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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE IDiSIG.COMMENTS OWNER EUILDER DELCARATION
<br />I rrttry rrtum uDLr rEuhy .l Fqury rhd I o.r.od iiri rh. Cod.-nn tio* tru r,n rh. ti,ltuq! r&on (S.r.tuJ|.,
<br />lru$nc$ $l Prorcs!'n Cdl.): Any C y oi C.udy *hrh Equr\ r Frmd t,, .otrrrrucr, clr.r. imln,rc. &tunl\h r rIEt r.y
<br />{eiLm, Fx ro n! ssu8., .r$ rcqurcr llr q'l,lr.nl lq 3Bh Fmr k' fik r s'rrrr rd.md rhl lr or tE u lf,lr*J F!$:rr
<br />n' thc F)viii,ns ol rlE Conrnetoi! Li{cisd ljw (Chrfl.r 9, ColnmRhS *irh S(lion 7OiI) sf Divisi,rr .! ol lh. Bu{Nsr &d
<br />lt$tc\\$n\ Cuj. t tr rhi lrd rh a.r.n!i ttrrcfron r,rl rlE h.!!r tultr rllq.tl c!.n{irr Ar,v.hrFnolSdlr T0l!5h, ,
<br />.pp[..nr br r pcmir $bJ.rk itr aml(rnr ro r ov il l. sh, or tort rRtr rhln i rv. hun]Eal dousr ($51)Or
<br />l,$ olEr oilrE pn,IEny. rnycnploFrB h wr3.s rJ rh.n $b omp.n{tion, w ldrrlE*olta tlEnturEistur
<br />ln.nrn or olkFd fd sk (Se 70,rt. Aurffi!..J R!'lc(rr! GrL TlI c(d[rc'r t!.n- bs d(6 rr {rny b r oqE ot
<br />rhc pn,Fiy wlx) ho[L\ .. mlnrwr th.R,n. rn] wh' dta $ch unt hur.l, or hciscll or (h^,uah hh .! h.r own cmplor..r.
<br />FovrLJ lhrr run ,rF,ffir r En irinLrl1r otLFl nx sl lL }r'Ew. rlr huduB,r uFErrd n r l wdtu {E ,{.t
<br />or Lrqftri,n, rhc o*nd llultLr *illh.r rlE h^Lnorln,v'nr rtur h. or.lE did nn IdE{r!rclhe In'tEl, n,lh. purlr)eol
<br />L rr.err.l rh. InrEry, .m.r.tu{rlt .o rrrFx wnh tu.r<J rudndrntu(ln$tur rtE InrFr (Se 1}4,l.liBr$
<br />. lrDf6rrhOrlc: Th. Conrr(ttr\ l-i.n\c lrs ilr. tur rm'|, b.novrcr ol r'ruIEny,ho horld, or 6rhh rh.td,n,
<br />rfti eh, odBrili,rRhFl|\l'vtrhrC dtutont)lr.nsn l aunr br,r Codr{t*'slr.e trwr
<br />_l rn rrcnq'r udLr S(lr,n
<br />lo8f,Ef,S:g&lIEdlallgB
<br />DEqt a8aua!
<br />I lEr.hy .rlum uftLr FElry ol Isrur, or of r& bllolB3 &(Lhrirns:
<br />I h.E.n! *rll muru . CcnfMr. of CotrEnr h S.r-lnsoh rr{ wkdi on{mgtnn. .t F)vrldl tu b, Sdr$n lnD ol .
<br />lih'rl,lc. r,r rhc n ,r"mN.otrh. wrl in' *hi'hrh. Fmir ( tr{u..1
<br />lza hrv. 6Ll u,ll mhrrh * rlc6' omlxnsr! ir rtrsurrrc.. r. rcquuql b, Sdr 'oo ]7m ofurE rrtrlr O'lc, ror rlE iErr,)l L. or
<br />Fm[ r is{h] My sorls\qrir,. rrNCcdfr. Plry nuFrE {c
<br />._lr. dr rhrr m rhc Frturnu^-'c 'r rh. *ork nn qhrhrhslErmn N \n'.!.I \h:ll an cq'loy rtr, rr!,n 'rnynrrnkrv) 11t,h&r'm rubFr r)th.* .*6{' lr,mlEnsr|n Lr\.lCrl&'mu. rntl,!ft rhxr
<br />'r
<br />I \h)uld h.1.m rubFr r,rlr
<br />,ork.o.onFnurlnPl'v,iotrso,S.(i,,n:l?lt)ofrhculrtrCit!.Ishrlltunhwirh$mplywirhrtltnn,vNoh
<br />WARNIN(; Fuhd t, Rur. krl.r\ (,ftltnvriln rdrtt4c r! unLvlul. rn sh.ll rutF(r 'n.n0lrcr r) l,ml Funs rrl
<br />.'vil lnEs up L, "tr.l,rdkJ rhou\drl dolljrr (llU,.rXXr). in.ddxDn i, rh..o{ o, ronlllrqrtr , Jr.D!.\ is nn)vilal ft, tlr
<br />DqcuS^IIa!
<br />I h.rcby sl tun uBlr Fhrlry ol t!.rrfiy rhar I rs I'ensl untl.r F,vNn,n ol Chlptr I (onnEE-'rtrs q h Set nn 7txx, of Drvisi)n :l
<br />ol ill. Buws ol Pnrkrsxnr Cci. rn my l..n* a r tlll foRr .trl cllar
<br />eq \o4cr6.
<br />CONSTRUCTrcN LF'tDIN(: A(:FNC-Y
<br />I h.r*,y rlfrD ndd F. yortErjilryth.rrlE B..!Nlu1.n hnlu .8cy tu lh. Frlixlrm. of r,r u nr*h.hrhirFni;
<br />Nu.J ise 109r, Civ. C.)
<br />kiL. . Allcs _
<br />AIILICANI.DECIABAIIO!
<br />I ltrtt uIIm urdcr !.n.lty ol n rJury orc ol lh. n,U{*irg .Lclarrirtu:
<br />Demnrntr P.mrrA\tErtx Nnf,urDn F-r.hlR.luhrrnr (I k 40.lh6)
<br />_R.quurn kn.r o, l*r iurs
<br />I.lnrryrhr rh.lnLril
<br />^8ul,r$ns
<br />r8&1'r8 rilE(.!rd,tdRfr, q'r r.hhn, rhrr ,r.\r
<br />I (.nnirhrr I llrc..rJ rhrrpplMrK)ni {:r. rh, h. rh,r. , l.3r(n)o,q'ly* hrllC y. Counry
<br />onlnakr\,nJ Srarc lj*rrcblnr8 to hu lnrr.on(rucli,'n.rnlhcrchysurhtrr.rqrc{.r,rrvcsofrhrC,sndC{u.ryhcnrcruFnllE
<br />rh*{ m-nrIrJ lioFd). r(tr
<br />,trpli.rtrl o. ,\A.nl SkDlurc
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/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 />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL
<br />Certif icate of Occupancy
<br />Notes, Remarks, Etc
<br />(r*r.
<br />lqLa t,,,r., n.,*,9,\ {3rOE E a
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