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BUILDING. INSPECTOB RECORD
<br />SITE.WORK DATE ID/SIG.OWNET BUILDER Dt:I,('AR TION
<br />I her.by trlttm und.r F trlr, r'l p$jrr, ih r I m .rcnrfl fmn rhc (h r{doE t-i.nk l,w f(, rh. lollowin8 r.!s lS..70.ll ll
<br />Bu.itr.i( lrl ProLlsion ( u,c ) Any Ciry .r Counry wh(h rcrluiE\ i F nrii lo (.nr!tu1, allcr, nnprulc- &mni\h u, Epon rny
<br />nodr., Fh'tu ilr 'rrorr-... ili. kit!tr.\ rlE 'I'?hrnr ir {uch Fnur h lih 3 .itFd drr.mnr rh:r h. or rlE ir lr.n<ri l{r{rnr
<br />tr ih. Ir'vnInc of rlE (onrh_-l r l-i..n<rl t * l(turr..9. cl'mnrNrn3 sirn scclrn nlrr ol l),rrion:l orlh. ausift$ raJ
<br />Psfci i,n( (idc) or thlr lE or ih. ncrcnir rh.ftfron.nd rhc horn fttr rh.llLe.d.rcilllrir Any ri,lsrbnolSftlr,n ioll ! hyony
<br />rlplic.nrn,rl.rm suhjeiilhc apFlMtrrt, r.ivilp.ntrlry.rnor nxn. rhan nv. huntlr.d nolhF(S5(xrr.
<br />-1.
<br />.r owE or rtu FrFny. G ny ci{,hFrr vilh $rrcr .. rh.t $L dlqEn{rir.. }ill do llE rtrt rd rlE .turft . Fl
<br />id.nLd dofi.Ed for rL (Sd ?O44. auriEs rld PtuLsirtr Gi. Tlr C.d rrr\ I-rsr tjw rlr e,.pt yro.nof,Eol
<br />rlE FrEnt stn tlillr o rrm6 lh.rr .,n $ln &6 uh hrt him€lf or lErcll or rlFurh hir or tE o*n .i{rh'F.r.
<br />provid.'i rh.t rlch mlnrknr.r e mr ht.d.n n on Erl fr, sL. ll. bkE, th. tliuini tr intmwrnr k $lt *ilhr oF )Es
<br />.r..rplcril( rh. Oaftr Bnilln wiu rEE rh. hr&n 6l Inrvin* rhd lE or rhc did mr hild 6. inp.oE ltE lxrFly ror rtt |[lIrE ol
<br />_l. r(o*E..f rtr J)ftl|xny. .nr crcturnrll (.nrd nB *[h lrcnql.onr*roF k' (rrn{trr rlE FoAr I.BL TOtl.liunNs
<br />rnd Pn'hrnnCod.'fhcCoirractn\l,icc.!cl,aw(l,Bnor.pplybrno*nsofF,p.dyrk'hint\orinpr.v.rrhcron.
<br />dtrd who.onrkBturrmhpir*.kwirh C.nrtu.k)d i r liL.n{d putunl to rh. (t)nrud, s Li..n€ lis)
<br />_l m.r.n!x qlr s<rao._.ll & PC i,tr rhtr rcrw,n
<br />woIrxtsRs, c(tMPrNsaTroN
<br />TES,ABAIII}!
<br />I hcrchy .tfi, n' unrlr FMI y .f Fri]r, oE ol
<br />'lE
<br />nnhui.3 tLd.rir i,.1
<br />-l
<br />ta\r.rl eillBintlin | ('.nifEar. ofCnnrnr t' Sclr.lnsur. fttr krrtm omIE i,n.rs FDviH lq bys&ri,.l7morrlE
<br />t$or Cd.. for ttE F ormN. ot llx wo lor shi.h
<br />'hr
<br />p{mir h is\x.rl
<br />\ h.E.d will mhl.i. rork6 onFnsrhn inu,rB_c. .i Gqln n hy Sarion.lT(ro of ilE trtb. G,&. ror rrr Frdnlm ol
<br />rL *i"I f{r *hah lhi rEmn ii isEl My rortsr o.iFnr.lion inare! ceE, !n F,[.y dntEr e\ - Aaz rt-...-zi <-.-.-.--\ (alkr
<br />-
<br />[^*,*,-* cu-vy-Ll5 *n,.*,-1elVk.o
<br />\l d'ry rh{ r !h Frn.mR olrh. krt rd lhrh rhn Fm n !.u.d.I sh.r! ml.ngby.nyFMn hMytuF
<br />s ar lo tBnr rut'Fr rn rh. sodsr omFnsni'n L$ of C.liromn. .d .3r rhi it I {huld ltoc obFr ro rrE
<br />worlcn.a,qrcnsolionpn]visionsofScclionlT0Oofrh.htnrCod..la\all,n'nhsirhco'ttlywirh'brpovnioN
<br />WARNING Fdlm ro *w srk6 $n{En irn tukng. ir unhwflI. [t shlll suhr{t .n.nFlotlr lo sinirl Fohir xll
<br />dvil f,Rr ut ro oE hldFd rlruqd dolL^ (31fi).fi1r, in .ddition ro rlE s( of lomtEtrgri,". d.d8ls rr ,tbdcd lor rlE
<br />Ser-n 3076 of rh. bb( C'n , inrRd .d ilmr'r rcr
<br />V",., <e/\f/'2--to
<br />^ppron,: ^*1
<br />I A- <\ "'ffi#m*
<br />I h.r.t'y .,lirn unircr FEht ol Frury thd I m lirn n und.r Fnviihn ol (lrl{s 9 I onlmrin! *iri S..tb. 7finr or Divnion I
<br />ot rlE 8u\if* .rd PrDf..lnnr C.xk, n my la.R ir in tull turd nd .nftr.
<br />,{*"*,'",, :-tlU /Cl<->
<br />t" aJ@a'-r,*..*n'.* qTLo't{
<br />:<,lAf r!\<{< \1a,1a-,c-lla <",ttV
<br />aP9r rcllffDgct AnATr{N
<br />I hdlt'y allm undcr tEnilty of lEriury oE ol iE folb*inr &.hrlrionr
<br />D.molitk'n P.rmirs-Ash.nos Noliftrution rcdcrcl R.gul ion\ (Iitlc 4l). 1,.n61
<br />-R.1uiEn
<br />k(s ol t(rfroliE
<br />l.c
<br />'
<br />ly rhf,r rh( rdrrrl rcgohtnn\ (td
<br />'nB
<br />r\t{!o\ ,.trx* rl xrc ni xt)tl(rhL r' rhh t'tr,F_l
<br />NL!?.cniry rhrr I h.vc md rhir .pplkd i(h ,n {drc !hu, rh. sh,* i.nn nurn,n n c.rer I lar l(, roq'ly *irh ill ciry u*] counr,
<br />oiliMR.r.ni sr.r. Lr( El'Ln! h hoillr.S (nrrudrrn .by !dlr,iz. EF.r.l.l ir$ of rhir Ci! y d C.unr, ro .nrd uFn rlr
<br />Jhr. nrtrrxnrl pmp(n\ ntr \If,.rkrnltrrli,19j,/.,
<br />\ ADrlr.tnl or {Bcnl slsDruF
<br />Y.-r**..,,n,,, ,,' It
<br />\
<br />Lt1a1-
<br />altt/zs-e
<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 />lnsulation/Ene rgy
<br />D rywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req.
<br />Depuly Final Report
<br />Engineer Final Beport
<br />Flood Zone Certif
<br />,t lt
<br />FINAL loYt4\'to /ft,nna ,yv I
<br />Certif icate of Occu nc
<br />Notes, Remarks, Etc
<br />COMMENTS
<br />T-Bar
<br />IONIIAIcUQNIIdDINC.AGIICI
<br />I hcrchy rlltm unj.r FElry ol rErrury rhir rlric i\ r lr,trnMlbn LftlrnF r!.my for rh. Ffomfr. ol ih( trmI fitr ]hah rhil lsnr ir
<br />nikd tsR. 1(l)r. crr ( l
<br />f ----T------
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