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DATE ID/SIG.COMMENTS t)wNl,l SulLDEl l)l:l,car rloN
<br />I lEEby alIm u.d.. p.uhy or p.r,lry G.r I a .rcnpt tom rll (-o Bto6' Lr@ t * tor ltE followial Erni rs<.7011.5
<br />Burincs .d Pr.lc$ion C.d.)r Any City o. Counry *hich rcquir.r . p.rmr io connMt, .lts. i'q'roq d.mlirh.r Ep.n my
<br />nMtuE. prio.n,8 isu.re.. aLe. EquE rlr $pli.r forsshlEmirh fiLa 4Ed 3rd.rni ihr h.o..L i,lic.Mal pufld
<br />rn rh. nmvtha.l rh. C6nr{rd: l-i..n&d l.r (Ch.F.r 9. Oomftrin3 *irh Scthn 7(lll ol l)ivhi.'n l.f !& BulEs..d
<br />FDi.(BE CoLrr rhr lE r irE B.r.rg rlEriDm ut rlr hs! tu rli rll4rd.r.ndnn ny B)Lrrn of SdDi 70,l5byuy
<br />!fli.! for ! Fmr ohJ.(B rh. lpolld 16 , ctrrl p.Mh y of mr mr. lnd fiv( hondrd dolLn (tfiD
<br />_1. as .w*r.arh. Fnp.nr, d my.npbyr., *ih e.,!r a rlri. rL dr.FMih( vill&' d. w .n & {,llrft i d
<br />id.nlal or o0.rd ltr f,l (Sa i1x4, BuriBs .nd Pmf4ioB Co&: Tlr O)drdd 3 Lirn€ lj* d,i mr +ply ro in off dl
<br />rh. pnrp.ny who hdildr o. in{mws rtsol rd Bb dM run q* hi'Mll or lE&lf or rlnurh hn or rE, om.nployEr,
<br />pr.rid.d rh.r su.h imtFErEd! e mr ir.nd.d or ')r.Ed for s& Il lr*.8 ftc brildru d id$owa is hB wnhin .e F{
<br />orron{hri}! rtl o*M Buitld sin h.E E hrL. orFovirE slEoriEdildtliljor!,p.oEtltpoFlyn rt!F !o.oa
<br />_1. I of,E 6r ilE F{q!y, n .rtunl.ly dddh3 ,nh leral !dB6 b $.cN rh. FoF rs6. 70{a, tutiEs
<br />url Pr*MCod.. Th. Co dol! Lr.re lrr &s d {Dly b x o*M olFoFdy slD t{ild! or unpbB rhda,^
<br />..d *l$ odrdi n ruch FDF wih . C.ddo(, lEred prnu ro rh. Cod6olr Li.r@ llw)
<br />-l
<br />rm.rcn'd trtrd.' S.d('
<br />]taaf,r8f..qQu&nsArl!.}x
<br />DECIdf,AII!]!
<br />I llnby .nl16 on& IEMIy ot Frury oE ol tlE lollrli.! d6Lrr rrB
<br />_l h.E atl *tll minru r C.nfE r. o, CoMnr r, S.If-IBUE ftx eorlds' mntrMDn, .r F,vd.d for by Sdbn l7m of rtE
<br />linr Cod.. Ior rh. rErtormk. o, rh. eod fd wh.h ttE r'.rmn is il$.d
<br />ffs;lrrl uill nEinrrin *olt.E on{rBrrhn iNrEN.. ri EquiEJ b, Sdrion l7m of rlE tititr Cod.. for rh. F.foffi. of
<br />fd *hrh rhi! rE!tu tr lrqEd My s.rtar' onrENaior aurnr cuLr an tbl.y NnlH c:9z*ft F._L7'3-/- 2e2/
<br />_l c.nni rhrr i. rhc Frforture ol rlE worl ftr *hi.h rhi! p.rnir h 6ru . I snall mr .nFhy .ny Dc.D. in 4 lDr
<br />e a ro h.6m rubr.Lr ro rh. m.l6 onIEndi.. l.qs oI Ctlilomt. od r38. lha if I shou! b.com zubjer to ttE
<br />hA6 rbnp.nsrbi p6vis6B of Salion l?m or rlE l:tor Cod., l $.ll. Ionhwih llrply with rhor FbttbB.
<br />WAf,t{INC Fnhr h m rrkd on+a.Ir,r o8fl8. n uL*tu1 rni sh.ll sbj.< m .Ept'F. to oininn tdlB lri
<br />civ'l nNr r, 16 .E hu'n'.d tlb8rn dola (tlfl,.ltlJ). in idibn ro rh. cor oa.onFMrEn. d.mg6 a t 6vil.d for rlt
<br />ItNDr 1016 of rlE t hr (ii.. ot.d lrl dt rE
<br />Ki"- " - E)D
<br />lEgaSArlqs
<br />I h.rby rltirm uidd rEn.hy.IF Jury rhd I rm lic..r.d und.. Ftrvrii.n.l Ctupis 9 ic.'nrmi^! *ith S..liln 7(X(t) .l l)ivnhi I
<br />or fi. aurs\ lrl PDtu$i.B Cod., rn my l. .c i! tr fnU loN 4l c[cd
<br />'.ro*.*, ? 39 ,**n,*,,*.tzzz93'z-2?.,?oc",*,".lL-nZr-Llat- t2w€ <-
<br />CONSTRTICIION I TNTIINC AG}:NCY
<br />I llEhy.ffmudd IENltyorl.qryrh.i ttEF u r.uNerir,l iry t!.rt fttr ItE Ffomr. of rL*6ttu{hrhrh!Fmn a
<br />iuu.d rsd. 1r7. cr! c )t n&'sN.r:
<br />ar[uc^NfDEcldtaltQN
<br />I hdit, rfm !d.r rE.ahy ol rEriury oE of rh. lollowmi dcchr.rion!:
<br />D.mli6n P.rBr'A$.nor Ndifl_Iix F.&r.l R{uhrions GnL.lO, Pd6)
<br />Rauir.J t tr.r o, |&'ar.rs
<br />-l
<br />dify rhd rrE ,.krl E3llrionr Ee d'n! rilBru! Emrl ft { .rlplrzbL ro rh6 pDF(t.
<br />r4;niry iur I haE E.{ lhn rppli.riirn d {ir. (hd Ih. abov. inromrion t rnai I asr ro omply *nh tll cily &, (lounry
<br />.nliuN.6 .nJ Sior. ljws Ellln{ b buiLliry .o'NDdi,Il, yl h.ch, lurhtriz! Ftrt*.hriv.! oi rh$ C y r.d Counry ro .niq ulmn rh.
<br />firr Enrr,todlxrp.ny
<br />4- a<
<br />7iz- 2o2e
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB FIoor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino 41 LlU DArutwl 4
<br />Shear Wall
<br />Framinq
<br />lnsulationi 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 Certil.
<br />I I L
<br />'t 2-7lu Utd A/)dfi'x-/
<br />Certilicate ot Occupancy I
<br />Notes, Remarks, Etc
<br />BUILDING. INSPECTOR RECORD
<br />llev.08-07-2015
<br />SITE-WORK
<br />l)rr._
<br />..2
<br />FINAL
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