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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNAN AUILDER DF]I-CA IATIOI1
<br />I tlEb, frm !*Jd F ryof p.4ry rhr I a.r.npr hlmrtl C. La'trt*t v lu th. folk*lt E.$ lsa.ml,.t
<br />a6iN3s .rd Prnfab! C.d.): 4., Cl, d C dy rhih E+iB . Fd h onid. .td. intptnG &mlilh d EF Dy
<br />rtuM. rnro nr ilw..lrd ES,B rlr +drd ltrBtFf,r r,6lr !{rd r&r rhrlio.at!litEl Dll'd
<br />h rlE FrvirioB .r [E Ctfuidi lj.!^'.d lrr lcluFa 9, Commrcina rah S.<n. 7UD .i lnvi.ad ] of di 3Bi6 .i
<br />PruGsi,nr Cod. r q rh|' E d nE B cr..tr rlEltrDm !d rlE bda ld rh rllq.d .KlsB AlrvbLtiiofsdnd?Oll.Sblut
<br />+rlt:d fd ! pr.tu obFrt rh. .@lk. b . dvil ,.Mh, of mr mE rh, fiv. h{ndEd dolbr (tgn)
<br />l, a.$Er.lrrEImFnv.rmy.ryhF..* fiwrrr\$.n rk mqEdr.. *illdi ittu rdrrr {NEad
<br />iMrldl r oat rd tu Eh (S- 7ul.l. B6er ..d PDtBbB C&: Th. cod4rr! l-(n€ t r E!mr{x,ly!.romoa
<br />rtr FqHy kt,h t!or inthB ilElua ril wlb il(E si, Et hirelf or h.RlI ( rlrurn h! qlE o*n.nvbta.
<br />prort.d rhrt such uqrnrftd, e m id.d.d do,Lnd Id sL ll, t r.6. rlE t! rbi or uqnEmd n sJh rilin.e F{
<br />or.\,trpbri'a rh. ()*E BuiBa *illhrwrlt tnnkn dfpovin! !h{ h.d aE Jil mr hui! d !t ('E dE nnlldy ls rh. pul}d. of
<br />L etr.rdfrh.In)o.nr,!h.r.luriv.ly..nrk(rnr!wlhllucr*Jc.ntrurtr\!,{rn,r(rlEFn,j..((S.( 7(X4. Busk$
<br />,nl Plulsv r (irl. l h. C nkncr(tr 1 l,ic.hd l-,w d,E\ frn rt'ply b an o*nd or lx,n n y rln, bu
<br />'ldr
<br />or rnrov.r rhcEon.
<br />f,nd whu conmdri,trnrhtnr.r\wih.(i) rdcr'(nh.Nd nu^M.r!)rh (i,nr8or'lLE.tr* lrw)
<br />l5.i.mflu l.'Sd-i ,B &PC turrh(E.rn
<br />!!.0xli[85:(0 rt;dtano!
<br />!ECLd&rr0!
<br />I lE.hy.lltmun'ld I.EhvorFflNor !'lrlI hll)ri.! dcck riN
<br />_l hrE rrl ull mdu. Cdfur. olc,ed b s.lf-l6F ir $).|-r' Nqldra 8 FDhLd for bl sdbn ]ru of tlE
<br />Lrq C.d., fq dE Flffi. oa 'll
<br />y,t fd rtlin 'lE rEf,it k ilqd
<br />_l h'w !'i *ill tuinrrin k t n .drt!.Ndin 'NhE, 6 Eq!ftd h, Scrbn lr@ of rh.lr6or CuL. ior ilE Fldr'e of
<br />IE *rrt fq vhrh inn Fl tr n*d My *dts or!.tEbn BlJer ffi rrd t L, rur{E !.:
<br />Polky Numh.r:Jirp'Er
<br />I ccnnyrhd in ilE Frtornun.c,n rh. u.rk fu *hi.h rhs Fraur ': rsu.J. I rhill Bn.irL,y rny t](
<br />$ ,s N h.Llntu subj.cr r.rtu *'lt$ cnnr.ns.rio lnsrolc.l'fonn{. rnd |3..c rh{ n l \trruu bcc.'r subjccl o(lE
<br />{o di onlncn\ri ioh pblNi.nr ol S. Dn]7mof tlE bbor Cod.,I JEll. lunhw[h NnDly *ith rhos p$lBrnr
<br />WARNINC f'rilur. r, xcurt. *orl.c ('qrnr{(r cowr.lc n unLqtul. dl rtull ruhF.r .n ..lpl,y.r r) oaml FMhis &l
<br />.'v'l fin.r up h or hund'.tJ rh.u$tu1 dollm (! l u).1r0(r), in 6dd on ro ih. (n df .on{rn{ 'on.
<br />drm8.s s phv'd.d aor rh.
<br />srron :1(176 .r rh. Lhtr (iil.. ifl.'.j.al rnrtur r fc\
<br />U(BIIDIItrIIIACITB
<br />PEIIAEAII{B
<br />I t*ht .ffrm und.. FMlr o, p.riry thd I d li.d..d u,'&r FsrBm .l Chrtrd I lsllmEina qlrh Sdbn nII]l ., Dnisirn l
<br />ol rli BUE! 8l Pr.I.uB C.iL. rn 6y lirM ir o tul llE !n .fl.d
<br />Drr._ Conl ro.
<br />coxajlctroNrruDllcrctilcr
<br />I h.Fby rflmr un&r p.dlry of F.jury rhri ilEE u I onifldDn EdinS .r.ry ft, rlt Fi)mE_. of rlr *o.r tur *lti:ll dr Fnn a!
<br />irsuedrscc 3rr97. Civ C l.
<br />ATTU(AItrDECIJSAIIO!
<br />I har.,y .fnr un&. I,uny ol p.rrrry oE o( rlE folL*Dg &{Lari,ns.
<br />D.mliiidn P.mna-A:b.nol Ndifr.rM F.rLal R.SuLrbB (Trb.lO, Pd6)
<br />-R.quirql
<br />l.tr.r of lS.t dEh
<br />_l ldity ihn rlE LJ.nl EirLri,6 E8dd,ra 8h.1d amhl e n, 4plr.bl. tu rhi FoFl
<br />_l !d,rt lhd I lEc Frt rtF .p?l..riro lrl d. Uu tlE .bE ! ofu!. n l:rBt I rtE ro @nily *th rll Cl, . Cody
<br />ddimrr d sr.r. l,r! ErIt to hrldry o6rturi4 .d lEfh, .ur..E EFlrdaiu ol rh! cr, rd cdrfy
<br />'o
<br />da i+on rh
<br />rtEr! rdi,rJ p rD.ny n wFdD.pirFa
<br />Appliclnl or A!.rr Sitn{un
<br />-
<br />I
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenUl nsulation
<br />Floof Sheathinq )ft-tna .*82
<br />Shear Wall 0u
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />[\,4ason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Depuly Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />I I
<br />FINAL (nl lt L))&rrY]o r-H-&"7
<br />Cerliticate of Occupancy l J l0
<br />Notes, Remarks, Etc.
<br />Rev. 08-0/-2015
<br />la /S ' 1t)
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