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BUILDING. INSPECTOB RECORD
<br />DATE ID/SIG.COMMENTS OWNEi IUILDER DELCAIATION
<br />I lEr.ht dlrs uaLr Frhy ('r tErrry rhd I o .r.q, nom rlt Codr-l6 lr.trs trs lDr rl. (nb*tt Fu, (st 70.]l 5
<br />tl$in.s !n Prol*rhn Gnc): Ary Cn, or C,{nt, whEh aque. . r(mr b !o.id.r. .lra. h|'ok. dcenlrh or qu ey
<br />rhduq F$to rlr Lssu.*c, :l$ r.rtuircs lh. .pllisr nn slch lEmir k' lik r :4Ed {,r.mnr lhrl or nF it llc.nEd I!u!+tI
<br />b rlE FovBbnr .r l,r cl,nlklir'r Lilnsl L.y (ChI ., 9, clrnm mB rdh SetM ?lID o{ D'!MD I ol llr Burms .,tl
<br />Pbldrx$r Cril.) or th.r lE r, rlE ! .r.n{'r r,Erfioh nt !h. h. r ntr
<br />'h.
<br />rlL8cd .r.rllllDn. Any vn .xon df Sd [n 701 I 5 b, rn,
<br />rrplMnr for i Fmir s!hl.{ll lh. .p, icrnr b r civ il n ulry of an mr rUn liv. hundrcd dou{s (S5$)
<br />_1, r! owmr or rlE FUFny, o. my.nplotc. wdh vr8.i dr rtEr $k omlEB.lsn. *il tb llr *dr lrl r,t rur@ . d
<br />ilrcBLJ or ofi.r.J tur sh (Sr...7O44, BuriR$ ,nd Prof.!$'N C(ilc: Thc (inrrcnr'. LEcns Uw d,Et er iarly h r. osftr of
<br />rlrF)Fy vh,tru3qui|mBrt6'aBlwh'rtr.nrnk hi qll G h.Mlfor rhNlrh hB r lrr.wr c.rpbF.r,
<br />Frvd.d rhrl suh lr{mwmnls e n{ dcniai d.fl.Bi tGxl.ll. hr@-rlEh luBd!'ImEmd!sUvihrorFr
<br />o( cootlcrtr)r! rlf, O*i.r Burl&r ,iI hr{ 0E h{^hn of !nrv,.E thd h. or srE drJ hn ttrrlj or ir{n'K ttu lnIsly lor rh. p{4rM oi
<br />_1, as swrcr oa rh! pmFnr, rn .hlrnkly (oik mr *nh lr(.i.J conii.dou h .rn{tur llr l,mFlr (S(. tu44. 8usfts
<br />lhl Ih iirM CirL: Thc Cdnt.crtr-r Lr.ns. I:w drr ndl .pply k' rn owkr ol p!,Fny wln) huilds .r oftuv.{ r h.r..n.
<br />rnd w,D (,nrxlr nx rEh rr)At eirt. (i h_-h(r),r.trstl lloisM k, rrE o'd,&'d . l*mc ue)
<br />I rtrrcr.nrni u.dcr S&littr,
<br />llllEE!8[.clrlllrulAllo!lEcl.AlAllo!
<br />I h.Fh, rfim ueL, tEnllry o, FIry om dl rh. follDr lrt &iLr.rriN:
<br />_l hlvc rd urll minr.in e Ccnililc oi G,Mnr ro Sclr-ln\xr tu eorl.ra (umtEtr$ton, .r ln,viilal t)r 6y Sar on l?([ of lhc
<br />Lbd Cor.. ld rh. Ffmd{ or E q*l ri{ ld+hrh. Fmn b rrE{.
<br />y'hrv.rnJuiunri .r qorkcu rohFnrarion insufutuc. d! E+t J by S.urhn ]?m or th. Lrhor Ox]c, for lhc Frformtuc of
<br />rlE Rnt lLr wrut rht Fmr s nsd M, wr,l6 .an{FN'xr Dsuln. rrir rn lb,iy nurtEr e:
<br />,*,,, ?r tlVh A,uairaA
<br />$,i,a, *, Faz( ut)t tf k S -O1 *,*,, lO/ a t/ZaZdt
<br />_l (rl rry thrl h ltE Frn)rflncc ol th. vort Lr *hi.h lhh !.rnul ir t$cJ. I shdl a, .nrl'by rty ,rr*!. in any msrcr
<br />s, rlo lEr-r ot'Fr bllr uiisi LaryEn{tNn LB of Cn n .. ril rgftthd if I llDU! lEor rubFl lo llE
<br />mrtsi $n{rn'r nn Frvtrritu or s(ii,n 17u, or tlE uhn (\rl.. I slrll. lnihv h $noly * t lh. tr.vli,d
<br />WARNING Frn!rc b 6'!e rork.B' u)rFnr'(bn cov@ec ,r uhhwtul, !n! shill shFr !n cqtl,rrlr ro simrnll FDIE i.d
<br />rrd ftrs up b or hunld rlNndl dollrB (llm,uD), ,n rdl'rr* llE sn .l.onIEnrli,)n, Jm3.r ri ForiJ.J lin rlE
<br />S(tr{ 1076 .l rhc Lho. (-,rL, or.rci {rl rnomyi let
<br />12 /LA2a?,D
<br />r[!!.!8rr!1^
<br />I lNrchy !l&mu' rrndrlryolt
<br />',rtryrhar
<br />I an l'.tnrt utrdcr r vrlon I(hd|lc!I(. mrBh-.n,3 u(h S.rrr l(xxl) ol D'r^(r .l
<br />ol rll lrurm$ l Pnnc\x,nrCtrlc, drl By l.cnc tr 'n,{ll l'rr. {i!lt.(r
<br />,-,.""."a,"., Cq,(o
<br />*" 11 / t-tl / ).,1R-"*
<br />I lEEby rffm uod.r lti.lry of p.rrury rhd rhd. B r L$NMi,n kndin8 a8.Ny lor lh. Fsfomh-'c of ttr wk for whi{h rh! F@l !
<br />rrEdrsd.1097.c'v cr.
<br />kll.r'r N.m
<br />-
<br />ATTLIIANLDECIASAIION
<br />I hcn ,dlimu .r F..lry ol FrJur, oE oI rlF lollo*'n8 Lkr&.rr$!l
<br />D.mnrrr. P.rnrs^ib.rnn Ndfklri!. Fdj.,.l R.8uLr b.s lTnL {0. Pd6)
<br />R.qu,rcd t ll.rofM'l i.lion
<br />_1..n'ly rhrr rlI f.Jcril rc3lrhtn)n\ NlrJ t ^tr {n\ rcn,vtrl r. Nn {!lr.bh h, rhs poF\r
<br />I c.nlry rh.r I h.w Ed rhs .I,lrhrFn [l 11. rh{ rlE rhok rlo,mrM L. .olEr. I .8r lo Nrltly I'lh .ll C'r, .Bl Co! t
<br />,*dENc. xrl Shrc tlwe Eldr
<br />.h)v. mnuoftd nn,lEny t)r n
<br />Arrd.0l o. Ar.rl iilEluE
<br />xti'},jun lEEhl.u'hodr EF.-'ndiwr ol rhr. Ciry .'rl Counry tu c.ld ulrn llE
<br />Lr
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />S u bf loor/VenV ln s u lat ion
<br />Rool Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsu lat ion/En erg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Reporl
<br />I
<br />FINAL t/r. /2,Ll ..181 14)
<br />Certilicate of Occupaldy
<br />Notes, Remarks, Etc
<br />SITE.WOBK
<br />Brown Coat
<br />Flood Zone Certif.
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