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BUILDING. INSPECTOB RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEi BUILDEA DELCARATION
<br />I h.rcby rffrm untLr IEDlry ol FrFry lh.r I o .rq, ftm rh. Co,rr&r6 Li... be rDt rh. tbllowi.3 rc.$n ls.t to.!l.J
<br />AonB\ .nt ltordnn C,E): Any Cn, or C,r , wh.h Equftr . Ffl ld .o.{N.l. .116. lrrrek, &@lBh or qu ey
<br />rrru.ru., Fnr t, irr ssluc. *o rqu(cs rh. +plarfl tu *uch Frnir k' tb. iiEmd {.r.nml lnri lt ot iE ! lic.nsl tu{d
<br />r' rlr lron.N or x Cdnhr,'r LEnrn L.u (Ch.prd 9. O,nmBn! ,'ih S<lm nq) or D'v6nn I or 'lr AurEs .
<br />Pntt$()ns Grlc) or lhtr tE or sh. n.r.h0l rlE clioh.rd rh. h€d\ nt
<br />'h.
<br />dh8.d.r.n$Dn. Any vni.ltunofsNli'n7011.5 brrny
<br />!B{k. ror r Fmr bi!!r 'tE .tildd
<br />'o
<br />r uvrl lEdlly or mr mE rlB. nv. hnLlhl dolhs (l5m).
<br />_l. r old or rtr proFny, u my.rgloFr pnh 9.86 r, rh.E -lc onFrr.lDr e! (l) dr * dnlltnrulGitd
<br />mr.Bldl or dl|..d tr $L (Se.nxr, Burtrs .nd Pinc$Dm CcL: Th Cinrrf,ktr.s Lilns Ls {r! mr tpply ro ow ul
<br />.lI Ftsy uh' El'll n r'IruE rlB4 En *ho rlB st qit hlBll.r h.Blf o. rlN!8h ht r tE os .rployer.
<br />niovrktl rh.! ski @tmkGnk e tur olal tr ofio.J 6, sL. ll, hoM, rlE tlrJl8 d lqiM'd ! $ll elhr rr F.t
<br />ol (urd.rE llr Olrr Builjd *!U h.E rh. heLlr oI Frvus $d lt o. dr rlirl tr, hlirr d inFE t r ,fltEly rn ltr F[,tE oa
<br />38,, -"**,, * aony. d.rlhlnElydrdnrhr * h lka€J.otrr-i6 h.$rnk rt! F Fr (sa. ioa4. BNi,K
<br />r'il hrrs n ci,\r.: Thc Conulcr.tr', t-r.r!. LI* .L,.! nor .ptty ro o.sn.r or prdFny vho bur[r or inpmEr lhdc.n,
<br />$d *h. otu1r ft{ uh FrJ6lriwnh. Grdfuloi.) hcr<rl rrrsurr h rh.Cqrr-rq r Lj..M Lr*)
<br />-I q.
<br />I tr(h, rl ttrm utoto Fn lr, of Fjtry oE .f lh. tull('en8 &.
<br />-l
<br />h.E un *rll ustaL . C.nifr.r. of CoMnr k, S.lr-l$uc l(, mrt€r (rhFutrr. r Fovr|d for ty Sari)n l7s) ol rlt
<br />Lilxn Cinc, nn rh Fri)tr1t,e ol rlE srt for *rlih rlE pdm' 6 sreri.
<br />_Ih.!crnl*'llm rro workdr' .or!'cB.t'n BUnEc. .r Glu!.n ty Se-'r$n lnD of lh. t:hr CdL, fttr tlt Frfotu' - . of
<br />lh. wk tu whrh thr IErn s $ucl. My w.rtsr cohp€nr.lion rnrurr(.'c @Er . Fniy numb.r d.:
<br />Ernft!:
<br />4rrbr ."n,rv ,r'., ,, o* r..r,,'mL\ .r irr *o r,tr*nrtfttrFmr tr trr*tt I 'hall fr .n{'k,y my F$n n.ry nuF
<br />{, $n) lEonE \dbr.er b rh. w'dcE convEn$rrbn l.wr ol( d,fonir, and !3re lhrl fI il$ull n $m suhl.cr tt rh.
<br />k'rtdi .uirlEnqr $n I' si,nr of Sclnn llul of rrr UE, Cr ., I inI,L lonhslh .dr+ly * h tnE Frvson!
<br />WARnINC. l.irlu'c nr r(ur. s,trkcA (,m0.tr\rrrtr' rovchrc,s trnhshrl atr.l rhill {'hFur cn{'l,,y.r b ! ruDl IrtuhA rl
<br />rNrl liml un t! or hunalrcJ rh,uqd JolLrs ltl(U.(tx)), ,n rll i)n t) rh. (.{ of
<br />Sc.r$n 1076 ol (hc Lhor Cii., nr.ror .ft1 .my\ res
<br />ro/o{/zoza 1-'7 r
<br />I l'.r.hy rrrtrn,trnl.' trnrlrJ_!,rIt,r,tryrhr I rnr l'\.n\.,lrtrJ$ nrovtt 'nChrt'ht)(nDnrrrnl!rihS.(rkr?(xxr)o,ol rlr BusDi! rrn P^,t6si,6 CuL. lrl my h.M ( in tull fitre .nl.af(r
<br />L@r$CLsr-
<br />D.l. _ Cdrmto. _
<br />coNsrEt,cTloN t FNIIN(: a(:EN(a
<br />I h.rby rlrnm utu1.. FMIry of Frrury lh.t rlm ir..u(ru(lrrn L [grS. ynttutEomMof th.k k fN rhrh lhts Jf,rmI a
<br />blKl (Sa .!0r7. C'r C.)
<br />AEILICAII.DECI.ASAUO!
<br />IH, rm unLr FnrX y ol Frlury oN dt tlE ldl)rm! ,j..Lr.r$nt
<br />I).mliri,n Pcrmirs-ArtE({r Noriliuri,n l;cdcrrl RctuLrirnt r'til. 41, Pd6)
<br />_Rdttrrcd trn.r ur |*r i.thn
<br />- I !d,tyrh.r th( r.i.r.lrcxlLrh'E R8drJrns r:t { \rfr'vdm fr{ rtidr.hk t'thr F,rrr.
<br />&$ (drry rtur I h6E kr.l rhu rl?lirr.n . l {.r. rhrr lh..h'y. innrmrrr R coBl I .sd n,.$,rry wnh ru cnr.'l Coudy
<br />onntrrtr(\,u sr,n.lrw\ r!-l,i,ng r) hu,Lltri[ rotrnru!rntrL I rurhnuc rcIrcsnrdiv.s o! ilis C'r, ril Counryro.nrd
<br />rhr. m.nrk)Eal p()Fny nf, m\Frx!.
<br />,\pplicrnl or Atdl SitEluF Co
<br />K
<br />o
<br />c L\
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/Vent/l nsulation
<br />Roof Sheathing
<br />Framrno
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL /// t '?n?r/ ,4A wn)
<br />Certificate ot Occu anc
<br />Notes, Remarks, Etc.
<br />--)
<br />Set Backs
<br />Shear Wall
<br />--------r------
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