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BUILDING- INSPECTOR RECORD
<br />SITE-WOHK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />SLAB Floor
<br />Subf loor/VenVl nsu lation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Itrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />I 'rl I
<br />FINAL tl u q b7
<br />Certificate ot Occupancy ' \ |
<br />No{es,, Remarks, Etc I
<br />L
<br />OWNEN BUILDET DELo{RATION
<br />I h.r.i,y rUtD unJcr Fnslr, ,)l Frfury rh{ I rn cr.n0i fmn rh. Q)ntx!n- Lr.n* lrw tu tlr fdhuinE r.rv'n lS( ll 5
<br />au ncsr rnd Pnn.s$n C'rlc) Atry Cny or County *hEh rcqur.! 0 Frmr n, (' er. .lrq. inytok. &m,lNh or ,.pn oy
<br />ndduE, Fi,h r L<nrlNc, .ho r.q!fts rhc .!drd r'tr slrh Fmnr t' ,lG . rtrl rl.l.trnl lh.r ir .r nr s lrcnGl I'umrln
<br />k, lh. Frrshn\ nf tlt (irrr.l,, s LEns.tl L.* lchrpl.r 0, C.mEn(rr wrrh S€lr!'tr 7(rr) or Divnnr ] or rh. Bu{rs ed
<br />Ir^n isris C,xL) ,, rhrr lx d sh. tr .r.ryi rlE.trom 'tu] r h. lllss fd rlx slk8.d .kmFDn. Ary vkrdrkh ol S..lDn ,0.1 I 5 hy any
<br />,lrlE lll ntr:I.mr \uhFk rlE ipl'll. b.qlrlFBhyolR n{crhrn r,v. hrhdr.d Jrlln ( t5m).
<br />L !r o*rc. oi',x FoF.ly. r hy.dphy.{r uirh v03cs a llrr $L NmrENlEn, *dl,}' llr dl .,rl rh. nur@ it rt,
<br />dcllc! or ofiird iu {L lsa ?O1,4, BusuE$ .nJ Pn,fcsi,s Cdc: l lE ConrEkr's lr.n* liw rlG nn {ily tt { ow or
<br />rhc F'Irny wh,hi ti or trr{roh rlrfr,h,8rl wlrr d(.r sh sltt hm!.lfor lrrll or rlm,lah htr or hd o$.trnh'y..s.
<br />F)vrl.rl rh.r skh lr{Nffidr R n nrftLtl or oll*{ ntr s!. lf, t$scvs, th. hu lry or uqhkn.r is $Lr vlhs oE F,
<br />ol .anq .rid! rlr o*rr ButtE * l h'w tlr h,.,.tr ol pn,vry rhd h. or slr dn r, hl or olhrh 0k ln tdy nr !h. Fuqir or
<br />_l ar own r ol rhc lr,F-ny, rto cr.luvhly r.trt a.rnr! w h lk.n*d $nrr${! trr (oncn(r lh. F'rtr ( Ss. 70&. Bu\Eri
<br />.nl I't.k:si Cdlc lh.C\nuertn's l-(cns.l-rwd'rs ftr .!ply nr 0n owncr ol nn'!.ny *ln burldsor rmrlrEr rh.r(,n.
<br />.nd $h d'ntrrlr nn \Nh F!'Fl. * h!(i) a.t'n\) llcna{ Iunuur t' rhc G,nruttr r l-'(nsc lf,w)
<br />_l .lL L l:ffi
<br />Dts('I,AI',\TloI
<br />I h.'.$t rlljrnotul( Ftulryol Frjrr! o'r otrtr.tull,*rg JNurrfrs
<br />_lhrk.ll,rllrorrrDaCcnr,lrncoIConsnrhScllrl'trorntrq.^'oqx.r.r.!...rF)vrkdhrbySallr,n17t](l.lrlE
<br />btrn cirk, Ior rhc Faol1r1e. trl rh( k,l* ,,tr wh{h rh. Imn s NUal
<br />_l h.r.dl rilltri.lri q,ldr' c.f,qEN.trr rNr.r.,.r EquEal by S<ron Jrm of lh. Lrbor CL\i.. nr rh. Frl(lmrc of
<br />lh. vurk tu wh.h lht Fmi n Lisd. My *0116 (\rrtENlirn inrurdc qir !n Fn., nuht.r &:
<br />_l ..n y rh.r
<br />'n
<br />nr rrrlordr. ol (tr work ktr *hf h rhr F mr tr trucJ, I sh.ll nn cr{*,y .ny FFrn m .ny Dnmt
<br />n, .s k) h(onr ruhrur b r h. q)*cri conyE sr !r L*\ .l C!liLn!. r r!rcc rhrr rl I \luLl h.(,m \uhFLt ('rll
<br />*orlcr' $qxtriar$n pmtri'n\ of Sslr,n .r7(xr ol rh. khrr CoL. I nrll l,d he h $m y v(h th,c f'nrvNkns
<br />WARltltC F]luk k, sur. 10*.6' i,rr{h\ak{ ovch!. rr unhptuL .tut shrll \uhFq !n cmfloycr nr {inrrl ITMIES !lx]
<br />(ivrl liftt !! b or huirFd rh,u! l JolLn ltlm,Ut)), n rrld ft) rh. sN .r .onrns.r.n, diru!*.\ p!)vdc,l ntr rhc
<br />Ci ., hrcrc{ ntl rhffy r ret
<br />L,o,t
<br />DEqtlXAEq!
<br />I lEEt'y dtun urLr Fulit ol Ft[, ih.r I m li(tnr{ urrd Fovirior dr Chrrid 9 t$.***.n8 qnh Sdnn ,lxD) or Drton :l
<br />or 0r BBifts lrl Pn,L$rd CsL. rn n, ll.trr ! n fu[ ro,€ .A].rer.
<br />r:QlsrBucua[LBptdclIiE!.qt
<br />I h.r.t'y .rlirn udcr FMlrl ol ,Errur, rh.r llE B . olfuitr lrlq .rcy nr 0. rEltu. of ttr srl i, wnih rn! tEmd d
<br />sru.d (S.r. to9r, civ. C.)
<br />AfII.ICANLIECIdIAIIAB
<br />I hdrlry rllm unlrr Fnrhy of FUUry oft of rh. follr*in3 deld.tnrs:
<br />Dcm)lrxD P.rdrlArtE(or Norirrltn'n F.Jcnl RquLrnix Oirlc.Q, Pd6)
<br />_R.quftd t rr.rolNrri.lbn
<br />Iccndyrhd rhc lctlcr.lrclulafunr! rc!&ln8 rsb.idl r.ft'vrl.rc mr.pnlMhlc n, rtu\ Iln)F.-'t
<br />_l(drtrh.'Ihrv.rcr!rhsq!.dk'nrd{.r.rh.rrh..h'Ehbmur)ntr.,m(rI08rcn)coq'ly*hrllCylndCounr,
<br />dJmtu.r {tl Sr.r. trw! rllnB ro h{ m8conrturiE.,rltE.n,.orhtrutr.F.sd.lrErolrhuC,.dCounr,k,.nr6ur$nrlr
<br />!h,v. mnfu,kd pNFny lnr in{re['r
<br />,\fpli..nl o. Aq.nl SigNl!
<br />/ ,U/l/ /
<br />II
<br />N[5
<br />Drr, _
<br />, ,,, t zf o ?f zoz<
<br />UFER Ground
<br />Brown Coal
<br />A\rQ\a,t l@ t\Ar 5u
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