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!BUILDING- INSPECTOB BECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNFI BUII,DFI DELCAIATION
<br />I Er.hy .trrm unlcr JEBty ol Frrory rt, I s .r.qi ft,m rlE conrfrtF lr.nE L.* lu. rh. foltJrr3 rc.qu rs6 '7otl I
<br />Bu{ rt .nl Pnrrdsi'n Ctr.): An, (iry or Cddy wh.h EquN . rErn ro (r'ndtur, .116, mrNE, dcmllt or EIs er'
<br />drull(.. Iru t, rr! L$ue.. $ mquKr ltE +rlf,fl frtr !u.h Fmr ro lik I rl8rtt {.r.mnr th.t lE r nr s lK.n-J luNmr
<br />lo rh. I,n,vNon! oI ltr Conrr&tt'! I,f,.n*J tjw (Chrfl.r 9, (inrcmin8 wirh S on 70(x,) or Divrsn I .l rh. Bu,Esi :fij
<br />Pot {i'N CoJ.) .r rhal lE or rh. n cr.n t lhcrclmm .nn lh. hirn ,nr rk rlLs.{t .r.m xrn. Anyvhkrnrofs&rh.?011.5by.ny
<br />rnllErnr |,tr r Fm( rubilt\ r,r q'rlEor t, I dr'l l.iir y ol a m,E rh, livc huB]rc,j doul (l5m)
<br />-1.
<br />a\ ohr of rlf FrFny. rr hr.rftry.! rnh v.Ft ! rlE! r,L on ENr.n, *dl.lo rrr wt.t! 0E <erE 6 mr
<br />d.rLi o. ofl.nrl rd et (Sc.r(}!r. Butes !n PrDL$xD! GrL: TrE C()fuld ! ll.nr Ltt &i.r rd .r?1, k' r olrr oI
<br />rlE lrtlnt vl, tldrll q lr+riG rlrr@ rrn *b &B Bh s*t hmElf or lErll{r rrldlh ha d t- oq.rq 'Fr.povd.d rhn ruh mFDvlmrr! e d ,rola, qofisd n, {t lf. ll'ftw. trr h !dqrqrwrni!$uw.h4cl.s
<br />oror{lhrhtr ttr O*mr Bu'ltr *O h.E llt tu}n o(FoEl! lld,E {r itr drl n{ ln l or i4trE lhc FtrFr, nn E lt4o.or
<br />l. * nwk. ol rh. rnJEn y. 16 . t.lulvc ly ronrra.rut * h lNn(i $dhd.F n, (rqfld tu lrrjatr (Scc 7(Xt. 8u1tr1\
<br />aol t,lt't6u Cix-l Ih. G,nr.r(ntr'\ I -r..{ t:w d(r Dn ttPly ilr u osn.r ol Pn,Fd y *lil hu,kls or Ell,n'v.i rh.rd,n.
<br />rnJ rh! $dtulrfdrNhFFk* i . (i,nraro( lJ l(nrJ Fr@r h rtr ((nrr.(rx r Lrcn{ L* )
<br />l!()RKt RS', (ItllI'ENSAT(rN
<br />I}:TLABAIIAT
<br />I lr,.bt rlt16uni.r FMxy otFrjlr, nm.r lh. rolk,wur J.(LnlrN:
<br />IhrE!nwrllmu!urC.nf.d.orCotr-.oS.ll-lntlt(,rurt(r!r,qxndi!n.!rFnviidrorhySairrl7(nofrh.
<br />bll, (-d1.. fd tlE F.fl)l]rla. ot rlr *xl aq *t'$ rh. Ftur . ltkl
<br />I hry. rnJ wnl mlnrau *.r*fi\' (omFnriti)n m.urrtuc. r\ ,.!trucJ hy SRr (,n lTul or rh. htxtr (irl., tu, ihc FnoIrMc ol
<br />rtE work n, *hf,h rtu limn 6 (\kd My w.rkc6' con\Jr.\.rh'n mruraN. rdr, r Fnrynumtxrd.
<br />Polry Nunt'.._
<br />I (cnrlyih.r m th.IE itrE(.olrlE *orl fn *nrh rhtr Frn r r.k'l.l \lullnn cnq,k)yrnt FRr.6.ny'MNr
<br />a) s n,lE{E ruhjNr ro rlx utltd\ ()nlEneri,n L}! ol (-.ldomE. ril:!d (h:r
<br />'l I dru tE om iuhrd t, rlr
<br />*oa.i! .omFnsdi'n tmvtr()n. ut Sc( rDn 17(xJ ol ilr I jhtr (ii].. I {!rU. bdhw[h r{r{ y s h rh'r lh,vsnn\
<br />WARNIN(;: l,urlurc n) rcu. knt.F (nFnr.r!'n tu\rr!3. ri unl.wlul, rnJ \hou \ul'Ar d .nthycr n) rmml FMItr {rl
<br />.'v'l ltrr\ tr! r) oN hrnJtud rhDtr\r rl rlollir\ l'lllx)r';'hbb;"**.n r'nu3'\'1 phvi'r'd ntr rh'
<br />ihn (tx[. i{({ . tr1 .[(trNY'\
<br />L!( t \sul) (lr\TRt(-Tol{
<br />ltllfr&ulor
<br />I lEEh, .rtrn ud.r Fdxy or Fr!r, rh, I .m l,arsr urkt F)qlrr ot clrFd 9 ronllmos {lh S<rDn 7m) or Drsm l
<br />ol llr Buws drl PEt $pB C,rL, .rn m, l..n$ tr D lull n'^t !i.Uer.
<br />IrrL._ Cntrxlo.-
<br />calsrall]pLLElDlxc-f,GE g
<br />I lrEhy rrlih !toi.r F.rk, .I Frjury rhn lhcE i! . .r,nnturt,n Lslnr 1!my tu lh. Frfo,lrer of rlt srk ror rnlh rtut Fmd !
<br />nsr.J Ise. 1097. cir c.)
<br />AII TCATIIIESIdEAIIO!
<br />I hftnt rllm ud.r Fuly of F rlry or or r'l rolb*ht lla L,.rtnr:
<br />D.mrl!r,n P.rtulAstEno! lLriErrDn f.d.nl Rcluhrb.i tI k ao. P.n6)
<br />RcquRd lrtts of Ndifrdrr
<br />-l
<br />!.d',yrh,r rt. r&al rluhtlnr F8.rdrns.rtEdor Eni,vil s ftn.pplrrhk k,lhs Fft'i.ll
<br />-I.dyrh,Ih.EErlrht!+t'li.rrtlDlnI.ihirh.rhrK'nro|
<br />rDns(tmit.Scrourplyrnh.llCa!.dCour,
<br />orJtrN6 .rn Sldc f.* ELrry ro
<br />*.v. mnrhrd lrqEny f* mlFtr
<br />Dg (o i$[ .rn trEry .ultEE EF.drhF ol rfur Cay .!n Ctody t, .nrn upon ,E
<br />Applimnl or At.nl Signrlu
<br />Set Backs
<br />Forms/Steel/Holdowns sl*tlu n txl4cld4 2)
<br />Erection Pads ut
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Depuly Final Report
<br />Engineer Final Report
<br />FINAL l. ltltt VrJ l.t
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc.
<br />S/toy'lq ln a-?a..\)j
<br />^).rzD .r, ?.4df; a.l o Zezr2r-t.1 Dtrtcc lJj.,ztt
<br />L,c.nr.Chr:_l,,r.nrc Numh.r
<br />^ 4/+/r?
<br />Flood Zone Certif .
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