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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER AUTLDER DET-('ATATION
<br />I hr.l'y rrltrm unl€r If,Dky (n Friury rhi I a.t.n{i lon rh. Codrrth' Lrrns t,* htr rhc nnbwot r.1r,n (Se.7011 5
<br />Buqn.rr ir Pnnasbh (irl.): Any Cny or (i,uhry whkh r.qumr ! Fmi r, on{rucr. .1r.., ,ntov., &mrlnh .r rIEr i.y
<br />nd.ruc, I'ntrl,) r (suanuc. rL$ rcqtrrcr lha d|l| (rnl htr su(hlf,nn( n' lihas,Sncd (.l.trnl |har lEor {E ! Iic.nscd puclutl
<br />rr) rh. Ihv^k'ns of rh. conrrrntr'\ lx.nd bw ((l1uflcr I, comrR'n3 w h serx,i 7(xI) of D'vrsn ! ol rh. Burm$ rtul
<br />Pr,lc(k,nr C(xL ) (tr rhjr h. d ilE (c\cml rh.nhon rn rh. h!n\ nrrlr dk!.J.r.ny{hn Any voLr$n ot Sarn. '701L5 hy :ny
<br />rmlf,rnr ttr.Fm suhxa!! rlE .fi'l{.nl t' rurnFDlryol ft{ nrrcrh:n llv. hu Gl dr'lk.(35UJ).
<br />l.r wtrr.l rh.l'nrFny, orsy.hlbler *dh w!!.t i\ th., r'Lconlxnqrbn. r rh rh. krk.h.l tlE qEle s o,r
<br />d. ldl or orl.rJ ntr elt ( S( 7(,r4. Etrln.s rnd Pnnc($n. Cql. Th. (nnkrktr\ l,!.nE ljw 'rEs rd rmly (' in owmi ol
<br />rh.In'Fny wk' hodd( or r{rrrct llrDn..rrl wlr, &{\ u*h frr* hinn.ll r h.rclf or rthu3h hx or h.ro*n.nploy.ca,
<br />J'n)vi.drhrr \!rh mI,Mm rnn d.ni.rl oroIi:rrl rin qb ll.lr'xE.rlrt[ ry or qn,Eftd tr $!wihinod Fe
<br />ol o'q,ll r'tr rh. O*Er Budl$ qll h.E rlr tl!rr.. ol F*trU lhd h. or rnc drl B, h!! q lqmE tlr rioFt, tx rlt Frlrr ol
<br />l. r! own.r ol rh. Iln)n d y. rm urlunvc l, .o.tktnt w h lNnrl $firhr h .onnnkr rtI I'l r.i tS( '7(,{.r. Bu\ft$
<br />anl lt)td{r(-'xlc lhcCotrrr&ntr i l,rcns. l,.u ,n'c\ frr .pply t, .n d*ncr .I pnr|'.ny wla) htrrldsor rmpok\ rhcrcoa.
<br />ul who conlruLBfor ru(h pn'F( k *fh a Cirrs(nl n lf,cnsd puhumr t' rhc ( ohrr(tn'\ l-rcnsc h*).
<br />_l0c(mfl udcr Sd_rrnr
<br />Eoaf,EBgtllltfEltarlll!
<br />DECIdXAUA!
<br />I hcr.hy rlltrnr unLIcr p.ulry ol r !jury onc o, rh. nil[]*n-! d.cLnrNn{
<br />_l h.E rn yrll Err.n. C.(rlitr. olo'ard ro S.l' n$E rn qrt.u' o,rFnrnD.. .r FDyr,,.ll for b, S&ro ]?0O ofrl|
<br />k!, GrL. f*rrE FfM! ordE srt fd *trrh rlE F.Dn . BreJ
<br />_l hf,!. rnl *,llmarnrrr
<br />rh. qorl i,tr ehrhrhAlrr
<br />.r$n rnrur.Bc. $ rcqurcd hysftrF 7U)o! rtE lrtxnccL.l rh. Itrtoim. or
<br />!7u
<br />"(
<br />l.rnrlv rh.t rn tlE Friorm . ol ilr wo* tu rhrh rhr Frm'r rikJ. l sh2ll Br.npkrv y
<br />\)J5r'hcLotrr\uhl.rrntrh.wr.k.^.omp.n\.nmli*\.1(rl'l,rtrL'r.nr3c-.rhi'll\h (l tRonr \!hr.Lr r,rli
<br />*',*cr\ (r\rn\xron l]n,v^tr,n\ or Sc( ro r7t()ol r,r lrhtr (ixl.. I \hr1l. l(,nhwih .o rrltw hili,!t'r)vrxri\
<br />q(u'. *'trt \ ronrncr\rn'n (,rr.
<br />Rn.J ih)u\,'rl Jolls rlllrr rrrrl
<br />11 trtrh*i,Ll. Jtrd \hJll \uhl.(r rtr cn,pl,,yc. n! L'flml Ixnrlrf,\ rnl
<br />n,.rhc m< ol .oqrnul!,n. Jmg.\ ri pmvdtd nn rh.
<br />iL. ntr.! Il !t)m.r's
<br />(
<br />u!!ttr!-B-t-l!a\
<br />I hcruhy rll!$ldcr ncMlryol n rNrv lhal I dn l,(9rconnNk13 w h S.d&n Tlxx)).1l)rri,n 1
<br />I rh. ItuiB\\ r Pn)A 6zII
<br />I htR6! rlrrfluft].r Fnlhvrl lxrruryihr rh.r.6 r -'n{in rh. Fnnnuhr ol rh. *rrt lor rtrh rhtr Fmnr tr
<br />:r !i rss. 1(,9?. crv. c )
<br />L.BL.r Naft:
<br />b d.i'\ A,ldrs _
<br />AITIIIANfIECIdSAIIA!
<br />I h.r*'y rltim ulkr Fnd y ol F lory om of rlE n,ll'r hI J.<Lnu'n!:
<br />D.ml'rk,n P.r6 rA$.noiN,i Ellr F.J.rrl R.!rbh,n! (T k.fir. Prn6)
<br />_R.qural lrrr.rof Ndlrkrhn
<br />I.cnnyrh, rlE ltd.r.lr.rlltlr).\ Ef.rdhf.rlEnot rcfrrvrla ft{ rrTlr.hL t' rhtr F,r.r
<br />_l rd,ry rh.r lh:hExlrhtr rfirl !h)v. !nn,mu['. trr.md I rAr( n
<br />oilo.krr,tul Si:r. Iras Elrul
<br />rtx,ve nr rnRalI'fl)F.ry li,r
<br />,\ppliu or Axenl Sisnil
<br />rrrlrtru. rcI'c{nrt!.r.l
<br />I (t
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulalion
<br />Rool Sheathing I /li I lcl .Alq)
<br />Shear Wall
<br />Framin s
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Mason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Qeputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL i/2//4 .2#<a
<br />Certilicate of Occu anc
<br />Notes , Bemarks, Etc.
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