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BUILDING- INSPECTOH RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OIVNEX BU!T,I'ER DEL('ARATIoN
<br />I h.!.hy alkm unLr pcn,hy i)f ll{r|Ury rh, I m.r.nF frnh rhr C.nrr.t6' l.f,.nR ,r* ntr rlr lt,h,rr3 E.qr (s<! 7(,.11 5
<br />llunn.sr r ln'lc$rm (lri.): Ah! C y or Counry *h(h r.quuN a Frmi n, mndrurr, .lrcr, mrtuv.. !.mnnh or toi.tr oy
<br />{n.rurc. trxtrt, ir trnhtuc. lkd r.qurc! rh. lp rad 4,, nkh lrmn rr fik . ({eJ {atft rharlIor \h. r lf,cnQi nlru:ni
<br />n' lh. rrv$)n\.1 rtI Co tr.(r\ L(nql t^ rchlfi.r L C.nrm(t3 *nh S([$ 7(XXr ol Drvtrion ]l ol rhc Buqk$ mJ
<br />I'n,l.s(,ns CoJ. ) or rltu hc.rsh. r c(nplrlErcnom rdrhc bun\ ntrrh. alt !.!t cr.mflr)n ny v!'Lri,nolSs-'rnn 7(lll5 hyrny
<br />amh(rr ntr. Fmn \uhFhrh. rmlf,:nr r,,(,t,lp.Mlrrolnn nrcrhi ltrc huftkal Jollri I S5rX,
<br />t. .i olmt ot rlx InoFny.,, ny.hfhF.r w(h *.3.r.r rh., q'L uon{rndnn, *'lld, rlr sf,t.rn rh. ddim ( n
<br />ur. .d,rollcr.dl,trahrsd'7044,8usin.(in,lPnrr(i,)ns(irl. Ih.(i)nradtrrI-(.n<Iiwd'$fr{ryplyromo*ftrot
<br />rh.pn)Fdy wh,t rlh or mlnrkr rllN,n. Irh,tlsu-..h$ tm\.lr .r lxrcll or I l6,u3i h! 1r h.r orn .,r{|Lry..\.
<br />ln,vikd rh!! ru.h mF,\mnh N n{ otcnltll { .ltcNd nn \{h ll. hl)u.vcr. rh. hr,llmE nr r{trKftnr ( bU $ hi. om Fr
<br />ol(nr'llltd,n. rtr ()ekr BulliLr r lh.\ tlr tur.n ol ForuB rhi rrixlhcdrl nn h l or rFtrt rtr F)|xny ttr rhc lrrP{nl
<br />L r\ o*mr ol r h. tr)n n r. !n .rrluirclt .onrr{
<br />'n,.
<br />w h l'(cn\.(l cntu Krtr\ t' rdtr(f i rh( ImF i ( S.( 7(N-1, Bunnc(
<br />JilhnsuD(!rtc:lh.(,,ntk(trrl-s(.\.IjDdt{\ftn4plvn}.qfrYr,I,oF!rh,horLhdrnrpnrkrrhd$n.
<br />rRl sh) uurrr..(ld{i(hI,t,Jc.r!w hr (i,nh(r'nn h..tr\.,|,rtr(ur n,rh.(ir(tu(rtr'r1.f,.n\c,-.w)
<br />I rm.(nro utrJ.' S.rrntr'_
<br />lyoR( FRs' c( tuPF^SATl(rl\
<br />DECLA&UIg!
<br />I hrby rrtrmrhd.r Fnrlry trl p..rury or ol ilt l,,ll*mg JNl,rrriff
<br />lh$.JilB'llnhntio!(id'lttri.oi(.n,enrt,S.lllNtrr.r,trso,k.^(ontti.rrk,r.r\Fo!r,.Jl,nh!S.(r,rl7lxr.lrh(
<br />lllrtrC,rl!,ntrrlrBil.rnuEc ilh. *od( ntr*hi.h rh. pcnn N
<br />'$u.,1
<br />I hrvc rkl *rll nErnl.rn wo*cri.onllinuri, 'nnnan..r\ req r.(lh!Sc(ron l?(Xr.lrhc lnhtrC,rlc. n)rrlEF omhcol
<br />rh. ldlli{trhrhrhBnoni'rnq\,M}E,nId\ l F,li t fnhfl r
<br />fr:::",,-W-Y24L^
<br />l.. yrhrrorh.IxrlnrmRtorihrw'trtl'trshkhrhtrF_irnirFuf,,l.I.tullnn.'r{,1,!.nylrrqrrnr YmMftr
<br />q, !\ r) ttn'nr \uhrrr t, rh. r.rkcB .onlxnvtotr hw\ ol( rl'lrnn'( xtull3(. rhr rfl \l$u[l hc.onf, \unc.r t' rh.
<br />u.*c.. omli nir ilr pntr rkrnl ot S(ri,n lTrr I ol rli hhn (ir,.. I \hill. kflhr ih und! * ih rh,( pnr F u!
<br />IVARNINC t.r'lur. n' krurc *.rkor dnnp(nurir r)v.n'3c r\ trn[wiul. rtrr] rhdl {rhl:cr r. enlploy.r t, Lntuorl tttuhf,s r l
<br />Ur'l lin.\ up n) om honn.d rhrirn doltr^ rll(..! ol .or{Inqron. Jrmlcr .\ povrl.! ntr rh.
<br />[,"*, ar ]rr ]rr J.,,"\
<br />lEcldMuol!
<br />I tFrhy.llirDUd.r FuLyol Fr,try th{ I.m lEn<rl ud.r F,vFDn dlClutrd 9 knmmth3 *ih S(rin rUlO) ol Drvri'n I
<br />df rh. Burm!(dxl Pn,!.isi'ntC,ri.. lrl nylf,.n( r n tull n'Nc {rlcilc.r
<br />("," o1 )r
<br />w
<br />1l 14 Att,bo
<br />O3
<br />CoNSTRTICTION I F,NN!N(; AGENCI'
<br />I h(rchy llllrnrlB](l rrnrlryor FrJor,th{ rh.rc s. ()n{nnt'. l'nltr* .gc'r v 1,, ih. F ann,rc.l rlr work lt, uhrh rhr lrlnnr r!
<br />r(kJ rsc( 109r. (rv (')
<br />Irnl.a! Nrnr
<br />AttuQrnuJLlll8auar
<br />lrmtr Jlnn,trRl!] Ftrrlrl or F--rrtrrt.rk !'l rh n,li'tr tr,! (l..lrr.nrn\
<br />l)t Il'kn] l'.rnnr\ nr{o\ No.ltrrrk[ l.d.rilR.gtrlrrkn's r I l.t(,.l'.161
<br />L-*-u,,"u,",*", ",,rn,,,,n
<br />[[O.n,rtrl rlt rrr,1,i 'rrtrhrn)n\
<br />(rrltr'! r\tr {o\ N'i,rn rr hr rr'f!f,.'hL'ri rh'\ I!rr.(r
<br />U4,,,'lv rhri I lLtr. nr(lrhr.,fN )y. rnlrn'rrtr,h,\ c.r..r.I (3!e b.omply * hrllC(ytRl(,ounry
<br />h...hy ruihrr. rcFc.nrrnrrr,'l rfi Ciry rnd (])unrynt cnr( uFrrll
<br />trrru',| |Iul\nv ntr i,trt{
<br />F itlPli.xnr or A!.nl si*nsh'
<br />f1,han'-
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVent/lnsulation
<br />Roof Sheathing
<br />Framinq Q.zs-rg J)rStll:
<br />lnsulation/Enerqy
<br />Drywall 7- 27- /1 $at>h4 ))
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar ?-29-p ^l\,s.k7,)
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Frnal Reporl
<br />Flood Zone Certif
<br />FINAL /2-/7-/1,,U./o1,6:r)
<br />Certif icate ol Occupancy
<br />Notes, Remarks, Etc.
<br />lllttl fl .
<br />Lq
<br />Forms/Steel/Holdowns
<br />Shear Wall
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