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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS I hrmby lllnm unds Fnllry ,,r,xr4ry lhd I m.rcfrPl rmn lhc Codrtbn' lx'.nc lr* lnt lhe n,llrwin8 rc.en lsd.7oll.l <br />BurFt !,rt Pn,t $.. C,rL): Any C y o, Celnv whrh aqlrt . Frfu ro .r,nrrud, !lrd. nnFlw, d.mlnn ot Fr.a sl <br />nMrm, F ri, d. 6rus.. rls Frtdt rh r00lrrr ror rEh Fmr '. arl r lsBl {ffii <br />'h.l <br />lE or tlr ! ltdG, puri.,r <br />!i, rh. r.vRr)n\ or rlE co.r&tois LNnEd L.w ((luflcr 9. ConmkhS *!h Sarnn 7UI) ot Div!$n !.frlt Botittr rnr! <br />Pnrrc*ionr C*i.) or lhil lE or rhc n .icmttr rhcrcfbm dd rh. btsir (tr lh. .llcscd cicndhn. Any vfLl$n ol SdrD. 70.! 1 .5 ny uy <br />.ldrtnr rrtr . Fmr iubr..k rhc +pl.mr rd . .rv'l FMlly or nn ,t rh2, tir. hunrrq, &nLr. (t5m) <br />-1. <br />ar .*ftr of rlE F Fny. ,tr m, crml'}lcs e h *{( !r rlEn ok .rf,{Enslr,r. *Jl *, rlE wdt .Il llE nerF r n <br />u cd.n oron.rsl fttr BL (S( 7(xa, Blrms. Pt .$DnsCd.:It Contdt'r l-knc L.* drxr o !,Plybr.wkrol <br />rh.FIiny wh, huJds or rvn,rcs rtB)n. {rl wh, &E h$d(hmrclf orh.rcll orrlF,rAt hn orh.row..n{.yc.r, <br />Inotid ln,i thh lnpNFmd! e ni ddldl.roilcrql ior qL lr- lr,ke, rh. trdlrta d rqmtrd tr r r.to (r l.{ <br />ol.dr?Lrm. rh. O*Et ButEt w nrE rhnl.nolFrvrurhdll(iEljndh[.tdIIIF'ErrElrqEr,rddEFrFtol <br />l. .s owr ol ih. FtEd y, rm cx.lu{wly co (h!w h lt.nad .odf,(loF tr .rrnrE ilE ln,Fr (s.c.7044. BusEs <br />.nl ADhsrh Cqk: Tlr Ctdrrror'r Lkn< Lw &rt n{.{'!ly h uowE ol lf,oFdy eh. h{rlt or mrNEr dE on. <br />rnn wlr, .odRr(rd.khFlitk srh.ai"rr_'n,1n li(n<d0!rd birrc.'nraroir Lr.n*be) <br />I rn.krnpr trrlcr Sc(rr <br />lllaf,!f,s:g&,IE sAuo!DEQUAIIII! <br />lhcnhy!lluntrtul.r pcnrlryol P.qury dn ul rhc n)l[]wm3 de.'llrlr(,n <br />-l <br />h,r ..1 r'll ud6. c.nf.n. orci,ne kr S.llln$r Lr kxt6-drqtnr.l,n. ! I't*aldr tu by Scr,n l?m of0E <br />Iititr Col., nr rE Fflrdri oI rlE *rr rM wh.h rh. Fml E lr6j <br />I havc lnl * 'll naimrn *orkcrr lontP.ntllDn inntrrh-'c. as rcqutr.J by S..rxrn l7({ of irr llhn Codc, tur lh. perrqlu(t ol <br />rh. qrt ld*hrhrhr IEmi r( Bnd M y *odc6' lrnr{rnd x,n 'n\ufutu. c.mr sl Pli, hb.r e <br />C.mi- <br />I lcn y rhi o rlE FrlortuD. of rtE ktrt frr *h.h <br />!' !(tu b.Lim rlbrrr lo rh. !0lt6'$np.nrdun Lwi <br />! Frm r nlrdl. I rh.ll n{ <br />tcrl dhr..Dl .3N rh:r,fI <br />so'k.^' .onlrtr\rronor)vr\otrsol S.Lrkr lTUl <br />\\ 1t{\t\r; r.tr l <br />Nrl lino !n t' om h'rl..J rl$lenl rrnhr/rllflr.(I <br />Sernn .!0?6 or r,E l2lrr c,xL. d.r{ .nd <br />I h.'$y arrrn, und.r Fuliyol lErjury rh! I rm lNosd udcr Ir,vtri,n orct I,d e r <br />ol lhc Bu{k\s. Pn,l.$('n\ Cud., dt my l..n <br />I h.Fhy.r!6 lBl.r D.. y ol n rjnry rhrr !h.E is r u,n{rud trn LBj[! .ScE-y ft, rlE Frlolruh. ol rh. *'rt (tr *'h.h rhr Fmr n <br />N!'rJ iS(! rrD7.(\v ( | <br />APPI ICA^TT DECL IATION <br />I hdrf,, rdih ud.r Fn.lry .r lErtr.r or ol rk foll,*r8 &rLnr i[ <br />D.tu,lr.n P.rm rA!hc(o! l&x <br />_R.quKd l:(crolfl,l i.li <br />_l lEr i In, rh f.&hl Elul <br />n.omrr I ssre rr oftlPly w h!l <br />.urttre r.F.a.nrrr 'v.s <br />ntrh6 cny <br />,lx*r @ rrrJ |h,If,n!11 <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />Subf loor/VenVl nsulalion <br />Rool Sheathinq <br />Shear Wall <br />Framino <br />lnsulation/Energy <br />Drywall <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 />)J^-rt- Mhl*,^f 52?t7 r?czr I <br />FINAL Rr-n.-tq R c z') <br />Certilicate of Occupancy <br />Notes, Remarks, Etc. <br />SLAB Floor <br />Flood Zone Certif . <br />fT