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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />[JFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsu lat ion/ Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL /,//u /z.oz /,JZ-O-, ,
<br />Certilicate of Occu a
<br />Notes, Remarks, Etc.
<br />OWNER BUII-DER DEI-CAR TION
<br />I lFi.hy rilim uLLr pcDlry of tErrury lhrr I m.r.r9l 6tr6|lI Contr&r'F Li..N Lrv n, rh. nnl,*itrr Euin (S.r ru.ll.J
<br />B!nk$ .il Pnf.sM CdL,: An, C y o. Cou y qtun r.qu8 . Fd k' .rNtur. .lrd. E{mR, &-'t lt - "1." liry.Eurc. td nr i Lsum.. rL$ r.r$iF rlE .r'dxrnr lq lkh Fmr ro fiL I ra&rl nrkhr rtu li d rtr 6 Lctrsd n!s,'r
<br />t' rh. I(rvnons ,l ttE Conrrrttr's LM.r.d Il* (Chrl d 9, ComftkrnS w h Sdtnrn ?0u) ol Oirkion 1 dfltF Burms,o.l
<br />Pn r.(i,nr CoJ.) or rlut tr orrlr n q.qi rlE.lioB rul rlE h.s! tnr rlE ilk8.d.r.mFion Ary vn Linin df S(ri,n 70.r I t hr.n,
<br />.ptl,c.nr ror . Fmn sbj.\8 rh. .fl rc.nr to r dvil FDhy ol mr frE lhz. 6v. hu GiJolld(S5(I)).
<br />_1.rowmo,rh.troFny,ormycmalorrc!!h*!$!rsr,f,rs.onrFnslro..wJlJdrt*vdtttrtrrtulrsn
<br />d.tu].l or ott.r.d lnr d. (Sr 7t)44, Burm$ rd Ptuli:rkl8 CG].r 'rh. Conrkrr'r l-a.nF Uw dEs nor rmly ro rn .wftr ol
<br />th. In'Fn, *h) lI {L s ultn)a rllqn d *l$ LlaB iRt Hxt h'nqlf or lEkll or rtmu3h hR (, h.r os.qldyr.!,
<br />Fovrldl rh.r rEh uqntm.rt c d -IdrLJ.roffd.i n{ d..ll h,w,tlrl! hf dnltn'rcrnlui i}rhin'EF{
<br />or.oipLrDl\ rlr O*Er Bulrn *dl tEE rlE hr{.nol I'ov03 ih{ lE or nr drr r, h d inln,E tlE F lty ldd. FIFEof
<br />l, I orE orrh. F,tEiy, .m cr(tlrirly c.irr&rog w h lxdr.l $nr.Lnn r,r.r'nsInr-r rh.InFi (Sd nBl. BBrs
<br />rni h,ksE CoJ.: Th. cll'llrrritr! Lacr{ Le dB n l,lIl, ro d ower oi nnrFny slxl burUs d DpNk. ln.rmr
<br />.nd who .uk&utusu.hllnrFbenhrco r&k,(o lf,.n$J ru.iuor to lh. ai'.r.cror. kcnsL.v).
<br />I .m.rcmfl u Lr S<'in
<br />wonxrffi
<br />PECTABAITON
<br />I tFrcby rllitm unJ.r F.jr y ol Fpry or or rh. tolt,eoS &LLr.rxrs:
<br />_l hIE.nr wrll mdu r Ccnf.l. of Con*nrk, S.lt lnrurc fttr q as LrmF.[to.. ( F)vrlal for by Salbn .1700 or rh.
<br />lrl!tr CitL. for th. r.rLl1le..f lh. wort fd whih lh. Frmil ar iisual
<br />f,r u*.,tr *'rr *,no. *16 (oqtn..rr{ GUi.B.. $ r.qur.al hy Sdtntr l7q) of llE Lnn Cn!, tu rlE Fixrmr of
<br />0r u l'r * h rh! p.mr ! nsEl My e 16 or{rMdbn NU[L! uH .,n Frlx, nuhbn m:
<br />.--, ala\e {i*}
<br />Y'1q?D 8-Lq-z
<br />Al..n ythlrnrrhcFrrormR.,,,rtEu ntrwhf,hthBJErm n sru.J.I rhrllmlchlkly rny lErsn in.n, mnrr
<br />:r, .! rt tRom rubFl r. rh. *ddr, rnr{E.orD la* or C.l uru. .d .3R rhd rl I rlhu! h('o( shFl n' rlr
<br />h*6s $hp.flrirh FD!!r,,. or Sdrirn 17D of rlI Llhr Cor., I . , todh* h$q)1,r h th* nnrvBrn,
<br />wARNll{G: FrllE h slE u,k.6 mr\hr'xrn (6r. a uhLwh,l, lrll rh:ll subj.lr rn cnploFr n' ffind FrIn ul
<br />civ,l ,]tr.s ul, h oB hu.dr.d rhour.nd JoILK (tlm.Ulo), m .dJn(r n' Ih. .orl .I.oqrns.lur d.mlcr .s proviircn ru $.
<br />Sc.rln .10?6 ol rh. lftir GrL, trrcrcn .rn omy r f.cs
<br />.-,,nJ b,olovot'L-X-70
<br />ucrr\sFn coNTn croR
<br />DAIIAEAIIO!
<br />I h.r.by !fllm uhi.r Fn liy or lElury rhi I m lk!n-! uni.r FDvBnn .l Ch.t 16 e (drlllllm'n3 ,irh Sdinn rUD) or D'vd'n l
<br />or
<br />'lE
<br />BulEs .'! PmfsshB CdL. !n ny l...s $ r tull fRr .d.Ila'
<br />a-\q lo9-t6otlt-X'Lo 4 D Poofl^rr
<br />SONEIB!!fIqN!EBDEIi-AGEdT},
<br />I h.rchy rli"n lnki f..I, of Fpry rni th.r r i or(Brrn Lniot .3d, nr rh lxrf(,ffL. otrlE urt fttr qt.h rlt\ Fmr !
<br />E\eJ rS( .1097, Cr! C.).
<br />AITIIT]dII.DECI.IIEAITON
<br />I hd, rlt-m unLr Fn'xy ol rolor, oft or rlt ft'lkieir4 J.rl,mMr:
<br />D.mtDn P.rnnlArtEnot N* i:rDn rtL..l Rc8ul&rr rT L rlo. P.n6)
<br />_R.qrrcd ljtr.r ut lldifurr'n
<br />_l ldrry rh.r rrE r..rr.r E8rLrrN E!{rl[8 .sb.dor rmv.l o. ni {rlr.hl. t0 lhis FlFl
<br />>Lt.d'lyrhxIhrvcEr,llhBlpditrrn[ln{.rh,!d!.bokinr.Nrk)n6$!dI.88ro.on{ywllh.llCiltnrlO'unr}unlfthq ontl Srn. ll*s ELrins n, t{rurs $n!@dion. un lEEhr.urhriE rllcenrriv.s olrhis Ciryrnl G,lnry to.016 upon rlx
<br />L-$ -Lc)
<br />I
<br />Set Backs
<br />Pool Fence
<br />atl)!. mnri,mJ I'nlFny tur
<br />I
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