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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNET BUII-DEX DEL('ARATION
<br />I hcfthy rlltm uBkr J,.n ly,n Friury rh.r I s.(.n{,r rNft rh. Codrf,'m' llcn- L} n, rh nnbwn3 rc.mr (Sar0.!15
<br />Bu.m( .,rl Pnn.sb. Cclc) A,y Ciry or (i{dy *h.h rcqurc\ r tifur b con(d(r, rlrcr. rmnmvc. rcmllh or lttEr my
<br />lrtutnr, nnn nr r ntue.. rrb cquftr rlr rmlltdr lor iuh Fmr !r lik . liaE1j q.r.rilj rhj lr or {r 6 l..n<tl FNd
<br />fu rh. F)Is$ns ol rhc Conrrenr\ l.i!tr{J Lt* (Chrpr.r 9. CohmturnS wnh s(rbn 7000 df Drvrion I or rh. Buqrcs in!
<br />Pn,tcsons C,iL) or rlur lE dr (h. tr .r.q, th(.rmm.,rl tlt hari.l ld rrr .ll!.n .\.trBi,n An, vDLr$..1 Sar n 701I 5 by &y
<br />rf0hc.nr rd r p.m {hF.k rhc .pplk.nr r,, . .'vn p.n.lry ot mr fr,rc rhu fi!. hun,lrcd ,]ou,r (5500)
<br />l. !{ .wmr olrh Is,rEny. or iy cnnlt,r.r * h w{.r 8 rh.n v,h ()mo.nrrn,n. * ld, rhe wut lrl rlE {BlE s dn
<br />l .rLJ or olLEd lr eL lS( 7044, Bulmi sd Pnrfdrirr. CdL: nE (idr&nr'r lj5* 1,* &r nr.{?ly ro s ohr of
<br />rrE F''E.r' wb h{ltli or rlr)Et rlrtun, !n wb J*r ufi n'rk hmr.ll ot hcrklf or rlhrtSh htr or h.r oNn cnlrlt'}tcs,
<br />lrrvidd, rhr! ruh mFrwmd! E B, id.dal qofi.Erl ,in eL lL bk€. rtE h.Nqa q u!.r'wGd i! sU w.ho m F&
<br />or $'!Vtrm rtE O*ftr Bu'rhr *rn hrw tlr hd.n d FtrmB rhd tr u dE !! nx tx or uqn,t 6c pft,dy lor ltr lr4r's of
<br />-1.
<br />a! o*mr of r h. F,f.dy, ,h .rclu( rvc ly uonlr.lruf wirh [.cnE,] .odart,n tu on{Mr rlr F'1.(r rsd ?Olt. Bu\d(
<br />,rl R\*rlB c-d.: Th. (idi-ntr't l-{.nt b* Jix. nn.ml! b eo*k ol r,tuFny *ltr l,u'k!s or orn,ki rh.rcn,
<br />$J *to.odr!.kt,rurhlfirr(BwnhrCorfl.n)r(ol*cnedtlrlrunrhlh.Cooh(n,rLatn{tiwl.
<br />_L6.ko|i unJ.rs.dk'. .B & PC. ntr rhn rr{m
<br />Oxft.
<br />Irox6ESs:liollfENtarla!
<br />lEI.Af,AITq!
<br />I h.rchy illiln unJc, pculry ol Frjuq oft ol rhc n k,wu8 ll.tlnrrri)nr
<br />-l
<br />hav. nn *iU @rnio r C.dd..r. Icl'nE t' ScltlNurc ls k,rt.n' .on{:rs $.. rl FovrLi r h} Salion.t700ot .
<br />L.trx Ci*, n, dE F.flmr o, rrE nxt (8 wfif,h rfi. Fm ( Llrucl
<br />I hf,rc rnl *,llmJnrln *o*.r \' $$Fn\rr,n rfiartc.r\ rqutr6l hlS(ri'n ll(r(rofrh.ljhrCir,.,lttth. JErlomRcol
<br />rh. wo.r |,tr $h'.h ihN pcri ,\ tr\k\i My workcn' (lnlrn\ir trr in{nan(. !rr.r lrl F,liv nrn*rr e
<br />Crftr_
<br />Poltry Numhr
<br />-E\piF
<br />-
<br />ILcnrlylhrr m lh. p.rlor Rrolih.wo nr*hrhihtrP.rn t riu.d,I rhrll not cm0l'y.nyFr$i in.nylmmr
<br />$ s b lriod \uhFr ro rh. k,Idr $np..qr.n lrwr or C.lrflm, .rn .!r rhd n I rh,nu ttroE stbitl kr 'tteo .6 i,mFnerDo lf,h.nsnrserkn t7fi).l rh. Lrlltr cixlc.I {ull nrnherrh o'mflt rnh fi)r Pn)vsiorr
<br />WARNING: I'.rlurc l,' k.w Rnl n LotrrlEtrdpn okn8. tr urL*fut In (h![ tuhF u.nf'L'F i0 uoED] FolF.il
<br />.rvn nEr un kr oE hundEd lhroelt doll6 (Sl(l),(tl(l). r e.]d $n b thc .(( of compc.tarnr, dm8.s rt Fovkl.d lnr lh.
<br />S..rrun .!016 ol rh. llhr Ciri., inr.r.n .rxl {n)my't fc.r
<br />Drl.r- Appllol
<br />LICE!'ELCOEIIA!:IAf,
<br />DECIJTAIIO!
<br />Illrbyrl,imtrd.rFMlyofrxrjuryrhjll.mlffn<nudcrF'rrs$nolClr.r9lconmkrn8*(hSRr!n7{XD)olD,vN[n:l
<br />ol rhc nuqm$ an'j Pnnt*n)ns (inl.. di hy ltcn( E a luu n'(. lrl c a.r
<br />SINEIBICUAIIEIT,IC.{GENI.A
<br />I h.rchy alrirm udcr Jrn{ly of Frjury rhl' r&r. i\ . .otr{turriro tftlinS t8.Ey lnr rlE tErfrm! ol rll kxl fot rhth rh6 IEh, !
<br />$kJ rJ(L ]{97. C* C r.
<br />knLr\ Nrft:
<br />-
<br />AIILKANUTECIA8AIqN
<br />I hothy .,iim u.Jcr Fn.liy ol FrJUr, om of rh. ftnk)qd8 d{Unr (,nr:
<br />O.mn rn P.tu+Artt(or l.r{rfrr,.lt&trl Rcluhrrn!IT k.{}. Pd6)
<br />R.quucd tJll.rol Nd iirbn
<br />l..d'lyrhrrrh.,.J.Blr.Eulrr!)tr\N8r,lnrsrsh(o((riqlJr.n,i{p[rhhn)rhtrI!n,Fr
<br />-l
<br />(nrry rhd I hlvt r.d rhn r0plEllon .tn !t.1. lhj lh. ttbv. rnt.nuri,tr ! .infrr I r3ft ro omPr, wrh .ll Cry .rn Counry
<br />,rJtu 6 ril Srrr. tr*r Eliqa ro tir l,n! .onrfr1rr, .rn hcEby .llbrE ,.r!m€dd iv.r oflhrr Ctl,.nl Counr,to.md uBl.ltr
<br />rhE mnrn'nci!r!,Fn, tu hrp.Lron purn.s.
<br />Applic.nl or AB.rl Slgmtue
<br />-
<br />IrrL:-
<br />P.6lt( Em rorirr,:
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framing
<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 />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL ll.z lr z Jd,{>4 f-W
<br />Certiticate ol Occupancy
<br />Notes, Remarks, EtcL{"
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