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B'JILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMil4ENTS OWNER BUILDET DET,CARATION
<br />I tmb, &ftun !nr.. Fdhy .n Friury lh.l I d ctcnf'l ftor rlt (tnrdm litnc ll* for rE forh*ina rc&sn (sd nrrl t
<br />Buin.s dl Prof.sshn Cod.): Any Cit, or Counry whi.h r.qum1 ! Fmn x, u,nsrM. alrd. nrl',ruY.. (kmliih or El& my
<br />nrucfur., rrior ro i\ nsu! c, .ko rcquircs lh. r0nli.anl ror such Frmn lo [k r ri8n { illrcmnl lhll hc ot rhc is li..ncd l)urq0nl
<br />ro rtE tn,viri{'ns ol E Cotrkrrq\ Liccntd li} (Ch+r.t 9. C.mnENins wiu s.cri,n 7(m of Divni,n:l of rlr Runm< rn',
<br />Prufcarirr C.n ) or rhrr li d rlE ir .xrnlpr rtEr.lnn. lh. hGir n,llE rlL8cd.r.nl,io Ary tbLri,n or s&1bn ,0J I Jbvunv
<br />rp!l..nr [i, . Fmir ruhFr r rlr .rplilnr t, r .itil FMhy ot mr d,E rh.r fir. tu.rtti doll,^ ( 15fi))
<br />-1.
<br />! owEr Dr r lE lr,Fny, ,r nry .nphrcs rnh w.ses r! rlEt v,L n,qf,netion, will d., rlE eql rn $E irFItE is rn
<br />inr.nJ.d ur ofl.r.d n sI. lss.?044. Blrituq lnd 0mresio.r (-.d.: Th. Conradq t l ,ic.E Ir{ dms nor srFly lD an o}ftr .r
<br />thc pNFny $tn tnitis or ii{ituB !lEo[ nt ult'dss$nR]* inn(lf or h.rk ll tr rlE,ueh hh o. hcr o*n .n{hvccs,
<br />,mviLd th{ rEh ihImEEd! e tur hr.nLil d orlddl for qb Ir. h'EE rL taiunt o. inFo\tmd r $u *ahin.m ltr
<br />or oq'Lri,n, rh. o[Er Bu 16 willlIE rli hr&n otFn\ine rtr lEr{Edil ml lnild or i,rF,t dE FIdy ftrllE |a,Irxor
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<br />l. .\ n*o.r I r hc !('Fl ). !m .rrlurvcly eoftndiS snh li.unr.l .o.t .ttr\ I' roi{rx.t rtr |,oi.tt I sN 7lir'r. aunr\l
<br />mJ hnlssrn(',dc rhc (-i)ntru.tor's l,icenlc !,a*,locs nor aptlyt' rrotn.rol Prqt y $ho huild\ or nnpnlr.rlhcr.otr
<br />itrd who c.trlrich itr \u.h I'mlcrr\ wirhd CDtrt ckr(n lacrr{(ltiu.unr nr rh. ('(nnn'(rr'( l-icci{.Iitr)
<br />I rm.r.nF un&r Sdxn
<br />l1aaf,.E&trl]lltlNsarlar
<br />D[grI3AI1()N
<br />I hrtuhy rflnnru dcr ncMlry.lncrury.molrlrl,'ll,,uing d..llrrr(rr
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<br />h.rr .rn *ill minr.h . (tn ifrir. or C.n<nr k, s.lf-|.$E for 10*6 omFn\.tim. !\ Fovir.d lot by Sdl hn .l7(l) of rlt
<br />l:bo. CcL. rr, rl.. Frfm o, rh. *nr ror snth ll! Ftur ir niEn
<br />I hrrc.n'l rillruinriin *ork.ri .onqf,nlrri(,n 'nsufu(c. r( Equtr.d hySccri,n 17lr)ol rlF ttrbor C,ilt. ntr lh. lcnurnlrc nl
<br />rhc qork nrvhich lhi\I).rn,ir ir i\skt Myw r td{ .omPcnsar iot inwn.ccadcr ml [,li.y nunrh.r uc:
<br />aLo e . -\trF..z,."","rn"",,*,' { 254\--'l 4\(
<br />-lc.drfyrh{rinlhcFrloruKofrttsnrlIu*hrhlhisP.nniliri\\ucd,Irh.llft.mlkly.nyP..v,nin'iym.ftr$ s r, t{r,ft subrd k' rh. w(trk.n onn n\!it,n hws or Cnlir'o' hi!. snd aBEc rh if l sh,uld tEcom subFl fultr
<br />*nrlr^' (,mn nvrn)n tn)vntrin\ ol Sccriir.lT([)olrh.ltrtrtr tix
<br />1!ALNIN(; I;lrlurc r) rctri! qorhri .o |rrnnrx)n.o\or3. ^!n,r rnr\ d ri uh htrhrr.J rh,u\rni Jos..',, r,1,,i,,r'r" r.r',q1[{.,-* -.r
<br />o". .-)t* ?t /-ot-ot
<br />0Ec\ r tnova.i nr rlt
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<br />I h.Ehr ,llirm nnd.. FMky or !.rrury lh, I nll oan lndd Fr ilxrn nr Ctufrs 9 rdrmmrina { ir h sr\k{, Trxrr).r r)}, n I
<br />of rlf Surmsr 4d Pror.<ri'h co&, a,n nry l.cne n in flll (rc uJ .il(r
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<br />,.,.'JE"^ 2 &-*trl ,,,,,,,*,. --l 1t|22_.. I
<br />E-rLaLA T. f,PAt-:
<br />TNIAI{JII]N.IEDAG.ACEdqL
<br />I lErdly.rrn utn€r FEliyof Fr!ryrhd rlE ir . onrru<rhn tidins ra.Ey tu rlE FrfmltrN of rlt wrk lor whi.h ihn IE ni ii
<br />allucaxllc(llEall0N
<br />I hftt, dntm lndcr Fhally of pcrjuy oft.rrlE rolk,wi.8 ddLtlronr
<br />o.n,lIion I'.rmik.Ash$ror Norilicarion F.dcrul RcBUlrrions (1ir1.40, Prn6l
<br />RLtlirtt tdrd ni l*rifrri{
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<br />ldift lh.l rlE f.rL'rlESlhr.B EA.rdh8 .rt .lor Em)trl4 mr qllllarhL t, rhs PmFd
<br />ll.en'rv rhn I hr\c re,!l rhN,'|,nli.rri(tr,
<br />urdtrrrr\ kt Srrlc I;r*\ r.lxnu ro hoildi
<br />Jh*r rnri(trrd pmpcdyl,r rstr.r
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<br />\ppln'xn! nr \!.nr siEtulum .
<br />*.-,n**-.,rnr,,' H €- I r-A i-+r AJIkL)
<br />o.omnl! "irh rll( irynnd(i r[,
<br />'r..,,,1,,"*,r,.-5ffi
<br />-,. ' \a-.- 23 z-rsz-,
<br />Set Backs _)
<br />Forms/Steel/Holdowns '//0////at Irlv,llaa /irfrl
<br />Erection Pads I
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/E nergy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Depuly Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />il,/:r
<br />FINAL nl4l't6v'l)taal,1 UW
<br />Certif icate ol Occupancy I
<br />Notes, Remarks, Etc
<br />-)
<br />Subf loor/VenVlnsulalion
<br />nru.d (sd.3(l)r. civ c,
<br />k|d.r'r Nrm.r
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