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BUILDING- INSPECTOR RECORD I
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER iTIILDIX D[I-CAf,ATION
<br />I hEiry rmrm unld FMlry ol F,|]ly rhd I m.r.nrr hnd rh. Cnn*r6' Li!re ti* I ilE n,ltr*ha ,..ii (S.. mll 5
<br />Au$mii "dl Pr.t nrn CrLr A.y Ciy or CNny uhth rcqu'6 r Fd !' dfiM. rtd. nihrv.. d.B,l6h or FF. et
<br />{Mut. Finb rr nurr., rlrt (|Un.t fi. rDl'lrd f sh Fd n, lih. (ifrd <i.lmr r& h.ori& n lidr.d Fnud
<br />r' rl! IFvnnn\ nl rtE ( ..r-rfi l.rrn€d t * (chrnf 9. collmmrna r rh sdhn 7tllt ()f D,rrhn I nl rh. Bu(rcs lnd
<br />Fref.(irns C.d. ) or rh.r tr r rn r .t.qN ih?.riom dd rlr lErn f'r rlF r,kt.d .r.nqrir An, rioLrniorsdirnTFl5hy..l
<br />.mlirnr f r p.rDir ruhFi r rrr. ,nrltrd ro a cril p.nalry nt nur B'E rhrn llr hu.&.d dollur ( 15fi))
<br />L r\ o*n.rofrh. nn,Fny smy.nDhF.\ *iihq3i.\x\rrEtr rr}r.nr.n\rir. willdo rlE *o ind rlr {nrlr. i\ nor
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<br />rn nnFny *n' h'ldr or rlnnEs rllF)n, ml *h d,E sui s'n hm\.n or h.^.lf r $ou3h hR ,, llr owi .nrFhr..\.
<br />nnYil.d rh su.h 'ryi.Erdr-.n{d. r.d oit^.d rln qL ll h,e\r. rlr hru'n8 or rdthN.rE re,u*rhinorFr
<br />oadiq*rhn. rh.()sxr Bu'lk rillhlr rlt tnnkn ofrnnhs rls lr JrJrl n{ tu'B or trqn\. dr F,Fny Lnrlr IUryEol
<br />_1, .r or'F of ill Frtdy, h.rc['ttly snd4 f,rh lE..d ontu6 ro oni&r ill I'D!.n (S( 7rtl, Eo.6r
<br />.d Pi$t<.m Cd.: Th. Codr-or'.I-a.nk br &.r d .n!1, h o*m.Iri.Fdy rho tdildror i!h,E! rlEr.on,
<br />rrl sh, Gddr ftr qh F,rdr srh. Coddonrt lisid F^ud h rh. Cnntu,r Li.dr Ii*)
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<br />im.t.mrr und.r S.dhn
<br />IAEfiiES_Qlru;DS ItQ!IlllclrlaAllo!
<br />I rEr.hy rr!,unL' I!.Mlh rr FNn l[ nrrlr r.lh*inr d(hrrr$it
<br />l<t(/zE d r r ll mdM c C.i'rr r. nr ( t,trcR r. s.ll lnru,. ror f,r,r6 6!,r{rnerrr, .r ,ht!d.il ftI hy sidrr rnn or ih.
<br />-r.rr" <,*. f-,r.;r.f,.*.l th. * l frr *nrh rh. Fm. n ro.d
<br />-lhrts! $illmi rh*o.r'n'nt:M;.'nqEE..r.EqrmdhySNi'i:i?ll)ofllrlrtix(i'd..fortlrFliMof
<br />rh *nl fn *hih rhr Ftu ! i.rd My r-dt6' onFnd$n lnrur.m cr; .d ,[l-y iun*E. e
<br />PolryNumh.r:-_hntr.r __
<br />I c.nifyrhrr r rh. p.rfunnrnc..rrh. wort nr !h(hrhnr.nnir i\ r{ral,I rh!ll n.r .mphy .ny D.^.n 'n,ny'ntukrr) arnrh..oft \uhF.r n,rh. *o di romF.nsari,n b*\.Itrhf,nrir. mdtri,..rhi 'fl th{ld licom \$rcr r)rh.
<br />eo*di $mp.niari nnnvrhrnr fsdirn 17{10oIrh. tihn (iir.. I lrsll nf h{i h omrly siih rtrE rrNni.i!
<br />WARNING: FailuE r, aur *ort.^ onqrn$rirn or.{8. n unb*ful. rdl \hnll \utr.r o .,ryk,rr !, rnmrnal FGh6 afll
<br />rnrl likr un h or hlidrd rk{qrd dolh* rlllrlrrrD, m tiliiD nf.onv.nsrn4 dm8.t rt pn)vd.il afl rlr
<br />6of rtr lrhn (lrk, 'ikrr a,n *n)my r fer
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<br />ITI;IJEAIIOI
<br />I lrEhy !ftirm und.r ,Eulry of l'.tury rhd I rm l.!n€d u.d., Fnliihn ul (llrrrd 9 rdrnrrinf wirh S<dDn ?(xx,) ofDivnirn l
<br />f rh.B!si*(rnd Pnra.rhn! (, ., ind my lk.n{ ir in tull I',r..J.Itu,ZL A(b
<br />:,::ii
<br />lov
<br />7-rl7-o'z-o
<br />co srBu(Iro!.1J,llrltc-ac[dcr
<br />I h.El'y allirm onl., ,EMk y (f rr.n!., rh, rtft ir.drnrMrr lnll.l8 l3ft) nrrh. Fntm.frn hrt ft{ rnrh ihn Ftr ir
<br />n{.d rs( :r{,.r7. cr$ c r
<br />AttLtcAN:Ll)lCiJSdtO!
<br />I h.r.by trm uidd,EnrXy olFrjuryorc olilE folkrwi.3 .kchftr ion.
<br />&mrlahn P.mt\ Arlrrni Ndifi.ib. F.&r.l R.8uldhnt lTirl. 4), Pd6r
<br />-R.quiEd
<br />l!r( oa N.rifdir
<br />-!21-,ry * ,* *,,.*,rir rardi.a dnos rmvrr e dr {rt tr. ro rh6 FnF
<br />Lal !d y thc I lEr. Erl rh^ +nl..rr.. rn {.r. rhr rlr rnE intildni n(tu I .3E ro frrqiy rih rll Cay.ii (mdy
<br />onnMm.\ md Sr4.l,xi Elrns r, ho'kl'n3
<br />ur!\. mnrtr,n.l pr.Fnr Ln 'n\FLrnn
<br />Al'plirrnr or ,\s.nr sirMr
<br />r)U, u".r
<br />,*,, ,lz4lz.ozo
<br />Set Backs
<br />Formsi Steel/Holdowns 7)z 7P Dftnnai *t9
<br />Erection Pads .,z 7d D&i'\oa 7,*fq
<br />UFER Ground 4 )t tlzo D&\Mt t *t4
<br />SLAB Floor dt o >nw {L4 35
<br />Sublloor/VenUlnsulation I
<br />Roof Sheathinq 1 q 4 Dil0oa-l tl
<br />Shear Wall a \17,0 Un t'l<lt-*s7
<br />Framing rri+#.^t .*8,
<br />lnsu latio n/E nerg y 2 i_\#{
<br />Drywall 33.-Za 9,-114)
<br />Ext./lnt. Lath fffi Zt ta6 l2FrlY)r ft-H8''-z
<br />Brown Coat tlL t NtlL;;o..r,€.V)
<br />lrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />uty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />0 I )n Dfr'rY)fl _H-X'1
<br />Certif icate ot Occu pancy t,r !-
<br />Notes, Bemarks , Etc
<br />c -o -{owrL
<br />4t,t 'l /)
<br />7o7zi
<br />FINAL
<br />Ikrv oB-07-2011
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