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BUILDING. INSPECTOB RECOBD
<br />SITE.WORK DATE ID/SIG.COMMENTS OlVNER BTIILDI:t DI't,CARATION
<br />I h.ktry .llth unic. Ftutr ( Fqur! ihr I ur crcnpl tnm rlr (i'ntr(*- licn< lj* n, tlr nnl,$o3 ,tair lsd r01l i
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<br />{nktu.. rrtri{ rrr tr{'{B-.., o r.qtrrc\ rh. rml'Qnr ntr su.h Fmnrb iL2 ilncl nlr.ornr rhrr lior \h. L\ lNnsc! PurruMr
<br />nr ,r nn,vrDn\ ot rtu Cunkrcttr s Li.cned lr* (Chillrcr 9. (nnnNR'n8 wirh Sc.hDn 7lX[ of Divnr'tr ] ot tht Bu$.cs !n
<br />Ph)lc\{r)nr C,ilc) { rhnr h.or!h. R ercmpr ih.rckof, rJ rh.trw! l,r rh. dk3cd c\.mpri,n Any v[lirk,nofS.(rrnr0]1.5 hy rny
<br />+nl,r.ni nn rFm oh,(rirh. {.)l'(rdn'r$rlp(Mlryol nr{. trLr tuT hrnlr.J )Ud.(3!(rO)
<br />l.!1n*xroirh.In,Fny.,rmt.r{*'yR\rh*4nrrrh.r<'L(omlrnerr!n.*l&,rltq*anrlr{urF3n
<br />trr. frl oroltrftd (tr qLrS(.7(r,U. Au.m\.sJ ttlrcstrBl(irtc lh.G!.trctt'\ l-rcn< lrwdE!nn ry,lyh dowrol
<br />rh.pn{xny wlr'l ,tl\ or m!!!,(s rh.Rr, ml *h' itf,s \uch u)* h'm!.ll or h.is.ll nr rhn,u8h hr .t tF own.mpk,yc.\.
<br />tn,v .n rh,r ru.h mp!)v.mnh d nn nrcnLd ot nfl.rrud tnr {b I l. h,*.\r. rhc 6o'UuS or nryt)v.md n {'U v,rho on. }!s
<br />ol.or{ .rx,( rh. Oe rAufikrw l hlw ttl hnnlcn ol lmvhl rh, h. r \ht Jrl nn h]tl rr n{n,s t}F InIEny lu rlr O4r'( ol
<br />L ri dpEr of rh. I'.rEn v. rh cr.luqxly ronrair! wrh lk.id lodrdron b $o(od ilx F,Fi (5d 7(xa. BBES
<br />!d A$t rrctrj.:'Ih. Co.rfrlor( L(cn* llq dE. nr.mly t, !no*(r of |,otf,ny ulr, hurldr or mnnE! rt.r6..
<br />rn.l rr$ dDlfrk lir $rh Is,Fih *'rh r (i'irErio(n ltu(d trhur r. rlE O]nr.clttr i ll.oR L,w]
<br />lrn.khd unJ.rS.rrtrh
<br />D.r. Oxm.
<br />lloll(Fqs c(lMPENsaTroN
<br />PECIJE{ITA!
<br />I h.rchy.lltrmunLkr lEnrhy oi F jory om ofrh( ft!lli'*o8 &altrlri,nr
<br />I havc will ernra!' r C.d lc{. o, Crn{m r, s.[lnru, c lor work.n corrrn\ai on, ,1 F)vd.d nr hy S.cr nn ]700 or rhc
<br />l:htr (irl.,lor rh. |Erl{mL. nl rh. ulll r,r *hrh rh. p.m r n!u.Ja
<br />\lh.\.,'rlerllmd]nMrr?F',r{tht.rln'nluhftc..rrcquFJl,ySdrbnl7(Ilorrh.t$orCoJ..nnrlEFrim.ortE s{r lin rhrhrhn Fm. r\ hra! My rort6' nFns,i hum. !ftr^ F'Lt rumhn r
<br />,.--,. r itt"r.C-,a.: (a--r.\ lElLa- C -9.-
<br />P.r.r*,.*,,@***,' * lt / t / t1
<br />-l
<br />Gn'lyrh.r mrlE Frl rtrN.olrlr wo n, eh.hrhtr Fnr t $\u.rl,l sh.ll nn cnDloverFmn n.ny lmFt
<br />$ nr!' h.!nm {uhFr h rlr urt6 on{rnqrrr lrrr.lc.llfom. .nl {ft rhi n I rh{U tE{m (hxlr (rrll
<br />RrrI6 !$tr{xnuri,n |jnlvsilni of Ser $n l7m.f rh. Lrhr (irL. l {dl. ,dhw.h ($q y *rh thE FnrYrx'nt
<br />t{AtNlNC: F. uE li' F(u. wrl.^ $ftytNrx'n ownF. ,1 !nL*rul. dd \hru {6Fr - 6Itloy.r h uD-.1 IrtB rrr
<br />rryrl turi up to oR h!trJGl rlxr$iJ d.llrh (slt$.tl(Dr. m ddl!'tr l" rh. $q ol $n{rn{ton, d.m8.i .r ltovrr.d ld !h.
<br />\(rrq llrT(!nr[.Lrhtr(1i1.. tr.{] Irtr t!\t.,a
<br />Lr(l)SErLCotlX (raa
<br />UETLIIa]IIIJI
<br />I l*Rh, .llih !nk, JrBlly dl JEuur! lh.l I rn Ldnri utrLr Inrttrxln oI olFq I (lr'lmNog lri Se, in 7uD) of DNttn l
<br />ol rhc Bormsr rfil PnrL(!,.r Crlc. .nl mv l.cns s h tull n)nr lJrl.lter
<br />Lrcr* ('[s 'DL9)73Xb
<br />z-l
<br />T](INSTRUL-TION T F{DING ACENCY
<br />I hcrct'y rllrnr utri.r lrnrlryol n rjury rhrr lhcE N....rru.lDn L.,1tr3 !8cEy lor rh. Frtome..f rh. *trk t(tr wh{h rhr lxmn !
<br />tru.JrScr. 1097,Crv. C )
<br /> PTIjCANT DI'('LARATION
<br />I lu$y JlllmunJcr Iitrrlry ol t,JUry oN rl rh. nni,wirt &(lnrlri)n\:
<br />Ikn l'rr'n Pcrmfr^\h.n.s Nordurhn l:.'].rrl R.!uhon\ i t
<br />'r1.40.
<br />t\d6)
<br />R.qur.d L.n.. ol l{.,liinn
<br />-l
<br />rd ! rh, rh. lakful rluLri,nr FluJlrB r$.{ot rlfin:lx. { rll E blc lo ihr pn'Fr
<br />Zfur'r,n, , t* *^,,nr rpDli.rrn lrl {.r. rhd,h.oh,k mlnrEi[n 6.dmd.l r3r lo.I,mply*dh rrlc(y.nd counry
<br />'unirM^:lc\ rnd S,,rc L*! Ebrry k, huddrns ! n{ruLri,n. lrn h.rcby lurturir ,.pi.(nlalrvc! i'lrhis Cily ldl Couniyro cntd uPon llr
<br />,'rirr *trrrrBl |l'Fn! L niltr(rtr,' NrtlN\
<br />,\Irli.{nl o.,\tdl SiEn{r!r
<br />o7-x t1
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lns u lation/ En ergy
<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 />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL ,1 16\ra..1,t4 rtft)
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc.
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