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BUILDII,IG- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDEN DELCARATK)N
<br />I hei.b, {ffin undcr rEnolly ol pcrj!ry lhur I !m .icnu fmm llE Co rad('r' Lianrc li* fq llr aolk*in! rclsn lsc'.70.11 5
<br />aulEs 'rl Piorcrti'n Cui.r An, Ciry or Cddy *ni.h r.it!rca r Fml ro .on<M, rlrd. irqrok, &mri{h or EF ..,
<br />i drrc, Firro ih tsurtrc, al$ rcquiEs lh.lPplr.nr frtr surhrEmirro liLr \igftd dcmnt rhd hc or thc a l,lcnsd p!N!d
<br />t,lh. F,vni,nr ofltE Conrrrkn ! I-i(nsd lr* (Chqrrc.9. ComE(ina *iih S.cri,tr Im of l)ivki,. J or rlE Bu.imsr rnd .
<br />Pr.fctri,ns ('ni.r or rhl h.urrb. h.r.npr lh.Efft'nrn rh. h.rt for rhc llkBcri.rcmfla,. Alyvk,hb..lSd n70.115l'yrny
<br />otplird.l forrFml $bj(lr rhc umlicrnr ro..ivilFMhyornoi m)E rhan rirc hu*l.cd dolls{ (15(x)).
<br />l. r\ owmi of rhc pn,Itny, or m,.mFk,y.cs sirh w,!cr !s rhcir q,k .omFn$rk,n. aill do ttr wolk !M th. {nf,luE is n
<br />'nr.nldl or oficr.d nr qb ( Ss ,u... BuliEs .nd ProL(.hB c.& Tlt Cor raroir l-ictre trw dx mr qlply io m orr. or
<br />rhc Ix,Fn, {t$t ildr o' i'qm\u rh.E n. rn f,h drs ru h krl himslr or h.Rlf ( thmu3h hir r h.r o*n .mphFcs.
<br />p,ovid.d lhd {uch iumEnrnh m fl hr.d.d o, Dftcel tu elc lf. tFrcE rrt t iU,B ot lir,bkmnr t !,ld Pihin or F{
<br />of dnltihi,( rlr olmr Auilkr will hE rlE hor&n of t'or|B rh! lr d irr dir tri! d irFoE rrE FDfsly fdllr FqDcof
<br />I a .r.nrnr uniLr Sdrrrn . A * P( lorrhn E snr
<br />l).re ()f,n..
<br />tit rnx l f,s, (t ttlPI\s.tnoN
<br />l,UigrlaAlsr
<br />I hcrchlrtll,Dtrnd.r|Enrlrtuf F-.4trr],o'r,,lrh.l,n[,trtr,!&cl rridr\
<br />)s&;
<br />ftn rhc IrYturnum. olrh(rql fr *hih lll Fnn i i{rEit
<br />mFn.lthn inrur.r.. .s EquiEd by S..r hn l7u, ot rlr libor Curc, tu tlE Fnom*! or
<br />My rqts o'qEnrllbn insre cuir rn Flty turdE &:"'ll r,i['r v!{l(\'(o
<br />,Ca/A
<br />I rrdify rhrr in ihc Frlor.rrftc ofrhe work l(tr *hich rhis pcnn[ k t\ucd. I $hrll nor cnrl,,y un, Nmon ir uny nutrmr
<br />r' .(tr tEom suhf.r ro rlE wtd{ ortYEnsti,n Lu. ufCalrnrni!. lll agr rh3r ifl \rnuld h.{om suhF..r ro rtE
<br />*n*s\, .nnwnsrrn Im rirnns of Sd i,o .17(X, ol rtE I ih, ( fllc. I \hxll, fonh*irh in rly * irh ih,c F)vrn'n1
<br />IIARNING l'uilur h klrc *orl.is'c.nlxnrnri()n $rque. il unlnwlul. ml \h!ll u$r.r .n.mrl,,$r h simiMlFrolra\ anil
<br />.i l nEi up h, oft hundEn rbuoid dolLr (ll(D.Illr. i. lddnsn ro rhc o{ oa.ion. &mgc\ a{ pdiiGj tur ilE
<br />(.qfd '!r1,.. inr,.n rnrlr(o, .) \
<br />DECIITAIITN
<br />I h.Fhy bfln6 ud( lc@lryof pr.jury ihar I in I'cnsd u.dd ln,visi.n olChr/s 9 ($,rmrcin8 wilh Scclioi 7Ud, 6tDivn$n I
<br />of llE BuriE$ r l Pmf.(irB Cdc- rd my la.nr ir in tull tuN dn .Ir.<l
<br />b
<br />\I \Y
<br />COISIBIJTIIQII.EIIUIiCJIiIISI
<br />I h.Eh, dlnn und.r FMh, ot p.r]!ry rhrr rrEE i! r drn{Mi,n k.din8 i8.Ey nn tlr Frfoml[r of llE rqk for shrh rhn Fmi a
<br />ns*n lS( -t{]97. Ci! C ).
<br />L.nd.r't N.m:
<br />-
<br />L.rl6 , A&Br'
<br />-
<br />artllratil.lllil:l]l3auoN
<br />I hr.nrs nnr 'klrrp( !hJ_('lItrJUryonc Dr rhc n)lk)rnr8dc.LrirK)n\
<br />I)!,mnrion fUn \ .hr(o\ Nor'l'(rrR,n I.r&rrl k.Eubri)ns i lil..lr. Irxd6r
<br />k.Liun.,l l..rrr L,l Nor'li.rtrn,
<br />l..n,Itrhrr rh. lL.J.rrlr.gulnr(,n\ rt dntr\}l{o\r.nnrrlrrr n{ llPtlrnhlc r, rhNtn'|lr
<br />rml.di)n4l na.riai rh. ds!. rnn'mrx,n r.otu I rErk,orq,lysnhrllCnyrnd(i,unry
<br />nE h bnildin! co.$tu.rk,n. dti hc(hy sorhniz. r.trcscnr!t,v.! ulthi! aily lnd (i'untyh enrcr utron rla
<br />E0x U-+tLt
<br />Sel Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsu latio n/E ne rgy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />rl
<br />FINAL rslE t\tFJL
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc.
<br />Ext./lnt. Lath
<br />-1.
<br />!ro*mr.f
<br />'rE FoFny. rmcrtusiElyonrrdinr Mh li.cn{d c.nrrrr6 ro ondri rlr FtrFr rs( 7ou. aunfts
<br />rnt Pn iirirCdc rh. C.nk&t,t Li..nr l-rr der fr apply ro d own.r ol ptutBn y uhl buildr or imrFEr lh.rmn.
<br />rn vrb dddr ror .xh p.oF1. shh ! Co Elonrr litnsd pu^d hrltCodrdoir LirnE L,$,
<br />,",". ltt]Z-OlL
<br />ffg
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