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BUILDING- INSPECTOR RECORD -t
<br />SITE.WORK DATE ID/SIG.owNtil Btrll,I)Ell t t:LcARATtoN
<br />I h.rchy .nrh udc, rEMlty,', Eriu,y rhar I en .rcmnr ftn. rh. c.,nh.ntrr Lf,.n{ If,w ror rhc folk)win3 rcrw'n (S( l0ll 5,
<br />tlu\i'{r\ snJ Pn,fcsio. (ixLr Any ( iry or (i)unry shrh r.nurcs u Fni l. ndru(I. !lls. iryrorc. {hmrnh ; Ei}r lny
<br />nructurc, Iritrro us ssurr.. !ls' B$inr rh ryplam! for \Fh gmi ro lilt r \i8ftd {d.ftnr thd lE rr sh. s lt.ncd purud
<br />() !h( ,'orirrns ol dr C.nrdroir Lftflrn li* ('h,nrcr 9. O'mtrrki,s triih ssri.Jn 7(rn or Drvisirn .r f rh. B im( s.d
<br />Pn'r!$i,n.(-'d.)orrhar,tor\hcnerrn{ rh.nlronlndrh.hl\nr rh.,lLscJcxcmplirn.A.yvml.rionolSdntr?0.rl56yrny'
<br />upt,hanr hr r D.rmir \ubrc{h rhc '!pli.!.r ro ..,yil pcru lr, nt fl, mft rh3n fiv. hudlEd doll {Il5lxr)
<br />L n\ ourrr olrh. tmFdy. nr nry cflrplolrs *rlh !{8.\ a\ rhcir v'lc (nDcn\rrDn. w'lllt, ttr *( onrlrntuMiini
<br />tr dklci orofierd ntr sk (Ss.7(!,1. Bu\imr\{nd r\i,fcsioD\ Cnk ]n Co reroa\ L.c.c tj* d.Er mt {'Ply h in o*mr or
<br />rht pn'Fiy *h,luu( or 'nlh*\ rlEnr4 rd Bho ltn lah rod hrtr$clfo, lrrcllor rhn,ulh hir or h.r.rtr.nlJ,loy.c\.
<br />pnn i.L\l r hrl uch in{mrmnr\ e n, inrcnld .r.ltuBl lor {L lt h'sc\* rlE huilliry or 'ryn*rrnr r $U *ihn oft ]{,
<br />ol$tr{kriu ilE Ostur $uiU.t Brll hr\r rh hn,.n oapnN.3 rh,lE c \hc dd r{ h{ o. .qmE rh. F{6y for rlt Frlr)y or
<br />l. fi D* kr ol rtE ,'tutin!_. im .r.tu{rcly co,nrd ms r irh lEns'd (, r{tr! k dD{Mr r lE anrlc.l (S( 7(!,1. Bu\i,.$
<br />lrrl l\i)n:dr C{xk I hc (i,nt!.ttr \ I i.cn{ lre il,f\ .or lPp lt k, M oqTcr ol FnPcn y rll, tu ild\ .r in,pn'vcs rhcrcDn.
<br />trntt who conrhd i ntr (uch In,Fr\ wir h n ConrB{rnl \, li.nBl lu^uni b rh. (i)fi{ror'! Licn* Iir I
<br />-l
<br />amcxc / udc, SNrhn .ll & l'( l,trrh^rrrlr'
<br />u!ra[!B:10!lIliNi rlox
<br />DEllrlM.tla!
<br />I tirrhJ_rfltrmundd Finlryol Brrury' xulrlkknL,rnr[d(hrurtlN
<br />-l
<br />hjre rl*rll mmr!tr r('cn,f.rr.ofconrnr () Srlr lnruE n, r oddi .trdrlEor, i,)n. !! pn,id.ri nn bySdtr,6l7(Xrolrh!
<br />Llx, (irlr, ro, rhc F,fi,nqf,. olllE wk ld *hi.h lh. Fnni \ n\ucd
<br />rhc sork rd rhi.h rhF Ftnrir is i\\Bl My sukqr .on,!.n\dio, i'r fu ... r'd nni tinty nun$cr arc,.,",.s*a\e c<w *PtPrlry Nunrhr I o->$t4-D
<br />-l
<br />r.nily lhur in rhc pcrlontun.c ol rh. qork f'tr $hi.h
<br />v, rs (, lkoft \nt'i{ tr rh. tr oltLr1, con{rns nn lr* !
<br />rorrc^ (rr{Irerk,n F'vnirnr ols.\li,,n l?(xrorrhc I
<br />'hA lycmr A N\!d.l \hrllrn.npk,,
<br />i( rin)mir. sftl r!rc. rhrr ill \lruld llroN $nj.rt rorh(
<br />ihn Oxlc- I \hrll. n'nhsnh..rnnly wirh th,r nr)rni,nr\
<br />WARNTN(; railu.. ii, $rR rnrk .\' .o,{f,nqrrrn Nrolec r! lnL*tur. n \nrll lul,F.i r ctrur'}{ k' Giniml FMk6 ad
<br />.'ril llN\ utr n, oE hudr.d rlrru€kl d llo\ (1llr).llx)). a(ldirr lo rhc cod of c.nrFnqin,n, dartu8.\ rs prordcn for rhc
<br />::;:::"*
<br />rhtr c,rlc, inchr dtr(l dror rry-( lcf!Hoqtha Ha:n2-> f gD
<br />^or,,**, *
<br />I lcn\sttr ( (riit'R\( toR
<br />DII.I.I&IIIOI
<br />B Hmt D {zt
<br />t{qrv/" t</4! "^"""*r'o
<br />pNuBlcrraNrlu)llicnc[lq
<br />, lfrby rflirn ufrlc. IrMlry of lErlurt rhd lkr i. o'n{Bri'n Lndin! rS.ky ntr rn Fcrli,mNc oI lhc {,,l tu shahrhtFrnril i!
<br />iru.d (Sr-. 3l)97. ( iv C l
<br />lrndris Nrm
<br />--
<br />AI2LICANLI]ESJAA]IIIi
<br />lrfttrallim! rtd Ftr,Xyof Frrury nE ol rh. tnlh* in8 d(LT iff:
<br />l)cm,liri,n Pc'nirr A\h.(o\ N,[!n. irn l-.d.rrl RcEULri,)nl llitle tfi).1'rn6r
<br />_RqureJ l.r'.ror Mr -r,rrr
<br />-lcdifyrhar
<br />rh. f.ddllrcBllrlkff rcS nrnS rlr\lu(rcm,rrl . B{ ,Iplaahk k, rhn ln}F1
<br />I (d ily rhrl I hdx rcJd rhis lptlt0liotr !fl.! (ul( lhll rhc rhvc inl'trturi(nr r\ condr I agre h mmPly r irn nll Cn y rnd C.unr,
<br />oiiiturcsrndsraretj*rrch.shhrldinsco$h{li'n.,rrjE'cl') ri* EF.<ddnct or rhx (ir),nd ( rynry'o.nrc uF,n r,r
<br />il:,::::il:J \--'ff.4) ^-.fu] ?'^td
<br />p.-.*-..,pan,,x [-/a+ hv lfJa*
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Ve nVlnsu lat ion
<br />Rool Sheathinq
<br />Shear Wall
<br />Framino 't,/'tc ',/lf --h t -f)
<br />lnsu lation/Enerqy
<br />Drywall q,/'3 H.{.J V4;-
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lrrlaso n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />t.
<br />FINAL 67r I /ttt --z!fr111t
<br />Certiticate of O-cuian6y '
<br />Notes, Remarks, Etc
<br />--+
<br />COMMENTS
<br />I
<br />I h.Eht rmrm undd IEMlty,'l Frrur, rhd I !n liffnst u lsrt*irirolCht s I (comnEmi.S wilh Sc.r i('i TtXlD of O rionl
<br />of rhc Bu\iRtrrd Pn,f.({i(,n( Cod...rxt nry liccne t in lullntrenndclTccr
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