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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS OWNEN BUTLDET DELCAR TION <br />I h.Eby.trrm uLLr IEEI'y or F.ruy rh{ | m.u.$ 6on rlE C. rrkB Lrff L,s nr rl.. lDlt'u4 ra(r ls.r llt <br />Bu$E( .Dl ftolcrq'n Cc!): Ary Crt or cl{dy whrh tnlc r Fd !i u rBr, dr6, r{'N(. d.D lrh or EFr xy <br />sh(ruF, Flr rn i 6sll4!. ds EquEt rlr .fiilul for s-fi Fmr h nl. n8rrl {r.rfu rhi ,r or rlF 6 l(n!.d lloFld <br />nr rlE F)rEi'ni or rtl ConrrroCt l-..ni.J trw ((bfl..9, ColtwRmt v'rh Sclif ?00O ol Drvsnn I df rh. Bu!i*$.nd <br />Pn,r.s*)nr Oit ) tx rh.t h. or sh. s.rcnll|r rh.rcrn,m..J th. h.as ntr rh. .lLs.d.!caw[n Any vi,l,iinorsdlrr. T0]l.t by.nJ <br />.I,h(rnr ld I Fmr sub)dk rh. 'ml(rnr b t ov rl D.rslry of mr mrc thrn ,ivc hundEtl dollc (1500, <br />-1. <br />$ owrcr.llh. FoFny, or my cnploy..s wrlh sascy !! llE $L cohFnqhn, win dd dr wDrt Bl Itl nutE !s mr <br />dcndl ir.flcEn ntr sL (Se.ro.lt, Burcamd Pnf.$i'ns c(rL: Th. Ci, &tr'rLi..nsllv&x,n{rmlyh.nnrkrof <br />thc rrrrny wh trll.ts o qn,Es tlra)n. .d eh *E *h Hrl hmt.lr or lr'(lr or rhruulh ht d txr own.,r{lk,]..r, <br />p.ovi!.J rh.r rsh ir{row8 e a nr.dlcl .lrdul tur d. IL hrsw. th. tlo[tug m lrF t'd ! r,tl *nh6,tr F, <br />.f (E{'Lrra llI O*F Bums *O h.E llr hnlcr ol FowE Lh.t lE d rh .trl n* hlrr firFrE uE F)Fn, rr ltE ,l.IrE <br />_1. rs owH.f tlE F)tElr, a cx.lurv.ly $d.d6! *nh ll.nrd !- .k(E k, (rnio.r rlE F)Fl (&( nxa. 8urtrs <br />,ll hrn(m Cd.: TIE Conrrrrq r l,{.ns 1,,Jxr mr rt l, k, rn o*ftr or F{En y Bho hrldr d 'hnn,E. 'h.rn4rtul who onrturr ror skh FlFh *nh . G'niBk'(s) la6Ed p!6u.lll n, rh. Codrrrkr i ti.n* ur l <br />_l aocx.hlr utrrlc, Sccro._, a. & P.C.l'or ths rca{n <br />jIl}lf,I8S:.cOIlTEMAIq! <br />PECI.ABAIIO! <br />I hrrcby.fitrhu.&r FMllyol,sjurydd I lh. nnt'v[3 d.!L.drN <br />_l h&.,nw l ord. Cdif..rc olclrst ro S.U-INE n Et6 or!t$ds|! a F,vri.rl ftr b,SatD. ]7ltr of r <br />L.lr Cql.. 16 rll Ffofu! of rlE h't n, *tun rlr Ftut i irsBlr <br />I luvc rnd wr ll Drnra'n wo,kcr' .omp.n\{i,n 'n{rrmc. as rquftJ hy seri)n .r?OJ or llE L.nrr Colc. 1,tr th. !.,,,m&c of <br />rhc wor t l[ *h(h rhh 0(mir i\ irsk! My *orl.rs comFnsrrn,. rNuhtuc errff,i rrrry nunbcr rc: <br />io / a"',L <br />_I.d,r, rhr' r trE FrfoI B. ol tlr rort lir wh.h rhr Fhii r !(w.1. I O.ll d .in|l},, rny FR,n '" lny nEE <br />$ .r lo lE!!c tubF(-| lo rlr rsl6'.rrrEtrqrir l,*i of C rotu, !,n {rc rh, f I sbull b..od sbrrr l.lE <br />hd.r' (r FNrrln FslnirB nr S&rir ]7oo .r rh. tlhx Cnl.. I lh.lL lqrtr'rt !,ndy w$ rh.. ,'$vnhd <br />WAnNING: FlluE ro sn url6' $qEnqlih NEn& ! utrLsrll .'n adl birr dl{inF k, ffil rfrlh In <br />(trrl liEr un k' oN hualel rburrn !.llrn (lloo.UD). r dt rh. .rH ol $tr{ENuon. rtrN!.r .. F.!tlc! for tlE <br />rhc lf,En C(ilc. rtr.{ lrttrn v'\ rc.\ <br />(t () <br />h.Rby.l,lrB unl.r IEMlryoi Frlury rhri I rn lf,.nsrl u r pn,vnkr I ( hror.r q I!'mnrm'n! *ih S( <br />r rrE Burm$.,r1 hDfsnN Cill., !n ny |..trs it r tuI tuRt ul.fidr <br />(-ol toL'7o-7V <br />Ih.r.hyrllir n c!Fnrllyolp.rNryll rrhcrcr\ r $n(dcr$n LBl'n!st.tuy turrhct](ntrmn.coflhc w.rt l(trtlhrhsIEm i\ <br />Nrn rs.! lr,!r (.,v c ) <br />AIII.ICAII.DECI'IEAIIQ! <br />I hdllly.fmh,s rEn lly of Frry ox or rlr n bwus .k{l,ti i,nr: <br />D.mnn,tr Pcmreash.sror Ndrifrrhn Fnrorl R.Sulxons (Ttrk ro, Pln6) <br />(R.qurcd 1.tr.' or Nor,fkri,n <br />lal!d yth.t rh. rc.,.ElErubrnni Fs.,!'nr Nh. os rcmvaluc ni{ rfilLrhk iii rhr |h,F( <br />X cn'fy rlur I h.w Erllns rr!0l..rM rn nd. rMr dE.hor rfoEr.n s lrrer. I lsr ro orrl, w h.ll cry.d cou.ry <br />oilhrd rftl Sr.r. L.*i rcLl!'3 n, t['rcFr*drr 'v.1 oi rh^ CIyanl C( <br />rllrw mnriF,l pDF.y frtr <br />,\Dplic.nl or A,t.nt SisDluE <br />Set BaCKS <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsu lat ion/ Enerqy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />Handicap Req. <br />Deputy Final Report <br />Engineer Final Report <br />Fjqpd Zone Certil'"t'dHnh t./?'N ffi)afi t6y <br />FINAL I,lZJI lKh/2 Lgtd <br />Certilicate of Occupancy <br />Notes, Remarks, Elc. <br />T-Bar <br />D.t. <br />- <br />o*mr- <br />4t( c 73c'->o <br />lnrl.a! At .ri: <br />I