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BUILDING. INSPECTOR RECORD
<br />SITE.WOBK DATE ID/SIG.COMMENTS OWNI]R BUILDER DEI-(INATloN
<br />I lrr.6y,frh ud.r FMlry,n Frrury rh:r I o.r.r{i h,m rh. (idt&ioR lrc.* lr* nr rh. n,ll,*!B r.Kr. (S.! rl5
<br />llu{ncs oi Pnrcsn'n C,rL) Any cny or Counry *h.h r.1uNt . Fmr r, ...!tur. rlr.i mqhv., &n,l6h or FFr o,
<br />{nEtuc, pft,1. il\ nsueh-....1$ rcquirci rhc lprl(mr ntr su(h tEmr lo llL! n3'Ed (dctrnl llurlror rk n I'enEd lu{rnr
<br />n, rlE F,)vrs[N ol rlI G,nrrrnr'r L.tncJ I]q (Chr cr 9. CoffiBug w h Sdrir 7(l)O ol D'vitDn I f llE Aunmtt anl
<br />Pn'r.rronr Cdlc) or rhd h.{! {r is ctcm rhscftonrd rlr trsr f(tr ilE rllc!.d.r.qrxr Aryvh'llrFnoaScrrmTO.!15brlny
<br />omlica r l(, r r.rhn suhj.rk rh. attlicutrr to.crvrlp.nrllyol nor moa rhi frv. hunlr.d doll s(i5()lrl
<br />-1,
<br />6 owEr or rh. rtuFny, tr my.rpl'rFrs wnh wlls s rlEr $L.urFBlm w l d, ilr w,t Ii rlE rBrE 6 d
<br />mr.dal o, oltar.J l,r slc 1se.?(x4, Burtrls dd PnrLsshnr G}l.: Th. G,nrrulit ! I*trt bq d<t, 'l aff ly n'.n oeE of
<br />rrE FtIrty vhoh r\ or in!n,(s tlrfr4.r *h lIE6 u--.h *fi himrlt or h.rrlfor lhmu8h his or h.t.vtr.q'loyer,
<br />Iorrlcl rh{ h ihlmEcd! & n, rrclol r! ofiddl (', .h. tf. trffi, lll lxdlits r ryr*nEt E 5! *ln @ )t,
<br />ol.nq.r.[ttrOrFBui].Lrvdth.Eth.hmLt!ol,'ovnyrdlEuiEdilmrhllld,rtn&0t,n6,fdllEF,F*or
<br />t. r\ .rtB of rh. In)pd:_. .m .r.lu!v.lt $nt.rrur! *dh lk cnsJ ! ohtrn'^ k' (.nsod r lr FrFr ( .\L 1X,1. Bu\rs
<br />.d t\n6rn C,Nlc lh.ConrrNkn'sl-rcn<tr*J(tsn imly n, dn ornq ol pr,)n n y *lxt hu,lJ\ or mnrtvc\ rhctcon,
<br />utrd whd $ u{.*Iirstrhpn'F.GvrrhNGn [.t,(, lk.n{d lur{ud lo rlf, C nlrr ,tr'{l-itcn{I!*).
<br />-l
<br />mcr.hl ULLr Ssrir-. B & PC. forrhu E.sn
<br />l{oRKERs (:OilP}']ts,{T(tf{
<br />A[.CLlBAIl{l!
<br />I h.rcby rr'lrn unJcr Fnalrrol l)crNryonc.lthc nnk'wm3 dcrhrarior:
<br />-l
<br />nrw.il wrtl tuubD r Cdfr.k or(irMd k' S.ltunrurc r.{ s{16! etrFnqtn.. r. FDr{.rr rttr hy Sat'. Jnn.lrlE
<br />Lrtil Curc, for th. Frlol1rlfrc of lhc kid n{ whrh rh. F.di s ssncJ
<br />-l
<br />hlw .d will dDlr'n u,rt.!i con{Fsrri'n iNu..tut. a EqlE n by S&rrn .!?m ol rlt L,ti,r GrL. r.x rlt FrUm. or
<br />rft x nr *ni.n rhn Fmr n Erbl My *0*6' 6"tEM'r). N.ar ff.r d Flxy nuhld el-S[-lr, S.rv.4
<br />q 14863 t .r,r"-, I1L\,.Z-t-
<br />-l
<br />Nnrlyrhrr
<br />'n
<br />rl* Frfurmnt of rh. *trd( ntr lhrhthr Jrrmn E tr\!.J- I shru nr.n )y rny pr"'n rn rny mn&r
<br />t, .st' hc(om suhrat b tlE Rxl6 d'nyrtrsrrrn l,*s ol('rl'|otu, r.d.8R rhr rr I firll tE$m {bFr n, rlr
<br />*odc6'('frr.nsrrnn,,rovrtr)hsorS.dkrlT0oorrh.tjhtrGilc,lJull.l,nhw'rh$mdyqnhrh,(Pft,vrh)nr.
<br />WARNIN(; Fa or. r) {dn woikc^'(,nrFn!!rr{ Nrsitc L!roJ rh:ll rxbj&r rn dnli,'Fr lo .t:lmrl r.BhB rrl
<br />(8 limr !t ro om hrnlr.J rh,ueBl Jinb6 (slu)or d-lrNtDn. d.Ns.i .r Foqr.n nr rll
<br />s.Lr6n 1016 ol lh. L|trn Oi., trr.r.n lrj r(omy
<br />lECtdSAIg!
<br />I h.6by n6 uftld lEmlly ol Frjury Ih.l I .n lietrk l unn r I'rlnirn or Ch{r( ', (comEknr8 vrr[ Scchn 7xD) of Drviru ]
<br />o, rt Bures. .al Pn'r6rDnr Co&, .tn my lrcrr n m tuI nftx lrl .r('
<br />-++*a++O C-31 7 o
<br />CONSTRUCTION I FTI'IIiC A(;Eii(1'
<br />Ih.Etya,lnnunJ.r t^..Mlry.l trrlury rhlr rhcrc h ! Nn(n'.riD LnJ'n! !!cB-y litr rh.'E drtutucnllh.worl1,,whf,hih,slim (
<br />AXfJ.ICANLDESJAAIIT!
<br />I hdtty rltim u.d.r Fnrlryol p.lury onc ollhc nnhwin3 ,1c.|&ri,nr:
<br />t .ml{.n ltrmlg^.tE(or Nln i.r$n frl..rl Rquhxrhr (T k 4lJ. P.n6)
<br />_R.qumd tlI., ol Nd,frdr$n
<br />I rd y rh.r rh. loll.l rtuLrioN ElmlD3 IlEnos rcfr,v.Ie *{ {i r:hL h rhlr In)Fr
<br />J^...rlynnn lluvci(.r'lrhtrrt, .rrn)n,{rlirk rl'irlrcrhrc ltunrrrn,nr\!,rr(r lalRik'ronlPlyw hrllC yrNl(i{n y
<br />ordmtuc\ nrl Sr.rc lr*r rc rcr({nr.r iv( .r $is C'r y ul Counr, b .nrd urnn ttE
<br />rh^r mnri,rJ ImFny rG
<br />\t't'li(ani !tr,\!rnr \irtr l
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation I
<br />Rool Sheathins z/tz/z */ a&,i,)
<br />Shear Wall t-,.
<br />Framino
<br />lnsu lation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />,1
<br />FINAL 7-/-,,,1 h.1/.f*fl-
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc.
<br />Brown Coat
<br />Flood Zone Certif .
<br />o"n. a"L' Z<
<br />ilsu.rl tsd. ltl97. c,v. C ).lrtrh r N.m:
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