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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />I L r-/,
<br />FINAL q 'tr1 {/L t7
<br />Cerliticate ol Occupancy
<br />Notes, Remarks, Etc
<br />--r
<br />OII'IIFI BUILDER DELCARATION
<br />I rEEby lrrm u.d.r p.Mlty of Friry tlll I m crr+ 6!n rlr C. .tr6 titu t w for E folkr*iU lruo (9r r0ll.5
<br />B6im .rn tstofdnr C.d.) Aly Ciry or C.dy wtih rlquic r Fni to ffitu!. .la. i!+.oE, &mlitlr q ,Fi e,
<br />nnl1c, rn lo irr itulN. dso EqliEr rlr r,,liur fo. $.h F.mr t, lik r 3ilncd .hcnml llEl lE or tE it lku:a Frslll
<br />ro tlE Fotnion! nl rh. ConEacrolr t.k.n*d L.w (Ch!$fi 9. ComNi.8 wnh Scli,n ?000 of Divnior I or fi. ButiEs sd
<br />Pnf.(Dn! Cod.) d rhr lt d rlE i, .rr$ rhdciiDn .d E t-ri! for tll .tLrld .rdnFih. Ary ybldbn o, S.clbn 7011 5 b, d,
<br />.tt'lk d for . Fnir $brar! rlE .poltDr ro . ciril Fdt, ol hr mE rho rrv. hudL.d .loll8 (1100).
<br />l. $ orBr of rh. FrFny. or my .mploy!.s wilh *rs.s I l&n nk mmFnrdion. eitl do rlr *dk !,n dE rturw i! n
<br />i d1d.d 6r ofi.r.d fc sk (!id.7o4l. Bunm3s .nd PrrlssirB Cql: TIE C{xr.&roi\ Lic.s lr* d!\ d {rly ro o*m or
<br />rlE F,t6, *tnrr t r ritmB tlEstr rn rb.lK trt q{t hirelt ( lEMlf m llEUBh hir r }6 om.trpk 1ts,
<br />pmr d rhlt rNh in'Irvftntr m d ir.i.,.d orofl.rEd ror sL ll rffiE,0E b{ilha m irymmd n sU *llritr ffi Ja,
<br />oflo'rtlcthtr llE Oerr Buiu.t wiu hE di bor&, of rrevins rhlt rt .t dE di.l mr hiU or itrp.oE llE pmtEly lor ltr puFos of
<br />l. .s owm of th. FoFrir. m.rcluriEly conlrdhs *ith li@rd conln<roh b 6dM ttE F F (9t 7(}*, ausri!
<br />uri Phli*sih cnL: Th. (]'rrErol. Lic.ns t{! d*s H,r rpDlyro an own.r .a poFny vlb blitdr or inpmwr lh.rs..
<br />lnd *iD .ontuls tor ffh ,loF! *nh . Co.rBr.(sr la!.rn l{!t\6r io ltt A,nrsrr tj(.M bw)
<br />_l ucr.n, uid.r SErion-, B aPC rd rhir Er$n
<br />D.r. Ow.wolxrt.s crtllrputsrrrotr
<br />DIIIISIIII}N
<br />I h.rcl'y aiinr lndcr 0cn.lryofFrju, orcof rlE inhwi+ drkfuriois
<br />I lI.E rn will minu. Ccnirr.r. orcocfi ro S.lr lnm fd tr td 't,p.db^ a Fovi.h fu by S..lbn l7m of E
<br />t,lu Codc fd llE pqf(m of tlE *xt fc rnin . Fri a nq,cd
<br />,Ihavc ind r'llnuinhin s. c^ conlrn\ari'r in$hnr.. a rcqut.al hy S..lio, 17(xr ol rhc I jlxtr (i,&. kn rh. Il.rl(rnurc of
<br />tlE qo fm whih rhis Fsir i!My uck6 of,p.nt li)n in$luc cu, .n F,li, nrnt( n
<br />>[--L
<br />n,,,." *,-*, ' ?<P{ ta&\ b.zh?L? I
<br />_l cdiryrl in rlE FrrorDr. orrrE *o* rr* whrh thk Frni t issu.n.l slEllmr c,rTloyryFls in oy Md
<br />s s ro b.om luhFr to rh. -ort6l coqEnsrion hss of C.lilodi& ud !8N ln'{ ia I slnld b..onE suhid lo llE
<br />@ks ol,lrdion phiitirB of s..rbn l7o0 rf rh. bb. cr& I firL fdh*irh mql, *nh rhoe pEvnitu
<br />I{AINING F.ituE lo sE *vt.n odFnrcin .16!!. n unLr
<br />.i{l fims up ro oE fiundEn rhousrd &,116 (tl(n.m). in ddnbd
<br />tu,. !d shll rohrd u .imbFr t, .
<br />or ..nFn*ritrn, drmScr
<br />s..rir rr)7irn rlx If,htr(nr[. fr.nntl nrtrLy\r.c\
<br />",,,,,'?lQlL-,tppti*r, X
<br />J2Ir1.Jl.lllg)
<br />I h.Eby.llmud.r F lryoaFrrryrh.r I h lirEid ondd Frvnion orouprd 9 ($nEfting wnh selbn 7flr) of Divnbn l
<br />or E auc.r .d PElirirN Cod., .!n my Eft n h tull foN .d cfi€l
<br />e_4_b>3?,!
<br />c-r*". X
<br />coNsrtuclloNLEDMilIiEcr
<br />I lrEh, ,ftm unLr Fn lry 6f Fj(y rhr rlEi ir . @Mnn ldnD! .3rEy fu llE FftillBr of ll.l 6t 6t *nih On pqni i
<br />k*d(s6..1m7, ov. c )
<br />AEIICANLDECIJBAIIIIN
<br />I hd$!y lfm u njd rEtr.h t ol rEriurv oE ol rl! roll,*in8 &<Lnrbnr
<br />D.fr'l rn P.rnirnAst rtx NdifEdx,n ltddll Rquld ionr (Tnb 40. Pan6r
<br />_Rcquircd lrn.r or N,rifrdbn
<br />t1 diry
<br />'h.r
<br />lh. r.n d E!!Lrin. E8.di,8 $tsh En,vrl E m' q'ela.bL lo lhn Poj.lrffify Inlr I hdvc rcld lhh lr,Dlislion {,n rl rhc rh,r. lornlrtrB h lr)nci I rArN to (r)n9ly *irh (ll (iryand (rrnry
<br />qJi sixrc ll$\ rhtu{ n) ho,hn3 Jd rErcby .dlrM EF.d.lrEi of lhir Cn, 8t'd Coody to drs upon 0r
<br />.trE mnrioftd I'n,Fny fr inlEcriotr
<br />,\ptrlnx or trol si*nrlu'. )A
<br />P.-u,-*,rln,, 11 \L-\ot -'
<br />'r(t tc-
<br />II
<br />''u,il,it
<br />Rev.0B-07-2015
<br />Erection Pads
<br />Brown Coat
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