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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNT-T BUILDER DEI-CARATION
<br />I rEEhy.lrm uDLr Fuly (n Fl}f, thd I oct q'r ftom l,E Co rrts l-E&ll*ttrllEtollor6!Eq,n(S-r0ll5
<br />Surm( ,ni Prua.$ph cdk): A.y (ty u Ca' y whxt r.qu6 r Fnr b .n.dNr' d riprDrc' &mltth or rtl& sv
<br />ntu]k. Fi ru !s ssue.. lts EI]UR! rh. rmlrur ktr skh Fmi ro arL. s8kn {d.trnt ihrl lE or {E a lEn<n li@d
<br />(, rlE F)vr.N of dr Conrrttr r l,r.n<J l,! (Cr[Ild 9. Co|!mBb! s[h Ssrx'n 7frD of DivLrEn :l ol rti. B*,F( tEl
<br />Pn'ic(rrr Culc) tr lh.r lE or rlt s .!.q{ rrrr.rnm .rn llt h.\! nn rh. .lh8cJ .\.nFrr. tuy vnhr$n or Sel.n 70 1 I J tv uv
<br />.mlMnr rbrtFmir bjrh rh. rt4rlR.nr lo r dvrl FMlry o( dtr rhrn livc hunlrd doll ($m)
<br />l. $ o*'Kr o, rh. tx,ltny. o. nry.nr!,yr.\ wnh *,3.\ r\ rhtr qJl: (.trlp(n{rrn'tr. nlt Jo rE( trt* m,lhc dturh tr ftn
<br />dcndcd .r .,l.ri lnr eb l S( 7(ll., Bonk* in,t Pnncs\rns Ciil.: l hl ( ,,itr(rtr'r l -Rn\. U* &xs rtn nPflv n' an .*ncr ol
<br />rh.nnli y wk, hud.h or impn,ws rh.n$n. xnd *h) d($ {rh Rl* hrnrrcll or h.r{ ll rr rhfl r8h hr or h.r o*n .mdlv..\'
<br />p' ov'&d rhd su.h mF*tnEnk {. ri ui.'rldl d ol,crEl lrr vk ll, h,wcvtr. rrr hu'Lhn! or rtr{F,tmd $ q}ll wihB om }ir
<br />ol (on$Lilr. rh. O*rtr au lcr wrll lE\! rh. hd.. .l p.ovuB rh, ,r .i rh. Jrl n t! .r nlnrt rh. PNrEdy !& rtr poqr{ ol
<br />-1.
<br />x n*fur orrh. Ftrpdiy, M.r.[nEly ..dtaios *dh ldrcd rodturln b on{e L FDFI (Sn 7044. aulNr
<br />In htlt.rrMCnL: TIE Co tdd'\ Lk.h- LP d€r mr +!1, ro & o*ffi or 0hFny vrr b{r!t.n orpoE lh.rdr.
<br />.nl *lx' oddifMlshFlrrh* h r(trrBi(,li.n d t'rtd brlE codrrroar lr.trB ba)
<br />I lm.r.hfl 0 Lr Sefu,n
<br />TIORKERS' CONTTANSATION
<br />D[CltlSAIlg!
<br />I lrrrl'y rtlu' und.r p.ruhy o, P.rtury 'r(.1rh. Inli,wtr,8 'lG-'hrur('n\l
<br />-
<br />I hivc nl *,ll tu,.r.o r Ccn rl f,{. or ( .nknr b S.lLtn\ur. lor wdrk.n q,mn( n\d nn. r\ lnvdcn ii, hy S.ct $n :17(x) ol th.
<br />llhr(iiL.tuilE Frr,l|rle. nl rlt k,rt l{ xh.hrh. pcmir 5 '5\kJ
<br />{
<br />ll nr'nrnn *orl.r'rrnrtn\Jr,n
<br />uui'ry,5" "'
<br />drurhc, a( r.qumtl hy s! r[n l'r(n ol rh. bhn cixL
<br />!' lorlI*.drD hrutnr rlmr .rl Fnry.lniEr e
<br />I 1L (q
<br />l..d'lyrhrr rrhc Fdorrurcol rh. eod ntr whf,hrh( lErmx r sru.J. l \h.ll n .rr'ildy.
<br />$ r\n' h!( nrn'htcdn'rhcwtrk.r\ ( nilttr\trrlr liwr .l ( rilnnu. rklr(I(rhr nI \h(ld t'..om srnad htlt
<br />ohBn$lur !rrutr,n\,)lS.!rtrn rrlxlol rh.lrlin (iit..l \l,ill. n ndy r (h ih,{ nn,v'\ i[(
<br />flitlc.r in .n[loy.r t' nnnJl F llr\ xkl
<br />u.nllrnqrn,n. drn,'s.r r!1ro! cJ ntr rhc
<br />ro srurt utrk.R (.rlP.n\ r,tr.rvcr4c tr unh*iu
<br />I
<br />l,unJrcJ rh! !tr.| .l!'ll. \ rllrx).llrrr h
<br />L
<br />I llFhr:rrrn nd.. f.nrLyol lxrrury rh, I.h 'f
<br />CluFd 9(.rllmNh3 wrh S.ri.. rqD) o! l)flDn.l
<br />ol rh. llurrrr rd Ptuf.ii.ni C(rL. td ny lt.nr r r fu[ ntr!. atn\ltdl
<br />is clb-l
<br />nn nnd.r FMXyof Frrry rn! rh.t N r (.n{Mrb. LithS.8cBy ntr rlF Friorlrls. otrlE kr* fit *h.h rhtr Ft. .
<br />tr(xti rsa ]{,r7. ci!. c )
<br />l.d.r'r Alrt*l:
<br />-
<br /> PPI ICANI DFCTIRATION
<br />I lrrr'y dlim u .r Fn.lry dl FU!.y on. ol ri. l,,lb*m3 J.(Lr.ndnr
<br />Dcnrrl !)n Pcmnk-Ash.(or Norl,cirk,n li.i(rrl R.!uhronr (T l.40.I.n6)
<br />Rnt" r(l lrrr!aol Nor'ltrrnof
<br />l(n ylhor rh.lc!.rrl tsll!furns rcluJrn3 .it'.(or rcmql d I E Pl..hL t, rhn I'nFr
<br />I r'.dny rh:r I h2k rc.d thr .t l rc mn,lmru rro^-r I .ir lo otr9ly P
<br />dn,nn.r rnJ Sr,r. Il*r rcL,y.u'nnr. (F.<nl.!rs ,ltrtu Cr,
<br />rtl'E rr hmd pnlEnt lor
<br />,lp,li(.nl or A(.n( Sku
<br />Y
<br />L>t\**'"
<br />Set BaCKS
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsu lation/ En erg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />J+t) (),..r 14.J.+<tfrl?l?-L
<br />FINAL 318'r I IZCt, p 't^7p{ z-fi
<br />Certilicate oI Occupancy
<br />Notes, Remarks, Etc
<br />/aeI
<br />Erection Pads
<br />T-Bar
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