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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE tD/stG.COMMENTS
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Sublloor/Vent/l nsu lation !
<br />Roof Sheathinq 'b,/h,-/ .tK/"r I
<br />Shear Wall
<br />Framing
<br />lnsulationi Enerqy
<br />Drywall
<br />Exl./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil
<br />FINAL zlt/rz / rr.M;i,
<br />Certiticate of Occu c
<br />Notes,/REnarks, Etc .t -
<br />OWNEI'UI[,DEI DELC RATION
<br />I lEct'y tum u Lr FMXy ( Fp.y rhrr I rm cr.n+ 6lrm rtE clfldr,B- trtM bu (r th. lolloqnS rarm ls.r .11.5
<br />Itunnc$ dn Pmfc$kD C,ic): A.y Ctry or O'unl, uhrh rcjuEs . Ftu n' .rnser. .lld. 'f,qmw. d.mlEh or FF ry
<br />{ruc'urc, Fk, ru s *r!.tu., dr, rnuftr rh. {df,rnr i,tr!x.hFmr k, tk. sSmd i.'.mnr rh.r,ror rlr ! hr.hsrl puFudr
<br />I', rh. Il(,vnDns o, ltE Contrlck, s Lrcnkd llr (Chrnld 9, CommRins wrlh S..tn,n ?uro of Drvton .! oflhc Au"n.s$ !tu1
<br />Pn)ris$nr Cdl.)orrh{ lrorrh. u crcq{ rh.Enonanl rh. nrsir nrr& rlks.,l.r.m n{ Any, ltxon ot Sd.n 70.! I 5 hy .ny
<br />.od(.trr n'r r Fmir shr{rr rlr .n ln. l', . crvrr Fuhy of Ex frE rh.n rrE husit ddollur(t500)
<br />-1..ro*EolllEFDFny.dmy.trploy.dwhp4d.!lh.r$l.on+.MlDn.vl&llrwtrdllEdnrrE6Mur. ql $oilcEJ fq s|. lsd.'tx,l, Bur,.rJ P'dB6B Co! TIE Co .&'rqi Lrte t * &E ,{dyro&otuof
<br />ifu F,Fny who t!'lli fr Ern'6 tlssa an yh .tE qt strt hln*lr or lErEll o, ilDusn nr u h.r oh.tr{'loyc.,
<br />nn,lrLd rnd tun i4n'v@ ,ebri d!61oron6ltr$L l( hokE,0E lxttlrg d,IF)EId !r,xwnho,ft F,
<br />ol $,FLli)n, tlE Owftr BuiLld wiu h.€ tlE hunLn .l nn)vh8 lhn h. or iE .li ftn hd! or tr4roE llE Fntsly for Lt ltu4b. o(
<br />_l..t *Er ol rlE rirrEry. .6.rclusEly.o'rr*rry *(h lt.ns,l lallllr&rF i' onlllL {E rnr!1 (SE. 70,L. BoeiEs
<br />!!rl EbrBU Col: Th Conrr-r'n r Li.trr Ltv .16 Dr .pplt b x orE or rrorEn, ,ho b!!kL ot 6pEk! rhdon.
<br />..d wlF N nlr iix B-,.h FrFds pnh. Cdalrlr, ll.tr<rl lrlwd k' Eclrddr'sLrtML.v,
<br />I lscRnpr undcr Seri'n
<br />t
<br />IlEcIdS Ilqx
<br />I h.r.hr.rltrm trnJc, Fnrlryol Frrury orc ol rh.l,)ll,*b3 Ja!firD..:
<br />-l
<br />h.t .,n *'ll Ninru . Ccn't .r. of Co,sr t' SclalNG fq yxts .uFuria a Frtrd n, b, Sari]I l?(, ol ll..
<br />hhf, c(rk. ro. $. Ffllfu. ot rh. ktl fq *nf,n llt ,tmr is aiEJ
<br />I hrvc ,tul *ill man rrn wdrk.r! .omFnsruon nrufutrc.. $ rc,ttrtrc,l hy S(r i(,n .U00 ni lh. Llhor ci'dc, itr rhc rErlormh. .l
<br />lhc work lm whieh lhN lEmil i{ is\u.n Myu.rkcB' cd'nFnr.ri)n insuran(c (.trir nl Fnay numhq m
<br />_ErtG: _
<br />l(.nny rh.r rn rlr I'.nrnuk. ol rlF wn l't
<br />q' a\h R\d'nr \uhj..r r!rh.qlltcr! d,mlrnlirk)
<br />w'trks{ ..m!.nsanorpr,)vruotr\DlScdtr)n l7(x}'
<br />wARNlNr;: frilurc r' r.r!,c r..k..i c.nra.n$l
<br />.r,t rnr\ uf r, om hunr.J rhouunJ ,10[16 It
<br />Sc(rrr 1071' ol ih. Lhtr (irL. nr.rcn rnl orr
<br />whkhthEF mr E LrrucJ,I rhrll ft{ crrylry.nyFrlm rn.nyDtrft.
<br />n h*iolcllliomi,, r,rl s8rc rh,rifl sh.ull h.roft hFrrorli
<br />,rrh. lrhtr CcL.l $.11. i,nhqrrh $nply wirh rh,s F)visonr.
<br />on .rvcr.Bc n unhwtul. lnn rhrll subj..r rn qnnl.'tr r' dinind rE hir .nJ,1,.onrn\rrrtr,. Jinnt.\ r\ prrrni l!tr rh.
<br />D^", tZ /l{/ ''u1
<br />^
<br />lEgIt8AuQ!
<br />I h.'rbya,lnh o'*lcr Fnrlry ol lrrrury rhar l3m [{nBr utrJcr pri)vtrtr)nol( hapr( 9 (rmr^-'in! wdh Sccron 70U)) ol D*tr(r I
<br />nl rh( tltr\hcss an,l Pntlc\i('nr C(rj., anJ my lir.na.F n lull tn(c r l.llcrr
<br />cox$al]cuoltrrtlllNc-AtiEdt]
<br />I h.rcty dfrm !nd.r Frulr,olpcrj!ry lhrr th.rc n r $n(ru.ri'n lcnlh8 u.tuy nn rh. Frfotun.c ol rh. wak for *hifh rhn Fmr ii
<br />n.ucd (sa. .!(xr?, crv. c.)
<br />Lnlcir Arlrcs:
<br />atfu$IrlDEclrlxirlrar
<br />l,urhy lllimueicr Fnilry.l tuNry onc oirhl l,nhwtr,3 ,l.tlrrar(rn.
<br />I^r nrl rnr PLfmni Ark({o\ Nor'1'(rrn)n Ft{rrrl R.rtrl,rrrrs r'lilc4r,l)rn6)
<br />R(qutrcd lJ{cr.r Mirrtihrr
<br />I rdrly rhrr rlx faj.nl E8!Lr.B E8{do3 $t*{or kn)vrl r. e{ {'rlr.hk k, !n[ FUi\r
<br />I (.nrry rhrr Ituvc rra]l rh!\ lmif,Jrrn,aJil r.rhr rh.ih*!'nn,mrk)ntrLotr. lalre(,(nr0lrqihrUCnyanJCNnry
<br />onhdE-.c..n! Strle Laws rhl Bbl,u
<br />rh)vc mnri)mJ lrorEdy ntr r\IErlnlE
<br />ron, rnd hcrcby rurhtr,c Elrs.trrrircs ofthr Ciry ind Ourynr cnr.r uF,n rlE
<br />,1 i2Appli.ml o. Al€nl StMl0R
<br />aE-
<br />SLAB Floor
<br />itildlz? lt a1 - Drr.ydT
<br />1
<br />Poh,rlunlE :_
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