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BUILDING- INSPECTOB BECORD
<br />SITE-WORK DATE COMMENTS OWNEN BUILDER DELC'ARATION
<br />I h.r.hy xmm u.J.r Fnslry or Frjury th{ I m .r.mnr n.m lhc O'nt.cl,a Ljlus lJw tur rh. nnl*m8 ,cr{,n (S.c.?0.11,5
<br />lushcs $J PInlc$u Grj.)r Ary C y or C,{dy whEh E{uiEs . Frmi ro coh{od, rlrd. mtn w. tLfrrnh dr EFr ry
<br />ituJm.Frb ! i5 n.. ifu rcquftr rh..cokd r(tr ruhFd b til r sEmn r'.i.rnr rh,lr,, i! ! li.nGl li@Er
<br />!' rtE F)vs,B .f rlE C,'nr&ni 3 Ltcnhl b* (Cn Ir( 9. cl',lrlm'n8 rnh Sdritn TtxD or DrvBnn I or
<br />'lE
<br />aunmn .ft1
<br />P^'l.sriont airL) d rhrr lr ,, nr E .rcnror rtodrom &1 rh. b.sa for th. dl.f.J .r.E{rxr Any rnlllnn o( Sdiotr ?0.l l l br .r,
<br />rtphca ll)r. p.mit sut'j.ek rh. apnlic.n () r(itilp.nllryolno( doEri( lrv. hutulFd dotlrs (S5m).
<br />I. !s olrr orr,E FoFny, or my cf,{,t }rr r(t w.t ..r llrr $L (uqrnr.lDn. wil d, rll edt d',E rur@ 6 n{
<br />'dfrjaj in.l|.Bj nx el (S! tort. Buttr( nr Plofdq'nr C*lc: Tli Codrddt tr.n- lrw&rr D, rfi y r.o.*E or
<br />rhc rmlEny uh, tlltld !rF)BOE!r..rl *ho dB h xxt himk,lnr tnrlfor rlmo8h h( $h.r oun.rttoy..s,
<br />trrcv cJ rh,r :x.h mPIiktunk n fr, or.Bldt oi oficftn r,{ slc. r, h,ME,ltE trll],.8 or rtn,Ernr $ e,! *nhin om Fr
<br />ofcdr{,Lriln,rtEO*rcrB!.rwilh3EtlltMLnoIFmviryrhch.orslEdrlmrhuillormthrd.|ttElytMrlEFlFrc6I
<br />_1. a! owmr ol ilr F Fny, rh .rrlxvv.ly cn .rto8 wlh lrcn$\t conu.(d r) onntur rll lrirF! (S( nl41, Bu\Es
<br />lil Ptu{s\nn Cdl.: Th. Cnnr..n 'i LE.nr. l iw d(s nn {'nly k} .n .*n{ .i nrun ny *h, h ilJr o, mnn,ks rh.r.on.
<br />3tr'j uh. (ontrucls l'or such ltropis * h r (i,nrruLt,(\) lNns.l I'u6unr t' rh. C(,ntt(k*'r Lrc.ns llv )
<br />-l
<br />ucknF odr S..rptr-. B lt P C ror lh! E h..
<br />"ffi*I hcEby rrfuh !n.hr FM!, ol Fpt, om ot rtr lolbwsS .l.tLr.lbB:
<br />-l
<br />h& !n wrll tuur.D r Ccnfr.r. ol Consr ro Srlt-l@ft fd wrai .if,{Ensk,r .r F$yrrdl td I'y Sctptr l1l)o ol llE
<br />,\ctE CrL. htr rr* Frl(ltM. u, rhc *oA kn whEh dr Fmr a ssucJ.
<br />fE ** ., *r, *,*. *.,lrdr (6nrrntr,r,n hru,.E.. ! ,.{uit l by sdrion l7o0 ortlE t$oi c(i!. tu rlE tEf,r Nol
<br />- rlr htt l,r *h{h rru! Fmr ! lrEt Mt *'ri6 $nFnd!. ulffi. L[.r.^l IDh, nun6.r E
<br />_llcnilyrh,iinrh.rrn,dr.olrh.knl,rwhrhrhsFhnirLat&rl,Irh.llB.n{*'y.nyFrwrn.nyBnF
<br />qr rs t, l\qotu hFr t, rrx s'd6 .$n{Endhn l2*. ol Crlrdn!, .nl {N tt r il I rh,llt h.Lotu \!tJ.r' ro itE
<br />*orlqi .on{Enrlr!'n I'r)v 0ni ol S&llD .ln)O of ihe ljhtr C*k, , Jull, nf hqdh ()mtl, w rlh ttsr pDvsi,nr
<br />WARNINC fsilur. t, su. *trk tr romFneridn (okr.!c r unhwrll. (lt sh.ll iuhr(l {n cht'l.rr n' smiMl I'c' l.r iRl
<br />(vn lft\ up r, o'E hutilrcJ rlx,usanl ll.rl$\ rll(I).Our. r rU rn t, rtr u{ ur (,ntttrqlon. 'llrx$ .! 0..v .J nr rh.
<br />sfLrim ..r/6 i,r rrr bhi (,rk. -,*.,'r "r,*y
<br />. r*' r A
<br />>A.", l2/4/3t aein*r.futl "ffi*
<br />I hEl'y llrtm urr$ Fulry r, Fr,ur, rhar I .m lf,tr<J urLr F v*x!. or(lBl 6 e ((rnmE-.h3 w h S<lrln 1l]O) o, Drvrrn :]
<br />ol rh. Ilr.tr$ .il Prd.$krd\ C(iL. lrl 6y lxcne r o ,ull ntre .rn cf,Nr
<br />R
<br />o _/^lal n t/,t-,r1.,__I Tter r_
<br />C{TIIIBICUITNI.ENSMi-AGEIII
<br />I h.Eby .inm !ftj.r Fn.lry I lxr,!ry th.t rhd! i! . Nrireii,n krlog rs.tuy ,r rh. Frixrur. or lh. $rr n)r whrh rhB Fmn t
<br />tr .d (Sd :1097, Civ. C.)
<br />ATS.IIjAILDEqJEAIIO!
<br />I hEdry rflm uui.r Fn.ty ol F rury oE ol lh. fou'*h3 .k lllrrp.r:
<br />lxml xr. F.rm lAsbcnos N,nn,celbn l{!.r.lRquhl$nr (1irE 40. Pd6)
<br />R.qutr.n lrrr.rol Nor'lnn[tr'
<br />.#;ffi ffi ;ilffi ilffiffi ;"",ffi ,#il,,*,,*,'*,,,,*",,,**,"
<br />rh,!. mnrnml roFrlt ld h\tr\rr
<br />TeerrLs'
<br />m
<br />^rdr ,,
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<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 Certif .
<br />I
<br />FINAL //2,,/a>, r Har )
<br />Certiticate ot Occu a
<br />Notes, Remarks, Etc.
<br />ID/SIG,
<br />Erection Pads
<br />=/r )s""(x618?S <
<br />*,.ta/q /taa
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