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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNrI BUILDET DF-I,CARATION
<br />I h.r.by 0fltn und.r Fnrlty (,f pcrjury rhrr I m .rdlr li.h rh. Co.rrdma l-tcna lrw for rh. folk*ing Elqm (sk 70Jl I
<br />Buri6s !d Pmlcsion Cdo An, C y or cdd, rhah Egurr r Fnn kr odM. .lra. iqioE. &mlnh o. EFn ty
<br />{ru.rur. t inbnr nru8r.. rl$ rcqoirei rhc lpplt! nn u.h Fmir i' filc r ii8Ed rllrcftnr rhd lEor.hc is lien{n Iu.ur
<br />ro rr. F rkiont oa rlE (ontrrrois l-ic.qn bs (Ct |{d e. CorrErinr *irh Snrio. 7flm oa l)niihn .l olrtr B!1iE$ ud
<br />Pr,rcsinnr Codc)orrhor lEorrh. n.r.mfl rn rcftrnn rnd rtr h$n lor rh. illq.rl.r.dflion A.rvioLrhnotSdi,.T0ll5t'ylny
<br />+tlarntlorrFmn{bFsrh..r,tlar.rror.irilp.Mlrrn(mr'n,Erhlnnv.hrndEddolh^li5lrc)
<br />_1. I .*rr of rhc lotErry. or n, .'r{ 0)6r *ir h *l3c. r rlEt slc mn!rnsri... *illdo tlE *orl dn E {rEim k d
<br />i c.d.rl r ofd.rl ld -l (Sd 7tX4. EuriFr r.d Piofn.i'n Cd. Th. Cod d-( LRns I.r &.. d {tly h rn ow ol
<br />rh. F,r.ny str, hlild. or iqDB rh.mfl. un rb dE! *h wn hinsclaor h6{lf.r rnslgh hi or h.r owi.n9k,res,
<br />nrcvitd rh.l un iqmffii B mt irdiLd d ork for {L ll tik. rh. hillh* d intrtrld h $B wttd m ,s.ldripLii.n, rh. ()*Er aufi.r will hlE rlE hrd.i of F*in8 rhd lE r rh. dn mr hild d in{n,E itE Fstdy rd E FrF*.f
<br />-1.
<br />!s owmr ol lh. I,oFdly. rn.rclusivclyco.terinB wirh llccn$n co r!.lor kJ consiNd rlr tmid (Scc.7o,!r. Burin.(
<br />rnl Pintsr$Crd. Th. Conrrroir Liinr br &K mi q,pl, t, m o$F o, tmFrry f,t- huildr or improrB rh.r@n.
<br />a.d *ho onrGh tor ruch rrrak *irh ! (idmn'(s r lirnsd ,'uFu!nr ro rhc ( onrrdm s l.ttne lj* )
<br />I .mcrcnft unkr S--rhn
<br />t !t. ()r*r
<br />woRxERs' coMPF\sinorl
<br />DEI;llXAIo!
<br />I trrcht rlfi,n uRld rEMlly of Flury oE orrlE lllhsr8 d.<La'irni:
<br />-l
<br />h.w ut$ill i rn. C.difE k of Concd h s.lf.ln{r fiv $nk6 snFdrn. ri F,rildl for hy Sari.'n ]?Ul.l rlE
<br />btrr. Cod.. rd
<br />'h. IefomErc orrlr eo* fq "nthrlt Frn r n nrucd
<br />_l htE aftt rill mrnr.in pork.ii coftn .s.t kn i.rur.m., ri r.quiFd hy SEr nn l7fir .f rlE libor Co&. n, rE FrllmE ol
<br />It. sort nnwhichrhkF.mil ir h{Erl My *.rk6c .onyEnqrion iNurlmc.nar !d rnty nuntu e
<br />l..diltrhrr srlrltrformtucof ih.*d lrrhrhihtrFm tr n\kd. I \hrll n .'riiot lny Frx,n rn rnt mnrr
<br />g, Nt' h(rm suhFct i' rhc workcs' comprn{rion hw\ of('!lil(trni!. lnn r8rc. rhll if! \h'uld b.coB tuhFr ro rlE
<br />fi*r( dnryf,a{t hn I)n,vkbnr of S(rin .171X) of rh( llhn ( .d.. I sh'll. ftfhs irh arnyl} * h ihE lhvnirm
<br />WARNIN(; F IUB ro r(ur. DorkcB' .o.rF.rdr h. (o\c88. ii unlrtrful. dnt rhrll {!hF! 3. cmr[,rc. t' riruul FoltF ,Jr]
<br />cilil linci ut' ro o'E huLlr.d rhousnd d.ll6 (Sl(rl.(rl( ). in .dnili,rr t. lrx cod or.omp.nslion. drro!.r rr ,nrid.d lor rh.
<br />S(rkf 1076of rlElitr,(in.mr.rnmd .mr'irr\
<br />D.h: pp0dr:
<br />L[Jilsl:llcsNraA(Iox
<br />IIEIIASAIIO!Ih.rbtnllnmuftidFnalryofp.rjrtrhriI!'nlicn<iunldpflxi1r,nol(lllpifl9k nnrftr,,t r hS&lr,n 7(Xl,nfO^rxln I
<br />or rhc Bulmsr srd Prntcsionr adc..nd my lEcn*.n i. tullfo(!ud.lti$r
<br />c(rr{sTRUcTt(tN r F\Drt(i aGr{ca
<br />I hrt'y rmrm u.t a Fmhy.lIE Ury rh.l rhcrc i. ! d'nqBlir Lndiry rrtry lor rlE FfomE of rrt $ol for whih rhir Fnn ir
<br />issucnlse_ :l097.aiv C r
<br />AIILIqAILIESJAAI]Qd
<br />I hry drm undd Fnrhy or Frrry om orth krtrwr.e &rlnmrirn.
<br />D.mthion P.rnir Ashe{or Norilrdb. tudi R*oldi,.r (Tirk,lO, Pd6}
<br />-Rcqut.d
<br />t tr$ olN,riff,.lbn
<br />l.rd'iyrhrinrldcfilr.!ulxrn,tr\i!.!rdtr,srnr\n)ri!r.rrlJrnrr,,tInic.Lhl.hrlr^f0j(!r
<br />-l
<br />..nify lh.l I UE Ed fiii .,rdt.rion .,n n.r. rhd rlE .br inrotuhn n ornd. I ilr lo orFly wnn .ll Chy .nd Counly
<br />odi mci rnd Sr.r. trws ELr irB ro huildin8 .oNrrud i,n. .rn lFEby ruirmin Elrcrt rliEe of rhh Cirt ]d C.lnry ro drd ltDn tlt
<br />rk E @r6Ed F$Fn, td hqrlli{ ruF6
<br />AoDli.{nr or At.nr SirNk'F
<br />Set Backs
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq
<br />Shear Wall t
<br />Framing a
<br />lnsulation/Eneroy /t (
<br />Drywall v./E//a .-L*4---------7
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handic ap Req.
<br />Deputy Final Report
<br />Engineer Final Fleport
<br />/z-t
<br />FINAL lo*z-11 Y.WIU,
<br />Certiticate ol Occu nc
<br />Notes Remarks, Etc.
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />4,/<,/t /-yfui.
<br />Ext./lnt. Lath
<br />T-Bar
<br />Flood Zone Certif .
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