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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS oWNER BtIII,I'ER DEI-('ARATX)N
<br />Ilkr.byaltrnrtr..Fn.hy,'lFrltrr,rh,rI.n,.rcmpr,n,n,rh.Contrcitr!Lk.ntlitntrth.k'll'*m3'.aq)n(S.r7l)rlI
<br />hn,n.\\ rnl l)rol non C,rl.) Aiy C[y or (i{rnry wh(h r.ttuur\ r p.nn t, tonnfler. slrd. mphvc. d.n'lsh or qrn' rny
<br />{ru(hrc.Frtrt)[r rsurh'r. J!, rcquff rll. xpnlrrr,ltr {'(h Fm{ I) liLi n3B1(j.frd il,ri rror s& ^ nlcnq] Nh!!d
<br />n, rh. F,v,\i,n\ nl rh C"nh(itr't l-.cnql lr* r(hnFfl a. (i{,mE-.m! r h S.!r')n ;(xrr d l)rvnk)n l.l rh. BunN! ,tuI
<br />hn.(i,n\ (-'r,c) { rhrrh. r \h. r.\.n{i rlF.rtuniJrl rh. hin\ r,, ih( ,lh,rn .rc,.C[n Atrt \r,hrx,n nlS(rr)n TOtl J hY rny
<br />lml,utrr ntr r F-rnnr ruh,.cr h. rfl'lklnr h r (vr l Fn.lry ol n r nrrc rhrtr l'!. |'trnJrd Jolllh ('i5{Xr)
<br />l. rc dwr. o! rh.I'rrIEny. or nrY.dpk,f.\ rnh *rE.r r! rh.ri e,k d'mtEnQrt'n. wtud, rlf, *(xl,n !h { rNBr,
<br />li.rktl qoll.r.l l,r sL rS( 7(X{,8urmi &l thnFq)nr (!rl(: llx (irnRnt ! Lrrnr l,t,lE! Dr rfiiy t) n.rxr ol
<br />rh. Inllrny *h! ho !k or ul{nlrt rt 84 dl !b d.( un u hD{U or ru{ll or rhn,ush htr o.lEr.r..n{,|'vcti
<br />FovLlcJ rh.r n'rh mpn)EEdr s n, mr.nkrl r oll.fti l[ 5.k ll. h,wcrr, rlr tr lDg or Fgn'hmd tr q'll *!hu dr ,u
<br />!,1 $nlPlcrkrtr rh. ()wncr Au cr w l hrrc rtr hud.n ol polur ilui h. M \h. Jri n iuiLl or inraaN lhc pn'pcny l,tr (h. purF)* Dl
<br />l.i\.rFr,,rrhntllint.,,.(l$^.1\.odrr(rttrihl'(.tr\rlrodrnrn(k)(.nrtudrlrI'DFrrrS.! rllr-l. nu(ms
<br />rnl lh,lG\bn (,r1. Ih. Coflr!(r{'( l-,rcn\.1.r*d(f,r frn ltplyn, ro*n.r rltn,f. v *h, htrrl.l( nr rmtr\.r rhd()h,
<br />{n(l wlr i !.r.lshr$rhnr}Lrsw hs(i'nrrrLn,n\) lrctr\.,| Nhunr k, rhc (nnr.(itr s l-(.nt lf,*r
<br />I '.!.mF u,rl.r SNr!,n B & |t n rh$nJ\ r
<br />w(ltxFks ( oMPENsaTloN
<br />DECLARATION
<br />I lr..t'r- rllrn unJcr Fn,hyor p.,]tr, oft nlrh.n'l['wo! J.(ljlrrtrN:
<br />I hrE .flj * rll Elnl.o i Crnnirk ol coh<d t! s.lf-lmurc ft *trl6 .nrqrndx'n. rr lf,,vri.J f hy Sdli'n .!?(l .l rlE
<br />Uhtr ai{c. nr 'lr FrfomE. ol rhc knt lu *hf,hrh. Fn E tr\u.J.
<br />$;NUoh!.mf,r ui F,lry iuntEr a.
<br />cL(-c,r-\ce
<br />7-L-t?.L 5L 7 a-tu
<br />I (cndyrhrr rnrh. p.rlorNh. orrh. *ork r(* *hrhrhn t.nhi F 6(e\1. I .h,ll rtn .ml[,! rit F.qf rn.nyrunrr
<br />a, i\ r' IE(om nftFr ro rh. f,dtdi..rFnqri,n Ls..rCrllllnnn. J r3Nrh, 'l t sh,u[, h.om suhr.t n)rtr
<br />*o*rF !r,mF.rihn F,vKx,n! .1 S(ri'n \ilx,.t rhc litrtr (iil..l\natl. ft,nhwnh um0ly Brh rtr'{ prnr n\
<br />TVARNING I'lnxrc l,) c(urc ntrk.^ .l,htttr\$rn $vcnr. r. trnhulul. tl \lxrll $hJc.i rn.n,ln))Q r' nnln,l Fnllir! xl
<br />(r,l 1tr.\trt)k'otr. l,trntlr.'l rhrn J!'1|.tr\ r\lr[)lrxr) ,n,nllir k)Ir'r\,]n tr\rrr,'. rl, ti!e\ r\ t',)r"l.,l l,n rlt
<br />s..rkr vL-(, rh.I-'htr(,il!.
<br />IIEIIAEAIION
<br />I lr.Rht !fiirm !totc{Ehrlty .l n rrury rh, I !m lr.n{J uJ.r Pn,rtrr)n ol Chrt'rcr 9 rdrmEB E3 wnh S.dhn 7rvr .l DNN on I
<br />nl rh. Burrrr nil PbLiqflr (ii.. .rn mt l.$s r u lull n'^. r l .lt
<br />y22fr z
<br />.(INSTRUCI(IN LENI)ING AGENC'I'
<br />lncEny!flnmonJqltilhyolFquryth.tlhcrcRr.onsrruclk'nLndlnS,S.nryl,trrh.fdlnrn!tu.olrh.*orklnrwhkhrh*Jrmnrs
<br />nn'c! ls.c. lur'7. (iv C.)
<br />lJnJcii Nrm'
<br />al8llcall.llEIildSauo!
<br />I hdt6t:Iid tehr Fh:xy ot Friury.E dfrrE l nl'qm! n {hrr'kDt
<br />v.,:
<br />\h,,,,,;'
<br />rr P.mnk'A.h.rt,r M{ f,rrln F.aLlrl Rc8ulat|'nr r1[L {r. P,nn)
<br />rn.,l l!xr'.l N r'lknntr'
<br />n,ly rhr h. ,cd.rrl E8ubr ons Eldmt i\trnor r.nrrvrlr,. rt,r tTlrrhL b rh! nnrFr
<br />yrhar I h,rc rc2J rhtr rflrLrriln lrl d!r. rltrr lrE dh'vc rnlrmr[n tr (,Rr I rFtt,undywih,ll(ryr,r] Gnrnry
<br />rRlSrnr I-'*\ 'LL n,rrDhu'l m3(otr{n(r!lxru. RF.\ctrhrNc\olrhtr( y rnJ (ntrnryn, cnru qini rll
<br />.rrr,r( nurrrrNt I'r)|rrrv l(tr htf,(hn' furt
<br />A0rli(Mt or ,\r.trt sisuluR
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<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 7 /z/, a
<br />Certif icate of Occupancy
<br />Notes Remarks Etc.
<br />41.1 o9
<br />lr
<br />l-(ctr\r Nnnrh.r:
<br />Ext./lnt. Lath
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