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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNDX BTIII.DF:R T'ELCARATIoii
<br />I h.rcht.lfun uBl.r ,Euhv.l Frrun rhd I u ct.q" hon rrx Codr&rn!' l.r.n* l,r'in rh. n)&,io3 k.!'n rs-.?trll i
<br />6!!N\r .li lt.lcsi,i (iil.) nr Cnr or C,{nrv rhrh ,.quRr r Fd !! un{nkr. .lrd n{f,.vc. &m rh .r rFr e
<br />{n urc. Frtrr, rr\ 6tu!rc. !l!D r.+tr.( rh. .Ilflr rd n, \khFmrn) liLa l3Rd {rr.mnr rhrr tEor {r 6lr..rl Nrq t
<br />b lh. l'n,vsklnr .l rlr (i'ntr{'rtr'! t i.n\.al lf,* (( hJpr.r I (ommk'n8 q h S{tnn TrXt} I Drv,inn I nl rh( llurr\r rnn
<br />Prrtsi,,ns ('J.).rrhrrh. rrh. tr.rcmfl rh.r.ttrhlnJ rh.hlnr ntrrh. rlhs.,lc!.mflk'n Anyvknlti,rrdlS(ri'.7i).ll5bylnr
<br />{ppli.rnr t,rFmnr \uhrc.tr rl'. rmli(rnr k, rcrvrlp.nrhy'}rNrnk{crhM lrv. htr rrln lhr(3500)
<br />l. !\ wkr.l rhcI'n trdy..rmycmrk'rc.\ eirhwrsc\dr rh.{ q)klr'mttiinnn, s l d. rh. Rnt ,rl lh. (Biu. ! di
<br />mrorlGl oroflcht lt, $k(SN 1ll.1. Burim( rnJ Pnn.$rr\C(xl.: Ih. Ci'nr&k{ s l-irn{ tj* J,Es n qtplyttrntr* rol
<br />rh.,n{rn} wh,ht !,, niittrlr rr@n., *hr x rLh Hrt hrm{ll or h.ryll or rhn'o[h hn d h.r o}n cqtl'y<r.
<br />FDvr!.J rh:r .kh n,{n,M$k r D, dfrrd '{ orlml i{ {L Ia h,kw. rh t['Uo3 r 'qmrm tr1,U*iho(nr{
<br />ol.url)Lxi,n,ill()rdBo.rwUh.Erh.fi{nl.n.lFrin3rhdlEor\rEJrlDnlldl,rrtroErh.IntlrntftrrlrFrlr&ol
<br />,_l..so*'kro, rl'. roF-'n!.,trncrclunLrly( nrrd r *ih l(.nr.,l( nki.ktrln)(iitrrnnr rlr pnl,lir lS( 7tlr],lnh,ft\\
<br />rllhnsrrnCD,lc:lhL(-'nr!(trtr\l.Ecn\cli*Jo.lnriptlvn,rnrqn.rrl!!nF(vqh(,hn'ld(or0Pn'vc1rh.t..n
<br />rtr'l *ho $ xtr.r\ r,tr lrh!,qccr\ eirh iconlidd\rlkn\c,l nur{rnrr,rhc(nnrrrroi\ l.Nn\.lrw)
<br />I xn, crcnu rlrr S.(rn
<br />lr.l.:- Oemr
<br />lY()taKFf,S ( (,$Pt-\SATlOfi
<br />tllllASarla!
<br />I h.rc$! rlltn, unJfl Fnilr!.1FJllryort o{ rh.l"ll'r m!,,LrlJdi,n\
<br />IhjEid'rllmmr.tr{('. rlaricolCdnr n) S.ll'ln{tr. lor *olt.^' $nlF nlr [n. i\ In vi.kJ ld hv Sd tr'. llx] nr rh.
<br />lrtrtr CL{.. ntrrh. JirfnrnuR.ol rh. worl l,r shrhth. ldm s rnEd
<br />nn sorkhtr*hkhrhtrI{nn '\ F\nl ltl v sork.ri 1otrIrtr\, n r trmrrn(c (tB drl F,l( y ntr.rh., rr.,,, . hWtLY | (Jt n ZVPtcr+wLpqu0la Irttlzozo
<br />.._.I(.n,lyrhi rti F rn{nrtu. ol rh4 "ork ntr *hx h rh$ |irotrr '! rnhl. |.hill 'Nn.mn!,r rnv pc^ni
<br />'n
<br />riy n!tutr
<br />v' i\ k, tr(onr {'hBt i!, rlr $ult.r' ..nlF n\Jrrr h*\ !n (.'lrlornfl rntl rSr.. rhrr rl l \hn'l(l h..on. {1ht (r r, (r
<br />s lker .unlt(r\8xr pn'u()n\.l S&r!,r l7U) r rl'd l-rhn (,r1. I shrll.l,trrh* h!r y *Ihrh't |)n'!rtrr\
<br />wARNINC: l,r'lor. n' {.ruk wolkc comrr \d(,n !ov.rr!. '\ rnlf,wlxl. d,l nrll l't(r r cnrnl.ycr tr, fnnhrl Fnrlrf\ rtJ
<br />Srrrnrn rn76ol rh.l.rhtr (ixl.. nn.r.{ ril dtiry'\ lcc\lla lzuz
<br />IIISIXAIIQ!
<br />I h.Ehy eltim uur.i lrMlry.! Fr]tlry rhn l o lNnhl uuLr I'DvFi'n ol Chq,rdr, (.htrturn! *nh S&r,n ?Ot,) of Dr^rD.l
<br />,,r rh. Au\ffRrnl thncsk.n. ( !{...rn hy lrctr( F u tullntr\c&l.lrflr
<br />ctuaulo ,,,",,,,,,,.,,r Vlv rMfr ,olaL?-
<br />COI{STTUCTION LSXIDING AGENCI'
<br />I h.Et y.lfm u,rr.r Fulrv ol FrJUry rhd rlEr. B r (hdtulm Lftlu! lr![*, k{ rrt Fi,,mtu. .I rlE m nn {trh rh! Fnl. F
<br />F\kJ (Sd: .(tJ7, Crv C ,
<br />ATITI ICANT DECLARATION
<br />I hdltry.Iim xnJ.r Fnlliy ol IE jury om oirh.n'll)*hx LIRl,rri)nr:
<br />l)cfrn nn Pcrnlr$ ilxdot Norrlirrln F.&ra, RquLrinn ir k.10, Prn6)
<br />Rcqurnl l. qor Mx uru
<br />I !.'rir\ rhrr ,li. (rln.,lr'r! l. r)r\ '.!.rtlri! ^ri\tr^ '{r,,!.Ll.s( tr!i .,Dni LNr ', rl'r t',,r'.1
<br />.rlin,'(.rrtr(lSrrr. l.trv,nl,'tr[r,hu"ns.otrnntrr,tr'.)nih.'.hrrtrrh!trr(t)r!\r r.itre\ !tr rlrtr(rv.ml ( !!unryro.nr.' trthrrlr
<br />.'rrnr nflrrrntr\l t,'otr rv l.n trtr|.(rkn't,tr,p
<br />\nrii..nr or A[cnl si,!rBkrR ,'","- ttetlztzo
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lVlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Depuly Final Re port
<br />Engineer Final Report
<br />FINAL //2">,/J".)- I -LJeu,/
<br />Certif icate ir{ Occdpancy
<br />Notes, Remarks, Etc
<br />UFER Ground
<br />Subf loor/VenVl nsulation
<br />I
<br />Flood Zone Certil.
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