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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILI,lf, R DEICARATloN
<br />Lrrchy rfllrm udd I,c lry of F,tr) Lhd I m cr.!ry'l frrm llE cbmBd.r' l-tctr$ ljw tur !h. follo*ing Eiei r'! ?orr i
<br />B!.iftrr ,d l'ror'.sri[ Cod.r Any Ciry ot co!trly *hEh FqrEr . Fml lo $nnru.r' tlls iqmB d.mlirh or ;Prn 'nv
<br />drurrur. Fitr ro r nlu'd, tln rcquiBllE al'pli$r rd rkh Frnir h liL ! riBftd i.r.m lhn lE or slr a liuEd puNd
<br />b rhc Eovisbnr ol Or Co.lEl6 { Lirncrl trv {Ch.l .I 9. ('o,lft rn! e h Sslion 7(lx) of Divtho .l ht dE Buritrar t'd
<br />Pr,f.irifi Cd.r or lhrr tE d iE n cr.rpr rh.Efiom {d rh. h.n. ltr rh ihr.J .r.n$nn A.} rhldir.ofS.cthnT0-rl5byany
<br />!mlx. l !,Emn sbFlr rh. q,plt nr to. civil tEMhyof r mr. rhln livc hudrn dolla.l3Jml.
<br />-l-
<br />.r owEr or rtE FrFdy, d nt .ipLrrc rirh u8.t !! llri $k $n{Hr.liD. *iU do tlr $ur !n dE rndm ii m'
<br />d.,n d d ofn d lor st tS6 TotL BuiK .d Ptodli'N C'i. Tlr Cod...!(\ l-itN tlu &6 r, t{,plv ro x o*F of
<br />r,l Frtrn, *L' rlillr inFD6l,Ilrn !n *b dE qi Hrl hituror hr(llor rlwulh his n lE os..!rykrt6
<br />,rovir.d rhd tuh inqomdt & mr dsn ddorH fd rh lllDww,rltt{ nl or itrFEm hrld*ihhimFr
<br />oro'riiLri( ft otEr Bui!.r *i! h.E dr hldcn of Pn,!i,E rhi lEd tE dn trll tlild d nr+roE dE FDFI, ft, EIt FE of
<br />l. rr n*ftr ol rh. r'fl,Fn y. am cxclusive ly contkrins tnh li cnql .dnts.h nI $n{rud rlE FoFr (Ss rO{1. Btr(ir\\
<br />Drl lt,ka{'.C(xt Th. C'onnmttr s Lic.n€ lju dci mr {,plyn, rnorn( otl)n)IEny*h) buildcor imPnrcrth.reon.
<br />rntl *k' lonrB-.h ft, !u.h nn)rch *irh a Gr todonr|lf,.nqlru6u n'rh.(i)orextr ! l,k.n{ ti*)
<br />I rtr.\( ,fl trn,l.r Sr(r(tri
<br />lhl. ()snerl
<br />rux[}:trj](DIIIN$I()N
<br />llElj.axtrua!
<br />I hfrrh, rlltrn'un,ll' r rhy.l t4-.rlury otu ol rlf, n,lLi$ iAtl..lrrr \
<br />I hrvc url * ill minrs,n r Ccnif.ar. ol Con*nr t, scll ln$,c nn *o r'! .on\E.el(nr. s\ F,ril.d Irtr bv SNrii'n 17( oirh'
<br />Ltr rhc Frfirnmr of ih. mlt ,or *hth rrE F.rir i( ntlcJ
<br />will Nrrlin *.rt.6 onF.trrhn in$6rc. rr rcqlr.d hy Sdnn]Tmnrrh. trhn Codc. fd rtE FrfomN ol-lvrvl*l
<br />CO^^-
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<br />l.drryrhlr in rtr Frormre ;r ftrrhahrhiiF m ir nrrd. r rh.ll d'l.drl,t.nyFMn in..y nsB
<br />y' r k,lEd,m ubFr ro rr. *ort6' snF.nslrion Lrr of crlromn. .nl lsd rhd f I rn{E tE<-m ttFd ro rlE
<br />wJtldi orrEnr.rion pn eifiB of s.(lion l7m or rrE t hr Cd.. I {rll, rdhsnh .!d{,l, *iri rr${ PmrirbDs
<br />wARNnC rnhR h se *qtn oip.Mbn oEB. ir unlr*tuI. nd O.ll \!hFr e 6nthF ro dhiElFEli: 'in
<br />n, oru huRn.rl rhooend doll s r!l(t).(rx)r. 'n
<br />s,ln r)i n' ttt ..n ol eonll.6vrn,n. d,mg.r as Poril.d hr rh'
<br />iqt5 II
<br />lr[!L.\l].u&!
<br />or rlt hNfts M,l l"olcsi('n\c(d.. d mylic.tr\. is i', tu|li,tr( d.ilu.r
<br />L*V,B
<br />.;:"{ii t=/t<
<br />IOASIAIIfITNIIiIDIIGAiiEII]I
<br />I h.rt'y !,frn !n&r FNht ol Frr,, rh,r tlE. h . onrni1tr l.dinS .S.r v nn 'lr lin ,lrrm of llE *uk r.r rtih thn Fi' ir
<br />Eqrn rs6 1097, civ c )
<br />ATTLICAILIIEIIJSAIIOB
<br />I hon,!ffnf,u ].r Fn.ll, oI FrJtry oB olrlE folhsin8 de_kari'.\
<br />D.mnni'n t!,nn\ arlBrr l'lolifrcalion tudal R.8uLr$nr lriE.r). Pdi)
<br />R.qliEd L.rrc. ot r{olifnthn
<br />I .d iry ihlt tlE f.d.rul F!!hrbn. E8.rdins 6lEdo! Emvd e. nol .Pnli(lhL t, rhn ,mFl
<br />trlrhi\r|rJ'll.rri,in rl{rrr rhxrrlr Ji^r fllo n'xlrtr,
<br />^
<br />(,tr'(r l.'!rNri.onl)ly*irh.'llCir)r rl(i{rrv
<br />i(hriu t' huidi'rg (,arnr.rifl. rkl I'e'$)| /.rr[.\r Litr.\ol rl'i\(-rrv,trxl(i)unltnrctrrcr trFlrrlr
<br />q,ttSS4FO
<br />*,Qlls/tx
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Rool Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar t
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />I
<br />FINAL 4lMlY t1 lilwY t h-/lrrCertiticate ol Occupancy
<br />Notes, Remarks, Etc.
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