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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 <br />( <br />1t <br />f-------T------ <br />= <br />= <br />tlev.0B 07-2015