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BUILDING- INSPECTOB RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER EUILI'ET DEI,(ARATION
<br />I h.rchy rlltnr u*]cI p.naty (, ,Frrury rhrr I .\cnnt h,r rlr Conrrann! t-i..nE lf,s l[ rtr t,lheo8 raqr lsd 7llll t
<br />fiurinc( r Pn'nsi,tr' CnL): Any Crry or C.unry *hrh r.1rut$ i Fm ro (tr'l{tur. {lr.r, 'ntln'v.. &m'li(h or rl'.funv
<br />{tutr.. Ftr r' rr{ F.um.. rlq, F}'fts rlx +dfld nn .uh Fmr n, fik r !!kJ <{.,mr rMr h.6r .h. r l{.n<J p{ud
<br />n, rhc F$vni,ns.t rh. Conn&trtr's l,i..nr'l lr, (( hlpr.r q, Conrnr.B'in8 *rrh Sc.hoi 7fiX) of r)lvtron I Ilh( llurr.lr atrtl
<br />Pn,lirtnnr C,il.) or rnlr lr or {r n.t.r{i rl&hon.il rh. tu\( f,r rh..lLt.d.rcny*r'n Anyr$l,r'n.lSerionn)rl5hy..y
<br />rpFl,dnr ltr r F mir {rhFrs rh. q'rn .nr lo ! (vrl Fnrlry or n l mft rh.. I r vc hun,Eal di'll,.l!i]0).
<br />l. .( .* mi ol rlE IrDIEny. {. my cri,t'rrq *nh *r3.. .{ rlu q)L (.qxn\rrx,n. qU &, rlr *rt {rl rh {erm n ni
<br />dcnlcl or ollcrd for {k tS( nl{]l, ao\m\\ rn.l Pr,l.$ons (irl.: I lr Conti(tr'i l .f,cn{ l i$ dGr n r .ml, b an o*Rr ol
<br />ih. In,Fd y wh! h{ .lr ,tr rF!6 rL!{. al eh, &r\ \uh ,,{i tunr.lr or h..rlf.r rhmu8h htr or h.r on .nfloy..!,
<br />I'rovrLJ rh.r rsll hlr$ffi! N B{ hrd n ort.ntl ltn eL li ll'k\s. rlr hllto8 d ,qr.mnr 6 rttl *,llhh or Fr
<br />, n comphtron, rn Owkr Builld w l h1( rlr hnLh of FovDg rhd tr or ih. (In rn ho,Ll r inIB'rc rh. I'n't'cny n, rh. t!'trk ol
<br />L a5.wncr or rhc pn'prny, or.rcl$'vrly.ontrlcrnr wirh lk.n\cn ronrE tn n,.on(turr rh. re,j.cr (sc-. 7H4, Bu\urcs
<br />rii t\ft.\rn C,ri.: t h. Contrtr r l-f,.i!. t-!w J(rr Bn anrly k, rn "skr I frlJr v *lr, huild! or mpr)y.\ rh.r.on.
<br />lnd wrD Ltnk$!'tr rkh F,j.\krdh.(i|.tr ttrr!) llrnql pu^ul t, rh. Conk..nr'. l,f,.nr lr$ r
<br />I .mc\(n{ uhkr S(ii}.
<br />!08f,88s:t!l!rri!sa.Ll!a
<br />DE('TANATION
<br />ydl lrrjury om ol rh. hnl'*nS d(brlrrrF
<br />nDrnrra(-.rrrii.al..lOn{nrbScltltr{tr.nrwo'kcn.,trrr--nsrr0h.ri lln,vnhn l', htS.Lri( i7(xrolrhc
<br />rh Frln.|le. or lh. $rk ld ahrh rh. Frnn 6 s!u6l
<br />tr'nt,tr.lhrsirrtr' lTixrrnrh.l.nrr(!!n..lrtr rh(,[rnrnrnrt !'l
<br />NI\r rntu.n..r.r:,i F f,y.unh.r r.
<br />n\ots..ii)n l7(rrorrh.lrhtr(rxr.. I lttrll. n,rhw hrond!* hrhE In)!non(
<br />st*.E'd'mFndbn $rfr!. n unlNrut, Dl 1h.,l ruhF(r d .hpk'E lo ffEl ItEhB 8l
<br />Itrr\ trf r, otr. htrn,l'.(l rh!'ui'nl ,,!!llar\ l1 .(rrr). x,l{t'rxn, !, rlr LD{ Dl .otr{f,n\ tr{. n nr3.1rs novtrl!.'l l!{ rhc
<br />Ut
<br />I hcEhy {U tn uRlcr l.o2lry ot t r,t[y rhrr I ro lN.Bl oRr.. F'vnm .l Chll(r 9 ((oh'rrr8 wnh S(tk,n 7flJ0) ot l) Nison !
<br />.l rlf, Eurm( rfti Pnncatrff C L, .rn my ll.nc F h rull ntrlr rd clldr
<br />to
<br />lr./ --
<br />(t?>r <a
<br />ol )o.
<br />I ltEty jlm oftLr FmhyoI Frrrr rhrr ih.F tr r connfthn hnJ6S re.h y l'{ !h. Ilcno|rl1e. ol rlr yrt l,tr rhrtrhn Imn !
<br />rskn (S.r.l(1r7. Crv (.)
<br />ATTIIIANUTECI.ASAIIA!
<br />I h.rd! rliimloLr Irnrlry ol lrrrry.E ol rh. n ll*rnr6_Ilnrin!
<br />D.nhl"x)n P.rnnr*Adx{os Nr{rlkarrn F.d.rilR.fuhrnDr (l (lc 41,. Pd6)
<br />Ralr'rcJ Irn.r ol tl{,liltxrn
<br />_l..rr'fy rhrr rhc l.JcrrlEenlf,rk,n\ r8dr8 rrb.n,x,cfr,y,lr n rm[rhk i' rh,l F,Fr
<br />r."n'ry,f" rrr,r.f"
<br />;;.JH*:
<br />rrrDn lrl \rrlclhllrlr rh,vr rnntrn trnrN( r.(l llsreh(.mnlyw hxll(\ry,ftlCnunry
<br />hu[hn8 on{dti'n, !r] h.d,yrurhror rcFc*nrrtrci ol rhr\ C[y dn Cou.rv nt.nl( uFrr rtE
<br />a?r +ot
<br />,,^," o1/sy/2oLo
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lns u lation/ Energ y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />-E nqineer Final Re port
<br />Flood Zone Certif .
<br />FINAL f Z4.D 1Za,sil€tu5 2-q
<br />Certilicate ot Occupancy
<br />Notes, Remarks, Etc
<br />= "->----,-----
<br />url.}$lrs)r1&}1:Ilr-8l![!LtE{mJ!
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