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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNET BTJII-DER I,aI,rCATATTON
<br />I lrEl', .afrn ui&r Fn lly of Firy tul I s .r.ng filn ft C.iltdda Ittr trw for llE follo*hi t!&n (5<,7011 5
<br />Burin.rs dn Pmfdrbn Cd.): Any Ciry or Cdfl, r/irh rqliE. r pdi lo on{ 1. .Xs. ir'0roE d.mlirh M EF" hy
<br />nnare. Fir ro it. ils're..tro EqurB tlr q,rlirn for sh Ffti ro liL r !i8i.d {LlMl lh.l lI or dE ! ltcnin Bno&n
<br />ro rh. Fnviri,$ 6r 0t CdEdr'r Lienr.d Lw (Clry'{d 9. Collftri.S vlh Sclior ?0& of Divirbr I of tL Blsitr ed
<br />Pruf.$io.! Cod.) m ll lEdrlr i!.&.it rMlo.d rtr h8b tor rlE rlLecd.rdpliD Any vioLtion ofSc.lion 7011.5 by s,
<br />iptlkad for. Fmn obi6B rlr {rlicer ro . civil FElry of mr Im lhr fik hlded d.llas (15{D).
<br />-1.
<br />$ oeEr of tlr F,Fnr. d ny olPbrrd wnn u.s6 a rir $L 6,pqu.rb.. eil6 rtI *6t &vj 0E slrulE i mr
<br />ftndar i,dff...d ad -klsd.?o4a. B$iBr ud PllfE(bN Cod.: Tli C.nr*l \ Lienc trp &i.s mr !r?ly lo tn o*H of
<br />rtE FlFdy *hotoihd itp.D6 tlEs^ !dwhodB *]lw{t hinGllor $Elf rrhrcu8h h m hd o*n.4rhr.6,
<br />p.orit d rhd *h i,giEEiBe d ardi.d rotuEl lor sL ll lE*.c. [E hliBnBor iqmvG atEwdlnl@J@
<br />of6np&ir rlE owrr Bulldd ril hE dE h!d.n orFwi.3 rhd lEorsh. dd mt t ld d irprDE dE F,Fry lqllE Fr.Faof
<br />-1.
<br />f,r owE or UE FD!.ny, m.rclulivcly conlracl inr *ilh liftnsd co 11106b 6dM r Fsj.{ ISa. ?0!r, B$iEs
<br />In I\.4Bin C.d.r Tn. C.nrd6r'* La..nr. Lr{ ddr mt .pply ro .n .sE oa FoFn, *L b{illr or inl9bE. dEron,
<br />rnJ uho nr r*r! ttr $.h Fnir1l rnh . c..'do(r] l(Ed r trd b rlE c.rrr-ln 3 Li.m L.*)
<br />C) ".*
<br />DICIJIAIIA!
<br />I lr$r_ alnrh und.r FMlry of tEj!ry oft otrh followiry d(l{nln'n\,Filemon Qele5
<br />t h:E rn $ill mt th. C.nifEd. of CoNnr ro SclilNurc ni *.rt6 onFtrdnn. a F$i.n tur by Sslb.l7m of llE
<br />r-rex c.i..le E Fnolffic ollll qort lu ltth th. Fnil t n$.d.
<br />-l
<br />h.ft ond *ill tuinrrio rork R @n!En.ili'n i6ule.. ar GNi,ld by Salion lr& of llE L.to. Cod.. ,q llE Fr(l,a. of
<br />rt srt for *hah rhn p.mi i! h$d. My wrt6 turp.ndion inffi ffi' .,n poliy trlr'ld e:
<br />Pol*v Nunh.r
<br />-E
<br />OiEt
<br />-l..nifydrl 'n
<br />lh. Ff(ilrIN olllE srt for *hi.h tht Fni' ir i$.rl I rhrllnor cdploy &y Fmn in d, tu6
<br />o s ro 6.<!r olirl ro rl. B16r onFnqion Lws.f Cdifohi4 !d !8G lhd it I oold h.<om n*f<i b tlt
<br />hrl6 onFmtiiln F$ti1io6 ol S.d ion l?m of $. tiu Co&- t tull. fonh*ith onply wi0' thdc FDvitiB.
<br />WARNINO lilhc ro tfu wLE oqEGdion coE.Bc i! lnt wtuL a,n rlE 3rbF r .n?hF to min l F lit.'n
<br />cMl nEr q' ro or hodEd rhos*rd dolbr (lloo.O(D), in iddirh. b ilE or ol oa!.nrlioa drms.r B Fsvi.n 6r ir
<br />SmrFn 1016 ofrtr trnr q)dc, inrcE{ lnd.nomy.r ter
<br />"",.,7/tz/zo
<br />!L!r.I&I.t&]Filemon Ple:
<br />I nfrlty rrtm und.. Frlry or F,llry lhr I u lftm.d unla Flvnb. ol clryrd I (@nmah8 eirh sarbn ,u)) ol Diltion l
<br />.t rh. Bliirc$ aid Ptofcsi.u Codc, .d my lt.K b in tull foE !n .lf6l
<br />co![ir8lJglllxiLENllnclclll]l
<br />I lErny .mrm un.r Fn.hy or Frrry rhr rtEr i . mdnrrbn lsdhr !3dy rd rh. Frorur. ol lh mtl for tr'l'f,h rhn tEmn i.
<br />issd rsft. 1097. civ. c I
<br />Lrrul:AxlD[rlJa ur]N
<br />I tErh! umnn und(r ,l.nrhy of tsrlr, orc.f rhc n'll,r'ng ddlnrlii'i5
<br />D.nnirtr,n ltnnl!A\h.dos No!'l]c i,rn t;.Jd.l RrSular!'nr l-IirL 10. Pnd6,
<br />_RcquiEd lrrtcr.f Ndir.{id
<br />-l
<br />.cnify ln.r rlr tud.nl G4lrti* r3dirS r{Erkx rcmvrl e ml iarltrlL k rhL PmFr
<br />-l
<br />ccnify fir I h.E E.d lhir rprltli. dd rl.r. rh, rh. !bo$ inlomElion G coB.cl. I .Fa lo crnrgly wnh aU Cny lnd C(ury
<br />odillrct lnd srar. trk rlrlB ro IlildirS .rNMi.tr rn lE .6y.rltnir. qa.Etrrriwr ol rht C yDd Cou.'y lo 6'6 utbn tlE
<br />.lt!. rnrixrJ pmFt, tq hqq:tnnvrI.s-. -,
<br />^rpr.,{d^r,,,s.',u* },4
<br />=Z -
<br />*', 1/tz/2o
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation I
<br />Roof Sheathinq ql?Zno )A4.Y,
<br />Shear Wall l
<br />Framino
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />, / /a/t 'zt-z? .n *rt)
<br />Certilicate of Occupancv
<br />Notes, Remarks, Etc
<br />Rev 0B-07.2015
<br />Brown Coat
<br />Flood Zone Certil.
<br />FINAL
<br />k'r&rt N@:
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