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BUILDING. INSPECTOR RECOBD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEI BUILDER DSLCANAION
<br />t h.Et! .rrm udcr FNly of Flry ,'.t t 6 .&qn ton ft Cor*r6 t-is- Ur ror dE foll),i!! lwn(&amll.l
<br />aBftr. rd PbfKion C.rh,: Any Cny or CrEr, whkh EquiB r Fni lo cqr!{nrr. .rd, il!tuG, &mtiin'a EFn uJ!
<br />ntur@Firlol' i!5llle..l$ Eqlili rh..qdil|r fo. ah Fmn io6l.rriri.d {r.rEil llll lE or ltE i lt.rEd F rll
<br />ro llE FDvii'or dr l|t Cdr.a6. LiE ..l t r (Ch.pi6 9. ConEEirg uin SerDn ?m .f OiBbr I ol rlr BuriE$ !n
<br />Prorcs6.. C.d.) lndlEddE6.rqr Ert@.,n llr h.ri! l- llE .lLrld .rqrFir. A.t virhion ol Sadin 70r l 5 by &y
<br />.pplic6d aor r Fmn {bFs lh. @ltdr to . civil Fnty of mr mE rh$ liv. hd,.rl doll,r ($m)
<br />-_1. .r o*r. of ilE F.F.ry. my .nploFr si$ *ig6 ( tlEt iL omFs.rhn, *iU & tlt 6t .,n di ou16 i\ dr
<br />i,rqdoi oroficEd for sL(SE 701,1. auir( ud Profd 6 Cod.: TtE C.ffior'! timr t *(tErr,{tlylouowFof
<br />rrEFt'Fy wt t ild6or i.FrEttm( &d *h d(Eshqnt tirelf or h.Elror rhFu8ll hn d hrown cnploFd,
<br />pmvilcl rhd ruch inFlvmds c mt i,r.ri.d nrof.rEd Ii' sl lf. hokE ih. hirlhg 6 lrpb6rd ir 5U wrhh m )r
<br />or.orpLroG rh. (rE Buildd *ill tlE [r hrn n of ln,viI! rhd h. or ilE dil rEr hild o, irpoft tlE FoFy lor ltt FlrFr ol
<br />L d\oemol$c mlp.nr, amcr.tusiwly donkftrinS rirh li..ncn eonua.lon r. c.Nlrud r,I lxrFr (sd 7(x.t, au\it$
<br />r t t\rGs\ir Cul.: Th. C.nterofs Lmr\.Lwdci nor {IlytomowmrofpNFn}eln)I'urLll.r inpro!.!rh.rs6.
<br />aml [ho.onkkror$.hthj.ts*irhrconrEloinli(h{Jr!.unrrorrEG)d,s'oirlr.trEliw)
<br />_ Ir crcn,l, uftld Sdion .B&PClitrthsrcasn
<br />ulrEalBlLll&IlasAnad
<br />DESIAAIII]!
<br />I rrEby .rtrm un&r FEny of Ftlry o* of llE folh*i,u &.L[lbnr
<br />I lIE !n vill mi tin . Ccniarrrc olcongr ro S.ltl6@ fr 6i6 6nFMbn. a FDvij.n ior by Salbn l?m of dE
<br />t-lbor Cdl., ror EFloffiof llE rut lor Init llE Fnn t iiq,.d.
<br />ll hlE.od willmtulin eo,l.r' o4!.n!rrion n\mft.,I nqun.d by Seli,n l?c() ol rlE lrxn CGL, {q rhc t'df(m. of
<br />rh. M4 aor ehkh LhLq p.mii Li i.sdl. My wnk.( c.nlEnsrhn in Encc.Mtr E n Fnay nunbo uc:
<br />9)ntwl Pr-.
<br />fl
<br />-l
<br />ccrrif, rh.r i. rhc Frfl{ffi or r,E hrt fd whih rhh Fnn i. ir.u.d I drll ml .rploy .r, F s i. uy ME
<br />b $ ro b.@ $li{ ro dE wrt6 odp.nsrio Lrr of C.tifmi. !n .3r lh.r il I rhdld be.4 *'$Fr !. rrr
<br />$it6 oqENrrn lrDvilbB ol Sdrid l7{n of E tib6r Cod.. I .hll f.inrnh ody rih llD: FavieiB
<br />n lnbrfil. irn ndl {bFr D qr?kF lll dinin'l FEri. rd
<br />dtrl lir! up ro or hdEd rhor.,n 6Ia ttlm.(rD). h .ddnbn 0E rca o, corl.dro^ dlEalr rt FDrir.d 6r E
<br />..)K
<br />u!!n$J,r-!]tr1!A!Iuau!.r&!lu!
<br />I ltrchy lllm und.r F.€lly of ,crl!ry rhd I .n lilmsn u.dd I'!,vnb. 6l CrEt,d 9 (ollmfti.8 wilh Sdl hn ,(xL) of Divisbn l
<br />ol rh. Il8iftrs d P,br.sions Cod.. aid ny la.tr{ t in full foN. lrn .fl61.
<br />L-t )(toYae)
<br />r).r. 7
<br />CQNIBU{:Ilqal.tlDIdC.{GEdCI
<br />I trcb, .irm ud.r Frt, ol Flury tnr llE! ir . onrnt1nn b!d!l! lgtry ld ilE Fhrl'et of lh *f,t for *ndr lllt FDi i!
<br />irsd (5d. .to97. civ. c.).
<br />AIS.!:ANI.I}ECIIEAIIO!
<br />I I'dd,y drn undcr lrn'lry 6r pojury or or rk rolheinS del&di,ns:
<br />Dcmhn,n P.rdirs Ast d Ndifrdion F'dLrol Rr8lltrhns lTirb 40. Psl6)
<br />-R!quircd
<br />L.llrof NdifEltio.
<br />l.rnifyrhtrr rh. fcdcnl rcBllalioN rc3eliry !{tr(os rctn,vrlffc mr trptli.ablc r, rhn t'n,Fr
<br />-l
<br />c.nify thsr I ltrk Brd rhir lpplirion .d rr lh.l ltE .bow i.forElion is crElc! I .!E ro orglt w h .I Cny .rn Couly
<br />ordimmr rM sbr tiws ELrim ro t{ildini cm(tEr rn hr.l'y rdtbriz EFtddirs ol
<br />'hx
<br />Cir y nl Counr, to 6ls 'ry). rlE
<br />firk rnriftd Im IEn! fG ulselnn
<br />{ppln{nr or.r!mlSicElum
<br />P.mllr .l.dlprlnl):
<br />-
<br />'t t1
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Rool Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<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 />EnOineer Final Report
<br />Flood Zone Certif .
<br />#\
<br />FINAL frl+17s7,1)-(9k{b ))
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc
<br />Rev. 0B 07 2015
<br />[-L I
<br />vq.
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