BUILDING- INSPECTOR BECORD
<br />SITE-WORK DATE COMMENTS OWNrI BUILDEI DIILCATT TION
<br />I lErchy rm undcr I!.n iry .r p.rjury thli I m .r.n{,l tDm llE O, ncloF Li.cnE Ij* for rlt lollowhS r.sn (5d 701 I 5
<br />alrin.sr sd PmL$iotr Cod.) Any City or aoutrry *hth Equirct r |tnbn ro odM'. ahci irq'mE, &mlirh . EFn my
<br />3rBrm. tffi h ir3 '*ll!m. rlso E{uiB tlr.pdt.rr for.rh Fnn ro 6L. ras..d r|J.6r rt{ rE or.r. ( li$i.d Frs.n
<br />r. llt Frvilioni or E Cdrm . Larr-d t w (Ct pi6 9. CollreEins ,lh S6rnn 7m) d Davaio. I of rlE auliEs ..d
<br />Pmr.qrnr Cdj. ) n rlEl lE d tE n .rcnpr rlE.flm .rn ltE b.!ir fM rlE dbgld .rdgbn. Any vmLrion of Sdnn 7ol I .5 by uy
<br />aprlf,d.t ror.Fmir sbrcls tlr lpt,lEet ro r.ivilFulrrof rct mErnd fiv. hunhd doll,r ( Itm)
<br />-1..r
<br />owErofrrEFoFny. mr.npk',G *'th w.86 s rlE! rL otr'Fo!.lhn. Bnl&, tlEwrt!i irt .l'64 E d
<br />idoid q o,Icrd d -L (Sa.70.1,[ ariBr ln PrDEsbB Co&. trE Cdtrdr'r liuE Lr* d..! tur Dly ro d ord of
<br />rlE Fr.ny rh ll{ilk d irFG llEq .d sL .iE Et Et hrtulf s h.&lr d rhoud h! d ts om.t?bF6.
<br />povit d rhr Mh in{rnwEa m d -r.i.,.d - olt .d fd eE l( llw, tlE htldnB d in+tuvfrn i! .ld wthin m yd
<br />or.oipLiirtr rrE oexr Build.r will lEw t E b,n n of pfrin8 thll lE or Edil mr toitd or irli.E {E p tEty for tlE porlDs ol
<br />_1. ttowof rlt F,rqr,. d cr.lu\i*ly dnr*rin! nth liacd dd6 lo otu tlE tmFr (Sc 70..r. &nilE
<br />rd Entsin Co&: Tt ConrEroir Lkcns L.* d6 br rppry ro owm ol pmFny wh. triEr or ingmt! lhcror
<br />rnd who conr.ett lor zuch Foj.ali snh i C.nrxronr) [cEd pur@r ro rh. coddor's h.M L.p).
<br />-l
<br />rn .&mF !rh. S6rbn-
<br />llltESEf,ti-.(lndlBlalla!
<br />DECI.Af,AITO!
<br />I krbydntrmundd rEnrllyolFrjuryom ofllE tuln'*iry dak rrn'n\
<br />Ih.Ernwill idrh r Cdirrd. of Corir lo S.lf lI*f(hrtB o,rFMin s FviLd fd byscliotr l',no of tlE
<br />lrhd Cod., rc tlt Fnlm ol llE mrt fd lhtt llt Fri ir nru.d.
<br />l hovc onn *ill ft,n n *orlrn cotrff,nisrnr in\fidrc. !s rc]utr.d by S&.l inr .l TlD of rhc l ihor ( {xle. ftr rh. r.rnnnnBT or
<br />rh! sork ntrshKh rhn llcrnir '\ rsun My wrlo! .ontrnsrllr tr$uroEcotr..u lrlttnu $d dc
<br />n,,,,t*, - 6l b 2667ote ol t0 3t
<br />_l diryrh.r in rlE Flmc of rh. E k fr *hth rhii Frnir h iskd" I rhdl nr.n?L,y..y F$n h uy luE
<br />b .r ro t <!ft shFd ro itE wdrdi onp.ndion l,*r ofc.litumn. rn lt l if I rh.uB liLom i'$Fr ro rlE
<br />k rn {trtENtion pmvishB.r s.dir l?0o oa lh t tryGxl- I h $npry with 'L. poYtiN
<br />wARNINC ,:rlu,. h sln *(xkcn' mhtEisrn,n (o\dlc F a ih.ll rubj.rt s .nobF b cinEl Fenix end
<br />(Lvrl li 'r\ up n'.m hun,lrcd rhtr^rrl ,loLlar\ i1lrr,.'rr)). nr rhc .o( .f (o,.Ixnsri r dnrNS.r r\ tri()vidcd for rh.
<br />::'t\frI"*":
<br />IlEEhy.fttr ud* ltmht orFrlury rh.l I am lN.rd undcr rs,vri'n ofChaprq I (conEftmg eirh selio. TuD) orDnkion l
<br />ol llr Busixr\ rd rnacshtr\ Cod.. r.d ny li.M r in tull r.N !n .lfer
<br />i4 siad
<br />I h.Ehy rrm u..t r FExy ot FJUry rh{ rtm ir r s.rMbn hnhs .s!ry f( rh Frrffi ol ilE PGt for snth $t pdEn ir
<br />iro.d (se.lm7, civ. c ).
<br />AIILI'3NLDECI,A TtrON
<br />t hoir,y tn-m uLl( tl.nrlry or Frury oE of ltE folkiwin3 d.ch.Iionr
<br />DcBnnir hritrA\lEiG t{dfr.ls. F./6rl }r.g!l,i,ns fi'lt 40. P.n6)
<br />lk1uEd td'c. or Ndirrarion
<br />Ic.niiirh{r rhc lcJcrol rc!!1{r i,r1 rcnrvrlrr fri aptl'c$k r,rhnlftr&l
<br />-l
<br />cdify $d I h*r rc.d thi. .tditl rlI .tnw hnrirrioi n .r*r.d. I lpE b m'q,ly lith dl Cly .'d Coury
<br />on MNsxdsr.rc l,*rEt lrr ro
<br />!tx'v. mnrioE'.|tmFn, fG innB1
<br />1i,( {d b.Frr, .ursrir qn€qt liEi of r
<br />l|lpllff orArol skE
<br />Alb*-t- Je- *--::::;l;7;;
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulalion
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<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 />I
<br />FINAL 1 'L?t'7/\DWbi
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc.
<br />ID/SIG.
<br />Erection Pads
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<br />tlev.0B 07-2015
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