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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DP-TI]AR TION
<br />I h.rcl'y .r[rn unds pctrdr, ol tE4!r rh.r I D .r.trpr film rlE Cot{r-1m Lin* ll* nn 0'. rolo*in! rsn (Sd r0] 1.,
<br />Busin.$ r Pmr.sno. C.xi.)r Ary Ciry or Couniy *hich Equirr r flmn ro 6n{Br. !!rd, ,rlhw. d.mlkh d qnn u,
<br />s'ncruc. pfrr ro iis i3s!!N, .ta EqliEr llE .t'rla l tor su€n Fmil ro lit u sisn d fil.mr fiar lE or dt i,! liccnEd FrsMl
<br />r. tlE ,ftvnios oa dE Cdr.rtr\ Li.rnsd Lr* ich8{'t.r 9, ConEEitr3 *irh Scrior ,uD or Diynion I of rlE BusiEri !d
<br />Pmf.$b.. Co&lor rhr lE nr i!.$irr rhddnm rrn ft bri! frr rh nk8.d.&.Rrifl Aryrbblniofs.dirnTOJI56ydy
<br />tprltd ror r Fnn objclt ,r lpplt nl ro r civil Frll, or (,l BE lh{ liv. fiu'nEn d.,lb! (SJ&)
<br />l, ( opr,.trhr FoFn, or ny cmphFr wirh *rss $ En sb o4Err.rion. Dill {t, rrE ktrl {n fi. irEiE ir mr
<br />hlqrd.d or oficEd f.r elc (S( ?044. Busims End Ptlacsk N Co& TIE Conlra.lnt LianE trw &.6 ml qlllly lo !n owrcr of
<br />rh. pFrsly *b h!i6 o. in{,Nr dEE^ $d rlh dB sh w* him€ f o. h.Elf m rlmuah hir * h.r orn cmpb}r6,
<br />,rcvid.d rh.r rsh itr'Flwd! ed iro'd.d n ofi.r.d for +. ll l!w, ft &lliry m infmEml* n o! wlhin G Fr
<br />of cnpHe dr O{Er Buik *tll nE EhnL.olFwirgd.lEdrlEdndhli!di!.Drr,EFtFrytu E F,Fror
<br />_l.arowRofrh.pNFny.anrcrclusi!.ltconrriirywirhl..nanconh&1oi\b€nntudrlrlnrr{r(sR-70rl.Bu!m*
<br />ad PnfL*ri Ci'd.: Thc G,nk&rtr s Liccns. ljs docs R +p ly tu m owkr .f pmFn y eh. bundr .r mpn,v.\ rhcrco..
<br />and *ln, u r.J.B l \kh F,J.rk wirh a Codnd,,( t lilnscd lurq rtr rLc(dr(ttr r li.n{ lj*)
<br />u!8f,!85:t0llfBsall0!
<br />ITECI.AAAI!]!
<br />I h.rcby (finrundcr pctrrllyoflE luryom ofrlx f{,lk'rilu ddlrarn,nr
<br />I hrE !n *ill Eii.in . C.n'fr.r. ofc.nr kr S.lt ln.e fd rfft6 onpcdi,.. a F.viLd fd by Sarb. l7r0 of E
<br />trtr C.d.. f.r dE Frl'lrc ot rlE sot ta *hin 0E Fmn i n !.d.
<br />{l hlk rnd w'll tu' .h erl.n orp.Nlrn Bunr.. a\ EquiEd by Salbn ITOO of llE L.bor Cod.. ror rE pqfo1m of
<br />lne *qt nn ehi.h lnis Fmi ir irn&l My ]6k6d orIEnslrion iNotuc cuir rd Folt, nlmbd erl
<br />(
<br />zGvl
<br />_l cnity rtu intlE F r(ltN of rlt wl fd rnihthir Fnrr n i!E4l.lrllibl cnSloy yFsinoymE
<br />$ (to bc<oE sblxt to tlE s slodpcNlio.l.ss of qlfomiA.rd {r lh.l ilI ilsuld bcer $b}rl lo llE
<br />srLd.orwBrrionpmvirioBofserk'nl?@ofth.t hor Co&, l tlll fonhpith @hply wnh thos pEvitio
<br />WAXNTNG FriluE ro G@ frrL6 onFNrirn o@!. i! ul!tuL rd .ll1l sbirt o c,pbF b qhld Frti..!d '.ivil fri up ro or huie.d rlbusn .lollrB {ll(I).ClD), r r.d ioi to tlE d ol conp.Mr6,I! dtf,8.r a FoviLd tlr dr
<br />SEri]. 1076 or dr L&. Cr,& inrd !n alftv ! fc / l ,
<br />o.*,7lz, ltou -^ *,, y U / //.L
<br />-r ttttaFr) coNrtL:ft)x
<br />DECIISAITII!
<br />I lEEb, r,Itrm undd Fflllr .f Fjury thd I m !.!u.d unLr Fbvili,n of OI,IE 9 (onmri,8 wilh Sdlbn ?{ID) of Divthn !
<br />of OE BliiGs .rn Pmr.raoc Cod.. .!n my ltcc i. h tuU rbc rrn .nc.!.
<br />7l
<br />A qs{rss
<br />Lqt ?"\rt r "ta
<br />c(n$frl tc-JtoN r r{nnr:
<br />^cFr{caI llrty rtlm !,ihr Frd, of pdiury rhr lhd. ir r onrrcli)n l'nllt lt6y fq 0'. F6.ffi otrL Et I!, *tri.h tnir F ', i
<br />Lifd (sd l{r7. cat. c ),
<br />AIII.IIIINLDECIJAAIIOd
<br />I horty .n'm und.r po.liy of pdJury oE ol rrE ro!h*r8 ddhnri,tr.
<br />D.mhmn P.rmnrAsb.$tu Nd ifi..rion F.d6rl R.Srl,r aons (Tirlc 40, Pd6)
<br />_R.q!irn lr(.r df NtxiaEdrbn
<br />-l
<br />Ltniry rh.r tlr 6.ol qlLl iB rBcrdh8 .rtEftr Emy.l E rx qt)li.nE lo lhit DmF{1
<br />M*,ity t t t"*,oa ,t {,Pli.rbn.d rrr. rtrr tlE rbw inromrirn b cdnd. l .rr b orply wnh d crr.ld codr,
<br />ord,nrn.r\ r l Sirr.ljtr\ rLiuU k, hu'l'lina . on(tuli,r &l h+r.hyrdhtr'/. rtTrd{nrrri\r'.,
<br />rlx)!c nrnrtrtri.,l t)m!.ny k" Nti..rktr,jl /,e,Appli(sl o. ABal SigmtuF
<br />I\;
<br />:'3t[#
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu latio n/E nergy
<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 Report
<br />Flood Zone Certil
<br />lt
<br />FINAL z/v,'zoz4t zt &-v
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />tlov.08-07 2015
<br />_l D cEmF urlr Seri,, .B.aP.Cadort!.s
<br />Ih. OrE
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