ c ).
<br />AITLICATLDESA&UIOd
<br />I hdlll, tfam rntls p.Dr, of p.rrr.y m of rlE folbwi.t d..L.rt6nr:
<br />rEtuliip. PmrrArb.no. fldla.rbn &d.rl icrlhli^ frrE.O, Pd6)
<br />_R..luiral Irtrd ol Ndi6.di.
<br />_l .d ify rhd rtE r.d.Bl r.3uurio.s Etariling lih.stx Efr,val m ftn qrl'clbl. ro rhir pnrler
<br />-I
<br />cdrty lh. I h.E E l $n .ppli..rbn rl ti. tlu rlE rbott inrodkr s ffi I rlE to @rPly eih rll Cl, rnl C@ ,
<br />oiliEB.r d Srir. L,wr Ehi'{ ro tuilduu @trnrrior !d rEEh, rurtbria Erfttdlird ol rhn C y ..d Cou,{y ro oia UFD rtE
<br />.nort r bEit FDFny ror mFd.. pEI*'
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorNenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />[/ason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />I
<br />FINAL s/7,r/ /2n .,'z&Iat
<br />Certiticate ol Occupancy 'I 1V
<br />Noles, Remarks, Etc.
<br />Rev. 08-07-2015
<br />cdd6.
<br />L.x}!'r Addr.ri
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<br />ErDlrF |E rpn.or_
<br />Flood Zone Certif.
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