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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER I'EI,CARATION
<br />LEr.by .llim onl.r Fr.ny ( tErrlry lhil I m d.q, lt,h rh. Ci'nk*(in l,Erc l,w for E r(lrovin8 E.$n lS.. m.ll 5
<br />BorErr $l Pturdqr Cric): Any Cnt or Cody *hrh t qtftl . Frn t' (rdtur. did. iqnrt, &mnilrr or rqu xv
<br />{utuR, Ftf, ro !r srlle., .lri Fquftr tlE ryph. nn iEh Fmr ro 6k r !+md rtd.ftnl lh.i lr ( lrr r L.ned I'{8.r,
<br />h rfic ln'vNbnr or rh. Conlr&ro.t Li*nd t:w (Ch:fl.r 9, conmcRin8 *irh Sfthon 7uD or DrvFion .l .f rh. B ims tr'i
<br />Pmr.rbnl C&L).r rh.t lEorrlE tr.r.q{ lh.Efron.rn rlrh. tui rL rlLS.J.rcn{'trr AnyvioLrn'notsetr'n?011.5hvrv
<br />.n lE..i itr. Irmt obrLB rh. q'oL.nl ro..'t'l Fulr, ot d,r mn ihs irvc hudEn ,ll{! {!5{D).
<br />-1,
<br />r! ow..r ol th. nnrlrdr, in 6y chfloF.r *ilh w.8ca rs lhct qn. (qxnr!!
<br />'on,
<br />qil.k' rh. m snrh.ttNrEtrmr
<br />rrdrhl or ofi.rcn ftx el (S< 7044. BurEs ud Pn't(tittr! Od. 'l1E C.nratti Li..ns Lr* &B r{ +nlv r. u owr or
<br />rlE FrFdy wh' tiullh ir !!tn,E rlEd. ,n Phi d- uh Hrt hE([ or lrrer o. rtNrlh his d lr own .qltrvc.
<br />Fo'llal rhl sh mF)wnk N d idarlaloroff.td (tr {L ll, bw. rlt loltlrB d ltlttNiEn !$U qahe ift la,
<br />nr Lnq,lcr0n. rlE Owocr Bu t r w l hrE llE h{d.n or I,.,6s rhd lr d \h. dn Rn hi! or inlhF tE lioFry Ir rh. l{qln or
<br />-L.rowrrortrE
<br />lmFny. ro.r.hnv.trlod*lh! *!lh lrfis.l co,rratnri' (,.*_r rlr IFF| (Sc m4l Buttrs
<br />a E 6ttr C.J.: Th. Contkktr's Li..nsc ll* d,E! nn q,ply k, ownr .r nnlpcn, ,lx) blildr or rmPtov.r lh.rcon
<br />{.d *h. conrBn lor su.h F$j.rk enh r codtuk,nn lEnsd Nrrud ro rlt cdnr*toi r lrcne L.* I
<br />_I m.rcmtt urld Sat,
<br />woRl(FRs coarPF\satl(rN
<br />IACIJEAIION
<br />I hcty rrtm uftlq Frun, ur FrJu.y orc ol rh. lou,*ur &clzrronr:
<br />-I
<br />hlE !n vrll Mrllu r Cdili .orC..6r l{, S.lf-lnruE nt kxkd' .a,n!Hsl$n, .! Frild ntrb,Selon l?00 orrli
<br />tih, Grlc. fG th. FnolllEnr ol rlE *rt tir rnih rlE Fmr 6 L(Ei.
<br />TtI hlk uJ will maiihr work.( rohFnt.lt{ inrurrnc., rs mqurd by sali'n l?OO of rh. ubor ci[. nn lh. F"f.mnc. or
<br />rlE srk ror wn{h rhs Fmir d Nnxn. My *o di Llntrnr{i,n nsurfr. re.r .,n Iinty numh.. e
<br />,-".6142eBxI'.,:co b1 422
<br />I (cn y rh.r m rh. Fn'lmdc of rh. *orr !,, wh.h rhu Frm r sru.J. l rh.ll nn crllll,t lny FBr t. .ny lBF
<br />r! asn, h&om suhrlr l. th. k'rl(iu,nlf,nqrDn l.wr.lC.llomD. rd a3R rhlr rfl rhrull hcs'm thJ.tt r, rlr
<br />wortdi c.mp.n\.r r'. p.'vF0ns ol s\-rr'i 17tx) ol thc I rhtr c.dc, I rlull innh*nh comlly wllh rhE Inrvti,nt
<br />w tNlN(; FatuE (' €uE uoltcF ..mFnsr$n .or.a!. tr uilrqtul. s, thrll ruhFr mlhF ro dr,o..rl FexF iBl
<br />.ril n,rr 0 k, o huilr.J ihrsttl,l'lLF (!lm.{XX
<br />S(rx,n 1076 of rh. ljhr Cd,l, ur.rcn rx! omy\Lcr
<br />,), m rtt{rin ti ilx (oi of rD,{tn{ts.
<br />rolrlty^
<br />I
<br />I h.Ehy dlnm unls ll.ulry or txrjury lhir I m lE.nRl u!,lcr r(,vBoh ol ch,0rs e (comnr,trm! wirh scrrkr Tuxl) orD'listrr I
<br />of rlr Blrtrs!d Pnnc(r,n! Li,L, ltl nryl..ne tr o lull l,N Jrl.fl.rr
<br />I
<br />c0! a!]cuaNrE8lIlli-a0ElL(:x
<br />I h.Fhy rrlrn unlcr Fulry ot Frtnrt rhi rtFE s . lrlNtut.n Lndbr .r.h-y ntr rh. IEl.'rle! ol rlt k t tLE rtrh rhn Fft (
<br />Esr.J rsa l0)r, crv. c ).
<br />Af ITLTCANT DE(-T ARATX)N
<br />I hcshy,rl m unJ.r Fnslry or f.rjry oE ol rh( rblli'wm3 ,le lIrr nns
<br />Dcnrn[i)n Pcm r^th.no\ N(n,lf,.ti r{dcr.l Rqul,rDnral l. ]fit. Pd6)
<br />R.qutrc'l lxrlcr ol Mr',irrxnr
<br />..n i fid rtI t J.hl mluLlrN ElsJh8 .d$ro! Rmhl r. d ryl.ll c b rh!,nii.!r
<br />cdnly rhal I luvc rcrd lhr itplf,rx,n d, {!rcrhdr rh..h)vc nrlotr'L k'n tr r8r(k,rsn]nly* hallC y
<br />ndr.B.! u! Sr.r.lr*\ ELrtrr k,hu,ldm! do.strucl!in. ffrl lErchy {nr1lrr.\.1rhisCiryrntiCdunlyI'cnrcrut,nilr
<br />rhrk mnr.rd lln{Eny f( trrF\rir purlr {1
<br />Applid l or Apenl Si{nxruR
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulalion
<br />Roof Shealhino il\il11 DApagt .*41
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />FINAL tulnltj D&oot-wlt1
<br />Cerliticate ot Occupancy II I\
<br />Notes, Remarks, Etc
<br />Shear Wall
<br />_Lic.ns. NumtEr
<br />l
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<br />I
<br />It-
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