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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs Ir ,a --r,
<br />Forms/Steel/Holdowns 5lrtlNlr ,ttr/
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenYlnsulation
<br />Roof Sheathing f
<br />Shear Wall I
<br />Framing +
<br />lnsulation/Eneroyr
<br />Drywallt
<br />Ext./lnt. Lath
<br />Brown Coat
<br />ltrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Cerlif
<br />lt tl -1
<br />FINAL 6A
<br />Certiricate ot Occupancy
<br />Notes, Remarks, Etc
<br />Z.c-
<br />owNf-R aull-Dlx Dut,c.AtaaTtoN
<br />I lEEb, lrfnr uftj.r Fnalry of Frrury da I m.r.n9 &um rIE (b|.]r.*r6 tiro l,* tu rlE tulbrirt Erenlsd?011.5
<br />Bu,n.i: d Pr.rcshi Cod.l: A.y C y.r C.oflv whih r.quits . pdnt to o.eM. s, inDmE. &mlnh o. Etxr uy
<br />shdoE, Inr ro n3 i(u&r. rbo E{u!!r rh. +9lid fd uh D.d ft, 6L. tiBl ,rftd lhr }E or rlE ! lNnial IUU!,I
<br />ro rlE pmviso .r rh. Conr(re'' l.t.ni.d l.* Ich+r.r 9- CollxErin! pah Sdi,.7utr ol lrri.hn l.lrh. Burim$ .nd
<br />Pnlist,N Cod.) d rh,r E i, {r I .x.ng 66.li.m rn rl! t6B for rlE nkrd ?r.n!rs. An, vFLiion of Sdnr 70, L5 b, .ny
<br />.rrnlkinr fo. a Il.mr subFB rlr lf'Olk d ro . civil EMly ot mr mr. ih.n liv. hu.rn.d do,l.6 (lsrx)).
<br />f-:] . "**,.r,* p'pny, * ny.q,h,€, srh vrF $ rh.n $k onp.dirn, *in dr ilr xit.id rh. ndw ! mr
<br />i.tdal or oll.rd nr nb (S{.7O,1.{, B$iEr ,,rl A$f.niml CdL TlE Cddd! Ir.nE hq .h6 d .rrly b u owr oI
<br />rlr @D.ny wlbt irl! r rvoB rhau an wt, d6 uh x6rt tulMror tHrlror rLou*h hn n lEr om.rlololEr.
<br />rnrn.d 'h,rsu.h liFnEEds k d idcd.ddordd nx el. ll. ble. rlt b.ildiE d lrFEdd ir $! *rhir tr Frof.-flplii,( ll, OwEr Builk ei[ &r rlr lntn o, pnxnl! 6d lr * *E dil nr hil.l $ ryr.r rtE FnFi, In rlE Frp.E ol
<br />_I. ri ea. orrh. tDFny. !m.r.lurr.ly.odBtiry lnh lic.Nal o rt6 ro onrrdr tll Fu61lsc. ?*a. EuliE{
<br />!n h,*rnr Cod. Th. Conrftror'. LE.ns. bw d6 d .ppl, ro a .wB ol lr.p.ny rtn huillr ry !t!'DE! rh.rm
<br />rid *tn tudar fM $ch Flr..rs qirh . c. trkf,(r la.ed 106@ ro rlE O)ddd r lire b*)
<br />_l rn.r.q{ rnld Sdri
<br />?:9
<br />DECI.ASAIIOX
<br />I tH.by rntd uldfl F tv ol Fpry oE ol rh. lolld* s3 dc.lrd rlh:
<br />I h.E rrn *rll nM.in t Cd _sr.6f(br ro S.r-lsuE ld *qlida omFndpn. !( Frvri.,i tor by Serirn l7m of rlE
<br />Lrt{ ('od.. f( rtr Frdnre o, lll md rd *tih rlE Ftur ir !s*d
<br />I h.vr rtul eill Biddn krt6 .rrip.Mrh. NnB., .1 Equiril by Sdr. 1700 oi ih. ti&tr C.{., for rtE p.rfo.M of
<br />rlr son( hr *hrh ihn Frd i i$.d My rdtda onttui!.,6m (aE &l plry run s e:
<br />PolEy Nomb..r_Erpr,:
<br />UI dr6 rhd D rrr Fndirr ur,rE uorr rd *hrh rhu Fnn ii r$.d. l ,rdl M .n+br r FDr r My l F
<br />m a ro lEsm blrr ro rtE *.*-r'oriro.Mbn Let.f Crlia.lu rn {c lld if I nnu5 6.coft E+d to rlE
<br />hAm' NfttrNrbn pbvnEN orserDn.l?mof E l-.tor (hL,l ftll. idn!.hlltrplyrilhrhcPlDtirioB.
<br />wAtNINCr FinE b s@ *olt!n'drFBnion oEn!. i! unhwtuL .6d r|Ill {bis a.!+bF b olrml pqEiE !n .
<br />cpil liB !,l b or hudlrcd rlElBnd (t)llB (tlol,.Ux)). in .ddnih h rE @ of @n+.dli.n. d.f,r!.r a pFvd.d lor tlE
<br />!;er hr l(16 ol rtr ljhtr cod., !r.Ei .flI dlmy ! fei
<br />n",O2-le'lzgzo
<br />^r-_
<br />DECBIAIIO!
<br />I lrd', .lfrm lrld.r FMIiy ol Fiury rhd I 16 lttnsd und.r pmsr.n .r CluF.r 9 I
<br />of rrE Burfts rri Pn *ioN clrL. rn my lE.s ii r ltrll foe rd.rf..r
<br />ii8 *ihsdbi 7(rn) ol Divirhi l
<br />l-k.d\.( lr$ Lic.(r. Numh..
<br />CAISIBICIIIUIIEIDIIIGIGIICI
<br />I h.Etry lllmr ud.r p.Mty or p.riry rh! rlEr k r (:fuNion Ldin3 ra.ry i.tr tlE FllmE ol tlE hrt 6, "ni.lt rhn Ftu n
<br />ncd {sd. 1097, civ. c.).
<br />AELITNI.DECIdMII9!
<br />I hd*, .trm !d.. p.xlty of Dsllry oa ol ih. lulb*ng &(hr.r i,nj
<br />D.mlnion P.miilarb.nor t{orinc.rih F.J.hl R.irUrbnr (Tdl. {r, P.n6)
<br />-R.qu@J
<br />t lrsof Ndjtr.liro
<br />_l .dili rhr rlE 6nld.l EalLrirs EgrJ,ry BlE ro! llmhl .E d $rltrbL to rh! FoFr.&J l d,rt rtu I M€ cd 'hi! .rrldbn rn rd. 0u rrE rboy. ,rlodior t .ffi. I .iE ro otrrply wirh dl Cil, .al C@iryqdilre.r .!ri Srr. lrvr Eiiit ro hridry co,erLri{*\ !n ltE{'y ralbriE EFt.d.rw. ot rhi! Cny d County ro ds u!o. ill
<br />Jr!\c nrnr kft,l IloF--nv tn m\(1r)h
<br />ApDri.Mr or &Ml Sign.(um \A
<br />IzE:[iAWVtrn
<br />Rev.08-0/-2015
<br />-,,o2-ltOlzcao
<br />-)*--e
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