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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS oWNEN BI'II,DEN DF,T-('ARATION
<br />I hd.b rmm und6 Fshy of pdjury rhd I .rmfl frem rhc C{flrrlc l,a.e Ir{ for rh. folh{ ins r.e. l s( 1)l I 5
<br />BE n6i .nl Ph,f*'on (ixk) Anrcirur(-.u \ *lth rqun6 r Fnir ro.odtud. ra, imFore &imlih or..tE( My
<br />{rud@. p.fi ro iB sum.. !ta, rArut6!h. s?ltmi f.r.,(h p.flnn ro fi|.!3bncdnd.lmt ihr h.orrt. i! hcft!.d rdFud
<br />ro rh. rm\irFN ol rlr t odreiorr I i..rql Lrs ((rl!fla 9. comd.inB trnh Sdri.tr 7000 oa Dnitio. ! or rfi. Burind rrd
<br />Preas$n! c6d.l.r $d r.or rh. n d@pr rhqcfom r rh.bGisforrn Jks.d @Fnrn Ar) r(ldio.ofsalhn7orl5 h\ inr
<br />rrp[cln1,tF{ffi ruttdr rh. .Fr|'c.nr h i oII ttuh ! a f nor mr. lhs 6\. hun&.d dollB I t(tro rt4 Y'-Z
<br />n l.'s oM"nh.Fin'. ' nt.nl}h)6\dh trry66rh., $hrmrEErhn. s & 'rr {(t nd rh. tu'd n h
<br />i d!d.d orord.d f sL{Sd 7ol.l. t}di.d od l\nfdha Cod. Ih. con.dd-! Lk.* L.N &dd qDl huo\8.,
<br />rh.FoF) stn tx,kt or rymrE tfiaotr rd rlD d6 $t In* hih*lf or hcelf or ttFu3fi [B hqoqr@pb!6.
<br />Fort&d rhd $(h i6F\ffi. r d di.l !. oll6d ii, sk If. h.q6?. rh. t{ildlt c inpm\!.d ! $ld u.th.E \a
<br />of otrpldio( t* ()f,n Eulld $ I h,r! llF hd.n olF\nB rhr.lE orrh. dil d build or inp.u.ln. FF)'foi rlE ruFE of
<br />ffi* r,,*".-). u.\(rurn.\ ronkdms Ndh rie*n.o do. t. od,d rrE Ftrrd (s( 70.u. h'n*
<br />' t a"ro.. C.* n'. t .nk&1or! I Ed( ljtr &6 mr rlDlv ro d o* o6 o r r,opsry *ho blrlds or hprord rnn.$.
<br />and uto .oddls for r(h rnldr *nh. (bdBlon.,lioa.d Fmud lo $. codrdd r Lire t s)
<br />l .r.nrnl u.ds sdr!,n
<br />-- bql6l lT
<br />I hfthy Btlirm unds p.ulty.I psju.y oE ollhc aollo*inB dclearioB
<br />.l/ @<_-,r ",rr.,r"" "
<br />( d'fi.,rc r ( dnsr (o s.rirnru,c aor wortd compdssr ion. s nmvid.d tn' hy ssron .r 7rx) o r rhc
<br />/) lbo, co,l.. r.,lhc FhllMc. {r rh. *url lir *hkh rh. rqm s BU.d
<br />I h6r. ind $ill m.inr.rn worlm omFni.r bn iNur!r.. a r.qur.d ry stlirn ]70o oa $. l,b6r ( od., for lh! p6f.m.n.. o{
<br />lhc uo* aor *hkh rfiir pcmn i! n$dl My worl6' Nhp<sxon iBurft..sid r,!d p.li.y numbd r.
<br />ffi ****rTr;rr::Hl*,:-ffi *r ****i*r**u*.*-
<br />sortd' comFMion FnrnioB ols<i6, uoo.lrhc l.lrtr C.d.- I t6ll fdhtrnh empl! $irh rlbi F.r6i.N
<br />\&ARNING: Fr uE lo Ku. nrnl6 omrmrhn .ord+. is uL*tuI. ,!d slEll 3ubFt u or'rh)s lo cinrul rErhB El
<br />cnrl lind up lo oE hundcd lhoNnd &116 (tloo.m). in !&hrf, ro rh. co, of comrE Enion. &146 er lf,orid tor rh.
<br />sd!$n !076 orlh. Ltor (ixi.-
<br />'nr(d dxi dlotB s fG
<br />L(I]lf,Dll]ItM!]!8
<br />Dll(',1 rlt\l t()\
<br />I h6.tt rrm ortd Frhr 6f Frr r. rhi I m l'.6!!.d unlo F.vi!b. .lch,9{d 9 (.oMtrine *nh Sdb. 7m0) of Dirili'n l
<br />6l !h. BBiB rd ft.t<.d ( o<,.. !n ny ltcE it h tull foc nd.a[c.l
<br />(aluB!(rar.lllul!!-acElcr
<br />I hscby am,n trRjd pc.ah y ol ldjrrry lhd 'hft i! . (oBrtu.tirn lddin8 as6cy for thc pgfomffic o I lh. s o t ftn q h'ch ihs rEn il i
<br />issr.d (Sd :r0'r7, ( iv ( )
<br />ATTUCANLDECIASAIIA!
<br />I h,!by.nm un ld p6.[t of !6|ur, oe.lrh. roll.{rB d6leri]n!
<br />D.,tulni,n Pd'rl^it iki Nor'fi.dk,n rcdq.l RcruLrns (l irl. r{r, fan6)
<br />R.rtur.rj krd.l ud'n.dhn
<br />m,ffi ffi ffi'ffi**ffi'ffi.iilrri*'.*.:,r**r*:,*
<br />sborc ffirF..d proFn! fc Bp-lhn
<br />Appli..il o..{p6l shmfur. X
<br />"--n*--",n.t,,,(R a/ =_[V CA ot\\{
<br />o?rl8/17
<br />Set Backs I
<br />Forms/Steel/Holdowns '/ //b,//7 -*12/t )
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Ene rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Itilason ry
<br />Pool Fence
<br />T-Bar
<br />Handica Re
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />t. I
<br />FINAL / /llli\^/Xlu1Certificate of Occupancy tt" I iF
<br />Notes Remarks, Etc.
<br />-)
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