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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS (}WNEi BUILDER DELCAXITIOIT
<br />I lEr.try .llrn und.r IE..hy ol Frrrr, rhr I m.kry, ln'n !L codr*kn' t!68 ll* f{ rlr lollo*s! mrsn (S.! 7011 t
<br />Bou.s ,nl Prolcson C,ric): Ary Cny or County whrch niqumr ! tmtr t, d,tr{rud. r-. i.{tNv., &mllnh ot EIEi rny
<br />id.ru., Frtr to rl! lsilsc. d$ EquE\ rh. rmlaur L, \u.h Fmit I' liL r r{rtl {{cmnr lhrl tr or {E ! lr.n*J plru.r
<br />t, rhr Fr$rnr oa rlE clrnrarn r LE.FI lrr ((lqi.r g, (ir|lmBr! * h Sdr.n TUtl dl Dlvrbn I ol rrE Funrs .,rl
<br />hnc$onr O'dcr ,n r htt hcorihc r.r.nd rtmti.m lnd |hc $!nr rd rh. rlkScd.t.n nn. Any voLr[n of SNr.. 701L5 by rny
<br />rmhrlnr h, r llmrr 1tbj.!rt rri {,llonr n, r dvil lxMlry or fln frft lh.n hv. hunkn dol{t ( t5fl))
<br />L as owrrorth. tf,DFny, ir m, cnphtrcr,nh w!sc! r\ rt u a)k !r,6Fnerr,n, wudo rh. *o*.nl rlE nurG tr nn
<br />lrr.trhd or oltirc'j Lr ek (Sa 7lX{.8urm51.nd Piuf.(H,ft C(xL Th. O'nrr&tn ! l-r.n{ l2wll(xi to'l {nly b u o*rroI
<br />rh. InIrdy *h' llfil\ r rF,6 rtN4 rn uht d*t rLn uit hrmclt h.'Elror rhreurh h. or h.. ow..q'hF.r,
<br />nn,vdot rhrt \uch mpm\tmdsft , d.nldt of,crJ tur eL l,.lskEi rh. l[rllu! or ulINkErr 6s!sihin,m J(,
<br />olor{Lti,n.th.O*m.BuJrk.wdlhr(trrhulnorpn,vr8lh.rh..r$c'jnNltu.rqr'wOrnn'tdy(trrlEpurPtol
<br />l. a(ouErol rh. JF,JEny. rn.\clDriv.ly.odr&rtrr wiih liccnsd co,rnckn to $nrrud lrr lNrd lse... 7(X4, Bxsm$
<br />ul hok !& Cqlc: Th. CoDrBhii t-f,.n{ lre ddt nn rlfly !'.nd}F of FlIEn,,1, h{iLlr ot mFok. rlEro.,
<br />md wlil lsdRr! rn rk h FDFII urh . OllllBro(n lrznkn Ftfud ilr rlr cld rd.lE"kIr,)
<br />l am.\cnF unLrs.drm-. B &PC h*rh(E.qr.
<br />tvo8f,[f,s:grMt! tarq!
<br />IIESIdAAIIA!
<br />I lrrchy !lltrm!nd.r p.uliyol I'lJJury oR ol rh. n,Udr'nt 'l\-.llrir)n\
<br />-l
<br />h.r .!n wrll mnrru . (.nitr{. or con-d ro S.laltr Rfdk t.n' *rnlEnr.ten. .! FlvrLJ tdbySe.rrJrm.frhc
<br />t,h{ Gi.. rq llr lEif{rlllrBr ot rlx n (n**hlhrlrFtu. r$erl
<br />_l hrE {rl will hd'drin work 6' $.ryrNJb. mur.h.. rt E1t(irJ hy S&rion.!7tU of tlE lrtltr (l!l., for tlt tEfl)lrle. ol
<br />rlE s.t fl{ *rih rhu Fmr 6 Kral My *qt6 @trrEtrd{n h{'6*. ljtmr !n P|Iy NEls e:
<br />l dnrfy rh.r rn r hc lEilorromt ol iht *o ntrwnrhrhNFrm rr G\kJ.I sh.[ ftn.hpbyq Frwtn d ylmFr
<br />v' rt ro lRrm ruhF! ro rh. u'll6i ! n{Enuro. Lx ol C.lllomE. .rai lgk rha I rlbuu telm !!hr! n'rlt
<br />wdrk.n Nmn nsln n pnrvsoN of S.rron l7(x) of rh. lrhr C,xl., l shall, n)dhe( h conrply *(h lhok pn,v6nns
<br />WARNIN(i Fr u,. tr kuE *o.t n'd'mFnqrin u,wa8. r u.L'rul. .nl rh.ll rubjcr d .rr{tlorr lo wl F ls ani
<br />.*,1 rrn.r up k, or huntlnJ rhouerxl do,L^ ltloo.(xx)
<br />S(!on 1il'76ofrh. trhor (1x,., ntcrcrr r 0rrorEy s,.c!.
<br />nr .oqf,n\Jir)n. J!nu3.. ri p.D\{rt! ntr rll
<br />I lErcby {lt6 unLr FMly dr Friry rhr I m llrtrql uBtr F v!n. ol Ct p(d I ((,'nrr8 wnh SdDn l0f,D) of D r.. }
<br />ol rh. Eurds\lrl Ptuf.$krhr Cod.,.nl aytrcnc s h tull n,Rr.rd.li..r.
<br />LEns CL$:-Lkns.
<br />lrrre_ (tnlrxclo.
<br />SA!$AIIfION.LENDTXGAGEdCI
<br />I h.r*'y rlrln unld Fmhy {l F run rh, r}e ! r .adtuiDn E ro! {(ry for rlr Fft'lmB! of rh. wt (tr whrh rhF Fm! !
<br />r!u.J (Sa..1097. Crv C.).
<br />L.furcr! N.e: _
<br />AltucaNr.[sg.68alod
<br />I hq.r, .llm un lcr p.n.lr, o, Frj!ry oft or r h. rollowh! dcchh' kDr
<br />l).mrl i'n PcrmllAshcor flr uri,n r.d.nl Rcpubrk,nr (T k,l0. Pd6)
<br />-Rcquft
<br />d krr., ol l*rnurrr
<br />I(d y rh, rlE Ld.r.l Eluhrr! EBrnIn8 r\h(tx r.fr'yrl k nr {lPlMhk h rha J,n,Fr
<br />-I
<br />cdrlyrhd I hrv. r.!d rhs {rlf,rl()narrl {rt.lhal lh. rh,vc,nn,mul('. N c.r.cr I tsrt n,.omply w(h rll C yan,j(i,unry
<br />t{rjEBct !J Srrrc I i*. ELr rA ro horllns on{rucrbtr fi tmh, .urh,ro. EFlrrt.hEs ol ihr C, y 8! Coldy to .t'ld uFr
<br />'lErhrw mdi'Ed f,n{rny fd nFd "'KV", 11,-/"'-,,-A0pli.anl or ,\8enl SirEtuR /l7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathino
<br />Shear Wall
<br />Framino
<br />lnsu lation/Energy
<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 />FINAL .tl j,2lt 7 -ru{47r_)
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />ID/SIG.
<br />Subf loor/VenUlnsulalion
<br />Flood Zone Certif .
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