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UILDING- INSPECTOB RECORD
<br />ID/SIG.
<br />Set Backs
<br />COMMENTS
<br />-1Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulalion
<br />Boof Sheathing tDltt//t trvt/b/fu ta_-
<br />Shear Wall t."
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Itrlasonry
<br />Pool Fence
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Beport
<br />Flood Zone Certif.
<br />/r''
<br />FINAL l0-23-lK Y.\41Qt
<br />Certilicate ot Occu pancy
<br />Notes, Remarks, Etc.
<br />OWNER BUTLT'FJN DELCA RATION
<br />I lEtcl,y ufftrn und.r Fmlry ot Fiury rh,r I cr.rpt iilm l,E Codra.r.^ L&nr ljw ror rtE nnhein! rc&on (S.{ ri}.11 J
<br />Buriftr. !d Profslh. (ii.) Ant Ciry or Counry *hti E1un6 ' rEd k' 6rHM. dra, iqmt( &mlnt d r.rBn rt
<br />srd.ruc- Fin ro ilr hsaN. lho Errun.r E .I,rlarhr fDr \!ch t.m tu nk r i'8mrl {d.r rhd lE or dE ii licnEn p drnr
<br />lo Ih. Fnvtions of lhc Conln.tm s Li.cnai L!* (Chrpt.r 9, Comm.min3 wiln sc.rion 7fi)0 ot Divirion I ol ltE Businc( tnd
<br />h.f.lrionr Co&ror rh.r tr or lrE k.r.nq,r rrrEfhn.rld rh. b.rir rir rlE dlk8.d.r.nltlrion Any rirhion of S<ri,n 7O-l I 5 hr.ny
<br />rtt'ltrnr for . IEmu sbF6 rlr q'plrc$r ro . civ il ncNhy of fl,1 mrc rhln [r. nundtn &lbr{ ( !1lnl
<br />l, !r .wmr uf rhc pmFny. d nry cnq'k,rcs qilh w0pcs as rtuir $t conp.nsrn'n. *ill do rL rnrt ril rlE nde 6 nn
<br />inrcfldll or ofilr.d ntr sb ( Sd 7{x,1. Bu\ircs ud Pn,rc\rbns ( (xL Trt Conk{!.r's l-r.nt tls dEi mt lnrly b rn o*ftr or
<br />rlEFtFny rh, h.rkl< tr mtn,B rtrNr. rd *h, &6 sh $d h,msll or lr{lf or rhntu8h hi or h.r trn.i$k)vc6.
<br />proerlql rh,r such inqmFUB E r irdd.d or oflcrd frn qlc ll tr)wts, rh. b{rlln8 or nfmEmnr ir 5ld *irh'h om trr
<br />or.onpld ior rh. ()encr BliLhr will tsw rh. itrr&n ol pnlvinS rhd lE or slE dll rn t U or iqn,E rh. F,ttry tu t,'uq$tor
<br />_1. !!orB of rlx F.Isry. r cr.luiikly.odrrxn! *irh lienrd .ndr&r,m h rin{rud! rh. nmFr lS6.70l.l- llrs'xs
<br />.d tt!)l:ssbn C,)dr Th. Conrerols l-iccn\. tiw drEr fl aptty ro !n ourcr of pNlcny $ho bu ildr or inpt.wr thcrotr.
<br />rnd who qrnr, ir lor roch InFk wirh r Co Blod\) liensd flrun n,rh.G)nreh r Lacnr l.*)
<br />I m.r.mtl unlcr SErx'n
<br />D.l.r ()ltur
<br />wor< rls' .*orrpFltaaTr( rN
<br />OEI;IJIAIIS!
<br />I h.r.$y iffirnrunld rE.di, of rEjrrr.rc of rhe roll,*i.r dNl,,rri,h\
<br />I h2!. r,rl s ill rtuinui. c Ccdir.nr. ol C nrnr n) S.lI.ln\urc ntr $rrkdr (onrr..orixr. $ Il!\ iLd nlr by Srri,n lr0o ol rh.
<br />I ilry (inc- foi rlE FyfomNc of ihc q,I ftx rtir_h rh. Fm i. tr\x.n
<br />I h!v. snd willfrli.rain workc^ .omp.nulhn ins!r{r., ds E!!t.d h, Sccri.n lTllrnl'
<br />rh. r'ik htr rhrh rhs Fmr ,1^$.d M! 10r[6'ngEnq[.. rnlur'ft -,np !d F'L,*., , <7q= rur't)
<br />Purtr,Nutr*r, / /q577/7
<br />-*n*.
<br />-
<br />rh. Lihor (id.. fd rh. F
<br />/- '-r' f
<br />-ledifyth,'n'lEFrfo.flrcoallEsortansh.hlhl\F,m'lnn$cd.Iihr[.'rrhyr.,Fr$nin.nymnm,$ xn' tEroft trhrc.r ro rh. mdds $n{xnerk n h*r.rcdit mir, and ltH lh.t ifI s,nuld tE .m \ut*ir lo rrE
<br />srl6r .omtEnsr io. povirhm ol selnr l7m ol lh. L.bor (1d.. I rh.ll. {o,ih*ilh oq't wnh ih,r pbvai,nt.
<br />WARNINC: F ituE lo cm wk r'oi{En!.li,n .nvos. n onL*tuI. r'd \h.ll ilhFr e mFbF lo ainiul Frli: .rn*:-'* :*t in .dd i,n ro rh. $i of comrE.stion. J.dg.s tr pn*iicd l rlE
<br />l!I!L\&ulu:
<br />. .a?
<br />/o-rz-B ,"",;7>-
<br />rA$-ri,It.ljqlU.li!Itr1,,]1il,.}lr
<br />I h.Ety l'Irn ud.. FdI, or FF, rhd rlEi n . @nrnrrib Hbg r!.ry for tlE Frfl]ffi .f rlE wt ror fiin thn tmil ir
<br />i$En (sd. lo9r, civ c.)
<br />ATIIIIANLDEIIABA.IIO!
<br />Ihnt,lnimund.rIEn0hyof FrruryoE lrtEaolt'*ins&.ls.ri'nr:
<br />D.mrl(irn Pcrmnr.A.h.sror t*nifEarnn tuj..rl R.BUlrioN (Iirk.r0. Prn6r
<br />-Rcquircd
<br />Ldrcr or Norifr.rbi
<br />I (.nrrvrhar th. LJ.nlrc8lhtsn! E8.rdm3 .\h{' tr ,cmr.l u. mr qlnli rhL ro rhn ltord
<br />-lc.diiyrhtrrlhlvcrcadrtisapplicarinrud\rarcrhrrrhcfi,v.n'lorrndionrrunc.rl,grdtu.onrlywirhlllCrlyundCounly,nl,nnR.1lBl Srrrc lrws Elrrins k' huildins (on$di'tr ud hcrcl'y uulhorir. rcrc€nla,ir.\ orrhir Ciry snd Counry !' cnls uF'.ltt
<br />,t "",-r,,*,1r,,n rr r,, ,.r.2/^
<br />Apptt(n.t nr asrhr stamt urlr/'
<br />P.m lRum(pn ): I
<br />/6- tz ^r5'
<br />SITE-WORK DATE
<br />Erection Pads
<br />T-Bar
<br />I h(rcny amrm und., Il.nallrorFrjury rhd I !d li.lnrd und.r riNvni(,n .r Chrp'!. 9 (.oDrmmina wilh S(tio, ?fix,, orDivhi(,n.1
<br />of l,x 8usi6r !n PrcfduDr Cod.. lrn 6y liccnr ii in tull a.E rn .ft(r
<br />.**,, EezltS
<br />=
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