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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS owNll au[trEt ust,cak?rfl oN
<br />I h.Gby lrm o ld p.Mly ot t .|lry thr I m .knv lD6 rtE Clfu16' lrw Lr tu tlE foltw! Gron ($..mll 5
<br />Busics .rt Pr.rdirn C.d.l: An, Ciy or C@dy vhth Equir r Fni L oncrxi. rh6. idpmvc d.mlilh .i qrt s,
<br />sructuE, Fritr ro nr NU!N. slto EquiEs $. rppl].ur r'or rrh p.dir k, fiL s stEJ iirr.dir rh, lE o. ,E i! llrrsi J'Bu.t
<br />h rlE t'oviriB nt rlE cdnr ,r l.klned l:* (ouFd 9, collErin! vih sdtr Tur) ol Divthn ] .r dr Baft! bd
<br />Pr.f.ribN CcL) n thd lr s rtE s .kmF rh..lnD6 rn tlr b..! fo. rlr iLt d G&ngu Ary titLriod of Sdrbn 7011 5 by sy
<br />.rrlkrd io. ! Fmn.obFrstlE .p?lld to !ovilF.Mhyolmr mE lhln fiE lundfrd {rollds (tJll)
<br />_I. ( o*r, olitE Fn!.ny, fr nt.rlllrF6 *irh r{$ o rlEt rk oriEMb4 ell(ll !E x't ri tt nMai, d
<br />d.nlal 6 ol'.rql nr .l. (Sa ?Oa,l. 8':l,B! .nl Proaeiin CdL, Th. ndMr'r tre Lrr ds d +1, ro & olE o,
<br />rE FDtdy *lb hiildrd qhBrrE q !n n ds,rll urt hllMlf { lEelf or rllDrgh hr3 or lEr ou.rpLya,
<br />,'tnid.d rtl tu.h irFFwE,t$ a r, id.tlt d d oftrd r{ nL. l[ h.*.8 rh. tlitltrU m iqEErd n hb *thir oE r*
<br />of.onpbtir\ rtE o,,M Bliua *ill M€ ttE hrntn ol Foyry rhr tE n dE .lil d boitl n inp.oE dr Frraty fs llE llrFrs of
<br />I. xowmr.rrh. pop.ny..m.r.lu v.lyd'drxrtr3 *ih l{.trqi Nn.-toBto.-n{Mr rlE nn,jet (36.?{raa, Bu'iftsr
<br />dnl Pn)LqnCod. Th. Cloru..rr'! Lic.nr. lr* dNr rn !p? ly ro u o*ftr of poFny who blildr .r rmpn,E rh.Mn.
<br />rd vhr co.rrdr (, sch FoFk *tt r Gd hnr lr.Mrl pu^d i. rlE c(nrrG\ tft^< 1,.*)
<br />I D .r.q{ ui&r Sdbtr- B & P C tor rh! Ergn
<br />-l
<br />h.r !n *ill oi,r.itr | Csrni.. otcoEd ro &r.l@E tn krl6 lrqErdi,i\ .r F{ikd ror b, sdir rTm ol'tE
<br />t-tdC6d.. rrdE F.motrlE rdt k vrnthrb tE6n ir ilcd
<br />llrvcrrlrillnnr n wor\.^' .onlP.har rtr nnua,f,.. r\ kqun 'l hy S. ion r?(Xrolrh.L:h!tr(nd..ntrrh.n rforn'r{. uf
<br />ih. *orkt, *hthrlnrF.tu s i$ed My*Drknr $.qEMk,n rNuio.
<br />I dfy th! i. rlE p. q'IIc,f rll*glf6 vnEh rhn Frmit i! uEl,I nul rn.nTt l a, pd$n r d, lMF
<br />s s ro lENr .ul'j.s to tlE wxls @tr+.M m L*! of C.Ifom{ .nd {E rhi iI I ilhuld tE.E Ehid ro rlr
<br />Mrt6 co'llf,ElrDopruviiionrofS.dion JT00otttE uhor Co!.,l iDll, fodwirh&Bdy wnhrbtDbvBDE.
<br />WAnNINC FdhE h ru *{rt R orq,.o.btr 68 3. ! ulr*tul ul lhrl ruhFd d .iploFr ro 6muEi p.MlB rrn
<br />.ril fiB uD ro oE lEn .d rttund doll$ (ll(ll.Uur.dnrl6 r proYnrd ,or rtr
<br />Ciic, ur*{ rBl ,lmy } r(\
<br />I lEby rrft6und.r p.uhy.l rEqu'y rhd I rm lienrd u,xr.r Imvrm. nl Crqiq 9 rdr'rein, snhsdbi Tllxl).{Drani l
<br />ol rlE Burits 'trJ Pmlisiotu Codc, rnl ht li...e n m iul n,@ rrl .If(r.
<br />colEIalJcIIo!.1,8lpIUGlc[ q
<br />I h.rby rni.nund.r D.MlryollEriuryrh.ihe i! r onrfl(tt'n lBlm3 .3. y for rlE Frn)Im'r. of I h. eo.t ttr v.tth rht! tEmir i!
<br />nlnrl rsd l{)97. Civ C.)
<br />AEELISANI.DICIJ&IIOtr
<br />I hdl{'Y .fm ud.r p.Mny ol p.rrry oE ol th. lollo*er &rlrdionr
<br />D.ml rc. Pc.nits-Arh.(o6 Ndrfsat Dn Fcd.rul R.suldion' (TnGa0, Pan6)
<br />-Ra$iEl
<br />lit. of Ndri:tDn
<br />-l
<br />c.nnyrhd rlE f.J.6l r.gulrnoN F!.nl'ry r!h.(os Enr)ulG not +tltuahL n) il \ Ptuj.tr
<br />lo-,:xi'
<br />rhd I IEE krJ thil .p?li(.r rd. du lh..hov. irfomrion n llrci I {r ro @npl/ *irh rU Car.rrt Coudy
<br />Jntrc mnrr&dDmtxnyfitr
<br />lI!li.rtrr or tsflr sirnium
<br />codBrb( .d tftby .d EFqdrnB of6! Ciy ud Cd yro
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/lnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulatroni Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lVlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif.
<br />t/
<br />\lzu lzt fl)(.(r,
<br />Certilicate ol Occupancy t t
<br />Notes, Remarks, Etc.
<br />4r
<br />Rev.08'07-2015
<br />FINAL
<br />worxrrsffi
<br />DEIIAEAIIIA
<br />I lEEhy .lilrm ud.r !.mly of Flry oE ofih. lolbwint ddLrdD$
<br />kn&r'r AJ.tBt:
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