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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEX AUII,DFtr DItI-.AX.^'ION
<br />I lrEby .ffm un.. p.Blly ol Fliry d.l I m .tlryl 6on rh. (0'1116 lEr l* fot rlE fol,o*int E.en ls6.r03l.t
<br />Buiines !d P'or.sirn cod.): Ant ciry n Ctudy *hth E!!iE, . Frn r. @.cM. .xs. inFoq d.mlih or EFr.ny
<br />3tutuE. lntr ro n! Brue!. tiro EquiE th. .Ppltd f.n ru.h Fmi to 6l ! lilEtl drad rhr lE d tE u litts.d Frrd
<br />b rtE p..urioro .r dt Co6k!.rois t-iri&d lrw {Ctupcr 9, C.mmEi., *ih S€thn 7U! ol l}ivi'i}i I ofrlE BdiB .nd
<br />PrellsiB Cod., d tl tE d rh. a .r.rpr drnDD rrld ttE b.!n lor rlE alkg.rl .rn$.ir A!, vioLrir. o, Sdb. 70! 1.5 brdy
<br />.p?li.! ro. ! Fhir sub!!6 rrE .pplionr io ! .ivil p.mny or nor mrc rhln nv. hurdEd rl6lle! (1500)
<br />_1. s.r*r.rlh.F.Fny.rmr.tr,lrEi]ihv.F6rlEr$ks,!.Mh(sndoih.wrt-dth.n'lfua mr
<br />i .rL{ o, .ft ql for llc {Sd.1044. AuiEr .nd Pbtais Cdl.: TIE Cdd6t LeE lr} do6 d !'?1, !o & 6ld ol
<br />rtE Frdi, *h, bilh d urproB rtsal! rd wlb der sh uort hirof or h.Elf 6 rt@3n hi! c hd ot.npltt6,
<br />F.rid.n ih,r 4h inFnEd r E d !ra!t d cornn to. sL l( tnwE, itE hildir d irFErd is $ld vitii c Ft
<br />o,qtphia ot o!,E BdldE vi,l lE- rL hntn ofFfrin! r lE M JE di, d hritl M irpDE E prlFr, ror t Frp.*of
<br />_l- $ ovEr of rh. F"IErr, !h.r.lud4l,6 rdina *irh ltrBal.oM-i6 to onrMr ttE FDid ISa,70,1,a, BGiIB
<br />ri Alr*tio Co& Th. Codftitr r LkaE bl dB mr rpply tu s orE of lron dy who l,oius or [+rowr rh.@
<br />rnd *b odd, r tEh Fi<r ,ih . C.nkdls) L..D.d p!n@r rn rh. Contrdoas tjc.M br).
<br />-l
<br />an,.Em undd S..uo
<br />EAAf,E&i:(an fEdlar]9x
<br />lECIdf,A3Q!
<br />I h.Ehy lltuh urdd p.ulry.f p.rJury oa oft& rnhwin! d.cll,rir,tu
<br />_l hIE !n will Einrir r Cd,fr.d. orc'Mnr ro s.lr-I6uE ftr qldids $r{rBuion. .s pDliltid f6r hy sarirn 17m df dE
<br />L.tq aad.. fr rrE Ff(M. of rl! *rit ,( *tih rtE Fhit ! i$*d
<br />_l hxv. rnd uill ruinrlr *ulI.R ..n+.Nrr,n n$rd.. t( EqoiEd by SdrFn ,7m of th. fr&tr Cort , aor rlE Fi,l]lEr. ol
<br />cdi! dl plEy n!ftb., r.l
<br />F
<br />{cqxb t t2 {ol(
<br />-l
<br />dily th, mtlr Fi(DN ottlr *o.t,q *hrh rhr Frmir n trsrcd. I rhju not.tplry sy,E $n in aylllrer
<br />$ u ro tE!.rft $hF r. rh. wt6 dtrFds hB olc irl r3B rh.! rr I sh.ub h.cor .ubJ.d rd iE
<br />gEll fdhwih llrply wnh lhor pDwDB.rod.B .ooIEMrDn pruvisirBof s61i.n l?00of rlt l-hor
<br />IYARNIN(; I.rhtr. r' \..u'. s.rl.a' .ur'trn\rrx,n (,v..Jr. \tuI. dl .1,.Lulrit i .lrploF t' mDl rulE rdl
<br />ro E c.i of con{EMrtn, &83.s ! povrl.d fd llEc'vil fiEr up rooE hurrEd rhouxlnd do,,!B (tl r,lxrD. in
<br />tr'\
<br />!!Ir4-Br!L!]r
<br />I tnt , .frm ui&t FMry d Friry rtr I h liar'.i urdd Fvisi.i ol chtpld 9 lc.mmfti.a wnh S.di.n ?(m) d Divtion 3
<br />of Or a|lre$ &l Ptli.nioB C&1. rd my litr r tt tull for .td .f.d
<br />I
<br />($NSTRUCTION I-I-IIDING ACI:N(Y
<br />I &Eby.ffr uid.r Fnnty ol F.tr.y rh, rtft ! a coNuim hrJuu tr.e, ft, rhc FdomM ol rh. *!rt for whth I h! p.nnir t
<br />n'ual rse. 11197, civ c.).
<br />alfllca!tr DEclaaana!
<br />I ffiy.rfm uBLr FBly ot F.jury oE ot tlE ,ollo*u8 &rLiiiotu:
<br />D.mlirion P.nireA$G(o' Ndif.ri,n tu 61 R.,uLrirn' (Tik.O, P.n6)
<br />Rqru.J trtrd of t{drftdie
<br />_l (dify rhd ill enl EtlLii.N Ftirdt r. r,uL . i Jfph.rhl. r,rlnl l)r,Bl
<br />_l cdify (hd I h,E E:d thi\ rprl-.ri,n ,l ilr ro NrlPly witt .ll Cir y md Cou.ry
<br />onltr!'r.s rnd siar. ta*s E[Ii'{ io tinllnS is ot rh8 Cny rd Cou rrodrd
<br />rbr. Eni,kl pnDcny rd,
<br />,tpplldntor416r SisEr
<br />,r..1,*.r., ."r.ffi r
<br />tr !d rEnhy.(h7l EF..d,
<br />o
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenYlnsulation
<br />Rool Sheathinq
<br />Shear Wall I I
<br />Framing u1 4l l,!J DKq6'/
<br />lnsulation/Eneroy
<br />Drywall at\7lu 0k*dL
<br />Ext./lnt. Lath
<br />Erown Coat
<br />I\,4ason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certil.
<br />\)a..0
<br />FINAL (,\ntu | )K-,lo I
<br />ICertificate ol Occupancy
<br />Notes, Remarks, Etc.
<br />Rev.08-07-2015
<br />/o ys 28 (
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