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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OI{IIFI BUII,I'ET DEI,C I'ATT'H
<br />I lEEty .lrm unl.r p.ril'y ol Friury rhd I M .rcnpr from rtE (n ah Lr.M lr, tor OE folk wiry E&n lsd.701l-5
<br />Itsitulr rrld Pr6fdi'r C.d.l: Any Ciry or CNdy *hrh EquiB . Fni r. ..irM, .k6, irymc &mli'h or EFir Dy
<br />r'lrfu. Fi,ro rr isN..!o EquB rh. +CIid lor kh Fni ro fiL.r{Edd.td .hi hq{l.lrrlt d FEr,
<br />r. rlE FtrlnioE .I rh. Co.k-roas l,i.r..d lr, (Ch!pr!. 9, ColmEi.t *irh Serhn 7lln of Divarh. I of !h. BuiE! .rd
<br />Proli!$nr Co&) or th.r Ir or JE it .r.ai rtE.Ii.m url ttE bas for rh. dLg.d .r.ng$n. /uyvioLti.nofsdion?03l.Jbyrny.r,.gulltfil.prrE. ro.ovir p.Nrvormr nm rh.. nE hddEd dorr.B (tin)
<br />_1, tu o*ic. ol th. thFnt, .r n, .mrlo}!B *th *r8.r rr rh.ir $I. smFMhn. will dr rlr *rrt .nd 0E rde t d
<br />nrdllal N.rT.rd rc rl (Sa ?O14. BuiBr.rd Prbl6rio6 Cod.: Tli CodBrd r Ltar t * d6 d.pplt io s o}M ol
<br />rtE FiFi, vlF hrddr d rlrlE thdq.n dE dc rrn fld hilerq ha-ll d thr ah hir d t( om.rpl,ya
<br />F.rd.d rhd swh ir4rmtu c d ii.d.d .it r.d lr rL. Il t ffi. rr huilr! n iIlorEd B nB vrnr * )r{
<br />oI coi{'Elia lh. OrM Builld *i! h.E ltE hrLr ol pDvry rru rE or sh. dil u{ tui! or dp..E d. pop.ny ,4 rE purro. or
<br />_1. .i ovE ol rh. po9dy, m .x.luiiv.ly mdturin! *(h li.nsl .onrBron o !.niBr rlE pmid (Sc. ?04{, AuiEs
<br />nd hDlitb Cod., T1l Codndol r l-ic.E L,v dat mr .pply
<br />'o
<br />m DrE. or n op.ny *h) bnildr or iDp.ord rh.p(
<br />..d ilr sd8t td luh Fnj.(r wxn r C.drtr(, le.!.d pulle ro rlE cr{d(i li.w uw)
<br />I. .r.qi utuls S{
<br />Itl)x[trta-soull;rtarlar
<br />ITTLABAIII]!
<br />I h.fthy:llirmundcr Fn lry of Frrurv !r ofrlr hnhri!3 &.l:IdiN
<br />I h.E.n urll min!.i, r Cdiaur. olcNrt to s.ltlNE lor qxtft'NrF.Mioa .r Flvi"Ld tor ty Sde rTm olrlr
<br />Li,o, Gxt , ror rh. l.rf(ru. or th. rqt ,o1 *nth r,E rrnir i\ i3Nu.n
<br />_l hrv. rd uU mnrrr srt6 (orFN.rDn oru6r! r\ ftitur.n hy Sdr Di 17@ or rlI bb.r (
<br />I lor whih rhn pcrmn n ia$.d. M!,rh.lda
<br />r dtri \€ r0A y $no.n'nrn mrlim.can nlFI.y n!n*H E
<br />a lr
<br />-l
<br />cd8 rhI in tlE FformE of ilE v.rl tq whEh rh! F.dr ! !!rrd- I rll d.rpbyet
<br />$ * ro ti$ft ruhj.lr r. rll *dldl .nnrp.Nrion L* of C.hfomtr, i! r8E rh{ i( I 3tDnld lE<om tuhrd r. rh.
<br />wurl.^ un{rBrtrnptuvuBnr ofS.rrDn l?00ofth. Lf,h, ('od., I JEll,rqrhui h lrn]9ly lirh rlE& pEvGioE.
<br />! ud.rdl *d fix obF, s.qk'F ro @!,.r pd.rE rd
<br />.ddim hf d .r coqruM. &m!.r s FOvn d tu rlI
<br />,9'ta
<br />rh.usnd d.lla llllxr.(u,r. 'iinr.E{ rnJ r umy \ fr\
<br />.D(
<br />rr r \\ll) r r,\rHjtl!!!
<br />I h.(hy.l,nmutrkp.Dky.ln rjuryth, I.ml(n€d PEIIJEd.IION,"d.r F""iri"" ,'l Ch,{i- 9 k"-rring *ih Sd ii ?rxx,) ol Dn tni i
<br />(,
<br />coltsTntrTloN I ENrrIrtG acrillcY
<br />I h.Ehy rlfm urr&r FMtyoln rjury rhlr rhft n r udBrD. hrnthr.3.my ror th. p-fl]m olilr to.t,or *1,{t 6! Fon it
<br />L(..d rse. 30t7, cir. c.).
<br />APIPLICAMI DFCI RAflON
<br />I ha*y rtrm uiJ6 l].rrhy of pc.Jury om of th. aolb*in3 &! l.ririon!
<br />D.mliridn Pmirl^$.rot i*rindi,i FaLd R.3uLrinr finE.l(,, Pd5)
<br />R4oiftd Ltd of l*rfrErbh
<br />I rdify lha rh. r.&nl ,.3rLris E3rdrt 8b.not & ni {Dlr.hL ro rhn pr.,Ar
<br />Iild,iy rh.r I ltrE ud rh( lPpli.arion drl r.r. rtul ib.v.,rfomr0n hcon.cr.l.BE rD L!
<br />(diD.d Irl Srd. bB tht h bo,LtDA cod
<br />:lu c Edrrd ffi,rErv for 6Fdb. 9cFG
<br />rdluir rrrtgrdiErorrhn
<br />",r,{aat,aT!.nr( t 6>d L<.1
<br />mrly w(hr,l C[y rxl Colnry
<br />ctry ur cN y !r ddfFn rrr
<br />,,. "/'/q/
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/Vent/lnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<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 />-6lged Zone Certif. r I \r{&wfrtvtNlkTr ttu wtl:qt/)l t'u
<br />lrl I
<br />I \l
<br />FINAL i.t/0 BU,IIWI r6t
<br />Certiticate ot Occupancy
<br />Notes, Remarks, Etc
<br />Rev.08-07-2015
<br />of dr acd3r nld Pbi!.a Cd$ rlj nyLdy b tu r.c rnl.lid
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