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SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor /lr?"1t4 I >f/bn ur'e
<br />Subf loor/Vent/l nsulalion v\U
<br />Rool Shealhinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certil
<br />r'z*ttxc /lay )FINAL It/Vta T
<br />Certif icate of Occu nc
<br />Notes, Remarks, Etc.
<br />BUILDING. INSPECTOB RECORD
<br />O*NEN BUII,DF-T DET-CATATIl)N
<br />I trr.hy rfiirm uftic. FEh, of r'.rrufr rh:i I d .(.t{'r fn)m ihc Q,drxk,^- l*nc u* ror rlt filllr*ml t .r'n rSrr mll I
<br />Eorindr lnl Pddsion Cfll.) An, C y or Coudy trhih r.nu'rci ! Fnn ro mnrM. ixd im[[or.. &fr'lirh ;. q4' .nv
<br />n dur..,rirtr irc hsu.m., nlv, EqurEi rh. stpltd nn tEh Fmn lo fit ! risftn {nrcmnr th.l lEo, rh.6lntni.d p{rs8!l
<br />h lh. pmvni(,n! ot itE Conrt0cror'r Ltcnrd lr* (Chrrr( 9. (innrmh-in8 Eirh Sali)n Tilr of Division I of rt' Br(ifir 'nl
<br />Pnrr.si,,nrcodc)orrhlr he o h. h.r.'nli rhdcfronsnd rhr hdtn tutlh. alhscd.rcnuri(m Anvvi,lllinorsdi'n7l)ll5hr0n,
<br />!n,,licr tu a pcmir {bF.rsthc rmlic&l ro !civilt.nnhruln, m,c rh.n nv. hufttcd dolhr (S50(,)
<br />-l-
<br />8 osrr of rh FiFny. ( iy.'q'bFs wirh w!8G n lltn sb onFnsdnl! $dl &, tlr *r* !n ,! {rEiu. ir ml
<br />iddrt d 6 ofi.d fix rt lsd.7oal. AuiE( rn I'llrdri'B Cd. Ih. Co'ft-rdt Liw trw &.r a, +tl, h u o*E.r
<br />rlE F,tEny wtn tlildr d irqmE dEsr .rn ob &- uh rtt hirell d tErll or rlh{lh hi. or }s ocn .n?l,F.t.
<br />nmvrLd rhr Gh rqx*wdi e d ircrd.d q oltntn tur {E lr. }.6E. tlE foilrit!, or intFErn i. aE ralin m )9,
<br />.r.orqiLrior tlt()*Er BulB.r wiu rnE E hrdcnofl,ovua ihd lr {EdA6lhritl iqmtllE F4E v rorrb FlFeoa
<br />-t.
<br />r n*Er ofihc lrnFny. rm riclurivtl, otrradi68 lirh litnEd o ftro^ ro mn{ruct rlE Fnj.{ (Sd 7l)'lrl- BuiEli
<br />rnd PDasi. CodG: Tt Contd.. . t,kcnr t * d.F bt rmly r. .. oeF or F Fny *tn boildr tr in9rov.t llEKn
<br />ad Btb ond! fd ul' rFi{r *irh r cdd(nn laB-i p{r\ld btlE Co'rrrld. Litnc L.r)
<br />I rm.r.d ud.r Sdtbn
<br />Drt.:
<br />-l
<br />h.E rn *all di'rrin . C.n ifE.r. o, Conrnr ro s.ll- lnroE lm rsk6- 6,tErs6lio.. .. Fotit n r.r bv Salnn ]7m of dE
<br />bkr c.n . fdrL Ffo.lr!ft orrrE urr fm *hih rlt Fnr i NEn
<br />-l
<br />Mv. rd *,ll trinrrin Eortdi coqEMrirn i.{6N., rs r$uncaj by Sdrhn.l?ln.l rL tibor Cod.. f( !r. FillrjEN of
<br />llE* t,r lhth rh Bmir i! irsi Mt {o,k.ii' ronuEnonn 'n.uffi. cs*r dnd F'lr} numh.r R
<br />lai-a crz L i 5rl 5 uro'?. <-'^- c'
<br />-l
<br />Nairyrhrr inrrE FrlormEorllr*orl aor$hahrh'.Fnn n t{rn.I rldr mr.mpl,v.nvF$. in.nv@d
<br />$ N k lE{,m sutrFl lo rh. krisl drnlE.dbn LB< of C.lalnmi!, rd r8r lh.r ir I rlhuld lEor qrbFrr
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<br />rrr
<br />*drl6' .oryr.qlhn pm$irni o, s h.:t7morrlr t,tn (irk,I rlull fclhenh d'n+ly wirhitntlmvnhnl
<br />WAnNINC tjrihE ro s@ *olt.u on{En€lion ovm!. i. lnlowtul. and rhnll rubFl !n dll,loF n, diniml Fdi{ lid
<br />civil fincr uf l. Drc nnndRd lh.uund dollois (tlmoro) rn odd ion ro rn. .6{ tf..qtnsalioo. dam8c' 'r pruvid'd for rli
<br />sliri(nr loTa ofrhc lf,htr cixh. i .rc( rnl rnorrv \ lrc\
<br />,,,,, q /f/ l1 noo,-^.*
<br />ul;Edlgl-grNl3Actrlf,
<br />DECIJIAI1iA
<br />I hcrdry rlfrh lndd Fnny .f F,lry rhd I rn liinr.d unld I'nvnion or Chl,rd 9 lonftmin* *nn S.db. 7un) of Dividin l
<br />of tlE Bu.iEs .nd Pmr.nio.. (l'd.. rn ny li.ns n in hill ntrc 0d .fidr
<br />n// /1 ,,,.,,.,,,,,>t-
<br />,,..\,,,,,*, /dJ lz 7.-t
<br />'T ooc a,"-t UUEL/
<br />glIruSuqI,lJ!.LllDINc.AcEdCr
<br />I h.Ehy .ffrm uftls rEDhy of tE4st, thll ltm 6 . onrnrrbn Lftlin3 .a.Ny for rlE Fr(,lf,m. of tlt wr ror vhah lnn F mi a
<br />h.u.drsft 109?. civ c.)
<br />Lf,nd- r Nsm
<br />]1l)8ru[l-!0ut!!!1r0x
<br />ulilrd.BArlol
<br />I l'.,.hvxlltrn'trnn.r ltrlr\,,1 tf,ir,',r,trf, fl rlr k,ll(N0rr !l.rl,tr. rnn
<br />AELI!]AXI.ISSJSAIO!
<br />Ihd ry.trmu'id Fn{ty orFr]!,} or oflh. folh*in8 d.(L 'rrnlD.ml,lbn P.hii.'A\lE(or Nditi..tit, Fdlcral R.luhiitr ll irk !0. P.n6r
<br />-R.1uiRl
<br />Llrrc, of Ndif*dbn
<br />Forms/Steel/Holdowns
<br />Pool Fence
<br />-l.dily
<br />rh.t rh.lcdcrllrrruhri,x Flrdin8.strsoi rcm'v{l!r. n lmlilhlc xr lhir I'n,Fr
<br />Z&s,rf ,hd I rn.r rd rh'5 rnnh.rr{,n {.r.rhd !h. rhir nronBrbn tcdd IdSrcr.$,rervsih.rr(rtt..nco!.rv
<br />,ordmr.r !d Sr!r.l{r rhtmr r, h{,ldni cnn{M!'tr rn h.,chy surLtir. qr.ddrv.. ollfi Cn, ond ('ounrv h cnl6 uF ntlil:,Hffi:"'-;;Z'2=- -,.,-or1rL'
<br />p.m,,h*m.,pr,n,: f fZzl-t /&4 I
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