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BUILDING. INSPECTOB RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILI'ER DEI,CATATIoN
<br />I h.rby dfftrm utul.r peniry .,f FrJtry rh! I m .r.n{!! fhm rh. Codn.i0n l-t.n{ trq lor lh. f.ll,rrin8 rc.s,n (5(.71}11,5
<br />a!riE(! lil Ptnf6.bn clrL) Any any or CN y uhrh rnuir r Ftu !' !nn<M1. nl6. irFoE. d.mlirh or Epot .ny
<br />nu1E. ri{ h i'( tiuN. rt$ r.quircs rlE .llplior irtr ruh Fmir ro lilc r \l!EJ {ll.nsr rhd lt o, rrE s lie.<rl lolur
<br />ro rh. pmvision. ol rh. c.nr0(ror's Li..nsi LN lchlpr.r 9, Co'nmEin8 * h S.clion TixI) o, Divni,,n:l or rh. Buri..$ rnd
<br />Pn,rcsi,ns Cod.) or rhlr h or lhc t cxcmpr UEr.fr{n. lnd rhc h.rn ntr rhc alLscd cx.nFrion nyvbldri,nolSdbnr(rtl5bluny
<br />rjidkrnr for r Fmir rnbFrl rlE $rlkrnt io r .iril I.Mh, of mr n'E rh.n fiv. huftlr.rl d{ lnF (lJU))
<br />-1.
<br />!\ o$rcr dl rlE rrlrEn y, ,n m, .nut'F.s *ilt *!sc! rs rlEt s't c,tr'rE.eli'i, will .r' rrE *d arn !h 3du. i\ h
<br />imrnnr] or olftr.d t(tr eL ( Sd 7t144, auriRql sd Pnrft*n'ns Cixl. 'l'h. Co.hrntr s La.n.. law dcr fr, {Ily ro m o*ftr o,
<br />rlr FId, rh, tnil! 6 uqn)B rh.rd dn eb .lB uh u{I himr.lfnr h.elro. thn,uah hn m h.l o*n.r"l'rc..,
<br />Fovrh lh.r qh int'ortm.lr E d lr.rLd tr.filF, nn sl. lt tlss. rlE hiliiry {t nrFitmd ir o$ qihn oE lar
<br />or convhrbn, rl.t OeB Biiltr ril tuE
<br />'rE
<br />hhLn of lt*ins rld rr d \ri drl ft, h'U or i,lnE rtE Fqdy nr llr I[qrE ol
<br />1,.\ow*rolrtr Ftdy, r.r.rctunrrly.nnrdh8 r[h li..hl eodid,6 n,.ondN rlE F.Fl lS( 7(}l:l. BurnEs
<br />rd lh*:sin Codc Th. (i,nrEroit Lacn{ h* de1 mr lplly ro r o*F ol pn'Fn, ! h, build. o. impmEr th.ron.
<br />dnd *ho oninds lor .!.h tmFs eirh r Conhcr,(, ltcnen ,)u6unr ro rlE (-onrreroi\ LiIne L,* )
<br />-l
<br />rr.lemfl udLr S6lio.
<br />lvaaf,l8l:caurrlrAlllJN
<br />I}A;I.AIAIION
<br />I h.rct'y rrlirm !nd!. Ifehy.t Frrur' o( ot r& tul['*tr,3 &rl!dr$
<br />-lh!v..
<br />*ill nrinlain ! Ccnifrclr. ol Consor ro Sclr ln\urc lo, trl lrr innFni{ion. rr F,vilcdrorbySnlion.l?lr)orrh.
<br />Lah, ('dc. ntrth. tEriormmc ollhe qort lm which lh. lr nir n issucd
<br />l.cnifyrhdr in rh. !.rrormkc olrhc rort lu ehf,h rhh rE rnir i{ i\\ucd. I thlll rtn cmDkry rny n rs,n i'r 1try m0trtr
<br />$ rrt,h..,8 bFr rd rlr *olt6 $qrndi,n h*rorcr,ifomi', rrt.8m rhd ifI rh'uti tE<om ubrti b tlE
<br />10*64 €rlEneri,. ptu$rlnr ol kr lTU) of rh. I.lrn C'nk, I nrll lodhunh or{'ly s irh lh.. F)vni,n
<br />WARNING [.ihE '. wu. mrlcr' coqEns.rhn I'vcEsc n utrLsfrl. &d \hrll ruhFtr .n.n!!h] i nimindr Fruiir !trd
<br />civil lincs ur l(, orc hundr.d rhousand dolh^ (Slur.lxx)r. in addirt,tr t, rhc co{ or.o'nFni0rion. d!m8.r.s providcd lor rk
<br />S(li'n ]076 or rlr litnr CqL- inrcrc{ r omy i l'e{
<br />Drl.r ApDL.Dl:
<br />r-rcsNim c(lrrttlcrrrn
<br />DICITAAIIOB
<br />I lEEt y rfarm unkr p.Eny .l Frrury thd I m liinrn uxkr Frvnih of Ct t 6 9 (m,tEE in! *ilh S.di,n 7m)r or Dirilbn .l
<br />o( rlE Bn\iKt lnd PrDf6\i.hr CrxL rJ ov lie i. in tull ftIft rd.fitr
<br />CON.\TRUI'TI(TN LFITDINC AGFN(A
<br />I lrEhy .rtrm ur].l FMhy or Friuy thor llEft n . .urulnn b.dh! rs.Ey fttr ih. Frr( l1m ol trE wrr tor *htt lhis Ftu ir
<br />AfrtlctNflrErit axaur.t!
<br />I hdttry .,Imr unlcr F.ah y ol lErjury oft or tlt folh$ inr d.clanlhnr
<br />Dcml[.. P mir!Aib.{o. NdifEariln td.rl Rq!hrir. (Tirk1{r. Pd6)
<br />R.quncd tlrr.r ol Nlx,lr!rhn
<br />I .sriry rna r& f.rhrrl cguL r i,nr EE{di.8 rihno\ rcfr)rrldr fr{ .0pli..hk tu rhil |ln'F.l
<br />I(. rltrhrr lh!\c nad rhn rfplEanon kl{!rerhd rhc ihtrc inntrnrrkrr trcon(r laEKnidnnnlr$ hrllCrrirl(-'{rnry
<br />rttna nrnromd nn)ti.dv ftn 'r\t trIn NrF
<br />Apptl(. or&6lSlBEluF
<br />r"-tr* -.. rpano'[-
<br />t'
<br />0 2".-,/.r
<br />6/4zr'
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln su latio n/E ne rqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Beport
<br />I
<br />FINAL ,f/mlq [7fre
<br />Certif icate ol Occupancy -/
<br />Notes, Remarks, Etc
<br />_l hrE od Hll roinrain *.rr.^ .omlEnuiin inrurrrc. z\ rtilu'El hy S.(r i6 l7([ or rhc I rhor (nd.. ld rh. Fri,nuN ol
<br />rh. *Drl fur*hi(hihn Fm ,\ 6o.d My*ork6 dnqxneri nrlhBr (.trr..trd F,lry numt re
<br />i.!Ed {sd. :!0r?, civ. c.)
<br />L.ndci r Nrft
<br />T-Bar
<br />Flood Zone Cefiif .
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