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BUILDING. INSPECTOR RECORD
<br />SITE-WORK COMMENTS OWNER BUILDER DEI,('AR TION
<br />r h.lchy,*rn, undcr Fnrry,,r pco,ry 'h r ffi c.i,i;;;i;'il;;;i;i;i:11i.,* r-" ,,",h" ,,,rhrmi r.l. i^" 7,)rr r
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<br />n, ih. F vn[nr .l rh. Ci,nkknr i l-r.n!.J lls (Ch: cr I Comtrrk r sfh S.rnnn 7((Xl .l t)rvstrtn .l o, rhc Ftr\rc( rn'l
<br />Pnnr$r,hs (,r]t) or rhrr lE or rlr r.\.tr{'l rhcrclionrBlrhch!n\ L.rltr itlc3cn c\cqrnn Anyvrnartr'noaS\-.rnnTllll 5htrn,
<br />rppla.nllnrrp.nnnublc.hrtu.ptlritrll,).crvrlt.Mhy l nor nrncrhrn lry. rNolkalJollar! (35( )
<br />-1,aro*rrotrheFoF.ty.,,mycmtkrFr*fi*rt..arrh.nq,k('n{xnsrnn.*Jlll,rh.Ddtulrh.!u1E$nnd.n ol or dll.rcd f,{ ek ( Sr.r044. Aurm( .rd Pnn.srr)nr C(rlr 1 h. (nd.e1.i s Lr.nc I iv 'i,rr n,, qDly n' n .wn.r ol
<br />rl*ltlhy rh, ttuild!,x trrthhr rlra,h. rrl wh, &{r ikhq'A hms.llor icr(ll orihn'u3h hr { h.r .wn .m0l'y..s.
<br />l(rilc{l r hrr \uch nlroKErrt @ rn ! cnd.J .. olirr.{ ntr sk ll, b$Fr, lh. h{rtq .r rtn*lrd n $U *.hd (r t.:tr
<br />.r.onplclr'n, rh. ()*Er Bur!( *dl hrE rh. tunlcn.l F yr3 thd lE s]r drl B, h.ll,.. urFrE rh. Infrnylnrh.IrryEol
<br />_1. r r*drot rl{ rx,rnv. mr.x(lr!r.ly ro' a.rmr wih h.rn\.d.o, r.rnnnr s)nqnkr rh. F FI (sc( i(ll,1. lrund(
<br />d thn $rrC .tc 1h.C.ntra(nn s l,rc.r.l,.w d,ri n rmly(' rnd*n{ dl po|rnyrli, hurllio. mp(nt! rhc'cr.
<br />lnJ eh, $dh-.6 nn \kh F,F1r * hrcl,nraron\rli.n!-,|nu^unit,rh((i,ntr(tn'sL(.<lru)
<br />l,nr.!.mF u L. S.(ti)n
<br />(rsm._
<br />\lxf,ti85:glrlrENsa.r0r
<br />lrE( l"AR]{TloN
<br />I h!'.r,r r11trtr, trn,|., Nnrlr\ olt{rjtr'ri,r olr n n'l!^r r nr( ,x,intr.
<br />I hrh nl * 'll tu'nirm r (i tr,li {. ot (in{nr t, S.ll In\rrc lor q ! rk., r (lnFctrrlrr)n. .s |m,vd.d ntr t y Sc( r(r .l7ix) ol rh.
<br />Llitr (irL. 1,trrhcF orEm. rl r,r torl n, *hrhr,f, Bmnr tr tr{kl
<br />I hrv. .nd e 'tl nrmr.o pork.r- coqrnr.ti,n trur1tu., .t rcqln.J hy Ser nr !7(I) ol rhc l:lxtr Cnj.. (n ih Frfolrifrt ot
<br />tlE kft rd whrh lh! JEmr u n.eJ. My rdt6. anlr.ssn mtlre..ef,r .rn F li.y.un&r E:
<br />I rcdntlh, inltr lEdi,rumcol ih. worl litr *h.hlhrs pcnrl s i\suc'j. I itull frn .n,pl()y :n, Frv,n m inymlntrr
<br />i,.1n,liom bFr n) rhc *ortdi conFnrrrx,n hwr ol Crtlfi,mr, afrt :!E rhnr J I rhru h(.m tuhFr f ilr t*o*.(' (ohl.nsr on tiNvN(,nr ol Ss-rxh l7u) or rh. bhr Oklc, I rtull. l.dhrih ..n{iy wrh rh'c F'iqrN
<br />WAnNNG F.rlrE k, EE srtcn' N,ryrnelrrn lr,Enrc ! unLwlul- rnl stuU ru6Fr u cn{*'ttr h 6nmrl,rolt(,rt
<br />eN'l tiRr up b oF hunlmd thouqrd dollrt ($l(x).I)(x,). m al'lntr,n n' rlr.od ol ..rlltnqrnn, Jam8.r I F'vll.d ri, ttE
<br />S..irr :l{,?4,.f rh. ljhtr Cii.lc. d.rcn sd arr,trNy's l!rr.
<br />Drl.:- App[or:-
<br />LICENSED CONTiACTOR
<br />DECIAMIIAN
<br />I ltrNhy .ftirnr uftlcr pctrilry n! !.rtury lhll I dm l(. f,d u l.r Fo$Dn .l ('h.rrs r) lunmna4 si h S.d nn 7{tt,) dl Orrni'n I
<br />ol rh.Bunn.ir Pnnt$(Ds(ixi., n, myl..nrc ( m tuU n{1. rl.llcd
<br />calcI8LtcuolJJNDNI;-aG!!!:I
<br />I tEEty.l]m ulLr FEryor F+ry lhn r!.dr.lBr.nkdh!t8cEyturrh.p.no@..rrtuknkrdwhrhthNFmi6
<br />n.ktl (sr .1097. ci! c.)
<br />APILII]AILDEIIdSAI&N
<br />I Hry rfm ud.r Fn.ry ol F4ury oE .f rh. tull,rr8 lel{rr$nsl
<br />rkfr,lrnn P.rhi'Arh.ror N( trr.r.n frLr.l R.SuLri)ni (I .4,. P.n6)
<br />_k.q !.J l.(.r ol fkfrrrrn
<br />l(.n,ltrlur rlE rlal.rrl
<br />^.8uLr
<br />0h R.Ernmt r\lr1ir r(rmvxl rrc rcr rlpl'rrhL t, rh^ |)l,Nrr
<br />Iccnrfyrh.rIh.v.r,rhs.pnlcltonarn(.rclhdih.lhrErnn'mrnnrunNrIradr.$n{yPhrllCr,.,n(inrdy
<br />on,ulRrr.nd Slr.lrwrElrlus lr b{ jrnS ...nelr'n. .nl tH.by lurhnu. rlr.{r 2!ks of rhr! Cry ,rl Counlr rt, .nlcr uFr lh
<br />eh,v. m i'n rorny (, inrFr.n,upo6.
<br />'\rplnanl or ALrnl Sirnnlu
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />SublloorVenVl nsulation
<br />Roof Sheathinq
<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 />Engineer Final Report
<br />Flood Zone Certif -
<br />FINAL
<br />Certif icate ot Occupancy
<br />Note s, Remarks, Etc
<br />DATE ID/SIG.
<br />LNn< Cl,n:_L(.... Numh.r:
<br />-
<br />D.r. _ (b.r*ror_
<br />IhL _
<br />Erection Pads
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