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BUILDING- INSPECTOB RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER AUTLDEN DEL(IIRATIOII
<br />t hcEhy rlfrh undcr p.ntlry i,l lErrury rhr I m crcmPl tn'n rh. Conraron LamE L* tur rh. lrltruuf Earr (S.r 7(,11 t
<br />Burm$ !! P!rts!,n CdL): Ary C y or Counry sh(h rcqurcs . tErmtr k, ondruci. ell.r' inpot., &mnrh or EPln uy
<br />sruruc. rrtr r, s trsutu., rto EquEr rrt rp?lt{( ld rkh lEmir ro ril r {l8Ert n.]cBnl rh, lt or rtE ir lEnBl N.r@r
<br />t, rh. F'vNhN ol rh. Co.r-rd'l Lrcntn tl* lcluP.r 9. Conmlhr w h S<t!n 7sn ol Drvlln I ot 6' Burtrrt ril
<br />Prul.s,nr C,rl.) or rhrt h.,r.lE s.rcrmr rh.r.lroh rd rlE tanr for I lE .lL!.J .kn!fu,n Anv v[lrrln ol Sorrn '70! l 5 lty rry
<br />ipl,n.anr,,trs p.m rubFr!llE.I,pturnrhtgv,lFmlry , ft)r mrErhm l,v. hudrcndrl&r (t5{$)
<br />l. rr .eBr ol tt* I'urrnr, or my .q'l,r!er *ilh s.3.t rt rlr, $h L mtl.ner[n, *'ll Llt' rrE w!|l drj rtE (ur@ [ mr
<br />urcDhi orolLrdlfi,qk(Sa,0a,1,Burr($dPr,r.(r,mc,rL:TtcC]( .rtd'rtr.neUeJo.rn rPPlyrouortrol
<br />rlE F{6y rhr ln dr or ntn)B rh.Nr. rl *'tn Jtr u]l srt hm<lr !t tftll d rlniu3h h! q lEr om .,rplovrtr.
<br />ttuvrLJ rh.r !u.h mfn'wdr ft n{ dftldl rr oflcEJ htr qt . l( ltiEE. rlE tn to! d rtNErd ( rru *rto rE Fr
<br />of$m0Lrrfl.rlEowrB![.krplhrEth.tu!&nofFreu3rhdlror{Edrl , huili or iqnrE IE FoIEly ft, rh. F!F'eol
<br />l. rtowErol rlr F p.nr, sc(luntlr.odrarn! *.h lf,ln€J ( rrnn ro.onrur llr I'lrjdi (sc.70'l'1, BLrEs
<br />rn P'rtsi,(i{.: Th. Contrroir Lkcnc li* d.s d rfltly ro - o}F olFoFnt *h' burldr o nl|!nr€' rh.rnn
<br />l,lig.aEarlla
<br />I hcNby rrl m ufldcr Fnllr y ol pcrjury on. "l rhc nnhu rr3 ilc.lMr'ons:
<br />-l
<br />h.E r,n * l Mdr6. C.ndi.r. ol Con(nr ro s.ll-ln{E fitr $d6'.omFnrrDn. ! lfi)vilol li'r hvS..ron 17fl).Irh.
<br />L{ry (qlc, lq r& F.f.llr!B! orrh. s,r nr wi.h rtr lmn ! stEi
<br />-l
<br />tuk r urllmidlrn work.*' .onrlEn\lrri. rnMrr!. !t rcqum'l6y Sdi,tr.!7lX)o, rh l rh.r Crxlc. lrn ih. Frl'muR' dr
<br />rhc work ntr Dhrh rlnr p.rnnr rs rsud Mywotkcis c.mltn\don 'nruran(c
<br />urmcr ml r)l'ry hunb.t tc:
<br />Pol(yNumt'.r:-
<br />-l
<br />c.drlyrhrr rihc irrlormru.ol rhc wtrr*,r, whichrhr pcr6n r KnrcJ,I rhrll nor chtl'vanv!.con rn,ny lmNr
<br />s, s lo tE oE sbFr L, rh. hl*di d'mncnsrron lt*r nf C.lrlomi!. iftl !3@ rh{ lf ! thrull lt om $bitt l" rlr
<br />s*.n ..n{trqii'n nnrvFrrn. ol SNlr,. .1]m of rh. Lh* OrL, l rlult finhunh .!qiy rtii rtbr p$vnr)n(.
<br />WARNII\(;: Frdm h sE *rrlc^ Lrr{tnqr$n u,EriSc rr onl2*ful. onl $rll {bFr ch0hv.r b .,lMd ttrl.r.d
<br />rivil lin.! urr !r oE hutrlFJ rhousuil ddl,r (Sl(x).(lXlr. F rld K,n b th. .o! of.org.nqrx'n d.d3.! ar fnvd'J 'd
<br />rh'
<br />sirrm rr)r6or rhc ljhtr (!xl.
<br />4/4 4l'f I r,
<br />DICIA8AIAN
<br />I h.rt$yrllnn uBl€r Fnrty ol Frtry rhd I rm Gtnsr !n!cr F.vsrh ol C'I.Bcr 9 ((tmtutur8 Ydh S(ri,n ?mO) 'l D'vtrbn:l
<br />oI rtu Bu\mc* od Pnn.snns Co'ic, fli ny I'ccn{ u u full ,oru. aal .lLcr
<br />LEn<CLsr-
<br />l)nre
<br />-
<br />ri'nlrac'or
<br />carslalgu0NlJlDMi.acfrcr
<br />I lEEb, rlrm untr FMt, or r+ry rh. llE! it ! s.rur-n hntin! .!8, d rlE Frrtmt .l rl! ktr (tr stEh rh! lrm' 6
<br />irrhl rs&. 1097. civ. c.i
<br />APf LI(',\]\T DECT \NATIOI
<br />Itu.ttrllr rutrJcr |{ni lr v ol p.rlur!_ o,N olrlf, r(nk)rtr'8 (l.Ll r(,n\
<br />I)ctrx,lirn' ltrtrnNAltrno\ Nor'l'(rrrn' I;.d.ri1 RcEnllrtnr I I il..r(r. l'rnn)
<br />R.qx .d lJ(cr.l Mi irs
<br />I !.nrty rhi rti l.Jctul r8ulari,n. ^3rJr3,!h..tx i.m,Y.lrc fti q,flxrhL r' rhr In)Fr
<br />l.. yrhi I hrvc ftrd rhnap!k{ri,)n.,n nar.rh{ rh.dh,v. inli,rmlrtr,i F.nftd l
<br />.nlh.tu$ id sr:rc LwrrLr13 r) b{ lh3..nnturr)n. rtl htEhyeulhtrrr rl,.e.r.
<br />rSrr r' fonlllly w lrill(iryrnrl(i{rnty
<br />rv.l.l rhrcry:rlc.urry
<br />abov. mntinFJ IroIEny n,
<br />,tDpli.dnl r Arrnl Sirml a Lr? d
<br />,"1 d
<br />/tt
<br />4.9 l-^-
<br />*a tQ
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq L/q /n H,,2'n;
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />FINAL c/s/t t z,* /o,
<br />Certilicate of Occupancv
<br />Notes, Remarks, Etc
<br />CnnL&, r l-r.nc b*rf/ l,/'
<br />Forms/Steel/Holdowns
<br />T-Bar
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