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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS (,IINEN EUILD}:T DEI,CARATION
<br />I h.kby Llfirn rods lEulry ol Fjury rh.r I M .r.q, fn,m tlE (idr&rrm Lirr* t:q (tr rlE nnbsint E.$n (56 t0ll !
<br />0u\inccs lnl Pii,L({i)n (trdc) Any Ciry ur (irnn'y which rcquiE\ ! rffiir 1,, consltocr. alt6. imDrnir. dcmlirh or Er'!n !try
<br />ndrrE. Iim ro ih 61udc. rh EriuiEr rh. +plt.nr fd rkh Fmi r! fik r ri8Fd ddc'hr rhlr lr.r rtr ii lk. .d ,ru{d
<br />ro rh. Fovuinr or rh. Conrtukn\ l,icn<d hI ((ll!rrd e. ('onmNin8 *irh Sari(,n 7(nO of Dirnhn I or rlE Bu!r$ rnd
<br />l'nri$hns (irl.r.r rh,r rE o, \h. n.icn{)r ihscfron' lnd rhc hnrh lor rlE alLscd.r.q'ri,n Any vhllrion of 56r ion 7lr.l I 5 hy stry
<br />.ptiK. ntr r Frnn {bFkrlr rotlri.r i0dcirilp(nilttolml mErh.nfir. hundrcd.lolkr l!Ju)
<br />l. x owffi of rhc F.Fnr. w my cnohyEr *ilh f,.!.s $ rlEn $k Nn{Etrqrhn. will il' rkrli,nturrElGn I
<br />id.nj.n d ofr.Ed ld qk rS( 7(}ra, Bura6r rhd Pr 6ri'n! (tL: Tn C.r.n lir'! l..iare l,* dB r{ {'pl, ro u osw .f
<br />rh. thFn, who ltoildt or inpm6 rlEstr. ltrl wtb der ikn wlt himr.lr or h.(clr or rhtulgh hn r h.r oM.nI!hys.
<br />rorild lh.l ruh itr{mw ! e m' id.nrn ffofid filr {L lL l$u{s.,r lDiuils or inF,rGd n sB *i'hu w,.r
<br />ot(nphria dr o*F Bdlrs *in h.r rh. hldm oa Imvi,B dr.ortlEdndlnidniqmElllFtrFr,r tltF FEor
<br />_1. r( otr r. olrlF FIFnt. om.(lu\ikly onkdri q irh I'Nnql.ofi&ri,\ rr on{tu1 rl! In'Fd ISN 7ol.l. BurR.\
<br />tk, f\lrfl\\ir Codc 'l hc Conrrcktr r l ,i.cnrc l,uw .h'.r Nr dfir ly ro rn uwncr nl ll1oJEny * ho h! ildr or infn,r.s rh.rc n.
<br />,nd rtu (nrr&rrr lkh t,oi(r *irh I (ifrRlon r ) lr.nql purrsnr r) rh. Co rkl.r'\ IirnE Li*)
<br />t mcknu uNnr S(lior
<br />l).1. t)$mr
<br />}!BIiI&T{gUTEMAIOIi
<br />DEILASAIIO!
<br />I lrittrr- rrlnm un(L. Fn.lr! ul lrrjur\ rF nl,hc rolk)trr'I dolmri,h\
<br />_l h.rr erl rillminrr r(.nil(r!rorC.n{nri('Sclflnur.ti,trqls\'.on]rtreii'n.ei lr.,vilcd li)r I'yScri'n.170(,.arh.
<br />Iihtr Cd.. ntr tlE Ftu,liEft. of ih. rdl tu *hth rh. pcrntr . nsu.d
<br />lhr\clnlrillun rinsurkcr\'r'nltn\ i',n ntrurrm.. a\ rqun(lhvSr.rk'n l7u)r,1rh. lr[x, (1x1.. frn rh. n(rfonNft.c or
<br />rh. *'rl ltr *hEhrh6 rrrmd '1Nld Mr *irl6imrnlrtnn in\u,lmuF rn Fnrt nurlq mg+-^J- 4,.^_ ^'",r,,)o
<br />I.cd'r!rh,ri.rhrpcraoruN.,rrhctro*r,ntrhthrhrFrnrilh\o.{.I'hrllft,clfhyrn!FN)nrnnnynEnrr
<br />vr ni !' h(onr ruh,.{ t, rhc wo*c.' mmFn\nr ion k'*\ olCalrl.rnrtr. un agR! lhar il I \h,uld t{(rE uhrn t, rh.
<br />*o,[.^.o.{rtrroh nmri\i)nrolS(rrn ]nrr.frhr lf,hn (iir..l rbll. n,nhrirh.r)a t rirh rl$rllnnision\
<br />$Ani\ini(l lailrk r! sur ntrt(i smp.n{ri'n r.r.tuE. r\ unt trtul. lBt rhltt ohF.r an dll)brfl k) dintrMt FtuhF rft,
<br />c\rl ,ln.1trt t, ni. hundrcd rtod\nd dollm l:!llx).lxrr, $ 'rldiri, r, rhr.oj or.dnf.nr(rr'i. d!nE!c\ ac pn'vilc'l ntr rhc
<br />7 i9''":il:;'- D*^.,\. Fs .\
<br />ry u(}lstLrlrl&[tu.B
<br />DT!I.J&JIA)
<br />I h.rrhyaltnrund.r n n!lry tpcrjuryrhnlInmliccnk\ltrnd.rrn,vnkrol(-h!rc9(.onnrn.irStrirhS..ri,nIIr)r.fDr\i\r)nI
<br />ol rhc Bu\irrslBllt ic$r'n.O\1..r nrv lx.n< n in tullltftrlrl.lliri
<br />A
<br />T
<br />oT G (;.)
<br />T .-,t-9. 15
<br />I h.rbv dlrnflunhr Felrt ulFrjdry rhsr rtsc n r $rrrucri,n Lndina.!.my frn rlE I'dr he.. o,rh. $orl ior shthlhn Fni ir
<br />ir\kl rse.- ID? Civ C r
<br />APII.IIANLITECIIf,dIJ!
<br />I tRtt nfimr o*ltr lf,f,shy.r pcrjury oN oarh. tnlt'*ins dd.Lh ini
<br />l).mniri l,.i,nn! A\hedo\Noiilic,rirn ftdcrul Rct!hrnn(ilirl(4Ir. l)!d6)
<br />-R.qu
<br />(l lrii.rDrMn'r'f,,r)n
<br />l ..n'r) !h.r th. f.d.r.l r.3obr n.\ R!$ 'ns rsh({oi r.,
<br />l(nrl,! rhar I hrr. '.rd thi\ "Itnilri,)n!.ond lrBrEt,$nuly{ihillC[) rl(iDirv
<br />ord'Mk$ rnd Shrc l,$! EErh3 ro lliB ,'rc rFs{nunr.s n{rh^ (
<br />'rvrnJ
<br />(_oxnr! !)..rd uF)n rll
<br />ltir. {nri,n'.n pn)0.Iy i, i'Nl
<br />\!di.{nr.r \(rnr sixnsrur 17 p.
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />SublloorivenVl nsulation
<br />Shear Wall
<br />[qqing
<br />lnsulation/Ene
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Pool Fence
<br />T-Bar
<br />De U Final Re orl
<br />En ineer Final Be rt
<br />Flood Zone Certif
<br />FINAL
<br />Certilicate ot cu
<br />UFER Ground
<br />Roof Sheathino
<br />Ivlasonry
<br />Handicap Req.
<br />67//2-//4,4fu 'Ltt /
<br />Notes, Remarks, Etc.
<br />.,' r( fiiscl
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