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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDEN DEL(}RATION
<br />LrftI!, antm unLryEuhy ({ rkr|urr rh, I d c\cf,$ tn)m rlE GrrBi,F' txtn< Ilw aor rt folbwr8 Rrsn (Sc.?o.tl5
<br />nurm* a, Pn,fc(k)n C,rl.): AnyC y or Cou , *hrh Enlrr\ r rfrr b on{kr, drd, rmF.E. &Bnah o. EF uy
<br />nNrurc. Irrtrn' r 6rxn.. tl$ Rliuftr rlt r|ll .d ntr ru.h Fmx h li!. i 5l3Ed drr.ftnr rh.r h.o, sh. ir lBnql pu^um!
<br />6 rh. r$vs[nr or rh. Conrrrtx'r l-rcni.J tl* rclufl.r 9, Cohmkn! wtrh Sd'rn 7(xL .l Oivitn I ol rlE Bllmrr uJ
<br />Pn'fclri'nr C(rL) lhd h. orrtr r cr€mtl rlEEkom r.d rtF hlnr tur!h. alklcd.khprn,n An,vx'hri)nofselrln?011.5byrny
<br />rpphclrr i, . Fmr $hFrrr rh. llrhrnr tu . r,r,l tEMlry ol dn fr,( th.n I rvc hualFl d,lLr! itJ{D)
<br />-1,
<br />.1 dvEr of rlI lnIEny, rtr my cmnl,yes r h *4.. r{ rlr, $t .ri{Irsri,n. *'I &' rlE ur!. .il lh. ntuE i\ rn
<br />'nrcndcd orollcred lff qk (S(.7{)ll4, Bun*s\ tuJ Ptul.ssnr C(xt : rh. G).r&toir h.nr L.* dxr rr !|?1, h d o*ftrol
<br />th. rh'IEny wbh! i{urFrErrh.cn.rlelr,dxtshx hmElr or hd*lf or rhn,uSh hi. ot lrr own.mlli'yc.!.
<br />nnrvr,el rhrr !!d 'nF)Emnr c Br d.nldi d on.r.J tu sh ll. bEq. rh. h{NrE.r lqnNcd u 5t! *rtu,x Fa
<br />ol Lin{,.r'n, rl* Oqkr BudL. w l hN rll bu ,ch {l ln,vul! rh.r lr .. $c Jd nn lDll u Etn,k rh. pR'Id, r(tr lll p4r,* ul
<br />.\ d*mr .r rh. rnrFny. rn .r(lunv.ly .onrr,.r ins w( h nr.nE,l .orr.r.n,n ro ron{d(r rtr Pn)jd (S.L ?0.1,4, Burtr$
<br />t\)kai[n C,'d.: I h. Conk].ir r L(.ns. Ij, &rr rn rmly k' d oumr .f IrDFd, *ti, tu ld{ or mnn'v.. rh.Rm.
<br />who B, alr Id su(h pnlF(lr u( h . Cdntrlc(n19 ltr.nE! pur\uu n' rh. Conkarntr'r Lx.i* tjw)
<br />I hrv. .,1 wrll mml.n . C.n'ri.tc of Conk' ro S.lrlNua tq sstd rltrFnq$LI FnvildlqbySer!'nt?(nofr,r
<br />htrtr cuL, rrtr !h. F fl]lfttuc ol |hc w{rk tur whi.h lh. lEmn is ntu.'i.
<br />I |rrvc !n,l wrll nur air * r[.rr ..n{i n\ar kr rniurrkc- ,r rcqu trei hy S( rHr l7(X) ol I h. l jh, C'rk. ntr I lr n rl.rm. ol
<br />rh. *srkntr*hrhrhtrFrnni n trrEd Mv*orl.rr.rnI(n\rk)n,n(tratu.rlnar!r FrlrynunlFirs.:
<br />Erprcr:
<br />-
<br />-l.cnrfylhrt
<br />h rh.IE ormBr ol rlr *ort tr *hrh rhtr ltrrur tr r!!cl. I rlEll ft, ditoloy .ny Fe'n m any truEr
<br />s r\ b trtm subjer h ih. s)rl.F'udmFnr.lDn h$ orcd,romu,.nJ r3N rhrl d I !h'u! b.roB tubj.d t! rlE
<br />q,t6' $r+c.srr Frva{.( o, s-lir Jrm d
<br />'h.
<br />tlh, Lrrl.. I tul- n'ntu.t otr+l! ,th r}n{ r'n'vl..nr.
<br />WARNINC: l,rllrc to $!urc *orlcu u,hpcnrlro..ord!. ! uhbwtul, .nd .h.!l subje' e mpbrrr ro (mrl Ful- ni
<br />.tv lim\ up ro oE ,rudGl ilr[erl tll)ll{r lllfri.otU), r rdnlnr b rh. co{ of(on{rnelon. !!m!.r I pnrvrlcd lil. rh.
<br />SdD.J'()76ortlE LhtrC.iL, ! .En !,n ,k'cy'r ,c.\
<br />Llci'Nsrn croNTlacToR
<br />TESdMII!]!
<br />I h.Ehy aflEfr unl.r !.Mliy ol F.Irry rhlr I .h [.!n<n uulc, trtrvsrr ol (rrFd 9 rollmfttnr * h SctDn ?(n0) ol Dtvrpn ]
<br />or th. alnmlr . l PNr.ribn! cuL. r,n nry h.nE n h rull turc rd .li.cr.
<br />LEcn{ Ch(
<br />-lI.M
<br />NumtEr
<br />D.r. Corl*tr
<br />(-(INSTRU(-TI(III LEIIDINO AGENCY
<br />I lxrby 1llim unkr p.Mk, ol p.qlry th, tkr. s . .o.{ut,n lnlhS .!.By tu rtx Fn(tu. or rlx url i,tr [tEh lhr P.mr s
<br />i\\ucJ rs.r V)97 ( iv C t
<br />AffUQINfDEgdSAUqB
<br />I hcrhy dtnr utuL, p.mlryol FrJUryoft ol rh. n)ll)*'n3 J..ludni\
<br />D.nrn{i'n I'cm rAltE{or Nir Blr!,n LJ.rrl R.IuLr{n\ r]\tL.lr). Pd6)
<br />R.qtrtr.n lrrr.','l N,i'l'rrx,,
<br />I ccnnylhar rhclcd.rllrc3ul oor N3alm3 !rh.{ s clrhvrl rc frn ll)Ilf,rhL tu rhtr pn,r1r
<br />-l
<br />c.d dy rhxr I h:v. Fd rhs .fl r.ri)n arn (.i. rh.r rh. .h,v. rnnrmr$n . c.trer I {G t, .r,hplt ,rn tll Ci, rDl Counry
<br />rdtrRcrdllSr{.lrwsshrryhburLirsd.nqruLltr'n,i,lh.Ehy.ulhtrucrcfctcnratN.\olrhFCny$dCou.tylrr.6ulDnrlr
<br />rh,E nr.lnmd ln,Fdt tu orF(rbn portFt
<br />Appll.{nl or,U.nl SieMlun
<br />P.mll( ri.rDrlnl):
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu latio n/E neroy
<br />D rywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL a/tr/l'/ryn0rY /e.--'
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc
<br />I inrcrcnrl trndd Sc(ltr r ll & P( t', rhr rcr!'n
<br />l)rr.
<br />woRKERS ( ()tr!I'tNSAT|ON
<br />DESdxd.IIO!
<br />I hc^hy JlltrD trnJrr lxtrxlry ol It,|trry oN oi rh.l,n[)*tr,9 'lNl.n]rkrn\
<br />Set Backs
<br />T-Bar
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