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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OIINER AUILOET DELCARAT'ION
<br />I ,Ircby rffm unlct FMty ol F4u4hr I m cxcn$ imh tL Gll rrtn' tr.ht bw ror rlr rrnrrwin! E.M ISa.?Olr.i
<br />B!!rcsi mi Prcra(x,n Ci .): Any (]ry or (i,onry wh(h G!r6 . Fmn lo N'nnNd, rlld. rqrov.. d.mnrh o, tl.r iy
<br />ntur@, rr" 'o r (sn.. rt$ rc1uEr trE rndrd ror tEh Fmir li' riL ! ri3Fl n.Lrnr rhrr lt or sh. ! lk.ntcd lluMt
<br />n, rh. In)vFnd ot rlr Coh[ak*'r l-r.nht lrw (Ch.l,d 9, ComDBmt s h Sarrr ?Un oa Drv!-n ] ot rlr Bur'B< rnd
<br />Pn{.$hns Cql.) or rhrr lE or rlE s cr.q,r rhr.inm srl rh. h.nr lill rt .lL8.d .rcnBir. l\., vnhli'n or Ser{n ?0.! L5 ny .ny
<br />+llf,rr l(tr. rmn ubjrB 'h. appl'onr to r gvil p.Mhyotnn B,rc th{ nv. hudrcdJoll$ (!500)
<br />_1. as o*Nrol rh. roFny,,r my.nl|lhyer *nh vu 3ct,r rlu q,k omFnqrk'n, w ldo rlE wql tn rlr doi@ r ft
<br />rr. Ld or ottcFJ ld qL (S( ?044. Bu.trs. id Pmt <q,ns C.rL: Trx Ci.t!.ror'! I -knr l,w &xt to{ {rly t(, u owEr ol
<br />rh. F)rri, lt,1! i,, urF,B rh.Fr. !n *h' dEr ch sit hrn<ll or h.mllor rhre.lh hn d li. om cirlr,Fr.
<br />pn,vrLd rhd run rryrDkdr G , dd}.t d oli.rhl litr eL ll trEw. llr l[ruh3 tr uqmtftd c slt *thh om F{
<br />d.onpLti,n. rlr owrcr 8u .,.. villhaE ilE tnhl.n ol ln,vrr rh,r h. or nE .lt] br tu'rl or !qr,r lh. pn)Fny tur rlr IIlrInE ol
<br />_l, rs owNr oi rhc pmFny, !n er.lu(vcly .onrrcr itr! w n I'Ltn{d .oda(ron to c.nsrru.r r rE F)j€d (Se. 70{4, Illiu.s
<br />rril hiki.rn CuL: Th. Conkdoar l-(cn* h* der n{ .t0ly t' - osEr of pNpcn, ,b 6! dr or m!tuw. rh.rdn.
<br />rn,i *hr nrdsrr nx lEh F)r!i! r h r Codftnn r lr.nt J p{6Mr (, rlE clldrrrd'r 1...n€ ll})
<br />I lncEmri ur,lr sccrrr .B &P( hnrhnrc,qn,
<br />D.l.r-
<br />tto3aE8S:SllltSEN,tArIO!
<br />DECI- rAnoli
<br />I h.r.by rllrh un&r JEMhyd! tr4ur! E ol rlx t,llwDt &!Lnr,nr
<br />-l
<br />h.w d will mFru r C.ndi.l. olConed lo SclalNr nr krrs' $nlp.nd.n, .t tn,viL'l ntr 6y Saion l7U) oa rlts
<br />Llhx Gri.. ld tlE FrLr|rl4. oI llr s nnrn.hllE Fn'r r NrEd
<br />_ I hl\r rd * l Ernhr *orr.R' (,mF6efu,n rnrur'tu., r\ r.tutr tl h, S(r irn 17{Ir oi rh. I llx)r CirL- aor iM lErtimhr of
<br />rh. kd ld *hrfi In! p..d s 6nrl My wdt6' sryrn{x,n rn{t*c luE ,n lDliy nurls a
<br />crn..:. Ltre[4Y MUTUAL
<br />L,)I
<br />l.!n'8rhrr rnrh. IlrlorDB. or r,x *ort l{, rhrn rhn rRrm rsskl.l\hrur cn'oly r
<br />r) is h h.mft suhFr h rh. k)*di .nn|tnirrln bf,\ ol C.lJDm!. 8rl {r rh.r rl I rhoul! lxor tohttr b rh.
<br />wnd.r' (!m!.hsahon ttuv(tr,ns .t Sc( rkin 17lD ol th. l-rhtr Gxlc, I sh.ll- t,nhw h omlly e rh rhok l,n,vri'nr.
<br />WARNIN(; F. ur h s.'u. k,rlc^ .snFn! k'n .l,v.rc8c I onLwrul J .h.ll ruhFl cmphy.r b 6Mrl ltul.! ,rl
<br />(Nrl lin.r up b om hurlrJ rho$.,r1 Jolb^ (lltxt.ltl)r. m aUdon b rl* on o! on{r.!rr!'tr, d.d3c\ r! F,lricJ l,r rlt
<br />S.!rtr'n l('rrr,,1rh.lihn (iil!.
<br />'nkJ.{ inJ
<br />0
<br />I lrEl'y rliuh unLr lEuly ol FrIt, rh.! I u lf,rtrEi lrl.l FDylrn of Ch:prd 9 (trltmBoa sah Seru 70(D) of D'vNbn l
<br />of rlE aurEs ril Pn,fc$i'nr Cqrc, .ni my la.nc s 6 lutl n'R! ul cft(r
<br />B 9z
<br />,,,,n.,*uln^lKK,.
<br />I IEESy rlrm unt r FEIy ol Frry rhd rtE ir r orrMirn Enro8 .!@y fq rh Ffifu ot rlE k t ntr wtdr ih! Fhl !
<br />n3E{ (ss. Ir'7. cr c.,
<br />AIELISANI.DEIIdEdIIA!
<br />I hdrrry dh unJ.r Fnlhy or Frju.y oF or lh nnbwm8 r.lelt.' r'nr
<br />D(m,hnD Pcrmirl^{t (or Ndilr{rr Frcdt,rl R.tulrronrlTnl. l(). P.n6l
<br />_R.qurtJ tr(.' ol fidrrirr,.
<br />I(n irh.rrlrl.n rir.tllrti,nr ms$lmf .rb.rtn @v:l rR nn {d..5L b rh6 lnrF
<br />4( *nily
<br />'hd
<br />I h,h r*l rh! lrlplr'non ini u. rhar rn .hiv. ,nromril)n !.orB_'r. I r!'e t, Lonfly w h ru crr rnd connry
<br />order.r.d Sr.rc uwr cldr* h bn'
<br />rhrh mnii,mJ Ih,Fny fc n.F1Dn
<br />h.hh, tbu. rcIrrknr.l6 ol thf Cny rnl Co!,ry (' .nr.r u,r'n rlr
<br />L
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsu lation
<br />Roof Sheathing
<br />Shear Wall j
<br />Framing 5/q/tq -,<146A
<br />lns u lation/ Energ y -,UDrywall
<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 />Flood Zone Certif
<br />FINAL 7l?-<ltS .,LU4{'t)
<br />Certilicate ol Occupancy I
<br />Notes, Remarks, Etc
<br />-+
<br />$/Llq
<br />I
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