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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNIR AUI LDI]R I}ELCARATION
<br />I h.rt', lmrn ond.r Fnrlry or F.niry rh.r Im.rrm tum rh. C.ddDF' LEiE lr* nn r folft,wiia r..yrn lS.. r)ll5
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<br />h rh. ,'n,v6r{( nf ill ( 'drf,rni. l.i.nr.tl Lr* (ClFF.r 9. Commin3 xirh Sdi,n Trxil i)r Divnir 1 nf rh. Bu{clt &J
<br />PnrlisrB C(iLr or rhor lr or dr r.r..{i rhdtfrom jld rlr h.i\ i, rrE .ll+.d .r.n+ i'i AivviohhndrSdirT(rJll6yt.y
<br />.nI'li. ltrrn.nr$hrdrrlrlnrlr'nirotcivilncnrlryofn{Dr.th fiv.hundftldnllx!I!51x,
<br />_1. 'r tr{fi rlr rnrFny, r mt mThF6 sth *.16 a\ rkn s,b $nlliMir. *a[ d' rtE $'rt rrl rk rErE a tr{
<br />,trdrldl'rorfl,.tln,!l.(S*?rll4.AurF(rrlPnr.(.r'riC'ncTnCodd'rLErebqd(Ed{ri,n,m0"6nl
<br />rlr Flriny \h, hnr(h or .rltrE\ rtrF{. ,n sb ds uh qrl hm\.tf D, t rulror rhtuulh hir or hd orn.r?t,r6.
<br />linrliLd rhd o.fi nqr!ffid! e nn lrnrLtl,r(in n.d tu sl. la hou.E. tb h{ihiq or inF)E'ld ij $U r rtii oE F!
<br />f drvbtra th ()*E Aortlr * lh.w rtr hml.n ofF irtt.hr li(rr.dd d hild q 'rfmw dE Frd, ftn rlE IrrFE.f
<br />l. rsn*F olrl! Fl'6y. m.rctr$kly.odrnrls rrfi lftnrd add'n nr.rNer rtr F'A1 rsr lx.r. A{rr(
<br />! Pn*1!r(ixL Ih.(iflrno. r l.r.iE l-!udl6 nn rfillyn! s o*ftr of r.Fny $hr huill! or iqr !idt(n.
<br />!,xl qh adrl\ nx qh F,,.d! *irh r c(tddn l*Rd I!(d ror,l (-.drd,r\ Lrme Uy,
<br />l !r.r.mIi urkr !i.(itn .B &PC turhnEnf
<br />Drr. Otffi
<br />t(lauia5:clInffilsarg!IJi(IJAAIIO!
<br />I h.rchr rltunrLr.' n Mxy.aF|lry.E l th n,ll'sri &rbnr$nr:
<br />-lhaFd
<br />snl mdi. . C.nrfrn. .r (i'n<nr h s.li.ln.ur. f.r nyk6 smrEnqrnn.'\ l[rlildlr bys.cri,nl?lr) Irll
<br />l,trtr (irk. nn rll F(,'rrft.,,lrlE *n* Ir lhih rl: Fni n r{.d
<br />I h.r ind *'ll m'd!'n roA.^ romliietrn intuhtur, 15 rquftJ hy Sd i,r :r1rr or lh. Iitrr (ii., nn rh tdfo'I1e. .f
<br />tlI snrl f,! thrh rh^ n rmit r itud My ,0lt6 dmr.nqi)n inrurm .amr ar Fnay numh.r :F**,. L\ h.,L-t
<br />P,,',,.r1r,-^.,, wc?b
<br />1naei.<rQ frr 12q 1-1 6 t n1 t -zo
<br />l..n'ryrhr inrlF Frlitr rn...l(h.*drtf,trwhihrhnp.rn,iri\n\'.d.I\hnllD,t.mpl',t.i!F
<br />!)$n,ln!rr{rhBri)rh.Fnrkds.umnn\.rirlr*\ofC,'lrnm.iidiER.rh,ifI\hrllllrl,m.\uhr..rr!rlt
<br />srl.rl . trIFnlnk)inv(i()n\.rs.rtoi17(r)rfrh.lrtxtr(dl. I \h'll. f')nh*irh.Dr ,*irhrh.*|h,varn\
<br />WAtNIN(: li htr. t, {.tr,. *o,k.^'dtrnlEn\ i''n . \.ra8. '\ trnhwl , md \hall {rhi.cr m .rrnl',r!r k, .rimiirl n nrlii\ m(l
<br />'::.:,-:^;l / q
<br />^onrrarr,*u(tltulla.f,txa!-rl2a
<br />IlrEhy rfinnudld Fnrkt olFrirt rh{ I r lk.n\.d unds ntuvhi'i ol CtaF.. 9lomftmi$ *nh S.di'n Tri lr) nf lrvrr'n l
<br />.I rh. Bu(in.( ind lnr.nnn\ (-'n1.. ! myli.n{ n in tullf c. ani.fitr
<br />n ^ plrss E
<br />rr.n,.r.,tr*, (11,t<"<( C -,"."*r,-*, - iO l- Z qc:l
<br />5/r /rt r."**",*F l1alc,,, (oa5fie<h-cn LL(
<br />llllNlalg&!.LllllNc-AcliNcr
<br />I lrEhy amrm unL, Ful) of IE4i,, rhd r kn i\ r arirMhi LrdinE .e.kt f,tr rh. Frf,),l]lre of tlr snl ntr rnki rhr Fnr n
<br />nrkd(s( lrr7.(r cr
<br />AITIISAALDIIIJEAITO!
<br />I hn!+'y .lr.n unr.. FDX) I Frury or of rll f.ll)*ii8 &.hr{bn\
<br />Ilmn.r)n P.,mN Arlt{o! N(r 'frrni FnldrlR.rtrkhN lTik a0. Pti6)
<br />Rrqukd l!(doltrrfr*,n
<br />E I!d'l),h, rtEGkn'lrcpbrr,N Et.rdri !o.iron5l!r r 4'f lnhh t! rhF F'F
<br />Md'r! rhd I bE Enl rlF lnplMri,i rn {d. rh, rrr rl$E inrl)ld,i ilotu I rsrn r..I,q'ry *.h arrciy ]xl co y
<br />Idmkr.tn sr'r.lrrt(lr E!"rlrkl B s'ffMm. !n h.Eh,srbnz. rcF&diEl nrrhir cry.nl cnu yh.dduF,ittr
<br />,- /- tr;,*, "'::-:";"::;"'"x *t - 4
<br />r"-,r..-.-,,;.,, )( Alcho 61
<br />,2
<br />lL)4/wa |hh.
<br />8<,, {z- ,.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Ot\Framino -/.(-r(
<br />lnsulation/Energy \<-_:-/
<br />Drywall
<br />Ext.i lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />,t
<br />FINAL tlltT)to iliq "l'l I
<br />Certiticate ol Occupancy I
<br />Noles, Remarks, Etc
<br />-+
<br />Irt ln
<br />Brown Coat
<br />Rev 08.r17-2f11
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