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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OlVNDA AUILDI'R DEI-CARATION
<br />Ih.[ty!flnmu.rFmltyolll.rrurylhdIuncr.mp!lremrhc(i,nrNlorl,icn\.ti*forrh.tulk,*in8r.rr,n(ss7]115
<br />Bulinc$ aJd lrolc*i,)n C{xlc) An, Ciry or Counry shich rc+nc\ d Frnrn io c.nnrucr, 8lrcr. inrltovc. dcmrirh '{ ,clEtr lny
<br />{ru.r!rc- Irir k, r R\!aN.. al\r rqun.s llr.mridn( ntr \kh Fn u fih! rirEd naknEnr lh.l lIo, dE n licn<d purud
<br />L, rht liuiiini oa r,I ('l,mtuk \ l-r..r.d l^ rcrEflG 9. (inn.EE_i.! s h S.drr. 7[itr dl t)rrBnn ] .l rlE lturimq lnd
<br />h,f.\rr,n\ CrxJc, ur r hlr h.mrh. h.rrNlt rh.r.(n, rnd rlE &\n nr rh. rlk8dl .rornrhn AnyrioblbnofS.dhnToll5hyrn,
<br />lpnh.inrnn d ,.rmir rubJ.rh rhc lnrli.anr !o,crvilncnilryorn.t nrftrhrn livc huRlrcddollur (t5(x)r
<br />L $ o*tur ol rh. roldy. or my c'r{rlo}&r snh *afrs r rhcn $k oqrnsrhn. *Jl dr rh. *6t drl rhc qBur tr rn
<br />d(rL\l o..ficr.J nn sblS( 7lx-r. Burim.!.nl ltor.i{irs(irk llE Cortrt, tl f,.n< lrf, dnmrqTlrt,!n(rmol
<br />rh. F)trd, ulh tn'Lh,r itlrm\s rtdsn dn ph, 6 rh ufi horrl or h.rell or rnDUgh hn or h.r o$n cq*,tc!
<br />prurktdl rhlr rkt mpnNrft smdninrc ldldolt Giforgk lLh)ruRr.rlrt ' + d,n!F*!m,i ir stl sihlnorc )!a
<br />ol .' r{'lcrion. rhc owrcr lruildd vill h!rc Ih. tflrkn 0I F'vin8 rhd lE or \hc dil nn tui! or irqroE rhc pn'lEr! tn rh. nxrF,s or
<br />-1.
<br />!\ oumr of r,r I'fltFnt. rr c(lulrcly codrr..q tr h l(.nql .odrdo^ n, (,nrtud rtr In)F1 ( NL 7(),1-1, Bu{rJ(
<br />r l'i,fsii C.xk 'l h. Coniiki(r'a l.rcnv l-as d,$ mr rml, h ri nr ftr uf |','trcir y q'ho hurld! or rml)lar.s t lnBnr.
<br />and wlb.offld\ntrskhFoj.cr!*nh.ConriRlod1)ltcnkdt'u^unrrortu('(inrradoi\l.iccn{liw)
<br />I r (tcmpr un,cr S..rNn
<br />I)rl. ()rn..
<br />MB$ias:1l)urfNt ra!Dl(lr.ualta!
<br />I hurry niltmunilo tf,trrlrt.l tErr(t !{E ot rhc l;llo*0U dt.hrnrrrN
<br />I tulc ,rn *ill mnrlin r C.nrlrrr. rr C.n{d n! sclf ln$r ri, Nrl€r- N{r'n nd i'.. .s In' i.n nn h}S<ut l7(nof rh
<br />l,hr Oxlc. tq llE F.i{llm otrlt $r'n ror *nan Ur. Fni n ,!\81
<br />rll.tr!'lritrqh'.hrlr^llr rh\ Nurl nl\ snrkeh l,trntrrr rin, trtr'rxccr(kyJxiF)l'.Intrtr,lu rr.
<br />-lNn'lyrhri
<br />rh. It.Iornum!ntlll *a,k ntr rh(h ihir rrn,ir a n\ud. I rh,ll 'r, r fk,y rny ti R)n r itry nunmr
<br />ar !\ n, tEiom rrhFr !, rh *ortcr .rrnllEnerrn lnr i ol C.linrnE. r,n ,gN lhd rl I {nukl hvu uhFr t, tlt
<br />$nrk6\.on{xngr{)n,,r,lisiJNotSL{rirnlTmofrh.lrhr(irk.l{Ell.fodrNtrhco,nlil}{irhrhrrpnrrisi.,.\
<br />WARNIN(i: llilurc n) surc eorl.r ra'Epcn\.ritrr ro\cB8c ir unliqful. a l \hill \!hr<r an.nlnlorrr !o ai iMl p.Btli\ itri
<br />rivil finrs rp r, o.c huidrcd rhou\hid dollan (lillx).(Xl,). in rddirtr k, rhc .o{ nf.on[cnsuno , tl0 u8cs 0s prividcd for th.
<br />S(ri,,n 10?6oIrh.lrrvGnc. i.rcrc\rrtol anorry \ lr\
<br />D.l.: Appliol:
<br />ut:E$gll:tNrBAla.lB
<br />I]DIIA8AIION
<br />I h.rohy rflinn undcr Ftrrhrofpcrjxry rh.r I m ln$qlundcr F,vni,'n riChat'rcr 9 (.onrmncitrB wirh Sdion TulD ol l)ivnion.l
<br />oI rh. Burimss ml Pml.\\hnr (ixk dl mv li.nr n
<br />'n
<br />tull rorN .rrl .lIKr
<br />C(TNSITUC'TI(IN I'\DING A(:I:NCI'
<br />I htFhy {lft,nufrkr F.rlr, o, r'.rjury rh.t lhs. n ! *'n{rudion Lnih8 a8cmy ln rh. psft,'rotuc of rh. sort f(, whi(h rhn Frnr! i\
<br />k$rd rS.. :ll)97 ( ir C )
<br />AIIIIIANLI]!:II.AAAIIIIN
<br />I hrr+ry dlm rolcr n(mlryotFrjrrynm ol rhc 6lhw'n8 delrtrrhn\
<br />Dcmniri,n Pcrmit A(tr{os Nditi(lii,n FnLrrl Rqubi nns l'rnt 4r. Pd6,
<br />-R.qurcd
<br />L.n., olNdifElhn
<br />I(rn'ryihxrrhcr.d.rnlr.!trhr,,i\trlnRl'n!r\h\n^rri^.'Lr.fLint't,ltrrhIr,rl"\nnr](.r
<br />I(d1(trhar Ihtr\crc rh6 at'tl{rr rr !i i!r. thJr rh Jh*r rtrl,r !rr)nir.om1 l,!Rn'.on{'ltr hrllC{!lnlCounrt
<br />onti'Hrt'.\ nnd Sr,r. l if, t r!,.n9 n) horlllrn3 .oh{rud x r. aid lLrbr" uthrrcrcrc{r rrn.solrhn(iitrnd Cou^ryn' rfci rF'hrtt
<br />trI\^r 'knri,rctl t,n,F.nj ritr insJrcri,n IUgrls
<br />,rppr...'",rg-,srr-r,-^ {P-t ,",,- 2-ZZ-lg
<br />P.m,,F rft ,pd,,X-. Pa,*Ojj i".'
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsu lation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsu lation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fenoe
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />/.1
<br />FINAL 1-2+ll )x,#.ul
<br />Certilicate of Occu anc
<br />Notes, Remarks, Etc.
<br />Ext./lnt. Lath
<br />Flood Zone Certif .
<br />I-
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