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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNITI BUILDFI DELCARAIION
<br />I lErchy.rfrm rnl. FdIyof Fr,try rhd Id.r.q{ rbn rrr (idat6' Ltcnc L! tu rlF ldh,os r r(Sd,_0ll5
<br />aurks .,rl Pn,r.$r'n Ccl.) Any Ciry o, a'@nly whrh Equrc! t Ftd h onddd, rlr(, inIrDw, !.Bnrh.r EFr ey
<br />1rBtuE, Frtr ro rr! Nru.M, .t!o Elur! rtF rpPu&r ln rkt Fmr tr l,k . n!rcJ nncmnl lh.r lE or {E r l{.nEJ punurnr
<br />b rrE tmvir$nr or rh (n.hroi. La..€J Lv (Clulllcr I, ConmBu! *'rh Serio. 7Ur or o'vrion I ol rlE Burfts &., '
<br />Pnrr.$k'ns Cdlc) or thrr h. or rh€ N crcryr rhcrcfpn rnn rhe hi$ ntr rh. dlcscd .r.mt*$n. Aryvrl onorSerDr70]L5tyuy
<br />!fl E.d nn. FrBtr a6Ft rtr rl,lllrhr ro ! r'v'l p.uXy of n mft iho iiv. huilE{ d la!lt5llr)
<br />l.!..wurofrlEtnFny.,rny.rytloF!,rrh*ry.r.rrh.rg,komlEqr.n,ydld'lh.sxtrn(rrtuiGrn
<br />mtdkrl or oll.6d n, eh (S(.70a4. Burms rnd Pnnt$kD{ Oi.: fu a,nlr&kt r l-i.n* bv J*l ml rPPly lo u owrcr oi
<br />rh. Frrny *tr, ho[t\ r rtbkr rlrft ,r^twbJr6dfiuxthmtcltorh..<lf.rrlh{lhh!(t.o*n.qtloyft!.
<br />I'ovklci rhrl ruch hnn,wmdr E r, nrc .d or ollcEd !6r aL Il. h)kkr. rlr i{illu{ or ir{nowftd is q)ld w ho .rc Fe
<br />ol (rrllbt.tr tlE OwE Bollr rrll h.E $. hhLn.i tn,vuq rhr h.{ slE Jn E, t.'! tr lqrDt di F)pdr, fd rh. FrFE.f
<br />l. .\ owncr ol rh. nn'n n y. rm c (lurk ly rofikrtrri *i h h..n{d $dr!(n l', (.n{ru!l rh. DNj<r ( Sn.' 7&.4. Bu\u.$
<br />In Pr,r.asrn CuL Th. Co r!.ttr'\LtrcneIr!.ft*nnr|)flynr.no* ( .l roFyt t *h, tu,lJr o n0ri! hctd,.,
<br />ul $lr' .onrrerr |in iu.hpn,r.twihr((, drri'nn lnn{d NFud rorh( Conrrrcttr ! l-*.nsc li*l
<br />-l
<br />m cr.hl'r !ftls Sdion-. B lt P c. i, rhs rc.ron
<br />tvonxrfs ('oMPtt{saTloN
<br />DTCT.ARATION
<br />I h.rchy amrn unLr Fntly ol F]!ry oE of tlE lolkrsn3 &.hr iri:
<br />-l
<br />t:r d wrll old.u r (tnrfr{. o, Conrnr t, S.li-lnruE lor vrk LnnFNr$n,.t In)vrkr! lor b, Seh'.l7mdl rlE
<br />L.bor Cirre. for r& tEtul1r*c ot rlE sd fs *hdr rtr p.frr tr L$ucd
<br />I h.\. rnd *rll mror.o wn*cu (orr{Enr.ri,n mrurre.. .1 rcquu.d h, Ser ir !r(10 oi rh. t:htr (i'jc. li'r rh. ,.rt,ma. ol
<br />rh. qrk lmwhrhths lEmillr snrn. My wofl6'.onFn\llrr morn. l5.r.rn Plrynu6h.r E
<br />I (.r! y rhrr r llr rcrlormN. ol rh. wort lltr *h.h lhr Frnr 6 (r!d,I rhrlt dn cmrk,y.ny Fn'n r rny lM*r
<br />g, $n' tEd'r iuhFr ro tlr k'lt6 on{rnEr.n L*s ol Crl'lom!. iil {r ihd n I sh'lll h(otr rubF(r ro rh.
<br />k'ltcn (dlxn\.r on I'n,vlrkrnl of Sdr on 171,0ofrh. bh,(ix].,I Grll.l,fih$ h (.mply *nh rh'{ Fovm'ns.
<br />WARNINC: fr uE ro eu. * lcs .onlrrqr$n d'Br.t. ! unl2*l]rl. t \h.ll !!hFr .n{lbFr r' lMl tiEI.! lrl
<br />.rvrl li .s uJ' to .F hundEtl rtuut{! Jolldt (tlfir.ooo). n d (,n h rh. .ur .t c.m!.nr!rr.n, d.m3.r ,\ Fovrhd n, rh.
<br />S(in. l(,76 ol lll lihx Grl.. irr.rcr .Jrl rnrtut'' te'
<br />A!r{ l:-
<br />I.IIINSEDIjqNI3AIIAB
<br />DIclAAAIIqtr
<br />I h.ftby rrtrn u.d.r !€BIry or lcrjury lh.l I .n I'ensl uBLi !flrvtrtrr or ('1ufl6 9 icollwftry w h Sni pn TlXro) ol DrvNhn l
<br />of rlt Burtulr srl Pn,Ls... c!rL, .rn my 1...r r o lul nrc srl .ltc.r
<br />D.l.
<br />-
<br />corltr
<br />colEralISqt rEauNi-aGENra
<br />I h.Eh, llfrm und.. Fnrlty ol IErJUry rh, rh.rc 6 r $.nrudn. lfthr aS.fty fn rh. Frt.rffic of rhc x'rl tn ,h.h rhk Fn{ a
<br />tr\u.drs.r Vr7 ('v C)
<br />APfI.II]ANI.IIECI,AEAITQ!
<br />I h.rh,.ro uELr lEn.lryor Frjury om.rltE loltrwn3 &.Lnlpnt:
<br />ftmLrn Pmre^rlrrro! tit{irf,nsn FdLr.l R.!!l,r$ri rT.k40, Pd6)
<br />_R.quEar ldl.r of t*iiIr{M
<br />I ..nfy 'h, ilE foi.rrl E![LrlN E!dr3 8lhro5 r.tuvn e d {r r.t k t' rh6 F,Fr
<br />I rd',yrhd I h,h Erl tut .o?l..t.n lrl n{. rh.[h. .h'r. bfomllrr ! $frr I {t ro .r'.q'ly rrh .ll C , nrj Gtudy
<br />b htrrldrn,r eotr{ru.rtrtrr. rll h.r.$yitrrhr'r. R.Irc{rnlr'v.1ol rhr City rrl (nunry n,.nicr rtr(lt
<br />,r,.,Ot lSh
<br />7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu latio n/E ne rqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />I
<br />FINAL t/i/u/tq JI*/I/T
<br />Certilicate ol Occupanci r f r-/
<br />Notes, Remarks, Etc.
<br />Pool Fence
<br />I
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