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BUILDING- INSPECTOR BECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS owNExaum
<br />I h.Eby rllm und.r p.ndry of p.rju.y rh.r I m .r.mpr frD rh. cb rc La.ns hs tor rh. tollowin3 E en tsd.7o1l.5
<br />Bu{inc$ lid Porc$b. C.d.): Any Ciry or Coudv whkh r.guiB r pqmi r. @ncMr, rtra. iqroE, &mtirh .r ,<p.r oy
<br />IructoE, rif r{, ir! tsure. dlo ..qDi6! rlE appli r lor suh lEmnr ro 6L r sigEd rrr.rni ih, h. o. {E B lic.B.d llhdt. rh. l'nvkhns oI rl$ Contrtor's l,i..nsd trw (Ch.prcr 9, ComErci.3 r h S.crhn 70(I| or Divixkr I otrtE BunBs md .
<br />Pmkstus C'rLrr rhrr & q lrr s d.rlpr rtEr.from,JrJ rtE b&rB for rtE lltq.d.r.npriln
<br />^I,
<br />ri,lrbn ofs€rirn ?Otll.j byey
<br />4l'rr(m r.rrFmtr rbFrrrlE aDnl'Ldnr ro.oqlp.uxyolnor m( rhsi I'v. hu rcddoll.6itlfir
<br />_r.rtntrFnrr*1mFny.omy.hphF..*irhqrS.iarh.neksrfrMrn.wittdlih.wtedrtr(Mrxd
<br />indrrnl or olT.En for ql (Sc 704,4. a6irs .nd PEf.sioB CcL: 'nE C.dlcror's Liln€ hy d6 mr +9lt 16 o oyE oIrh.IoFny who torllr .. lrlruB rtEE( {i vho d(E uh klt hitu.la or lrrli or rhrcush hn or t- om.mto}€i,
<br />provild rhrrs.h ,r{Fkr xEd id.rt d dollirn lest It lrcq. EtoiHi.Sor r,T.oEEr ir etd winirm Fr
<br />of Nnphriol\ rtl OwE AuOq BiU h.E rtr hrnt tr olFDvre rhi h. or,E di, d h]i[ or m+6r 0l FDpcry ,r tll FryE.t
<br />_1..5owr.rrlE Fqky. D.r.luriv?tysflrdiry *nh liura,6 drsrooi{Mr rlE Foj4i (Se. ?0at, BuriEsDl Fr*s. Cod.. Tn Co dor'r Lt.ns Lrr d(6 mr !Il?l, ro r o*Er ol proFny sh. b{itd. or 'mprohr fi.rotr
<br />rid *lF oddr Id !!.h FoFk *irl r Codrdll) lic.N.d prEuu ro r
<br />I e.kqi !n&r Sdbr_, B itPC,.a\- 1/-.,x.a
<br />DACLATATION
<br />I trEh, tmrn unda ,Enriy ol tEJury or of itE follryhs d..lrdi,a:
<br />_I h.E rn rill Drrrrin. Cdrfd. of Cl)lEd ro S.lf-tEE tr art4 .u+.di,q d FDid.d ftx tt Sde t7O0 otrE
<br />tilIr Cdk. fn rh. Ffm ol E rdl ,<r *ttth rlE pdmir is iaqkn
<br />,l h.k ri will Ndin m*6' 6np.6rirn inor!E.. .t Ertu-!t, hy SdrM 37m of rlI t tor CaL, ,m rlE Ffm. ofrt qrt ld rhrh rhn F.ri ir ie.d My rdl6 m"V.dE. ll@ ffi rd poliy @86.r E.
<br />I d"y rh{ n rlr FforN of llr vort fd *hth rhn Froir ir !tEd. I ault .nsby rY Fsn ir xy 'tWe r r. tloE ruhr41 ro rlE wt6'mtrp.Msn Lv! of C.hhmn, lnl rar rhr il I iiEltd b...m ot!.i r. rlE
<br />*!,t6i onp.netDn DrDnepu orSNDn trm ofOE ljh, Cat, I iElt, tdt{A$I G FrihE ro EG wt6s 6r+.NDn o@B€ s ud.*tuL lrl r.trpbF b cum.l trlB rd
<br />urrn, d.nt t a piovnd ls rllciv'l liEr d0 @ oE hudEd rhour.nd dolbr (alul.UrD, in ddns ro rll
<br />Sdr$n 1{?6 of rh. lrr, (d}, ird ]d rllrcy! fel
<br />DECIASAIIAd
<br />I tfrby.rf.n und.r p.rty.f p.ri,ry rh.| I m liH..rt u.66 Frvirid of CbFd r {6ldEint *ih Sdbtr 7llt)) of D ihn l
<br />ol rlE BurB! ii PllE rbB Co&, rn -r li.B i in tull loc rd.rid
<br />COI\ISTNUCTION I T\DING AC[-\CY
<br />I h.Et y .lfm un&r FEly of F !ry dn rlEr a I @dB&n Ldins ,g.d, for rlE pqtru! of rlr r..t ir *tsh rhE pdd it
<br />nud rse. 11097 ciY c I
<br />l.'ri.i, N.nE
<br />APPI,ICANT DECI-,,/IRATION
<br />I Hr:lTm unda Fn.i, ol Frju.y or of rh. fotto*ing &.t r.rrn!:
<br />D.Dltion P.miR-artEnos tdritudbi F.i.6l RquLr i.,ns Gnb .o, Pd6)
<br />_R.rtucd lrtr.r of l.loifrati-
<br />I
<br />a:;ity rh rlE Ld.rrl ESuldiob Egarurn3 6hcnd ctu! aE mr al'?ltrbL ro rhn ,$Fr
<br />rhar lhdvc,anlrhtrnpplicnrionandnrr.rhlnhcibo n .om l rgc ro r-mply wnh rll Ciry rd Conry
<br />EpE nratv.! of rlu Cny ud C.unry ro .trrd ulrr rtronli'u'r.\ r'klsrd.Iih EIrin! h h{'Lli'rs..N d
<br />fi'v. Entd.d rtuFny nr iffp.dion puqncs.
<br />aruli.nnr o. lts.rt sien{lum
<br />O OY t
<br />o3-l/-xo
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathino lt
<br />Shear Wall 4 2r tz.c L+*t
<br />Framino Yr 1t 2U .d e1-
<br />lnsulation/Energy tl -t4 ,ZO utrE <
<br />Drywall 20 .*u,
<br />Ext /lnt. Lath fl*t ,ta*t
<br />B-rown Coat a-#a?
<br />I\ilaso n ry l.t
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />'tFINAL(o \(-Yfi\,tal,*67
<br />Certilicate of Occupancy l'l
<br />NQteq, Remarks, Etc.
<br />u t5 L n
<br />0 c (L k
<br />Rev.08'07-2015
<br />o
<br />UFER Ground
<br />D*lYlb
<br />a ftlA., a
<br />l> E-lo t
<br />Dnl\ -2tJ tA,{)
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