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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OIINl:K AUILDER DEI,CARATTON
<br />I h.r.hy !r,nm ud.r tl.M,ry !,iFrjrry rh.r I !m.r..n rron lrr (i)nr,rtF- Lkn{ lf,s l(tr rrF,tll"*ut r..e,n (S.(.7tr.11.5
<br />Bunn.\r !,rl t'.oL\ri!r C{rLl ny Crry o. Counry $h(h r.qor.r a Frtu r u,n{rur!. rhcL $jl, vc J.n,l,\h or tIB! ,.y
<br />nn(lsc. FtrLr.r\ tr\xrtu..,1$ dqun ! rh. lPdf,! n'r su(hFrmr r' liLs {!ncd i!r.nrn' lh.llror $. $ !(cnql ,usnnr
<br />r, rlE Frr\o"r ol rh. Conrr(bi{ ,-rcnsJ Llr lclrtrlrcr 9. Comhcr_ins wrrh S(rnnr ?(u) df rrrvrsu I nl rhc llunncs\ ."il
<br />lntrsx'n\ C,rlc) or rhir lr or th. $.url,l rhcrctron d rhc h{$ tur rh. rll.ecd cr.nrFo Any vtr'l,xon ol Srtri,n ?0.1I t by,q
<br />{InlirrN nrap.hnr \u$).rrslhc rrrflkaNn,r(,vrlt{hrltyorn rBrcrh fivr hxftl^J rl.llfi(!5(l)l
<br />_ I. r! Dwn.ror rh.F)p.ny. (, my.mplorys v{h wagr n rh.n s,L.omp.nsrsn. E lJo rlE qrl nIl rh. trulm N k
<br />ur rldl or nllcr.d lir s.L (Sa. ?(t t. Bu{F$ nn i ahncsn,n\ Cirl.r th. Cd rr(tr'r lx.n. 12* !{t\ frn {Dly n, D owrcr ol
<br />ill In'Fny wh) hx!r\ o q*)N den. ad stx) dB rkh u,t hmscllor hc^cll or rhn,ulh h( o' h.r orn.hak,yc.'.
<br />Ill,,vdilrhrr su(h ,r!r,wmn[drn, u . lcd or.ltcRn irvh Il h]*cEr. rhch{rlln8or mpiornin! d$ld wnhr m ttt
<br />ol mn\,kr rnl rlf, (Jwn.r BulU{ *,U lllv. rhc h{nlcn nl t rns rh.r k n. shc Jrl ftn h{rll or r{r)\r lh. InlFny itr tt pr.F)r ol
<br />-1,
<br />,\ o*kr ol rhL lrl'F:it, Jrr .klunvcl, (ontrlln! r( h lBctr*J .o.r.r.!rs n, !.nndrr rlt ae,i\r I Sc.. 7(A,r, lu$trc$
<br />.Ll hn(1$tr C.dc: flE C nn..ntr \ l-i(cnr l.!r Jm rn ltnly t, rn ownct ul ,,n,Fny wh,' bur ld1 r rmnn)vcs ih....n,
<br />rnd rh!, ( r,(rrkrsu(h!n,td\w hicltr(h(!tr(srlf,cnsdpn^u r n) ii. O,drudtr s l-rcns bs)
<br />_t ih.r.nfl trnn.r sl1t.n_, a & lC ldrharr\,'
<br />WORKTRS' C(IIIPENSATTON
<br />D!:IIdSAIION
<br />I hrrciy rlttm nndd JrMlry of J'. rury orc ol rlE tullowug &rldrroN:
<br />-l
<br />lEv. a,rl *,ll nLinldr r ( cn'[..1c or Con$ l(' Sclrlniurc ntr $or(c6 $hFn5 ofl,,s la'v .dntrhyScclonln)o.lllr
<br />tahtr C(rlc, turlhc F..rh!tunccdllhc no* nr*hrhrh. pcrn r \ r\!cJ
<br />, hrq (ft| wrll mnrnrdrn *ort.rr (om|inrtuon
<br />'n\ur,kc, J\ r.qutrcJ hy S(r t,n !1D oi rli L:txt Grl.. tur th. l*rl.rM c .l
<br />rh. *trL hrwhrhrhl\Fmr,\ n\el M, worldi .orhFn$rir n\uraNrutri., {:l E,lK, nunthur d.
<br />- C)tD RE FrEA-\ (-
<br />lo ,l."tPr\ tuL ?ri )sgco
<br />r rlr l.rlorlrn(.ol rlF $orl lor uhtrh rl,'! t{r\!hr.r n'rlrworko\ ( rlt,n\itrr'l{w\ol(.n1r
<br />nr A nn'.rl.l \lrlltr r.nilk)1, my |tRtr' 'nrnymr ncr
<br />trs,ntr{tnrNs('n\or sc!! n \lur.r rlr l.'h{
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<br />.rc htrnl,e{ rhou\trnl Joll{\ ISIOO(ltro)(,rL. hrrN{ Jnd ruortuy'r ltrsz!'t!)
<br />rlr r I \l{ \ I lrr\
<br />I ltNtyNlrirnxnlc, pcnrllyor lirjryrhNr I d hcn*J u ..I",,vl\n olchrplcre(comn*n(n'!, hSNlo.Tux))trtorli
<br />ol ih1l]Nmsr,'rl l'nrisn,n\ C(xlc. d hyltcn{n tullttrucolcllcrl
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<br />.-","-)( Pc^E^/h, q,/ A^tlb-0.t J
<br />I
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<br />r$ucd (S.. .\l)'r?,Clv C).
<br />hnJc.\ Nln r
<br />-
<br />AXELICAUUEqbSAUA!
<br />I nftn, lf@ uBhr Fn.lry ol Frjurt .m 6l rlr tullsin8 Je_hrdlxtnr:
<br />D.frrl i,n P.rn'ln^rh.sror Nnrficdk,n rtJ.rd Rc8uLloN Il
<br />'rlt
<br />(r. Pitl6)
<br />-Rnluunl
<br />t nrr r Mirl-'rJri 'lr\
<br />-r
<br />L.d 'r) thr h. rnrc,ar rcn d -n.llFr.rDr l"h.{* rm,! rr rre h rfl rdt'h n,,hsnn'ir
<br />0[r.d,r]'rtr' I rE,.,ca.r 'h".nn",J"',, *"1*',*"o'v. int,trmrio, N coa.-'t I rge tu on,nr] e,th rrr ciry rhd cunnr] 'ddtuL.\.nJ sbtr tr$ reLrN r"hd,0 lAr"n{ rl[.Jrr ha'ch} iu'hnrc rcFcwur,vc. lth'.C y 'ftl c.un} k' .'ir., uF'nrlEil:::::H::L*".0[*/,l-p-cat.r [4Orcgp
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVenVlnsulation
<br />Rool 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 />FINAL ttlT 20 okw
<br />Certilicate of Occupancy
<br />NoteF, Remarks, Etc
<br />ls I t L
<br />-+
<br />D.l.
<br />rtft.ihJ 'l lnx)uu t (nrf \!hx(t k,nr
<br />h rnll) * h rhE tFrFi,ns
<br />o{ ol.dnl'f,tr\rru JlBrc\ !] r,)vdrJ nr rhc
<br />Flood Zone Certif .
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