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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE tD/stc.COMMENTS (,WNET DUIL1IER DELCARATION
<br />I h.r.h, rr6m !nJ$ Fnrlry ol D.rtury rhrr I m cr.q hom ilE o)nr,..nE l,lcos ll* n, 'lr roll,,wDs Era,n (Sd 70ll 5
<br />Itushl! .d Pnncsrbn Cod.): Any Cny or Coudy rh.h Equ@s . Jrmd nr dnirucr, rl!.r. ,qtrov.. d.n{!h o, Fru dy
<br />dtulr..Ff,rr 5 aiumr. rrq' Eque! rh. +rixz nx iki Fmr n, ar!.1njrrt {i.ftnr rh{ tIor {r 6 LurJ Frsrd
<br />n) th. pn'vki,'n\ o, fi. (i,ntacr,tri LNnsd trw (Chrflcr 9, conmrrns wilh Sel,on ?uI) ol Divisi,,n .! or rhc Buskis .nd
<br />Pftrr.sr,.! CuLr or rhi ,r u llr E .r.q!r rlxElroD .o.i rlE h.{r nn it rll+.n .rn{*rr An, vriLr[n .l Sdl,n 70.] I 5 b, .ry
<br />rprlr.n' tur Fn $hFlsttE.tTlk.ntro.(,vnFMxyorBrrmr.rhrnfiv.hu FddDll{s(tJ{D)
<br />_1, { ovH ot tlE FUp.ny, or m,.n9loFs w h*lB..6 rlE! nk.onFNrrr. wil Ji, rrE u,t. EdR6 (,
<br />urdi.i.roff6.nfnrliSe.?O44,Burfts.&lProtd.krEclr.,.:Tlr(-()llhlr'rL!.*trr(,Fmlqnlyiomowof
<br />!h. FNFny wh' ttr*.t or in{n,Er t EB{L lrl wb .!s sh krk hrmslt u lErsll.r tta)uBh hr or h.r .qn .nfl.y.c3.
<br />troviLJ lhrr 3u[ irFrtrdi a tlcdol ir ofiqlr! nr s]. l( toe6. 0E ta!!ry d inF kmrr u i$ w.hD c F-
<br />ol orFL{bn. tlE o*ftr Bu dwOh.FrrEb! kn.llibvlv Od lEdnlE Jrl ftn h,tr d rtmE tlE FDFy ic lh. Frpor dl
<br />L $.pftr orlh. FrFdy. ln crctusvcly onraro8 enh I'N.-J conh&b^ kr LiNrtur rlE F,rdi lse. 7(X4. Eusms
<br />.nl Rtltsnn cd.: Thc Contr&ntr: Li(ns hw ddr .ol .pply b o own.r or llff'Frly eho bur[r .r iryn,v.r lh.r.on,
<br />lnJ *h' d,nrtu1r tu r*h In)rtre v'rt. C.dBlonr lrd<n prEu,, nr tlE O'dL1'r'r Li(nr tir)
<br />_l lmc(mnr trftlcr s(r[n
<br />uoSErE[.sru8lNrara!
<br />DECI.AILATION
<br />Ih.rchy.lltrmunJcrlEnrlry l)cl,lrrynEnfrh.rinhemtJelrr.rk,nr:
<br />_l h& rn w' ll tumtro r Cd i rtc ol Con*nr r, S.ll lnslrc l,r *n\da .omFnsrx,n. A F,lr].J k, h, Snrrr 17i10 tra rhc
<br />kho.C(rlc, n*rhc pc.(orm. olrhc woa nrrh'.hthc pdn tr trrk,l
<br />-l w ,rl *rll m'n'.'n wortcr! .oryrn!.lnn '.sur.B., rs rqurd by SdlNn JttD dr rlE L.htr GlL. ntr lh. ,Erim. or
<br />rln so'1,,tr whkh rhA Iirmn'\ r\udl My wo qi.onrn htrrrr {\ur (. (rtrtr, iurl Ii,l(y
<br />Ito^vw
<br />O7-lzBzcr y'z/z z
<br />I c.d(ylhlr rlhc !.rlorron(orth. wolk frtr whichthrfErnn s trsu.d,I rhrll ml cmJ'l.yrnyn R)n !n rnymMmr
<br />s, 8 (, lE$m $t'F..'r t' r,E snkdi con{EN.r h*r .l C.llbru, . .3r ihr' rt I rtno! B\...r 3ubirr ro rh.
<br />s'rt6{ comFntion F'varni.l sdrir l7m ol rtE Lhtr ccL, I lrrll, kdhqtrh.onply sirh rhE pn*h$N.
<br />WARNINC r{lurc n, x.urc w cs' u,mncnrali ,n ..v.68c is unb-lnl. unJ $rll sublc(t an cnpl.}s t, dniml or rr rnd
<br />.r rik! op b or hud,.J rh,usnl JolLE lllm,un), 'n a!r[r n, rlI coi ol.oqreln& J@s.! r provrdl ntr llEry'a-y'ul"nat ltlec&J
<br />rtcr r\r.rr cor itrrr roi
<br />l[!!"\!!!111!
<br />I h.nty tllim uBic. Fn lr, of Fr,lry th.t I m lE.sal uBLr In)6En or .llpld e (onwE-.'nt v'lh Sctin lulrJ of D,yrM -l
<br />ol llE Blsixs .n! Pn,rc$ionr Cqlc, lrj ny lf,.n* s h tull rttrlr .d cner
<br />C.6 t-)
<br />(
<br />cortsrtucfl oN LrtDrq; acEllcrt
<br />I h.Eh, .rm uflj.r Fnrlrt ol FJury rhd 'lEr r t L$nnrud.n LdnS r8fty ror lh. IEll,l]rw rn rh. wt fn rt'rh rh,i Fmir 6($dl lse. 1097, Civ C )
<br />Lrni"t r Ar,ic-'
<br />-
<br />AttucaNfDEgdSduoN
<br />I tftt'y rltim!toLr Fn.hy ofF,lury om r rh n,ll,rra &Lhr.t i,n.:
<br />Ixn,lir!,n Pcrmn$A xrros NorrlKrri,,n lqterrl Rceularr,tr{ (Tirl.{r, Plnfi)
<br />R.q0r.d lr(.r ol tltr irrnn
<br />_l cdl,ly $:r rlE f.J.nl rc8ubr(,6 E!{di4 *h.io! r.mvrl rrc n, tt lf,dhk k, rhr !n,Ft
<br />I (.'r'ly rlrl I I'r\r '.rl rh^ nfl,l'.rrr rkl(rn hrr rhcrh)rc tr'irtr'ndrrs()tr.1r Iap(n,.onrtlywihillCiyrnJCotrury
<br />orJeB.r rl Sr.i.li*iElurry l.l[rld,rr (rE r.Ift.nl.tir! oIthi. C y.d Counlyl,rcnr6 uFr lh.
<br />rlnr lmn,B{ FrlFn} lq elt1lrr
<br />1t'pli.,nr 0r A!r l Sixn{Z Z
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu lation/ En erqy
<br />Drywall
<br />Ext./lnt. Lath
<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 />FINAL +l)* I Lt l*,,,4 u D. Aa)Yo9ir
<br />Certif icate of Occupancy --l
<br />Notes , Remarks, Elc.
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