BUILDING. INSPECTOR BECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS owNf,t tutl-t fL Dtlt,caltaTtoN
<br />I h.Eb) tllm ud.r Fmhy of Fr'lry thr I m .rnlpl fDm rtE (bdd6' t-.M lj! lor tlE follorht Elen ls<,ru11.5
<br />Itu*in.ss rid hofc$i.n C.ncl: A.y Ciry or CNnry uhich rcqu'E r Fmir r,r cDn(ru.r, .lrd, impmv.. tkmlkh or Epln rny
<br />(tutu- Fior ro irr kllrru, r!. EqoiB rtE +?lid li,r kh t.d ro fiE r r{ftd ,r.ftd id lE n CE ! ltrtrEl FAd
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<br />h,CsioB Cod.r.r rllll E o. dr !.i.rP rrr.Gfrom &l rlE hiar nn rlE rllr.d.r.r{irn Ary$oLriorofSdb.70ll., b, rny
<br />rmli.inr lor d !.mir iubj.rrs rlE drt lklnr ro ! civil p.Mlry of mr m.. Ihrn nv. hurdEd ilolld( ('5lxr)
<br />_I.a.rErdrih.|'ndy,doycnpl'F..wnhqrt6!rlln6k6np.drn.*in60EwrrrnrlErdEid
<br />d.nal .roficral as gl. (Sc 7(x4, BNiFs Md Pmlc io Cod.r TIE Co ,tdoas Licn* h* dc .or r!?ly ro d ow oI
<br />rlE FDFrr etb boilr or iqroE rlB4 !n *ho &a\ d srrt him.U or lgalr or rhtuuah hk or lE ovn.mphlEs,
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<br />_1. s owr of rll F,pd/. m.rcldrcly o'rdos *rt litBql 6 *16 to dnqtrr dE FoFr rse- 7fi.a. BBilH
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<br />m.rqi urkr Sdbtr .a &PC iirrh! Ehn
<br />uatfl8l:cal,IElrarra!
<br />DECIJf,AIIO!
<br />I h.r.h, .nnm ui&r lrdy of d'l.y oE of rlE fotbpht &.ldi'B
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<br />htE m,t ii rtrrh'hn F,tu d brel M) *o'rd' runpcrub.,NurdE lmr.,n plrllLf *t'terua-n
<br />.r ,.Evi&d lor t'y Sari,n ]?@ .l th.
<br />rh. L.bor Cod.. fot ih.ostoru. of
<br />_l dity rhn 6 rh FnulrIN of rh. *od fs *hrh rh! Frm! n usu.d, I nu d.ril,by y FD. u My lffi
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<br />ruA6 cof,Eneri,n pmvni.tu ot Sdi.n lTm of rlE bhr CoJ.. l arll. lonhrnh $nply wth rlDr povEbB.
<br />WAINING FrilE k' tu *116 o.+.dirn q*nt. n lnLrtul- .rn $. tFd e d4rrF b aim.! FUIE.!n
<br />ro oE hu.dEd rtnudd dollrr (llm.urD. 'i dlJnn. to ilE co{ oa co nF^srid. d.ry.. - p.nvir.d l, rrE -s.(rtrrn :t076I'f rh.ljhtr(ixl.,n (.d&n,l
<br />I llrby .fitm !id.r F..ly of p.rFy rhr I m lillnr.d ltrkr F.virhn .1 Ch.t{d 9 (sllwEs3 enh S.dbtr nm) ol Dlv!'hn }
<br />oa tll BuiEs.!d PnlcaiE Cod.. rn nt li.r ir n tuU f(E rd .Ird
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<br />('OUSTRI('rI(h- I E\OINC Al;lNCl'
<br />I hft5, drm u*r FdIy ol Firy tld tlE! B r @dBri)n tirll. rttr, ror rL Flh.dE oa rE rui in ,ti:h rha F rb
<br />itllcd (SE.llr7, Civ C.).
<br />APPLICAIVI DIiCLARATION
<br />I hartlytfmu ld F..lyoap..ju.y oE ol E rolbv,3 &.L..tsr
<br />D.mhion P.mnlAib.nos Norinqlitn F.ti.nl R.ElLrion! OnE.o, Pd6l
<br />-Rorui,ql
<br />Lllcr or Ndin .is
<br />l..niry rhrr rtE r.d.tulr3rUrD,$ rs.Jd'nt,sh.nor r.nr,!rl!R
<br />'nn
<br />dmli.Jhk b rhn pn)F.r
<br />_l rdift ilrj I ha€ Erl rhir .prlr.rbn !n r. rh, rlr .toy. n[ud5. n .(fu. I .gE
<br />dnuIrtB .nl Sr!r. L*t cldlla t, t ,UuE codtuLrbtr rn lEcby rdh,M rFrdl6 d
<br />b .lrply sah ,l Ci y .Ll c@dy
<br />rlr ..Eir(mcdnNn ry htritr{r.dtr)n 'T2...--
<br />.tppllcmr or ar6r SisdruF -v
<br />rtuC[]i Counryk,.d.uF,n E
<br />-,, c ftGfJ,p,
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Shealhinq
<br />Shear Wall
<br />Framino
<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 />Enqineer Final Reporl
<br />Flood Zone Cerlif .
<br />,l "nFINALt0lzo li ,il Dft rr67
<br />Certilicate of Occupancy I
<br />Notes. Remarks, Etc.
<br />Rev.08-07-2015
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