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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNI]R BUTLI}I]R DTJLCARATloN
<br />I h.ruby rflintr Lndd Fnxrry ol lcrrlry rnar I m crcmrl fiom rlr (idrkr'r' l-ient tj* Ior rh nnk'Ein3 rc.q'n (&r 70il 3
<br />Bu{rc$ .nj l,rofc\\Kr (inc' A.! cirv or c({ y shih Equirc\ r Frnir (, coo{tocr, alrq. n'{r,vc. d.nnli\h ,{ ,ctutr lny
<br />itucruE. pri, nr il! isulm€. 0h. raturcs rh. itplf,anr f,r \!.h tEmir k) fik r ti8mrt nd.'ftnr rhd lE or lhc . litnLd NMrd
<br />k' rlE pr*irin\ of rh. (i)nrh*r* r t-a..q, Lr* lchprcr 9. conrmNinS wirh s..rion Tlxn nl l)ivi\i'n.l nfrhL llr\iNs !.d
<br />Pn,lcssii'nsO\l.rorrh0rtrorsh. is.rc,npt rh.Eliof,md rh. h$i\ trrhr rlLg.d.rcn{rx,d Any rhhrxri ot Sdr,. T0.l l S bt rny
<br />rmlf,r.t f alxm ohF-ls llE !ml(0tr|n'.cirn pctuhyol ft trr{.rhrn firr hundEddolles ll!0o)
<br />_l..lorF,nrrh.I'ntrnt.orn'y.n'fr,rft\$ n war.! rs tlEt v'lc onlrnqrl,n. }ill d., rh. *od srn ttr stui@ i{ Bn
<br />i'[c td nroif.rcd ntr {t (Ss'7(ll,{. Busift$.tu1lt fr!!rn\(ixl. Tlr (bnrei(,1Lf,cn{ lis ddl afi'lyro.norftrol
<br />rlt trFny rh ho'hkor 'ilft*is drftn fll sb.rr\ sh *rtr* himsclror hcrrlror rhnrush hn or hcr owncmpli,yc.\.
<br />p(,viJcd ihar \uch i'npnnTrEnr @ oroxltl d o{tfrl rff s[ ll, h)s.!E, rlr h'Uin3 or .rFnrdd r( g,ll $irhD oE ,!-
<br />ollanrI)btin rlr O\Er aurlk sillhlE rh. f.rd.n ofpfl,ving rh, lIor df, Jil nn hoiU or i'r{nNa lhc pmlEny li, rh. pu4-s.r
<br />l. E{ o*Er ol rti Frpdy. ro cr.l!{rcly (ntrtrJir in8 f, h lie.nkl conkldo^ n, .on{el rlr Ift,F1 lS& 7lx,l. I]!im$
<br />ad lh't5<ir C.dc lhccl,nr!.( 5 l.ic.n\c Ltr* dm\ nor lDn ly rr rn o*ncr ol t]rrFn y *ht $ur lds or nnpnvcs l hcr.on.and etx, .onrrart rtr \sh rfl'Fcir *nh. (tdtu1o(\r li-..rd txEnr k rrE c.dr*r,\ Liri{ tr$)
<br />I Jr.lrtrrt un(r.rsf.rrrr
<br />I li.'.h!,Llln n rf(|.' Ntr kv.ltirtur ntrc L'llhr r,'lotr !Ll.(,trrrnnh
<br />_lhuvcanrlwrllnurnri$r(tnifrdrcol(i'ns.nrkrSrlrln\urcfrr$srt(!(nnFnui'n-(rpnrvikdlirbySc.rrnr.lTu)ofih.
<br />lih, (i .. nn rlFFfortun!nrill *ork rn,sni.hrh. F.n l i i\\ucd
<br />I hr\ c snJ *n I nuinrun *o.kcri (omFn\Ibn rruhtuc. !\ rcqumd hy Sc.r (,. 17lr) uf rhr titrtr (i d.. ftr lh( Frfoirurtrc Dl
<br />rhc {r,k nrehich ths F mil il nsE'] M}workd. co'q. ! i(,n in\o8tu..drr un F,l.r.unft.r a.
<br />-l.cnrryrhol
<br />inrtE t'.irornumc or
<br />'hc
<br />*o,k lr sh.h rht Frn, ^ ir{trrl.l ihrll,r, c.iY,k,, rn,,FNrn inrny'Enm
<br />y, a\ b rf,*nft rubFr x'
<br />'h.
<br />*onri or{Ensr!'tr l.wrof(llironr[ on(l0EE. rh.r il I should lEom \ui)ccr ro rh.
<br />s{rt.^ roa,F.arxrnnln\Ak)n\oIS..rxn' lTrrrrr rhc I dh{ (iil..l1h1 rhrnh omrry *irh rlDr pm rn
<br />tlARNlN(; I iilrn( n, !.rure uorler\ .'trn,{n\rrk r (o\r'rF. n u ki \hrll \trhl..r ao rnDkDrr r,.i,'n rlpdulr$ r'.nil ,nr\ up t. dft huBk.d rhru{d d,lls r!l(x|,(rn),
<br />'n
<br />rddi ll.dirr .o l|xn\rikn,. drnl8c\ ,\ nr*ilr(l rnr rh.
<br />S.di,n' 1l)76of rh..lrh,tdl. tr .rd(rndino'Nv rlie\
<br />l-c
<br />IIEII,AM.IIOA
<br />I h.rhy lrtrm uni.r Ftuliy oI p{rtrry rhrr I !i l.!&n uds rmvnrn ol (luprs 9 (rmmr ins $ilh Sali
<br />'
<br />?(rqD ol Ih isi,n I
<br />or 'h lturi'Esund Pnnc\slrn{ Codc, o
<br />'n}
<br />li(cns F in ru ll ror.c dnl cfiLTr
<br />c0!tilauJll]lu:lillllic.Ari[lcr
<br />I hcrcby lflir un!.r FMhy ol JErjury lhll rhcr. ir r s,nqru.rr)n kndm8 r8cr y t tr rh. pdfrmDtuc o( rhc *u.k for f,hah thi\ Frmi ir
<br />n(u€nts( 1rr07.cN ( r
<br />AIzuIAITLDEILASAIIO!
<br />I tfr+ry nfrm und( pcnulry ol I'.rru.y orc of rhc n'lh"m8 deh.rrirrl
<br />lXnrnnntr l,.rnir.A.h..roi N,{ilrdion lidcful Rcgxuri,n\ (Tirk {1, Ird6)
<br />-t.rl!n.n
<br />L.ncr ol Mrifr.rin
<br />l.rd,l\ rhrr rl{ i!rlrrl rrttrlf,ii,,n\ R.Irnnrt 3\I\.{!^r. r,vrl c ni uptr]rrhl..n) rhn |[it .r
<br />I .rn'lt rhrr I l$c r.i,l rhn npflirr(h rrl {xr. rhrrrh!iL. onurk,n n.or..r I 13,.r n) (onrt, y Nirh )ll ( ry rnd (,rrrr
<br />orl'idr.\ idd SrJr.l.r$\ rling t, hu'kn tconirucrk,7. rcIrcrnl.liv.\ ofrhtr Cir, lrxi (hunly ('.nrs uF6lh.
<br />ahrr n(nrin{d pn)ncny !,tr i',\ncclilr purF)c\
<br />\pplntrnr r A!(nr signotur.K
<br />Set Backs
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Ro ol Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu lation/Enerqy
<br />Drvwall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL ';./'J.U l|,rt:',I4
<br />Certilicate of Oc cupancy I
<br />Notes, Remarks . Etc
<br />Forms/Steel/Holdowns
<br />UFER Ground
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