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. BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />lnsulation/Energy
<br />Frami ,1,4,-t
<br />t rTlT.'r w@
<br />Drywall 4lclt7 z{,t24-r,
<br />Ext./lnt. Lath I \.-
<br />Brown Coat
<br />Mason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />En gineer Final Report
<br />Flood Zone Certif
<br />t/a--)
<br />FINAL //n/t'7
<br />Certificate of C)ccu pancy T -'
<br />Notes, Remarks Etc
<br />OWNEX AUILDER DI:L(' RAIlONIh.qr{.ltrnu16psulr}otFru,-lhdIocrm',nom!h.(odreon'l-f,.el,*forrh.ftnb\insrcmnls<7011.5
<br />BBind rnd Prof*io. ( od.)r An' Ciry or (i,unly $hich r.9un6 . Frmn ro c.Nru(1. !h6. nnp.o1., (}lnolth ., ,grn &y
<br />3Eu.tu., Fior lo ilr isuecc. r&o r.qtric rh. ippli.ut for !u.h tnrir to fi L r riln.d ((ldn6t th h. or in. i liceN.d rw!
<br />to rh. FrvilioB oatE Con'6crd 3 I i.d!d lis (Ch.F6 9. Comntrin* rrh S6rbn 7m0 of Dniion I .l'rh. llulrd sd
<br />Pnfsio$ Co.k) or rhd lE or rn t.rc'npr ih<.6on Dd rh. b6B ror rh. rlLBqj.r@pian An, \{l.r'onofs.dnnTlrtl5bysy
<br />+rrrlo,!n6nr bJAlrrhr ifl'l(lnr ro a(trrlp.nslr' ofnor m.r.rhm fi!. \ ndr.J ltnlltuc llni4/.
<br />y' r. .1 orE of !h. p..Fn), or m) mnlo)6 \ih tr rf,6 d rh.' r,k (nnFMnn \'llJo rlE$nA lld rtr <,md.6 n{
<br />ifldridi droflEcd lorsk(Sc 7044, Bulin6s md P.of6lioc Cod. lh.('onridois l-icos lj\ &'6.or.pplt hunrsoa
<br />rh. thpEr.v stFt il&or nnp.ov6thson, a.d \eb do6 ruch ro nnnt.la or hcftll or rtnr*h ht o. h.r o*n cDp!'ye6-
<br />pror ii.d rhd ru.h inFDr€1ds E n i ar&l d ofiqd lor s]. ll lrr*66, rrE hikliry or nnFnrnt k r,ki $ ih,in "m \d
<br />of Nnpt bG tlE (xE B{iEs {ill lE\. iE hlda oIF.vnB rlq h. n slE dil nn hild or i'qiof rh. F)Ft for tlE FIFE of
<br />,. a.rG oallt prDp.n'. d ct.l6r.ly co rdin8 r ih lk.nrd 6dndo6lo conrrud rlE Ford (Sc 7Or1. IiE,K
<br />!d Prltsin cod. T1. ( omrxroi! l-'c@ l.r$ d6 er ,ml) r. d ounn or Fop<nr s ho bu 'ld! onmpror 6 rh66..
<br />dd "' conrrncts loi such
<br />in.r@F utuld Sdkro
<br />",,, 1:-Zt-/7
<br />poid!s ha I i'nrmdons,lrcm.d ruluerrcrh.('o 7r{i Licd* lasr
<br />. D .( I (' ro, u! ,.Mn /^
<br />osner y',"-.- ['l
<br />}aaKEES:(OIIIETSAUj)X
<br />DESJAAIA!
<br />I hd.hy amfln u.d6 p.n lrvof pqiunon.of rh.nnlo{in* Jdld.rk,is
<br />I h.!. id s rll tuinr!tr . ( 6rifr6rc oa C..gt ro S.lr.lBur. for $ orlca .onFMion. 6 Fo\ idcl for tr sctn'tr !7(n of tlE
<br />tiho. ( ode lor rh. Ffoffi. of rlE $ ort for $ hi.h rh. pdin i! i$ud
<br />I hry. !.d * iU nainl.in $ 0116 comp.nsdion iBurea s rcquncd by Sd io. 1700 or l hc Lahrr (td.. tor th. p6lol]ffi. of
<br />$. *ort ldlhrhlhnFhn it sEd V) *ortd conrEubr ie,Mcclrsdpoltr ru'rtE u.
<br />Poltr>J@ba I tntr6
<br />frlicaity rt[r rn rrrc par,rmon.. ofrh. $o* lhr {h(h rhi p6,r i! irsu.d,I lhdll nol dt[,yanypo.on r.ny 'nnnnre alob6oru$UellorlEso 6 ompcMirn lN!of (.liaomir. d{+r(rhd if I i&r!l! bd.m rut!fri hrh.
<br />\.*6.omFslonprnrBio6orSdnn17qJorrrEtltFrCodc.I!h.ll.fonh\rtonrpl\nrrhrh.rFovishnr
<br />wAnNlNC F ilu.
<br />'o
<br />su. *ork6r comFrsrio. .orms. is unl,Nau!. md .nrll .uhj(r m ornl,)t( t, ci'triril F{hil ed
<br />cnil fitrd up to on hundr.al lhou$nd dollo,s ltl tor.o{ur i. .Jdii^n ro rh. cnir or ({rr6Ni'iotr. dnrna.r N fl \ 'd.d lor rh.
<br />/1" ks..rx,n .!076 ot rh. hbo, ('Gre inl(d rd dtrm!
<br />/'zv-t t
<br />ucEdsplaNraacrqaDI(IJ8AIIA!
<br />I hftby rmm un&r Flhr of Fjur, rhd I e lnE&d undd rio\lion oaCh.r'r6I (mnnntrins siI S.dnn 7u]0t or Dn Eion l
<br />of !n. BusiB dd Poleiod CodG. hd my lic.e k in lull forc. lnd .fisr
<br />(l}rflaruu!LD!rllic_&c]:!.lr
<br />I hqdry.llm u.d- Fdry orFooD rhrrlE.a.odtudbtr Lnti.g rl! ! fo. rh. Ffollffi. olrh. $o [n$hichrhbFni i
<br />Lsu.d tse. 1097. cir c )
<br />Attu(aul_Dtcl.aaanax
<br />I hdrnr dim u.& Fnlht of Fjur' oE of rlE tolLsin* d<la.rhnr
<br />Dcnohrn Pmirr-A3b6r.r Notifi..!tun F.d6rl R+uhnon! (Iirl..l0. Pan6)
<br />R.qun.d k16 of Noriardion
<br />I .dily lh, lh. f.ddll rcsullliod r.slrdirr sbdlor rmovd s. nor .pplf,lhl. ro lhis I'nrJcd
<br />l4z.o1i8 ,r,,, r r.* ,-a ,r,i .pelk r i,n !d {r. rhr ih. .l$,. inroturn k cond I 4rd h (omrrr wnh 5ll ( i r anrl (-ou.ry
<br />odi,e6 !d Sri.lis EL rB ro hildins codrudhlr d hq.b! ,urhom r.F.h,tr6 olrhL c ] .nd C unr j ro 616 urotr E
<br />iborc Im!rcn.d rr.pd, lor iBpdi.n purp0r6 ,l
<br />^rr*",..^.-,.r;,.. /h'-- /L D.,. ,/'2,/-) ?.
<br />p.rrttdn n tertnr|t ,va t.r-'*a -SutaCrn
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<br />Subf loor/VenVlnsulation
<br />IShear Wall
<br />I
<br />I
<br />I
<br />I
<br />I
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