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BUILDING- INSPECTOR RECOBD
<br />SITE-WORK DATE ID/SIG.COMMENTS (}WNEf, DTIII-DI:N DELCARATIoN
<br />I lr.hy ,firm unkr FMlly oa F.rnt rhd I !m.x.nw fnD th. (idrNtoB t.f,.n{ l:* for rlr nn},*'n! ka$n (Ss Toll 5
<br />IruriNr\ snd Eof.siir Cdi.) Any Ciy o. Counry *hi.n rulutr. r Frmir o fl'nitud. shd nrfnvc. dcm)lirh or ftlrtr lnv
<br />{ncrurc. rior ro irs isxu.rEc. llso rcquirc! rhc trptlr,trr ritr such Fnnn lo fik r \isrkd {drcnrnl lhalhcflt \h. k li.cnsd puftu!tri
<br />n' lhc Pmvnion\ of rrr ('irt'.rofs Lncnscd t,' lchoPrcr 9 (innr.h_ine sirh Sc.lion ?(m DirNk'n 3 olrhc Br\incs rnd
<br />Prorcsionr Cdc ) o, rhxr lrdrh. tcrcnrlih.Etn aJd lhr tBn\ fttr rh. alle8cd .r.dpriln Anyvn,hrirolSNrirnT0ll thvuv
<br />+drtrn! fo..Fmn rlhFrth. lpt,litan! rot.NrlpcMhyorn m ft lhan livc hlhdKl il.llIc 135(x,)
<br />- l. * o*m'.f th. InnFny. o. my.op[,yes rith $s!.r (\ rh.tr q,k .onf.nsr ir)n. tr'll{!' rh sfll4l ttt drrm i\ mr
<br />. kii n.off...d f(tr aL lss ?Ol,l. auinc(rid Pmfc.{i,n((in. fh.Conkkntr ' l-*c.s Lj$dErft rmlyh osrcrol
<br />rhc ptrrpcdy wh.tlil \nr inpn,vc( rlERrnr. url *k,dmsskhsort hin\.lfor hcr€llorrhn'ushhn nr h.r o*n crqrloyc.s
<br />Drr id.Ll rhrr {ch irpmE mnh N n I iNcr-t $ offercd lir qrh I t h,*c!s. rlF hrLtllt8
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<br />tr rtre\.mnr i\ n,L] qirhm or ]tnr
<br />of.oi+lcrin rh. O{w Buittr sillhatt rh lnr&i offmrirS rhd lE or $c dil rn ttuitt or r{mE thc rrFny ftr rlr ltrry,{nl
<br />l. r{ .rmr i rh. runarr. m .rctu\n.lt n,ntrdr.3 * nh lr.n<! cnnkxt,c t, ...{Mr llE FFr ( Sd 7l}l-r BuiE\
<br />trd l'r'liriiD Grl. 'l hc ('(,nrmroi{ Li.cnr. I a$ d,t\ Rn ryply !(, trh nf,n.r ol pn,Fny rlrr hrikl( or rnlPrrtct rhcr..n
<br />rtr *ho .o d.hntr cuch proFt\ sirhr(l nhcrons)li;ctr{J l'nAUJ nrrht(ilnt(ttr'\ Li.ctr\c 1-r*)
<br />.8 & I'(- ntr r[n,u\ri
<br />lhlr ()Nn.r
<br />MaIi}:&):(AUUTI-Id-IIOI
<br />I]T:QA&UIAT
<br />Ih.rehvJirt Lf(l(! tr rlrr_ olF_iJur) oN.rrh. nilL,r iL,! J.rlnLi,trN
<br />I hrvc rd qillnudrin 0Ccdiff,dr. I (itrr{ i b S.latn{trc t, wksr co lp.n{ri()n. d\ proidcd l'tr ht Skritr :l7ll) ol rh.
<br />lrhtr(ixlc. fd lhc Fr,mqftc ollhe *od I'n shih rh.Fi s n\!d
<br />YA hiE.d wrll rrnrrin *.116 rigtn.trln rnuEEc. tt r.quiEi ht sdri.. r7(r) or rh. L,hr cod., [d rlr Ftf{]lr]4. nr
<br />y'i. *rk lG "iih !h! Fmi i\ k.rd ttly r.1t6' oryxndnn mru,lm ff Er .trt F,lr) numta .r.. \+ A.+y Lr t/, )
<br />,.',"'"
<br />-l...rrrr
<br />rhll inrlr Frrormei.rrl* ro,I ntr r'hthrhn p.rnnr
<br />q! !\h krom r!hF1 k, th. *o.Is{ i,qrn$rnn hus ut(Urtn
<br />sor*65 .nnIEn$ri('nIhrrilbn!orS(rIn lTrlOof rh.L.htr(ii,..
<br />$ {R\lNC lJlu'. r, *.u'c e"rlc^' r,,nl,in.Jr,,n itrrr!. n u
<br />t r(&{. l .hrll ft .q'lof My lxrq{ nr lny mntur
<br />u. .rt agR rtur il I rh,uLl tE<om iuhFr k, rlr
<br />I rl'!ll. aon h* rh ()npry *nh l,FE Foviai,.i
<br />bl. rl nr.'li {lhr(r rn .n[n!'\r, r, (i,nnnrljtrlrr\ xrl
<br />rJ rhc (,^r "r ,ftr,t{ 'rrntr,. (li nn!.\ )\ r(ridt(l nir rrr
<br />.,..',.," u,fn,,r'r," r.l.
<br />,,.,,,1114\
<br />,,l,nl rh,{r\nrl.1!,11.,\ 1\llx).lxrrr
<br />"),xic. ir crc{ rtr(ldktr'rv s lcc\
<br />OU/
<br />DI:IIASA.IIII!
<br />I hcEby dmrm uftiq o.nrlry rI FrJUry rhnr I rm l{in<it u L. F'rsi ,n ol Chaflo 'J r(onnmE in8 wilhsdrin Tllu)rnll}ivntr,n I
<br />or rl'. h^R$rn(i Ilol($r \ (-,n1,. r[l ,r l'.rn$ n tr' tul] r,tr1r n (l.rlc.r 3t(t
<br />i f"E --,-aY r .-"J u,-r-,(:-oa.,"*-5$<:
<br />ID"1i
<br />tl.lllir8lllxti.LENuNi-a{i};!(1
<br />I h.rhy &fiirm unicr n nlhroap.rjury rh0r rhcrc ir! mn(rucri,n lcndin8,e..cy nn llr n!'nmumc orrh. wtrl (x *hkh rhi' Jf,rnril i\
<br />r dltse- lo97.cr ( r
<br />lrrlc, . N:E
<br />-
<br />d.ttur Nl.lrl:tl.ltf,all0li
<br />I lrR{r,,nnnrundrr trrrlr) ol t^-rJUr},on. "r rhr k,lk)nint,le\hrrrk,'1
<br />Il.rnrijn l'.rnnr\ \lf,{o\ Norill.lrDtr l.'1.'rlIicSUL i{rn\ll lc Jlr.I',F61
<br />R.qutr.n 1.r., !,r Mr'linri
<br />l.drlythlt rh. ridcrll rcsuhrnrs E8uln8 lrtrslor Em,vtrl rrc nor +pla,blc h rhn PmFr
<br />I Onn,r,*, , "* .^, ,nn amh +M drr {rc,hd rhr rh\. inky urnn^r,.ncr! lns,en,n,qBw hrrr(I,vand t "urr)
<br />lfdmrrr and skrc I 'r\ Eh,hF h hlFrr,,n{tu1oh. !,n hc,ch} xurh' c '.r*{d.r^c1,,r rhhcrt rn Liiunf h rodFrrk
<br />[il*:H:*.JWl;,+i--,- .l\''\u
<br />1".^n**..,,n,,, .hZAi 1 Y."qa )
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsulation 1 I
<br />Roof Sheathinq / /ti/n ."K-h A
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />l\4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL Z -o./- Zc
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />I uNcrcnrpr undq Ssri,'n-
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