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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS I)WNER BUIIDEN DELCAR IION
<br />I hcEby rmrfl u,ld r Fully of p.rj!ry rhd I !n .r.n{,r rn,m thc G)nhr.roB Lt.nr t w for thc fnlhwin8 Eeon (S.c TOll 5
<br />Auri6i .d Prof.r.bn Codc) Any Cirt or Coudy f,hi.h Equi6 r Fnln ro mncnd. nld. irq,bh &nrliLT EF v
<br />sMrE. Fin ro ir3 nrulm. rki .BtuiEs t,E.r,nla. rq rkh Fmn h nt . tisrd nd.mr rh.r lr or rlE ir lie..d ttuu
<br />t' llE Ftrliri'ns of rh. ConLkr.fr l.i..n(n b* lctaPrd 9. Coll@manB silh Sdli'n TUxl ol Diviiion I oflh. BuriEr. gd
<br />Pn'icsirns Cii.) dr rhd tE n stE t crcmnl thcE or &d rlt hsris for rlE ihs.n.rc.rini,n Any vhLlion of s*ra,n 70l l.5 l'v !n,
<br />ql''lunr ft, r Fmn shj.tr I lE lr'nlhnr r. r .iril FMhy ol d'r mrc rhln riv. h!'dErl dolLr{ ( tSln)
<br />-1.
<br />F o*ftr of rh. FlFny, or my.nphlEi *nh *.$r r! in n $k mrFnntion. ,itl do 0l utt rd tlE {ere k mr
<br />irtnd.d or oll.cd fd qL (S*.70,r4, B!da$ od Prnl6shni Cod. Thc G,nlnclol! l-t.n* L.* &Ei mr {'ply lo u owftr ol
<br />rrE FDFIy rh hildt c itrtEB rrEa .,n wh. &B *n k t hinglr or h.El,or l,Nnlh hir n lE own cillhltd
<br />ForiLd rhrr *h ,!m\Eld. E d nrrkldofi.r.d fn rh lf.lD{lG.0r t iBiBd ir+.ffi k -U wartinc F
<br />ol mqrtri,n. rlE O*F Buil|r will IEE llE h!d.n or I'Dvlt rhd E or iE dn d, hiB o. inImE dr FDFv td rlE IrrFE ol
<br />-1,
<br />s o*Er or rll tmFny. u.!.h!iEry.oddin8 rih li.mrn @dds lo otr(nrl llt Foiir (sd 1).'r. BBiEs
<br />ird ProasinCo&: Tn Conrdof r t.i.cn* l.* d{E! hr .$ly r. u ormr orDrcFn, *ho boihr or itrPhcr rrErs.
<br />.nd sho onrBdi for $ch Fmi.dt *ilh . o).rn lid n lk.nsd Fuis.r ro rh. Conrrxtd t t't..* lrs).
<br />l:m.\.n|nr u.&r \(rhn-
<br />l)rl.
<br />]rl].8xtBlt.ll.)lltDllalla!lll;lrArauod
<br />Ih.rchvrrl(rru,l(I)(nrlrtoftiai ) o't ol ih. r,nk'trrnE (krhrrrKnr
<br />dr., ntr rhc ltrfonutu. .f rh. ro tu$hahrtf,FIn Nn$.d
<br />t $ill @int'n *or*.u (oqEnerir. ' ur.rc. .. rcquiEi hy sdlbn rT(xr otrlE llnor Cod.. ror lll Frfl)lllrnr of
<br />rd,l,lv s,trlda sGnqrr,n rn\ur!fr'. ultrr lrl lrrlE) nu
<br />llwvu)co-trt
<br />,",",",.*,< (rs [07+585 u,,* 1Q lacj q
<br />-lccnilrrh,ri.rtEFrro.ffiolthctrorlror*hthrhrFrnn*irrEd.IrrElln.t{'lovrovFr$.in.nvlMEir' .i ro ir<rm obFl 1., llE rGls (!tr!.noi,n Lwr ol (ilifmn. ad +R rhd ir I \buld ttroft st'i{ nr rh.
<br />*'ltd{ NnFNrio. pmvniont of Sdi lTUt.rrh. Latrtr (odc- t dEll. f(f,hwilh on!,ly *irh in!< prc$ri'nt
<br />WARNINC raih!. !o (urc rork.r' colqrnilli,,n .o!.r 8. i' unlowrnl. lid shrll suhFl .rI nulols ro fimin.l lEMltir lnd
<br />r, om huftlr.d rhousrd d.lltrr (!l(rr,o(l)), in lddition t, ilk 6d or c.llEEnslion. dtm3.! r( tr.vn.d tu llE
<br />p4T
<br />(-0d. inicrc{ rni dtxr\'\'JnIq
<br />u!Ellr[ll)n-r&](laButo-t&ulu!
<br />I h.Rbylrrnur&r F ltyof Frrrylhri I rf, li$rd unrLqmvisnn., CtrFd 9 (dilffii.S *irh kitn,UD, of Ditnbn:l
<br />of rlr BlriN.r a Pmr.si,n3 and., drd ny licn* ir in tull im rn .lYel
<br />.".. cA",bslrylr -;4\
<br />?7Y
<br />coltsrPll(:n(N I r{DrIlG acr'{( Y
<br />I lEEby rfird tr.d.r Fmrry .f Frrury lh.r lhs. h . onrMli'n !dir! !r.t, fdr rh. F.Ltmre Dr rlE so* Lr *hih rhit Fn i
<br />nsucd (sN :1i)97_ civ. c )
<br />l.nt r'\ N.m
<br />-
<br />APPLI(' NT DFCL I 'IIOI!
<br />I hdrt' lrm u.ns Fnlh y or Ftjory nr of rlE nnl'* in8 d.cLr i,n.
<br />I)cn,lni, P.rmirs.A\lE{orNorifkori'n Fcdcrul Rc3!lali,'n\Ifiik.l0. hrn6)
<br />RcrluEn L.rrcr of Mr'f*dton
<br />arl'nB n.h.n'ar( r{rlx,c ft'
<br />rl (rrr rhi ilr rh^. inlonrn DI'ly *irh !ll( ir, otrd Couniy
<br />( ny 'Jn Chlntyr..nr( uFn rlr.on{n.rk)n dl hr$r !trrlr
<br />Y/^stM\l,Ilirstrr rr t!tnr sitmr
<br />(
<br />""*U--..,r"r,, fg4e/i
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq
<br />Framinq
<br />ln su latio n/E nero y
<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 Ceftif .
<br />I
<br />FINAL 9/4Zrzo (Wo*,.d6
<br />Certit6ate ot OCcupinCv r
<br />Noles, Remarks, Etc.
<br />Shear Wall
<br />rh.r I io* rld rhnlpd.lri'n
<br />I
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