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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.OWNER 6UILDEN DELCAN TON
<br />I lrrchy rfrm lnld n Mlry of Flury rhrr I !m cr.q, 6nm rtF cl,nrrdoB Lacn€ ll* for rlE lnlLNuB Esq,n (Se.?01 1 .5
<br />Busin.r* ,rl Prot sra,n CcL): Any Cily or Colnry vhEh rcquic! . Fmir to connd(r, .lid. it{htw. &mlirh or Rfrn sy
<br />{ulc, Fr ro \ L(ua.. .l$ Ggtirc. rh. .pJ r.ni r 3uh Fmr lo 6k . lkxd !r.r.cnr thr lr or ar it li(d*d Fr'mr
<br />ro rtr Frv6$N ol ft Conrr-d! Lr.nql L.s (Cn ris 9. Co,lme'n! q h Srrr,. ?(m of D'y't$n .l of tlr B$N$ .,n
<br />Prur.sirr Ar.b) n rh.r lEqnE r.r.trqi rlE rtron.ni rlr bda r rrr rlk!.d.r.,{rnr Aiy vioLirD ol SerDn 701I J hy.n,
<br />aml(rn! turrFm 6r.rk th. rrflrm o ..ivrl Ftull y of ml m ltun fivc hodrcJ Jollu3 (l5(Il)
<br />l. G ow. of rll FlFdr, ( by.tr9loF.r sft us.r.. rlrn eE dnp.Mli,n. ril dr llr rqt !n dE .tu1w i rx
<br />ir.nl6l r or.E{ fd dc (Sa 70,!1. BlriB .ft1 PhrioN CaLr TIE Otua1a., lx.r trw {h.' ,* {?ly ro e ow .r
<br />ih. Ir{dy *lD txilr' r ,rFoE dEq{ rnl *lb ltB uh xrt hfr€r q ,E -lf or rlFxll li. tr ]s om.nPbycrt,
<br />pftivrlal ${ .xn inFrwnls e r,l nlarjal d ofisql tu st. l( how. dE hr'lnU ,r in{rctm it i,! vlhb m F
<br />olortLri8 rlF 0*6 Buittd wi! h.r rlr haj.n or F)vry thrl tE or dE drl rcl b!i! or i,,tmE tlE fmFry lor i. rttF. or
<br />l. .r olEr of rlE FtrrEry, m.(lunhlr.a,rrarins *nn L..rGl cotu-tn to ($nfur llE FoFl (Se 7o,l,l, B$Es
<br />.!n E$lllm Co&: Th. C6hfuroa: l-r..r t,w d&r mr .!tly ro u osE of F{Err, wlE hdiul or i4'mEr th6d'..
<br />rnd wkl .$nhrs for ruch Flrer. pirh. co r*nl(r li.cNal lllcudr b rlEcodfuktr! Lirns L.v)
<br />_l a rr\.m0r utut r S.(!o
<br />"ffi*
<br />I h.r.by .ffnh undcr lEntlry .t rErjury orc of lhc nnh*i.r {k(lf,iio.rl
<br />'D[, hl* - *r, ^,*.. . cd'fr.r.., c nsr r, s.lllNuc tc x{t6r or{Eerir r. FoviLrl ror b, solon.!?cu of llE
<br />Lrhq GrL.ld tlr Fri(m ol rlE klt lt" strh rlr Fhn ! kEn
<br />oa huvca w' ll ma,nra,n rorkc6' (omrc srodn ,nsufun( c. ds rcqurdl hy Sc.r on l?u) ol rhc bhor C1,&, nt rhc P..l rnurc or
<br />*ork nrwhichrhtr l.m ( Nkrl Mywork 6'cdmJEr\lri,[ m!ftLc.ad., fl] F,lryhumb..d.:
<br />-/,/zoz-/C-)r
<br />-l.rnily
<br />rhri in rh. Frnrmu of rlE work ror rh.h rh( JE mi t niEd, I nEI mr .n9liy rny F $. i. r.l m.m.
<br />$ r,b h.dft $bFr to rh. s,td Ntr{Ef,!.lbn Lu ofcnitomi..Ll {r rhi LrI tlDull tE or abFl lo rlE
<br />q,t6'Lup.Bri,nFsvnDGotSarnnlTmorrhLrrf,Col..lCrlt.nnh*nhLtilrywnnitbrtnvi,DE
<br />WATNING: FnbE ro rle sdt6 6n{EMbn srwn8. n u.LstuL !d n l i!t')er m dr+lottr ro minrl FrlE .,n
<br />cir linc\ uI n, orc t!to]ld rlx,usi l Jouds ($lm.Uxl), h .ddilnn t, rhc ron ol (nlltnsrto.. Jrm8.r
<br />SLrrkr llr76olrh.l.rhtr(irlr. 'nrcr({ rtr,lrtrdnf,y \ l.e\
<br />ft", zy'a*"zl
<br />ul.rlt[ue(2rI&r1laf,
<br />I2EIIdSAIIAT
<br />I h.Bh,.,tum unlcr Fnsllyof FrJury ltur I.D liensn ud.r ,nvi*,n or Ch.t ld 9 (.t,nftNin8 wnh Scrii.7OO0) o,Dr(o.l
<br />ol rlE aurirss .fi] Pnn slirns Co&, .,n my liccns t i! tull rdd rnl .ller
<br />ls 3 3
<br />2 2o2
<br />cotttrBtcuoli.trrDlBglqEdgr
<br />! hcEt'y .rlnm unkr Folry oa Frjury rh{ rh6! ii . .usurtr. tdht rs.dy rrv !h. F(xmB. of lrE * r{ *tuh rh! Fni i
<br />tsucJ lse.-. .!097, Civ C )
<br />AIELICANI.DESI.6EAIIO!
<br />LEd'y snim utul Fnrhy or FrJUry om ol rh. fohwin8 'lebal ion.:
<br />D.mrl(x)n P.rmiieAr&nor Notiff,.lir r.LLrrl R.Buhrin(lirk 4,. Pd6)
<br />R.quu.{ L.lr., ol t{rfurin
<br />l.&,lyrhar rhc lcJorl r.lulroons rtrdrnS .sh.ri rrDr)vd0r. ftn,pdtrahk t,rhji t'$rd
<br />-Ell:r
<br />y rhcr I h.E rc..] rhE ippla.ti,. rn ni. rh, rtE rhrE rro,mlkr i! .,81. I .src r. con{ y qnh rll Cny .nl C.unty
<br />.,n Sr.rc L.*r ELrbr rot['!'n8 y.urhrr. EF(d.trE! of tni!Cny. Counry k! old uFlr dE
<br />.t E mnri'rJ J'oFny Ii{
<br />(***..rn*,,
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<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 />l I xA.
<br />FINAL '/--uL 0 t
<br />Certilicate ol Occu anc
<br />Notes, Remarks, Elc.
<br />COMMENTS
<br />It \)Hz v/
<br />-,,, z/Efrn?-r
<br />tt
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