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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS OWNET BUILDER DELCATATION
<br />I lEEhy tm u .r FMIy 0l F jury rhr I M .r€q{ fsm lh( Cod816 troE L., for t rolb*in! Er$n lst 70jl,t
<br />aur6r rd Prof.sEn Cd.): Any C'ry d Cdir, *hih Equrr r Fd io 6der, rxd. invsE. d.mlrih or r.Fr sy(Brm.FUron! s.u.N,.r$ Erluc( rlE {tlr- ror khFtu
<br />'o
<br />6l...llrElsr.rmr rh.r lEq tE ! l.qrJ Frtur
<br />b rL Ftrvitptrr of rlE Contrard'! t-x.i<n Ur (Crqr( 9. Contrro! * h Sern. 7m or D'rn$n I or
<br />'lE
<br />Bu.m$ rrl
<br />Pnn.rt.nr CdL) or
<br />'hrt
<br />lr r dr ( .r.q't llEdmm !n rll hrr. ror 'h n4.J .r.'tlrrr AryvnLlnnolSlrrr 70.r I 5 bruy
<br />r!rrl.. turFmt $t'irlt rlr q'plf,trr ro . rivil FMhy ol mr dE rhu fit. hotrlFJ ddu,^ (1500)
<br />l. 15 own.r ot rhc pn,lrdy. or nry .!npl"y!.\ w h wrg.s r\ rh.tr e,l. (nlP.n{ri)n. wrll do rhc work lri lhc ndrw tr nn
<br />i.uld or.litrcd ntr srl. (Se.'7(l,4.,trn.s ind lhnasDnsc'ic Ihr(n a.nr'rl-'..nscl,awJocsnorrpply('rnowrc.of
<br />rhc pn)Fry wh) hu,ltli or mf'n'(\ rh.B'n, ut-l wbd,r echwl* hrn(lld.h.^cll orrhmuehhr or h.r own cn{'L,yc...
<br />pn,vd.d rhlr rurh mtln,Emd.e rn d.nkd ordfiarJ ttr5!lr ll, h'wc\$. rh. hruin8 or mlmEmd rq,ll wihmom y.r
<br />ol $n{'kr$n. rlt OvEr Aur!.r *,ll h,v. ilr hhLn of Jn,lm8 rh, h. or \h. Jri nn ho'l] or n{nrh rh. pn)Fny ntr rlE FrF,r ol
<br />_1, rt ow& of rlr Flllnr, m.rrhnr.l, rodr*rin! B.h Iktnkl qfrarlr b !-nrBr rlE tmirr (Se 7ol.l. Butrs
<br />. j Pr*$rCo<L: Th. Co,l,rror r l.f,.nE lls&Er Br.pplyro uo*FolF.Fn,*lb 6uiuror'mpmt. rrEBr.
<br />r.d *b 6dd\ fd *h FFlr w h r Co.rddlt litnr.d 0!Bud kr tlE Co rrrd r LEre L.w)
<br />I rnctcnF unLr S&rhn ,A &PC ttrrhrrc.q'n
<br />ua8trE8l:lauflNlA.uq!
<br />DECIABAIIA!
<br />I hcr.hy.ll,rm undcr p(nillyol FUury.k.l llr hll.win3 delar.ron\
<br />_I h.v. rn viu mrr.o . C.nnir. .t Cdnent ro S.lf-tnrm for utrr.F .\,mFnr.lin. .r FoviLd fin l,y S(r r 1700oirh.
<br />Irhr CuL. fd rh. Frtl)lrlk. otrt *rt for enih $. p.mr ! rrkLl
<br />4*.[l *r,*-.r *orr.n .orr{En!.rrr fiurEc..s rcqultJ by ser$n r7{D or rh. lixr cdk, lr, rtr Frlolriw ol
<br />rE urt lq uh.h lhs FmI ! KEr. Mr Ets' of,p.tr3En uaru..tdr rd pohy mtlEr 4:
<br />L€r-\q11,.,,,,..-1-
<br />lr.nny rh{
<br />'n
<br />rh. p.rl,mrrr,n rhe w.rk lnr whth rhs p.rnrr tr 6!'.J. I \hrllnor cn,Iloy an} p.rson tr, rtry nrin.r
<br />{' sn, hcoru ruhtccr b rhc wort.r\ (otrllcn\rr!,n hw\olCrll,,m'r. mJ J!F. rhdr rl I sh'uld h..om suu.(r l,,r&
<br />w.rtcr' (omr.n\ri'n pmvstr,n\ ol S..rtrr l?tx| ol rh. Lh, Cixlc. I drll I',n hu( h onrly w,th lh)r pn,vr(
<br />WARNIN(;: I;arlur. n, s.urc *uk.r'.dn,D.n\trron..rrr8c F unh*h'l r l shrll nrhr.(r an.mfk)y( r, dotrrlttDli.\ JnJ
<br />.Frl line\ up n' om huRncl rh'ulrnl J.llrr rll(X).1xt)). rn anJnrn n' rh. (ri !'l (,hr-_ns.rion. drm3.\ 1r pt Yrl.J ntr rE(
<br />q$a-:1
<br />6\2D\F
<br />carsrBlquqN.LlBDAli.[gENla
<br />LrEhy.llirnuftLr FMly.f Frrrry rhzr rh.r. B s.on{urDn lrlo! rltty ntr ft Frftu=. of tlE k{k ftn whlhrtu IImr k
<br />rlEJ lse. l{r9r. civ. c.)
<br />AITLIIANLDESJAAIIO!
<br />I h. .1'y rllim unLler pcn.lry ol rrjuryon. o, rhc,{,ll{,w'nB J.cbarr)nr:
<br />llcnx,l(!)n PcrmreA(h((os N.r k.rnn Ijcncral Rc3ularFns (T(lc 4(,. l'an6)
<br />Rcqumd t!tcr oI Ndrrllr)n
<br />_l c.nny rh, rlE LlLd rslli.nr F8rdh8 strqoi rctu'El e ni {'t l..bL kr rhF pmFr
<br />'&nrtdttav rcttolr.Iid(.lr,n rn (d. rh.r x.bE hn'miFi !! c{frr Ii!ftro6n l, wah.lr Cly.d Citudy
<br />mlDL.! un 9.r. L.*< ELuu ro tiolll[! c.nituii,q .,n h.E6t .urbM FFdd '6 or rhis Cr, lrl counly lo .d( q5n rlE
<br />.tr'y. trnrnmd rrNIEny fitr 6.FtD.I,qrrc!
<br />Appli.inlor AE.nl Si8n.lum 4
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy 't /r/ n lEl'iit ,o3
<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 />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL 1l5lt1
<br />Certiricate ol Occupancy
<br />Notes Remarks, Etc
<br />-+
<br />ID/SIG.
<br />I tEr6y .ritm unLr FEIy ol lErjury lhd I u LanGl ud.r p.ov6.. ol ( tt.F( I il-llftEin! *ri Snrrn 7{Xtr) ol Drv6.n :l
<br />of rh. Burir(.ii Pi,f.(.nt CiiL, lrl myl..n- s tull fori lrt.,frr
<br />lrd.rr Addr.rs _
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