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BUILOING- INSPECTOR RECORD
<br />DATE COMMENTS OWNER BUII,DER DEI,('ARATION
<br />I hr'chy ailirm un].r Fnnlly ,rl ixrjury rhi I s cr.npr ,ntn rhc 6trrr..hr' l,Ecnr lrw li,t lh. tullowns ,qY,n ls.r 7{r.ll 5
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<br />!ru.ruc. Frx ro rrt !\uct, rl$ ftlu6 rlr {'t'[..t |,tr 1kh Fmr t! lik r nlBrl {.lmnr rhrr ,I or {x t lKn€J Inlsur
<br />t' !h. th,vrlkmr "l tlr Conr.crr'r l,Nnd ljw (Chafl.r 0, CommLrn! * h Scrln 7(Il0 d Drrn0r 1 ol rh. aunr( !tu]
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<br />l. .r o*Er ol rlE In'Fny. d m, rr{*,}... wdh *.!cr .! rh.u q,,. ..nFnqrk,n, wtl d.r tlE k'l rn {E rrrr ( d
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<br />rh. F,rrny *h,h r! or !'trUti rlrEn lrl wh! dts *h s,* hin{I, or h.elr or thntu,h hs .r h.r o*. .rirktyes.
<br />proyrldl rlir rkh rr+omrrt N nr lrolai,xollcEl ,,, qk Il hr*{G. th.lrury rt !+n,hmd ri! * lumFr
<br />old,q)hEtt (rmr Bu&r p h.E ltr hbLtrof F,Et! rld lrd {r.ld Nr lnrll d ngot rtt FDIdy ftx itr FrFtol
<br />-1.
<br />8 n*mr of rlE F'Fny, .h (!(lurk ly co rhrr!* hlk.ned.o t.rr,E ro LrnrNi rh. F,Fl(Sr' 7(lg. Austrs
<br />.,n hr'aqrCnl. l'n Co,r^r.r\ Lt..k UE d€( n{ rtTly ro u o*n., ortr.Fny whl hu'!r o. un9nrE h.rq
<br />rnd whr $dtutn,rEhFFI!w h rct',rBlo(n l..n!.J po^unrio E Codt&roir h.h- l,v).
<br />_l rm.km,lI unJ.r Jcqt
<br />rv086E&uiqufElsaro!
<br />t2[cLIEAu{l!
<br />I h.rchy r!ltrr und.r Fnalrvor Frlury um.l ihc l!'llosdB !t(l[!lon\:
<br />-I
<br />hrv. rrnwrll mDl.m r C.nrt.x.r. of Con(nr k, S.r-lnrurc lor u{ts' .onqrnur)n. 6 F.vrrd ror t y Sdrnn l7m ol rtr
<br />Iihtr ((x1., tur.h.lf,rro,rllec ollh( *r nnwh{hr,rlrmn ( r$ual.
<br />I h.vc.d *rll rur(n vorL.F' on{xnr.i kr h{ur.ftc. !r rcqurcJ hy S\-.r.n i?m of rlE lrt!" Cd.. torrh. Fnbl1114. ol
<br />rlr k{r h trhr h rhtr Fmtr 'L '.!s.l lrlt },{rdt t.n{r nrnrm 'nrurrn..f.r di Frl.t numlt' m:
<br />.L'ql?4 fvb\\n,.*.'Y1f,5?-6 t-7 6'.A rs2LQ ..t*.
<br />-l.cn,lyrhai
<br />nrh. Frli'rdRc o(rhc wo,k ri, whrhrhr Frn( r r(x.],I !h!l nn cnvby.nyFBrn u lny mumr
<br />qr sh h.u,nE suhrrrh rhe wo*dii comrrn{lrnn hwr.ra,!bmia- a ssr hd,11fi,ul,j b.(,G ruhi.d (,rh.
<br />m*.r d,mn nd rh I'ftttrrnr ot S-kr lrln ol lh. l irrt (irL- I dull, li'n h*irh d'ril'ly *nh rh,{ Frv$'.t
<br />WAf,NtN(; Ftulu( t' am k{t.n' dnFneri,n . v.n!c 'r unhrlul. .in !h.ll hFr n{ll'F b (rul FEI- rd
<br />LNil lin.t of io or hundrcd r,r'usni ,i.ll.r (tlm.ulo).
<br />'n rdrtdin !' rlx co{ ol.onp.nsr.n d.m8.! !r lIlviial t!tr rh'
<br />/ z.+q
<br />LICIISEICqNIEAIBS
<br />IE('JSAUAN
<br />I h.fthy rllirnunti.r n Mlly ol E.Nry rhd I in l'(. td uel.r Fn)vron ol ( hrtr.r 9l$nmkm3 wrlh Sccri,n ?lx)o ofDrvs!)n I
<br />of rhr B rtr\r &l Pnn $$nr (-,rlc. i mv h.n{ rs mh,lkr(t lrncll..r.
<br />D.t.1
<br />3 l.(.ni. Nunrh.r
<br />.*3 I 7 6.{
<br />q
<br />7
<br />CANIIBIJIf,IIIU.LINIUIGAAENIf
<br />I hcEhv.ttumuBld Fn'ht.f n riwy lhrt th.r r. d'n$ulr,tr Ln iinf rr.ky,.rlh. P.rinM---.t ol rh. vMk lir *hth lhn Fmir is
<br />riual rsr t0g? C,! C r
<br />trnLr l Nrm
<br />Und.ir A'l!r.s:
<br />-
<br />ATTPLTC NT I)ECI-]IXATION
<br />Iky lmund.r Fn.ty otp.4ury orc ot rlE n,lk'*m8 J(hrddns:
<br />D.n,li0n p.rnns^rh.(or Noxi(.lDn F.d.rrl Rc3rLri,n\ (T l.,l0. frn6)
<br />RqlNl tr(.rdl t{if.&'n
<br />Ic.nrfyrharrhclcd.rrlr.llLftrnrm!&drnt.\tEturrcBrv.l@B,tPlMhLn!lhrPn,F..''..,
<br />AII ..n y rhi I hrE Ed rhF .r'pL.tFn .ri {rr. rh,t rlE rh,v. mrl)ld i'n it c.E-r I {c ro d'q'ly wrh il Cn, 'ri cotdv
<br />lxJmL.l rht sr.r. l:wt Elru! t' t rurry lon{turntr r l lrr.ty.ulhruc EFcdd,G ol llIt Cr,.,rl Coudy ro.ns I+r rh.
<br />lly,vc nr k'NJ tn,Fdy ntr drF(rtr'n!uqr'{\
<br />pplir.nl.rAE.nl SiRnhlure
<br />17
<br />' 2/2-t (1
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framino ,l2eho Tnn pDO;t7
<br />lnsu lation/Energy I u | -a,
<br />Drywall
<br />Ext./lnt. Lath \
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL +lrl nT,d.d-D)
<br />Certilicate ol Occupancy I at
<br />Notes, Remarks, Etc.
<br />SITE.WORK ID/SIG.
<br />z/z
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