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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNEI BUILDER DFICARATION
<br />I lErch, .rrm uDl.r FMlr, oa ltrjlry rh.r I m crcq'l fDm rtE C.iltdoN Lk.n€ Lis lor rlE nnh*in8 rc!$n (S.c 7o.ll 5
<br />Busin.rq rtoi Pror.si.n Gxt ) Any Cir, or (bunry rhi.h rquiG r lEmil h mnrl.ur1. .ll(. iqroE. .kfi)liri d t Ft ry
<br />drudurc. Fic 'o t iluE.- .k' Eaun r
<br />'lE .Il''lr. for ruh Fmir ro fil r s,sxn.'n.rd rhd h or rh. ir lt...d t'rud
<br />ro rrr Furiri'nr of lh. Con'rtr'. Li.uEa Lw (Ch.fl.r 9. O'mmmin3 uilh Strlioo 7(xx) of Divishn :l or th. aurifts dnd
<br />PmLshnr Cdc) n rhrr lE .r shc is .r.trpr rh(cfrom lnd !h. h.xn for rlE tlLs.d .icqrih A., violtri,. or Sdirn ,01 I J h, rnt
<br />lpllDnr lor r Frmir $bFl! rh. lpplt.nr l. t.iril Fulr! oa mr mE lh.n airc hudEd dolkr ls5ftir
<br />l, tr\ n*mr ofrh. pn,Fny- or mr.npk,yer wirt s!3c\ oi rhctr w,k.onlf,nsrrn. *rlld, rlE f,,rt rnd E {rlE! ni
<br />mtckd m ollcdl ftr ak ISN 7(x-r. Bunmlr ..d Prof.iiirrs Crk 'rh. (i irfioi. ftere llr det tror .0I y to uh o*ftr ol
<br />rlEpn,IEn) sb ttrild\ or irymvc{ rh.B)n. url,h' d.E\ skh trrft ti,nrelfnr hcncllor rhrnttt !n or h.r.wn crinlll)G(
<br />F,rKkd rhar nrh iryn'ktunh e I ini.idcd .iYlrl fttr a! la hr{.6. rh f.'ld'ns d iqn^!ft n$t*ihinmE'
<br />of.onI,krbn. rk()*mr Builtr sillhllr rh.hr&nofF\ir{ rhn lrorsh.dn h'ill] or in{ro\r rhc F,txny for rhc foqr)c ot
<br />-1.
<br />$nsftr of rlE r$p.dy, xn.rcluriKly.onth.rins wirh lkcn{d ronrrddon ro.lnnEcr rlE F'Fr (s( ?ot4. Burim*
<br />nnd Aotanr CoJc: Tt (oirrttr r Lk.nk ll*nci mr.rplyrn mo*Hof rnoFny *th htiHsor irromv.r rh.ron.
<br />i.d rh, tudrh iM ruh FnF. virh i Conrddrr lt.n.d tuFunl to rh. (t'drcnn r Ltcne L*)
<br />I .m . khfl und.. Sdrn.,
<br />woRxI.q-s' c(lMPF_NsaTroN
<br />DIICIAf,AIIO!
<br />I h.r.h' dmrm und.r FMI!y ol Flllq oE ol rhc tdt*i.8 d..Lr.r h.(
<br />_l hsvc 'd snl dinllin r Ccnifrrr. .f Cmnr ro S.lf lmr fff rdkdr' ..np.n€ran. .r |'oriicd for l', S6ri,n 17t[ 6f rt!
<br />ljl{i c(n , tu llr Fl(xl'rc nf rh qnt ,q *hth rlE F n ir nqtn
<br />I h.rr nd rilltri.trin *ortd .o.rt md.n inrurnF., * kquiEn h, Sdir.l7(nof
<br />rlE wl t rhrhrh! Emu 'i nnrn Mr srls .n@ndnn h.urdccarr&d lllr,-- .llttxtut^?,rtt;ch '
<br />p.r.yx,&e.n*.-
<br />rtE t tnr ( .dc- ,or rl! Ffollmr ol
<br />tl-oi-1fl
<br />-l
<br />ccnrry thol i.lh. nrrrtrflr ollhc *ort lm whth rhF Fmi n iri!.d. I rh,ll mr crrby u, p.&n i..ny rrE.
<br />i r ro hrsE i!lF.! to rtE k tda oqEdbn b*r.rcrfilom!. rd rlN rh! if I rrnuld hcrrm lubFr r.llE
<br />*orloa 6n{En{rk n tm{i.hns or Sdr iun 17fi} or rlE blrr Gn . ! stull. fonh*irh omply qilh llnr pmtnhnr
<br />WARNING Frihr r. Em hrk6' Ntr+.ndhr orsrsr F .rh*f!|. ..d rtrll $bF d dqtr,,6r ro om;nrl pcofr.lt
<br />.nrl fi'rr up h or hMdr.d rtnuud dolln^ r .umrEnsdri,)n. n ruFc\ !{ ,'r.vidcJ li,r rh
<br />\!t', , \r7ur'h( r fif uii,Jr nr
<br />,'",., el lB/11 I
<br />Ll(;fd$[Iaf,Ila(Jr8Il!tu8a.r[r!
<br />I hcrhy .mrn undcr n nolry ol ,'crjury rhrr l .m lirnql ufrlct Fovtion ol ClEprs o ( codnftina *irh sd nn 7fiL oI l)n n[n ]
<br />or ih. Burims and Pmfnrilni Crd.. dn my la.nr F in (uU rord ,n .tur
<br />':-u1Dflt q13-7 SG
<br />l!)uuarqu!]Nr!!!trc-ac!!(J
<br />I hcrhy rfii.mun&, Fnolry olFryurr rh lh.rnro'n$rut1i'nlcftlhs.scNylorrh.FfornuftcorrrrktrrlorrhEhrhiFmni!
<br />islEn lsd t(Irr. civ c)
<br />AIILIIANUTESJXAIITN
<br />I hdra, rtrm lriLr FMh, of Friry oB of rh. follr*i.8 ddhlrri'.rl
<br />D.mrirbn l\:rmnr A\t {or fk if..rio. Fcd.r.l R.BulIl ix atirl. 4). Prn6l
<br />_Rqni,.d lrtr.r oa l* ifriin
<br />l.difyrhdr rh rd.rrl rc8oLr.N e3rn,n! thc\ktrrcmrald. Bn {nl.rric h rhh pmjd
<br />-l
<br />ccrrityrhar I havc rcd rhn rmn(lr i{'n al {ar. rhlr rh.!h,yc rnntrmr{n n co'(-r lasrdk,m4 y
<br />.d Counry ro c.r( ulrtr rlrh.Et y urtD,i& rFsruiK ot InJinirr.nd Sr.r. lj*! El.lnE !a h,
<br />gtnrc mnrhftd |rtrdy ll\inrlGho
<br />ffi':#:ra I elad@
<br />z/\Jtr
<br />Set Backs I
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />ln su lation/E nergy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />De puty Final Report
<br />Engineer Final Report
<br />Sotatt-(1 /o-ZC- la Bc?/al
<br />FINAL to-2?-lt Est ? /d1,
<br />Certif icate ol Occu pancy
<br />Notes, Bemarks, Etc
<br />Flood Zone Certif .
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