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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNET BUII,D'R DEI,(ARATION
<br />I h.(hy smrfl undcr rcn,hy or Frjury th{t I m B.r{ fmm lh. (i,nr&rm Lt.n€ li, for rlE r(,lbwin8 E!$. ls..70ll 5
<br />Ausinc\r ad Protcrsi.n Cod.) Any Cn, or Co! , whah rquircr r Fn r io co.{tur' rlld. inqovc. dcfrnish oP rqEr lnv
<br />rrtu.1uc. Fitr b ni ksuarc.. .lF Equit3 rhc rmlaan or (wh Fmi ro nk r ri8md ({l.nE lna! tr or .h. ir lkctrEn puelln
<br />ro rtE lrevnbnr of ir Conkrior's Lian€d Lr* (Cht r.r 9. comrEB irrs * irh scdi,n 7ll(n df Diviriof :l o, rrr Br'im* rnd
<br />PNf.$i'n\ Gxj.ror rh.i rE or sh. is.r.trpr ttftrft,m dnd rh. h.rn for llE tltBfli.rcn{ri'. Anyvi,ltrirtrorStr-,n 7oll.5 nv u,
<br />rpf lkdi r.r r Fmi subjcls rlE rjlpli..ni r. t civit FMhy of mi nln rh{ rlv. h!.dttrl &,ll&r I ${n,
<br />-1,
<br />.r owB oritE F,Fry. or ny.mFloJE! eirh wr8d.! tlE, rll. cnr{.ntdi,n. Ir(lilJEq .,nllt{tdmird
<br />inrdel or ofcEi (d sL ise 7(x,r, BusiErs.d Profc$hN Cri. Th. Q)dtdn r Li.N l,* dE d .pf,lv ro u osffi ot
<br />rlE FIEry rlb t{iLk d inlmE iEwL rn Qb &. qn *d hi'Mll or trEll or rthuAh hn d ft. orn cq,hvei
<br />rovd.1, rh.r rEt itrFoEEd. c d irsi.d G ottEd f, !L I( tr'w. t l, nins d inFffi tr sn *thin m )u
<br />o,coiy'hrir E O'pE BuiEr *ill h.E dE l!,ilnoftmri* tlEl lld nidd n{ tnitl c rlFk E Fqdy for lll F,potof
<br />-1,
<br />( o*ffi or rrE FsFry. o.rhsiwlr oddh8 wilh lEnrn .o'rdd b oi{ru-l rh. poFr ( sd ro4'l. B6E.s
<br />lrn EoEsir Cnd.: TIE ConrstG s l-En< L,s doa 6r +,!ly ro e.r'F or Pn,ltdy !h. h{ildr or in{'mwr fictsn-
<br />Md *rE odrr-l3for $h rrti{r *nh r Cond(nrlliE$n p!.rd rortEC.,'|.-loir Litn- lrv)
<br />I mcrcmF un&r Sari
<br />Drl.
<br />w(lnKFf,\' ( (lMmrls^TloN
<br />DES.AAA.IIIJ!
<br />I lErchy olfirn undcr p.naxy ol psiury om ol rlE follo*inB ddlr $nl
<br />Ih!!cu qillnEinrlin aCcdiaf,ar. orconE lo ftlI lnurc lin rn,l.6- i nFn\&iioo..\ F'v .nrnbvSccri.r?mofrh.
<br />tjtrtr Cd., rr, rrE |,ffomm. or rl* *.rk ro. whth tlE Ftnril ir lscd
<br />c ytsillmrinrri.qo*cr'conlPcn\rrn,n'nntrrnrr.n\rdtnnc(lhySc.rirrlT{rrolrh.litxtr(i)d..turrtrp(rlirrrBrktol
<br />..RV,t1ni h n.unt My co,tir'. r{nF .Jr!''n.u, \., mrr { F,l{) nun'h., rr
<br />r-e Otr,,r. \l-l-ro
<br />-lrcn'tyrhrr
<br />iI rh. pcrfolEmc of rh.work tu q'h Eh rht r--.rnrir i\ i\\uc . I \hll nor rn oytrnyncrq rnvrunmr
<br />v) r\lohcrum \unj.{! t, rhc qorker' .oqtn\sr
<br />'on
<br />li*\ ol Crlrn{trir, r os'u rl rll \h)!ld h*onr \uhicr(rrh.
<br />srrtcn confxn*(io. fmvnk,ns ofS6.'ri,n.l7( ofrhc lihtr Cul..l\hall. kf h*irh $nllJly uirh rh,T Pnr!'\i'.\
<br />WAINING Ilrlurc n' h-urc sorkcB'c.n{tn\ari,'n !1,vctu8r ii unlaslul. irrl lhrll \ubFi d.n{'k)$r io.rintrhrl FMhas a
<br />(Ntl finc( utr h oR hu.tircd rhousand dollar (Sl(,lr,lrl)r. i', rdd k)n n, rlr .o{ or.on{Enqri('o. Junuss a' Prord'd Id rhc^-ww
<br />I rrrb) !r,m und.r tEMlly of Fri,y !h, I 'm lxui.d undn Ftrris a (rulid 9 ki,omrins *irh sdirn 7ul)) ot Dilirnn i
<br />ol rlE Blir.r .Jrl Prorc.shN Cnd.. rn my lkdt r r rull tuN ltri cfr61
<br />(-3 n 4oKz3kqa"!4
<br />I LEl'y rlfEm u.&r p.Elly of lErrrr] rhi rtEr il r 6.rMbr Ltdinr lr.r, nr th. Fdmr or tlE mrt fot *hih rhir Frni a
<br />Rlkd isr-- 1(l)7 Cn C J
<br />lf.fl.lraNl-tl;(l,aEallui
<br />lho.t\ dlnfl!d.r pcnahy ofpcrlury orc olrnc nn['rtr,x ,lc.lrrritrh
<br />l)t r,lirx,n Pcrnri$AstEslos Norificartr,n ItdcrtrlR.Auldri(,n\ (lirl. tfi).l'i 6r
<br />Rcquircd I.ltcrol Nolilicrri(,n
<br />-l
<br />.cnilyihrr rhc icd$rl rcBuliltrins r.!rdi'!S r\hr!o\ r..tr'rilrr. trorrt,|li.nhI r) rhr pr)lc(l
<br />o'ninr'f,r\ anl Srnrc tiwsEhrin8 lo bx,ldrnS consrru.l url h.r.6ysurh,i,c r.trc{dlriv.r otrhn Cny dnd Counryh rnrd ulbn rtE
<br />dh,ru ,En, *,mJ nn,n n y ro, m(pclion nury,{\
<br />^cpttcnt
<br />or AE6t sts.t tyf 3/a'r/4
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing lf'l'r k+{$'\Y4,-^ Le?T
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Beq.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />FINAL Ctvu,+m,'ltrl ---
<br />Certificate ol Occupincy 7 /-t
<br />Noles Remarks Etc
<br />-l Eerl/'ueA
<br />Shear Wall
<br />Flood Zone Certif .
<br />'-l/* /) t
<br />--r
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