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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNET EUILDEN DELC)TNATNN
<br />I hGby .lr'rm unJd F.ully,,r FrJUry rh.r I o .r.f,t'r firm lh. A,xrEh U..tr€ Lrw ntr rh. r,lll.vnB FNrn (se.n)ll.l
<br />Bunn.rs !,n lti,r6rlr Col.l Ary C'ry or Cd,r, ehxh Ejuir . ,rmir b conrrtur. .lkt. trq'n!v., &ml,th t EF{ r}
<br />{uluE, Frlo ns a,ue., rln' r.1u6 rlr +d..nl Io. rwt Fmir t! riLr $3td sr.mnr (h, h.or rh. $ lMn{ nlllvn'
<br />ro rh. F,yrotu o, Or anmk-ii,'! l-NnGl tf,* (ch.nr.r 9, O'nmBm8 wxh S.luon ?Gn or DrvrrNn I of lh. Bulxs.trJ
<br />PnrL$k'n! cdlc) or rh.r h. d iE B.r.md llEcnon.t! l|r h$ii lh. rlE rllq.d.rcqrion An, vii,kr$n of SRri,o mll.5 brrry
<br />qlrhrnr n, . lirtur rubFk !h. lprlEr.r ro r otil tEMlr, or tur mE lh& 6vc hun&.d lollus (aslIJJ.
<br />-1.
<br />.s o*M otrn FoFnr,,tr m, cnploy<r wiln wi3cs r lh.u eL cotrF.s.ron. w l Lk rh. k*k.^l
<br />'rE
<br />itu@ 6 d
<br />lr.Drol ri olt.Bj l',, eL (Sr 1X4. Burir$ rnd Pflrf.sr8 CnL: Tti G,.rrt,.s Lr.nr trw tr* tu{ {tly () i o*r. of
<br />rlt rnrrd, wh, hlllrr o r{hwr rmr dl vl$ ds flh s)n h,msclf or lrMlf or rlmuSh hn or lrr own.tr{'hrci.
<br />pn'vrl6l lhrr such lqn,Emds N n, ot.ntrl ororf.En ft, ub lr, h*W, rlE hi!r!! n nqmEmnl s s! *ilhh m JCs
<br />oldnpLu4 rt ()*mr Blr.kN ttrr rh. hunLr otrn)ff8 rhr lEffnrJn {tullqlqftFrlrFld,Lrth.F"F*or
<br />_t. .i .*ncr ol rlE F.Fny. .m d.tu!,kly !r,r.&li.s *trh lf,!trErl .odnb6 b coh{rud rh. Fxd (Se ?O14, Bustrs
<br />n hr,Lssrn Cs!.: 'thc contxroar Lf,.n€ L:w J&s n rmly &, d u!..r ol DroFrty wtni burl,lr o n!n)v.! th.r..n.
<br />.ft1 *h) L.niBli rir sBli FrFri ynn. (]l,d!&ronr) l&nsn IlusMr ro rh. Conkk!tr s Lt.M tlr),
<br />_l d dcnr, !d.r Sarion_. B &PC ror th( r.a'n
<br />!!8f,E8ti-CAUIlBSAIq!pEqllallo!
<br />I h.r.by rll im !n&r Fn:Xy or IE U., or oI rh. l.lldwuB &rl,.r.nr
<br />_l hIF rnl *ill einrd r C.dir*!r. utG)ns.t tr S.lf-lnrurc tu ktrkda Nm!.ns.!Dn... F'vi.l ftr b, SarM lnl, ol ilr
<br />Llr* CdL. tur lh. Fftrller of lh. wDrk for *hih lrt Fmn s,ssu.d.
<br />_l h,w ahd will Drl{n workcs llmFns.lon rrur.mc, .i Gtumd t y Sst[n 17(x) ol rtr trtxtr Cd!.. tnr rh. Fnm. ol
<br />lh. *ork (tr *hri rhB n mr n ssuJ. My *)rt6 d,mFBdir itrsu..Ec !'uE rn Fl.y nunb.r el
<br />F
<br />rl,,,.y N,,,r*.---L1]jtallli-
<br />l..nrlyrhzr mrh.IEnormruolrh.work ntr*h.hrhnI.rm tr i\skd.l rhallft chfk,y rny Frq)n in rny mnmt
<br />q rs r) h.um \ubFr (' rhr wo,k.( omrnvi on hws or Crl'r(,mq. dJ ,8N rh.r rl I sh'u! tE E .uhral n' rh.
<br />sorrdi eon\xn$ii J'n'vaons ol Scoon l?U,.r t h. tjhn C'rlc. l !h.ll. l,'nh*[h .rrll.lly *rrh rhrc nmvi\i'nr
<br />WAI.NINC: r lur. t, $curc *orlcii lomFne'i,n !ov.n8c r! u.Uylul. .ft] ihrll ruhF{r o cn+r,yt h d0fud Ftuhir snl
<br />(iv rind ut l,' om hundrJ lhousll Jolld itl(I),oflr), '. r!(i,n ft, rlr .on or rr (,,. nr !!.\ i\ r!tr:1,11 1,tr rh.
<br />S!(rrn' n)r6orrhrIrh{(,xn flrNr, n, r
<br />llt!1"1-8rlll!]!
<br />I llrtrly rrlirm u .r Fn y ol F.rJury thrt I rh L.lrBl unJ6 FlvLrrD ol Cludd I ((!.lrlslnl *nh Sdtin rfi,)orDaBsnl
<br />ol r,E BrriB. rn PnlLrionr Cel., &l nry lf,cns is h iull tor( tn .fiNr
<br />a\tr a=-
<br />I h.Ehy.rlthuBlcr Fn.IyorrErir, rh.r rlE !. dbrrturion Ldo3.8.tu, ror rtr IErr
<br />d$ar ls.c. lin?, Civ. C.)
<br />lnr *ort htr wh(hrhs Fmrr s
<br />AITLICATLDECIdEAI1A!
<br />Ihdrtt,trmueLrIEnrh,orFruryoEorllEn,ein8&1:knriDrl
<br />I)cmrltrntr P.m lAsrElkx Noxfrrbn fqr.rrl R.BrLt$nsiT ,..lO. Pd6)
<br />_Rcqu!.J t n.. of Nrr'rrl$n
<br />_l (slrii thar llr i.J.rrl r.Sulrlrr\ rcr{dtru rrlxd{r rcfr,vrl arc nor !t lf,rhL k, rnr nnr,.rr
<br />_ril.cnify rhi I hrvc r.iJ rtusrpdrrr('nlrl r(c rhsrrh.sh,r. rnl,turtr,n hroEs. r.1.3,c tr,d'r{,l,*nilllcny.nlcoonry
<br />onltuBcs rnl Srrr. b*r rchrf3 nr h!h'roc EFdrow. orlhr Cily Ii Counryl,, cnlcr qi'r llE
<br />,'rr,r ntrr ntrkJ tro,rnt r{ i
<br />AoDlir.trl o. ,\s..l SirNlur
<br />tl
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/Vent/l nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framino
<br />lns u lation/E nerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lVlasonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />I
<br />FINAL 1l,t/4 D**t
<br />Certiticate ot Occupancy
<br />Notes, Remarks, Etc
<br />Forms/Steel/Holdowns
<br />SLAB Floor
<br />Pool Fence
<br />.,,"* iioic tomp \rnilf0nrr
<br />ak,l l^'
<br />^,,. .z\tz;lzr
<br />I
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