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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BTIILDER DII,(NBATION
<br />I h.E6y .mrm ud.r FMlry ol rErjury llul I m .xcryr fn'm rtE (idrdtr' l.tcnE ljs nn rh. rolb*in8 E.{,n (S€ 7o.ll J
<br />Iturimri rd Pmf.sion (.d.): Anv Ciry or Coudy rhih ftnumr . Fmr n, onnd. .h6. inFoE. d.mlnh or qtn rnt
<br />{Mrm. ru to ir\ iirus.. rlql Equirci lrE .t li(lnt fttr rkh rE mir xr fik n ii8ftri n.tEni
<br />'hsl
<br />lE or rlE ir li..n!.d pu(ud
<br />h rh. 0mvni()n. of lh. aonlrsxr't l,icen*d Lr* (ChnIrn 9, ConnE*ins {irh Sdion 7(xx, .r Divnr,n I or lhc lr!\inc$ ind
<br />Pnncssi.nr Cod.ror rhrr lt nrslx n d.norrrE.rhn.nd rh. h.is a{{ lh..llcscd cr.mFx,n Any rhbrionofSdri,n 70.115 hrrn,
<br />.pPltdr r( . Fdi ruhFts rrr .@lrrnt h ! oril Fdlr' of n, mnc rlun ,i\. hudrcd (hlhr (!fiD
<br />-1.
<br />!s .wEr ol rhc prltny..r nry cnnn,)t.r wirh wr3.( Dr rlkn qnc ..nlPcnsrn,n. *ill &) rtr w.rt ! r1rnnds.k n
<br />inr.nd.rl ororTcrcd l {lc rS( 7O{.1. Bulimr\ nftj Prdi(lrr Cndc l lr G,dra1.r'\ t-kcns I i* &E( nor qDly h rn o*m. of
<br />rlFF{dr slr, hort r rr rImE rlEGn ltrl tl$ &x {h rulk hmr.lf or lEel{ rlDrShnn hrosn.rl,hvs.
<br />roril.d rhrr ruh imln,kftdred inrdxial d ufifrln, €h ll. h,N.xr. ill h,U'nS or tntmtmd n$rl triihuor Fr
<br />dlconuhth.. rlt O*ncr BuiHs *ill hov. rh hunlcn ort(,vnr! rh.r h..t rhc dil lrn ],uikl or imProec rhr fmFly lor IE purlns of
<br />-t.r\
<br />{frr Iih.FtFdt, r,h.kllnvc l) .onh(rnrs \nh lccnBl.o trr.nr\ nr con{nd rh. nn'}tr I sN 7r!]. aun s
<br />d hrna$rr C.dc lhcCotrrrsch { l,iccn\c lnu doc\ nortrIpl!n' rforns olF)!rny*ho ht'ldsor inrnhvc! rho,..n.
<br />(trl trho conr6.iili, \u.hF,Ft\ *irha (-,)n.mcrfl$ hctr{d pu^udt,rlk (i)nt&r.i! l-i(..c ljtr)
<br />i%Yrn;
<br />--)
<br />o x
<br />TI:(LABAIIIIN
<br />t h.r.hy rllrtrrund( Ii.nnlrt oIlL'|fryon..r rhc tull,*rF &(hfuri(nN
<br />I h$r .,n *ill Einr.h ! Ccnifr.l. of Co.-nr h s.lf lhlE fn rrts otrFn{lir !t F)!d.n ror 6y S.t1hi .!7m of rE
<br />L,n GrL. for rlE Fr.llrlffi ol rlr wt l whth llE Fmn ic n.Bn
<br />I hrrc rnd $ill mainruh q'.rlcrr (otrr.n$,ri,,n inrursh{. r( r.qurc ht S&1i'n .UUo of rh. I f,tItr Codc, f,t lh€ p.rtnnBftc nl
<br />rhr trdt n{ rhihlhirIEn,r is t*d Mt "{,k(a (,n!xnsr.n nuhNc iY IImltvno'nkre
<br />Pinkr Nudr, l.tn .r
<br />-
<br />I c.niryltul in tlE l,crformrc. nlln *otl li, thkh rhn Frmn n trlucd.I thlllior e,rnki
<br />$ s\ ro ttotu rubj.rr ro th. $r*dr .omr.nr.l i.n lari ol Cllilmi!. snd rg6 rh!' ir I rhould
<br />sd6 mntrnstbn |rnrrthni ol S..lhn ln or rlE L.lnr Co<h. I {ull. tonhEnh d',mly L
<br />IVARNIN(; l.ituE ro tm * 16 omp.nqrhn $tn3c 6 unLrr!|. r .tull tubFr
<br />,yrny IE sn i. an, tunftr
<br />tn .iphFr nr qiniEl ,rflla\ .d
<br />,{ril..Ars ( FnMd.d Io, rrE.('l ft,.\ trp r'.n. htrn(lrrd ih'{^ni .1l \ r(lrirrxrrr tr l,l rn, nt rlr .t^r ol
<br />,",,,oc,/D//1g,//IIEI!jST.I!]N
<br />I LEl', ilrm !i.,cr F.rh y of Fllry rhlr I m lirNn uBkr llnrisbn .l ClDr'rd I krmmr in! r'nh Sdrbn l(lxlr .f DivhiJ. .!
<br />or llE Bu.!s. rln Pir-lx'tu Cnk. lrt my |..re s tr tull (N rri clTNi
<br />gllEIBUqN9llJxlUlli.ACE!.l:I
<br />I n r.5t ali! n !'xLcr tmhy ol FrFry lhd llE. n . snshr1bn L lnla r!.Ny f., tlE FfmEtuc or rh. wort for r hih lnis Imi ir
<br />nru.d (Ss .109?. Civ C ).
<br />l .ndd r Nrnr
<br />-
<br />kdc ! Ad&r$
<br />AIEITIANI,.DSIIJIAITI!
<br />I hdr6y .n'm un Lr Fr.ll, of Frrrt, oh or rlE torl'$int &rLr..b.r
<br />t)tmlnhn P.imir$Arb.ilor Nolific.lion F.ncrll Rclulll iont 1Tn L a0. Prn6)
<br />-R.q!i
<br />!d lrnd of r*rifdion
<br />-l
<br />ccn ify rh.r rlE f.d.nl Esdario.: Egr^jiug .rtrnoi Efr'vrl m d'l rlplhabk l{' rhr ptU.<'
<br />-l cnilr rh.l I lrE cd rhn.pplirlhn !n n.l.lh.l tlE oE infmr.hn n cdr<r I {r ro o.r?1, tilh tll Cn, !n Comry
<br />onlDE--cs md srrr. li*! r.ldinS t
<br />!h'vc trnli,)md nml]..y for in:rE
<br />Aerll.ul or A!61SkuluE
<br />irc rFc€ddn?. ofuhn Cirr.'d Counryftrdrd l|Fn rtt
<br />Pe <L?-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lalh
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL -9*l"l t.LJW
<br />Certilicate of Occupancy v ^-JNotes, Remarks, Etc.
<br />Brown Coat =:
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<br />o/or/r r
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