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BUILDING- INSPECTOR RECORD
<br />SITE.WOBK ID/SIG.COMMENTS OWNEI BUILDEI DFICANAfi ON
<br />I rEGby .iitrn undcr Fn.ny or Frrfy rhd I n.rtrpr lim llE Cdrrr&Is' Lite Lr* tor rlr folbwhg @n (Sd rull5guriKt !d Pmfcrsbn tuc): any Ciry or Cou.ry *iEh EquiEr r rEr. ro 6{B!- .rd. irt M. lLmGh or EFr xr
<br />rtur@ tr lo il, irllle., .b. rqriEr ft +did f.r rEh Fmil ro filc ! siaftn n..ml [rr lE d aE & lhn!.d Frsln
<br />'o
<br />rlr FovnioB ol dr Corrrdt Lirnsd trw (ClIPrd 9, Co,tErcin3 $ah Sdrion lqD oa DiGbn I ol ! Bllits rn
<br />PmL$bnr Cod.| or tlEt ll m nE n crc,{,r rhdrfrm .!d rlE t i! for UE dhs.d .&np(ir Any vi.'ldii. ol S<i,. ml l.t by ..,
<br />rpplird ror. pdnil oblrt! 0E rr?ltsl ro r.ivil n Ely ord mE lnlr fiv. fiudlrd &,ll&t ($m).
<br />-,.
<br />$oweof dE FnrEny. !mcrcturirlyo rxrhs *iln lirts.d.drd6 !o 6&rucl tlE ploFl (S.r. ?o14, BB|ES
<br />.rn Pllac<ir'C.dc Tn Conkrtolr Li.cns.l-.vd6 mr .,|plr lo uo*B ofproFdy shd b{ild! ot itpr.v.! rlErdrn,
<br />.nd r,rl .!drIl{ lor sh F,ialr ann ! C.n'dortr) lEncn pus bih. Colrr-rc r Lirre L!*)
<br />t m.x.nF unl.r Sfiti)._. a &P.( ftn rhn.c.$n.
<br />D.r.: O'ffi:*orl(Frsi:o PErs^raii
<br />DA;:IJAAIIIN
<br />I liEby rmm uftj.r FMXy oI tEJJry oft of rtr folL*ll8 delrhrirnr
<br />-l naE ld*ill mi'rrin. C.nif.trc olcon !nhs.lf ln.@ r wrrd sqrdrrion. a lrcvij.r, fn 6ysclb.37o) ofllE
<br />t ry Codc. ls tlE rElomr of E ert fn *nth dE pqnn i itir.d
<br />$9"* ., *u, -,r* *&i. 6mpc6lton uu6Ec. .t Equir.d by sdbn lr0o otrtE Lltu cod.. rd tlE pqfd]ls. or
<br />tlr md ld rhrh rh! Fhir s Bodl My rfrldl conpcnrton imnN ct,E rn pokt Nntd d
<br />.",* r\ntev1(ay1 Zuvr Ch luo,,,,",
<br />",,,,*, -E!1lrlLl2l5 . rr /t
<br />SLr ..n,ry,r'., i" ,* p..r."mm or lh. rark f whahlh,r,xrmir is isru.d.I rh.rl m{ crqrk,y.ny Fd a. oy MB
<br />s aitotEcor bj.<l
<br />'o
<br />rlE qrrqr @trFatlli,n L* of Crlironu. rnd re@ rhd it I 4buB b.ftr s'l6Fr to rlE
<br />k)rr6' .on{rNrrn ptu6ir6 or sdio. l7m orrh. Lkr Cod.. I tlEll. fonhvilh.lrply wirh ttDr,Dviri.rs
<br />WARNINC: F.ilurc to rlurc nrtd' oqEnElion oms. h lnL*tul !d dEI $h,*! u orpLrtt to 6imi.d lEdnhr rnd
<br />.iv nmr u, b oE hudEd llnusvl d.,llsr (tloo.{Xn). in ddnion ro rtE .d oa oniEnerio^ .t m8.i G FotrLd lor
<br />'lEslJL{' nrrri{ 'tr l-'\ r(-rlc tr crc! tr'r{'{r'\
<br />"",",ql??lLo rDn,i-n,o-s/-t
<br />IECIAAAII(Id
<br />I tftby rrm und.r FElry of Frjlr, rhd I rm li6Ed unds |,oirb. or Ch.rrd 9 {6nrriu wirh selio. 70m) or D,vcion ,
<br />ot th. aurimr lnd Pt f.si6B C.rL. !,n my l..M ir in tull foN rn dIal.
<br />C\l)V'T'T
<br />q1z14b
<br />ol lv\t,lt \ar
<br />coltlIf, ucul)lttEDActtiEcr
<br />I lrEt y dfid xdcr Frlry or FIry rh,r rhdr ir . odMion hrdin! .8.8, for lrE Frfo,rffi. of lhc *qt tu *tin lhn Ffri b
<br />irq.d (58..lo)7. crv. c.l.
<br />ATSJCANI.DESI.AEAII9!
<br />I holt'y .frm un&r Fntlry or Frury oe of rlr lolbsin8 ddla.rbns
<br />t).frn ii. PomiiA6.rl$ Ndifr{ion Rd.r.l R.3ubttunr ('fhk ,lo, Pan6)
<br />-R.{tuird
<br />Ld.r oa t{rifoti,n
<br />-l
<br />cElrly lhd Inc r.&nl EslLlion. Er&dmr r$.116 Emhl 4 ld .oplilbL lu thn Foirr
<br />NPdiry fi.r I rEE E d rhis +plrllbn !n (tr. rhd 0E or-r inromrion ir @.d. I rlrE b 6'?ly wirh dl ctr.id clbqr,
<br />od'nrtur! !ft1 Sitrr. l r$r rhr,qii,hoilliry coniu..r
<br />ahrvc nrnrFmd proFny ftn
<br />Apt,li.sl or Arcnl Skmlrn
<br />r'.mira@D,rprin.: N UCml
<br />'',.-'.'1il'iff"-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil
<br />FINAL /t//t/r 4e1t .,M l"uii
<br />Certificate of Occu anc
<br />Notes, Bemarks, Etc.
<br />Rev.0B-07 2015
<br />DATE
<br />Sublloor/VenVlnsulation
<br />-1.
<br />rr o*E .r
<br />'lE FFnr, m ny .rlploFr *ilh w.!F $ tlEn $L otrIf.niolion. will do rlE wt .d ih lttxic b m'
<br />imdr.d or ofi.Ed tor ih (Se.7or.a, AudBs Md Pirl63ir6 Cd.: Th. ClfuM'r Laus Lu d.Es mr llply ro .n otr of
<br />rlE FDFny {tn huilds r itr$mE! tlloE d'd wlb r,c nEn klt hirucla q lrBll r Llhul;h hir d lEr own.nploy.6.
<br />pruviLd rhtl uh in!.ownl! @ mr i,Lnd.d $ oltu f.r nb ll hw, llE tlild'lla s !rI.l,m,i n r& Itrrn m rdt
<br />of on!'Lrin iE OwEr Bui!6 vrll IEE th. hrd.. ol rmni 0d lt or rrE dn r,l h,'! or iqmE dE FlFiy nr dE Fi,pr of
<br />L.rhr. Ad&c(
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