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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS ()wNlr-R au -Dt:t l[]t,cltuTmN
<br />I l.Eby rlTrn unl.r FDty of F!ry d I D .r.,q iun rh. Cond6' Lrtu lrv ld lll ,o!rov!U E.on (Sc 701,.5
<br />B!ri..ri rl Pro|sntr C.d.): Aiy Ciry d C umy whi(h EquiEs , Fni 6 c..n d, rlrd. imp'or, &mlilh or r!.n uy
<br />Iru.rE. p trionr trurn€..Isd Equftr rh. rppli.mr l',,r ruch p.m b frL.3*rd nrhtunr rhar h. o. dr ( li..Md pusrr
<br />h rlr Imvtrnn. of rh. Cnnr-rtri l.acncd l.* {ChF.rr), C.mrurin3 }.h Sdn.1Xl0 or l)ivnbr I .frh. BBE$ ud
<br />Prof.srnr C{xL) q ihr ll or dr a .r.nf rh(.fn'nr .rn rh. b.G fo. rL .llq.d .r.rim Ary rDLrbn ol Sdion 703 t J h, ry
<br />lpplionr ln r p.mn suhl..B rlE lpphcrnr to r c,vil p.N lry or mr ma rhln fiv. hund'.d dolla( (15{[D
<br />l. .r orEr.f rh.Imrdy, r my.nphy.s wih *.3.r a rlEir -k sn{.trqhi, wii d) rh. Ert rn Erdcid
<br />iidilal r ofi.rul fu rk (sd ?(xa. BullBt Dal PrDf63irx cd.r ah. aoddd,i ttac t * J6 d +ply b - ow ol
<br />rlE txDrrny who Lddr q qrcE rlrE\ ud wlr dB sh $rt hiru.lt o.lE rllor rtisu3h ht { tn oq.!pkrys.
<br />$orid.d ttut lxch inlFnEm& e d id.td.dff.r.td fd sh li i.ucEr. th. t{iuuB or rqNEmd is $ld wihinoE rr
<br />or conptri.q trr o,B Builld win hlr d. nnLr oa plDvry rhd h. or rlE dil mt boilj o. i,prDE iL F.Fry [r rl.E !{,!d. of
<br />-1.
<br />arouE.ofihc F)|aly, !m.rclorElyco r rin8 r(h lr.nral .odakrB ro.y,nntod rlE Doa.1156. r(x.4. BusiEs
<br />nd In,liiixr Cod. Th. CoDrrtr'! l,a.B. ll* de! mr inDlyro a a*M .l pn,tEny *ho burldr o! tqmv.! rh.@n.
<br />md sih odEdr li{ rkh FoFk wit r Codd.r{, h.E n lula ro rrE Codr-q r L&M lrw)
<br />I h.ftbyrithundd lxn.hvotn rruryorc.lrh. n'[o*inr d.clr ioni
<br />-l
<br />hlE u, wrll midrh. CdrfEr. of CoKd ro S.,t-lBuE ftr qdat $r{Ed.n. B Fovd.d fd b, Sdi'n l,@ of rtE
<br />rj$ C.d., td rll F.f(re ol rlE *rt ld *h-h rlt FDr i! ilsEd
<br />I hrv. mJ wrll tu,nrdn work.6' conD.nsartr,n insuflnc., a\ rcqut J h, S(ri(tr' l?m ol rh. Lihln (od., n,i rh. lt.fomr. of
<br />rlr rorl n, *l hrhnFrmn ir i\sral Myv(,lsa on{rNlr$n $urff cniI fll Fnf,y nunftr r.
<br />_l edny lhd in rtt FforEE of rtE vort ii, wfiah rhB Frmr n ured. t !nr[ nn .nplry r.y F$n r y |lW
<br />r a to tcnr lubj.ct to ttE srt6J @qErlon laws of C.lrtn6u. td {N rhd 'r I rbuld b.cor ubj6r io rrE
<br />woA.B' conq,cnlotio! pBviii)r ot Sd6n l?00 of rh. tilDr Cod.. I ilBll. fonhwnh Nmdy wirh rlDr pDvirioM.
<br />WARNINC FrluE r, .@ *qt R on+.dr,n owq. a u.Lltul. &i rh.ll ,uhj.! &.trl'bF to sirErt laii6 ud
<br />.Ml fiE! un ro oE hld,qi rhoB.rd &lLd (!lln,Utr. r ddrh. r. rh. cor of ..np.Mi.i. d.m!.r c Fov*r.d rn th.
<br />Sdrr. rc76 or rh. lrhtr Cod., hrftr .rn .n,ftr'
<br />I h.rby !lrnmun&r F kyofp.rjurythd I rm lic.tred udl(r Imyil,...l (lrpr( , (.omr(in3 enh Scrirn 7rxl, oaDirnirn l
<br />il rltr B!{ms a.d Pn)fc$ios O)d.. md my lic.ni L\ miullf,,c rIl.lf.ur
<br />(0lslBull&rl,lrlDc-dcfll(r
<br />Ih.Ehyrrftnu'xl.r p.tuhyolp.rirry rhr rh.k h ! c.NnL.r! ltrdrg r8.ry hr r h. Frf(rnu'r. .l ilr *or[ tur shi.h rlus F.nir i!
<br />AIIIICANLDECId8AIIA!
<br />I hdray r'fm unLr D.Mhy ol papry oE ol rlE tolhwin8 .t<Lir ions:
<br />D..rlirion P.rmirsAsbcnor Ndifi{rbr F.d.nl R.gullrlrff (TnL.{. Pdrt)
<br />Rquir.n t.ru ot f&iE.liin
<br />-l
<br />!.nnyrhr rh. kd{rlrclulJtrnn i.EUJ!'x r\h.{o\ r.trr^rl!E tr.r trlTl{rbL r' rlN I'n,Fi
<br />-l
<br />.6ify th.r I h.E E rl dl! .rgli.rion rn d.r. thd 0E .tov. infotu6n n .!Bl I Ur !o @trply with dl Ciy .rd Cdnry
<br />drrmLr!.dl St.t. t *!E i! ro hl dha {rdolrDtr .n tlEhy.utlErE EFsr&B ofth! Cry.nd Coury ro da uF,n ilE
<br />, !\c nknrr rlrn,N r r!tr nrp((r,nl[rlr)xl
<br />,\p0li..nl 0r,1f 6l Sir.!luR e
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SublloorVenl/lnsulation
<br />Roof Sheathino sh 9.r1,
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />)
<br />FINAL I 7t4 b'a da^-.al {
<br />Cerlificate of Occu
<br />Notes, Remarks, Etc
<br />Rev.08-07-2015
<br />Polty Nunrb..:_ErpiE :
<br />*", Yt 4t.t
<br />D"r.
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<br />c"nrnto.-
<br />/o,rt t 4
<br />Ext./lnt. Lath
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