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BUILDING. INSPECTOH RECORD
<br />SITE-WORK DATE ID/SIG.
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation t r .l/
<br />Roof Sheathino Dm/k 1fi.41
<br />Shear Wall 4r.*tze UUr@ ;5f7
<br />Framinq ttlLs u plrttl)/,yJl
<br />lnsulation/Enerqy tl
<br />Drywall tA2 aD
<br />Glt.l)nt. Larh ///tt/ 2t\8,r6wn Coat I
<br />l/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Reporl
<br />Flood Zone Certil
<br />.t I 2
<br />FINAL
<br />Certilicate ol Occupancy
<br />Notes Remarks Et
<br />OWNITT BUILD}:R D,CARATION
<br />I lEEt, .lfmt un&r p.Ety o, F.|lry lf,, I u.&tr+ 6Dfl rh. abdturd lrtM lrw ln E tollowiq EMi (Sc,m3l.s
<br />Busin.B r.d Pr f.si]i Ord.): A.y Ciry Ctudy *h(h Eqti6 . Fd ro on{M. .td. in9'nE. d.mlai rqln uy
<br />tuh.Frrron! iffi. dm E$E rlr lpplter tur luh p.mi b nL!!U'd,rir.m rh! lror rlE it lic.nxd lumtd
<br />rorh.nmvi,intuorrllC.irEi'rl,i..nedl.*(Ch.F69,ComEEin8vrhStrrn7m6tDivi.hn,orr&BEEgr'd
<br />P'or.s$c Cixi.)6 rh.r h. or rlE ir.r.r+ rEfrcn.!n rlE bs! Ior rtE:l!,.d.r.n{rirn Ary violrbfl ofscrirn 70ll.t bylny
<br />lo?lktr r.r.Fmn slbr.tr 0r |,9l.! t. a civil p.Mhy.f mr 'ft rhrn fiv. hudEd dolLrt (t5lD
<br />_l.no*arorrlrFtrp..y,dmy.npbF.rrthr.$r6rlrn6borp.dan,*i,ld.rlE(nrnlh.ffiid
<br />irdilal d olt rd ar eL ( Sd ,u4. Burin.s rd Pmt*ioE Cod.: Th. Clddid ! La..E br doa d qly lo rn ord of
<br />rlE EUo-ry wr, hit& tr inImB.lEa !n *b &s sh srt hllMr o' h..clf or rlltruit hi! n i6 om.rpb)et.
<br />Forid.d rhL.h hproEGtu e mr id.ri.d (dffdld lor r& l( tFk<, tlt t ltt!tr n hFNr B -E 'ititrc F.
<br />ol.ofi,ldia itt ()eE BuiLk viu h.E rlE h!d6 orF.nv8! rhr lE e di did tut hrirl s inp.ow t r rrcFly ad t p!.poFor
<br />_1, .r orF oldE F dy, o.r.luriEly $turi.8 v.i lt.trsl cdllm ro sn{d rlE Ford lsc.70,14, EudEs
<br />rnd h,txr!.Con., Tn Conhcrol! Li@trE L,* d{E! nor rppl,t. !no}ftr or,tr.FnyrrF burld! or Blpmw3 ih.rd
<br />..d wt d6r lq u! FDl{r yin r C.dridrl') li(n .d F]I\d t, rll cldd(! Lite l,w)
<br />_l m.rrqr uni,.i Sdni-. B IPC I rhit c.rn
<br />lla8f,[ts:sa!4llttaIoN
<br />DESAAAI&!
<br />I tErhy .ntm !.&r F ly of F.jun or of rlE rdlttsint &.L.fuN
<br />-l
<br />h.r .!n wru milrrh . CaifHl. of Cl* ro S.lfi's frr ertar' Nnp.db( s FDtLd to, bt S4ri,n l7m otrh.
<br />lrtx, Codc. Id rll tsforlllr. olrlr rort lr utah rh. FrElt i i*d
<br />t hiw.Bl will mid.m mrt.E .onp.BiEn riunN., 8 Eqritd b, Sdrtn l70O.f rlE L.bor Cod., for rlI Fflm. or
<br />rtr *urk (r rhrh rhi. p.rtu i. iisu{ My *ort.r' o!{.er[n D$,mcc.rii rrlF'l.y mnh.r r(
<br />_l c.nify fia u rlr FrlormE ol rh. won fd *tth thn Ftu ! !$ql, I rh.il mr .rpl,, ey FDn a. yM
<br />. r io b.$E .lhtrr ro rtl *nrn'6nlp.Mr6n Lwr ot crhr.6ir. !d .rd rh.l il I rh.uld tn oft obid to tb
<br />E.t6' otrF.rrDn poBi,E of Stun l70o olrlE t b, G,rL, I dr]L adhlih oIply *nh to. Ftvii6.
<br />W.{RNINC: FnluE ro Ecr wkd' EnrtEMD. shn8. it u.h*tuL {Il !h.ll obFd r .rpbF b mirn Fnli3 r,n
<br />.nd fiE, up b.E tu.did iiasn {t6lLE 111m,fl0. iI rddrih ro rlE d or.omFurio.. d&rt., ! pmYttd ror rh.
<br />Sdrion 1076olllEbE Cod., ir.E, .nd nrotry'3fat.
<br />r-lcrxsroffi
<br />OECIIXAIIAN
<br />I h.Eby rmrm u.{hr Fuhy.l pdjury thrl I .n lieN.d undn FnvirD. ol Ctiprd r, lomftncin! virh sdbi 7(m) or Dithi I
<br />of rh. Buras.rrl PDLr!,M Cod.. !n ny lr.r i r tull loc !n.l[d
<br />zo
<br />Li.cB.CLs: Li..G. Nlnh.r
<br />@IGBIICIIO!]TNDIBGIGIICI
<br />I h.a5, .ffm orid FDly of Filry rhd tEt t. edMi,h Llrlint .3.Ny lor th. pnalfur of rlE wt 60r i.hrlt Fd ir
<br />kru.d {sr $97. cr c ).
<br />ATPUCANI.DECI/BAIIO!
<br />I Hydlmu .r p.Bty o, p.rrrry oE of E li)lbtD! daLdEnr
<br />D.mlni.rn Pdmirrasb.no' Ndf.rrb! &d.rl IrquLrbtu (Tnb ,&, Pd6)
<br />-R.qui,qj
<br />t lr.t of tldilErbn
<br />-\l ..n,r, rhn ih. r.d.rl ErrldioN Elldin3 6b.no! Em)vrl E d {'gli.rbL to ihk FoF.
<br />-l
<br />cclify tlu I h.E E d rhl tp?li..rion !n s.t. lr tlE.boE irlo Erion n.ntr.I {E b @rpl, va.i.! Cay.nl Cdd,
<br />dJrur.r rl Sr"r. ljqr Eld EE cdj'v.s olrht C{y ard Couniyb.nrq ulr'lrtlE
<br />Jhnr R.nrtr,n(,| tn)Fnyrt
<br />Apnll..nl or Aror S4ur 4,-Zo-Plo
<br />afi;.It/1
<br />Rev. 08-07-2015
<br />COMMENTS
<br />Cui.r:-
<br />urr.- c6r*or
<br />-
<br />Idil.r.r ArLt*'-
<br />ilnldt da@--
<br />l ax/s,(. ans <-vlza.h 'r44<r(a- Htu/6l4 YA 6nil24
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