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BUILDING. INSPECTOB RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS owNER ltrll,DEt DEl,( An TroN
<br />I h.r.l'y .l!trm undc. p.nrlry ol Frjury rhlr I n.ktunr ,!,n rh. G,ntrri'n L.cnE tr* lo, rh. i{,lhedE E!r'n (s(.?o.!1.5
<br />Buritrcs s,rl Prrcsi,)n C,ric): Any Cry or Couniy rhf,h rcqun$ r Fmil k, d,n{rucr. ulr.t. inpn!v., dfrrhsh or EF.t My
<br />no(ruc. rrf ro irr !orr., ,Lqr kq!trc h. +pl.{r |,tr r!.h Fmn i' ik : n3xrl (i.ftfl rhxr h. or +. s lk.nstl ple.nl
<br />t' rh. F'rrirs ol E (irntrrn,'! l.rclel l, r(lufls 9. Commn'n8 wrh SRri,n r(rt or Drvrl$r t or 6. aunr$ .hl
<br />Pn,rcsnnr Ciilc) i{ rh.r lIorrtt F.\..!, rrftrtuh ',rt rrr Il..! rN rh .lLs.d .\cor'l,,n An, vx,lir[n ol Sftl.n r0! l ]l I'y.ny
<br />amlu n,1IFo trhl.rrith..JDl(,dn,..iv,lp.n.lryoiflrlf,u.rhlnnvchunJrcJJolles(15{)())
<br />-1.
<br />8 owE of rh. tr{Eny, rtr m! .mpt'F.r *nh *.!.i . trr eL ron{iN.rior wiu .t DE rr* .rn ih. nrElE it rl
<br />d.nLl orLEd ftx d (Se 7(x.1, Burd!!.d Pmti(D CoL: llr Ci'drdr t trac L.w &xrflI .r?ly ro o*t. ol
<br />rllFld, wlrr hr trd llprsc rtdln rn *b ds qt xrl hlnkll or h.€lto. ttatlh ht ix h.. os.npbFt,
<br />Fovdnl rhrr 1kh uqn1tEn3 d ri doid! tro,Lrcl ld.L.Il howc.lh. hullug q dttrt|d . rlU enhD.r F{
<br />ol unprii,n, rrr owxr 8u j.rwrlh.ErlEhh.lnolFtrvurrh.tliornrdJNthlllrqlqmEdEFDIEi,tu rli lr{Ftol
<br />-1.
<br />!r {*'8, or r& Fl!.dt. m.rrlunElt odtur n! Bnh lk..rJ .. r-r!r ro LnnrMr rlE pNjr{ rs& 7(144, BusB(
<br />.il hrrars C.(ll.: Th. Conrdoa r I-EcnE L* !j.rr rn {"rly b u o*d .r roFn y *h burllt u mPrcv.! rrEcrn-
<br />lnd *h, utlrels r<tr rsh FDFII w h r Co.hron, lr."*d pu^ud t'
<br />'rE
<br />Conlral.i. l$ns ll*)
<br />l.n.(mpr unlcr Se..riD-
<br />Irrr. orffi
<br />\ll8f,|iSS-lAUrl!5AIO!
<br />DESJIAIIA!
<br />I hcr.hy rlrtrnr unJcr p.ndryol tl. lury oN ol rh. ftU! 'wrp ,lcrhrarinl
<br />-l
<br />hrk rr! w,U Nhrd r Ctdia..i. dt C.nE bS.ll.l.rurck Hrtai $trprn\, nn. r! fovll.rl litr by SdtDn l?u) ot rrr
<br />L:rrn Cir!. tu rlr Fnr,|llm or dr h{t ld *n.h rh. Fmr 6 F.anl
<br />.Zf(a*.,rl *,rr*.o. *"*cr' otrqxntrrnn insurN., I rcquftJ hys&ri'n r7(r).l (hc lihor (ftL. ltrrh. F.lo,rl1t. or
<br />rh. *dk i *h(h rh^ trintrr ^ A{'.n MY (r
<br />'n{trrtr.c cJraru Fn'.y ntrmhcr r.
<br />At:W q alD?o_
<br />_l.rnirirhrr inih. pcrlnrm*c dl lh. work li'r wh(hrhuFrn( h r$.n. I lhallfrn cmtl,'yuyp.non r MymuEr
<br />o .. !, hom tubj.tr l. lh. ,.rtdi, .on{Enql bn Lx ol Crltforu, rn l {R thr if I rh'uLl h..om ut'F1 t' rlE
<br />srt6 .omFner*,npt,v6Dn.orSdlrr l?mof lrEl:hf, CqL.lrldl. lodhf,rh(,r$lr*.hlho{Fovlrr
<br />WARNIN(;] t_,tur b c'w mrtcF (rqinsrnn d,vo!. r unL*r!I, .rn rhrll $bxrt & 6pbB t' crDnul Il lF.,rl
<br />c nn$ up .o oft nudBi r,lourriJ Joll6 lslfi).llx,), 'n lddr[n i) rh. lar of (onl'ctrqxon. Jrtu!.r .r Jrovrt.{ fd rh.
<br />{
<br />lacllSaDad
<br />I hcEny dlnm unL, Fn.l, or Frrury rhd I rm lit"r.il u ., Flvlrbn ol (1{,ls g (.rhEk.'ur w h S{ttn ,qD) ol DtRn. I
<br />of lhc Bushcs $d Pn,L(hnr CGlc. lrl 6y lic.n* F u ruI turu. L .lr.rt
<br />!I}!!IAIS:IANIEN!!NiICEN(]
<br />I trEby nr!f, laLr pcEty of FrF.y rhr rtft ir. .a,n( 1r'. krlq rFNy fd. rh. |xd,M ot rh. *tt ain *fixh rhr Fd i!
<br />EnEd (S... Ir7, C't C.)
<br />L. l.ir N.r:-
<br />A@ICAII.DECI.AE{ITON
<br />I hodry dim u .r Fhrlr, of Frlury oE.l rlE folbwmS drLll$ns
<br />D.B,l nn P.rnirn^th.{o\ Ndni k,n F.dcrrl R.lulrlbn.(Illc 40, Prn6)
<br />R.qur.J k(.r of t&l irri'n
<br />_l !.n y rh, rlr loj.rrl esrl,rx,ot ft!. lh! (h.ini Emvrl ft N .fth.ht ro rh! nn,Fr
<br />-l(n'lyrl,dIhrvcralthntpl{rrlr!
<br />(rtcrh rlr rh}vc r,.mlk)n tr tor.cr lrSkr,&n{,lyulhlllCiryrnd(\,nnrv
<br />onlnamG rnl Srar. tre\ (ln D3 ro hu,L, rnt udn(Ndhrr. et h.rchrrurhnu. r['.Tnrrh\. ol rhr C(y ln, (i)uiry io .nicr uFrn rlt
<br />rtiM nrnrxnnl F$FnY n, m.Fri,n tluiJr
<br />Applionl or A!.nt Si*EluE
<br />\,,,**..,rn,,
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsu lalion/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It/asonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL ,n-77 alc 2 n)
<br />Certiticate ot Occu anc
<br />Notes, Remarks, Etc.
<br />4s/ao
<br />,",.+1611
<br />T-Bar
<br />Flood Zone Certif .
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