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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNF:R AI'II-DER DEI,CANATloN
<br />I lrR'by llltm u[Ir lEulrv in Fijury rh, I m .rcq'r lDm rh. (in rrt,6 lrcns lrw |,tr rh. lblk,*ng r.r$n iS( Tlrrl 5
<br />Bunn.$ anl P0Ls(rn C(il) Any Cny or Ci,uni, *hf,h rcqtrRs r tmi (, eonno(r, dr.r, ,mlroE. &frrlh or EI'.tr lny
<br />(tuiuR. Fixh s F\u.kc,.lvr rquu.(lh. +Ilr..( l(, \urh F-rm t| lik r sl8mi (.rcmnr rhd hcor rlE ( ltr.nRl IUsd
<br />t, rlE F,vFnns ol rhc Conrrelfi'r Lf,.ns.J lrw ((i{nr 9. (i'nmm'nB *nh Sar(ln 7{XX) or D,v6i'n 1 ol rhc BunE( Md
<br />Pnnc(r)n! CGlcrnrrhd lr orrh.6crcn{x rh.Efn'm.il rh. h.n\ td rh. .lLt.al .rcqr0n Any ri,Lronol Sdrnn 70!15 hrrn!
<br />arll'(rni l,r.F m rul,l.rk rh. lpphud n' arMlpcnrlryolnoi nnc rhfl I'v. hunJdl doua^ (!tlx)).
<br />(,l7* "-*,,,'," r"*.y. d mychpr,yrt * h *,3c\ l!,h.u v'r. .,mFn.,i,n. n,*
<br />/,tf*a -,"**at *,se 7iu]t ausms J Inni(\rr( c,rt. I h. Conr{r.i i l-r.nc l,w &x\ n* {'dy n, rn owmr rr
<br />ri.nn,F ) *li,h *k a n{n,E! rlIFr. .nl r h, tl{s sBh k'* hrn,( ll or hcru ll or rtmu3h hF ,x h.r o*n .n{*,y..r
<br />p!'vncdrhar\u.h mf.'(nr.k N { 0 .iLtl or nll.nJ |,tr ek lr. h!!.rJ. rll lnnUnr nr rFrknrd r q unhroEr{
<br />of rorikrr4 rh. O*Mr Bullla p l h.E rh. llnln otln)vn! tha tI d rlE tlrl n t ltl or npor dx FIdy fd rlE BlF)r ol
<br />X""
<br />I h.'.hv rlltrn nJ.r Br lrv,'l Brr ryoN or rh. l,,llt)Ninr n.(h', trtrr
<br />_l hrv.:u w'll m,nnrro r Ccn'lr col Con\.d n, Srll I'sur.l,n *r'k.rr ('n|{tr\irrr,, r( [ov'ri.d l!{ hyS(r!r.lTlxrol rh(
<br />LtitrCirt. nrihcFrrolru,r. olrhc solt Ln snf,h rhc lrrnnr n r\url
<br />_l r.drrrrhar rnIlE Irr,orER.of rh. *o l{,ehf,hrhrFmi N n!uJ.l \hrll ft{ .n{fiy .ny FF,n r .ny m.Er
<br />{r 4 ro h.$nr ruhj.cl ro rh. p rks (oqrnrrr,.n l.wi ol Crli,,'mD. MJ !3(. thd rl I sh,u! hc(,m stir i(,(lr
<br />h*cr' ('qEnsr$n F)v!nn. ol Sdi $. l7m of rh. lllrr (irL. ! rh,ll- r,hh* h (on{iy * h rh,r I'trvsIns.
<br />WARNIN(; Iirlurc n, {cum wolkcF $mFnnrx)n u'v.n8c i! rnhulul. .nd sh.ll rui'rd 4n cnphycr h lnMrl lxMntr rtr.l
<br />r^rl lik\ ul, !, om h!dk{ thruenl &rlla\ (Sllx).{trr. o dd{rr !' lh. or ol oqrnqxon. d.m!.s a\ tn)lnn n, ihc
<br />S(\rnr r{t?6rl ilr l.rl!r(!{1.. n.j.{ itrd d!trrf,y \ l(.\
<br />N"*
<br />I hrhy rlltrm udcr p(nrltyol IiUUrv rhrr I rr li.cny\l trnlc n ( ]Lttrcr,) i(nMrR'ir *ih S.(iDn ?lxxr) ol l)r\r\rr I
<br />.l rh. Fu{n.* !fl1 Pn)i.sDnr (irle, .d my l.cnr n rlullttr(. m,cll..i
<br />D.t. _ Conltutor:
<br />(oliralcuaul.ElrDtcltiEd!]
<br />I h.rby 'l,nn uii.. FnaltyotFr,tryrh, ilEr. n. u,nnd.r.. LdmS {*y tu rh. IxrlomNc ol rrx *olt n dtrh rhr Fnr 6
<br />trocd(s( p97.civ. c )
<br />ATTUIATLIIEII.AAAI]AB
<br />I hrhv rrl m odcr t^.nalry ol F4urv om ol rh. k,l!,*tr,3 J..!fir,)n(
<br />li 'ftn[ tr,n P.rnnk-A\t'cdor Nd
<br />'r 'r on tjcJ.rrl R.8 hri,n\ (1'rh 4lr,Irrd6)
<br />_ R.qurcJ lr(cror t{r iatim
<br />17 _
<br />I!(n,l)In. rh.liJ. lr./ul.ti'n. rcrdJh, r.lt{,(Rni'Lrlrrr n rpr'lHhkrt.rhrnn'F!
<br />Xf *,r,,*,,*'"^rlj,ntr.pdi'ri,nurl{.r.rhrrhtrh,r'nlrtrnur)n(..Rar Lfra r, (darrly wih rll Ci y rd (-'{dy
<br />- n,n.c\.nr \rr,c t^! murm! !. hd
<br />'Li 'nE
<br />.rnndJ In. ail h.i.by atrrhtruc rcFcscnlllivc! {n rhr Cnr.nJ Couhry(, cnrcr utn! llk
<br />rhN Enri'rJ ImF-d\ ntr !,\pc!iIn pu,Ii,{r
<br />Vpplkul or At6t slrrtuR
<br />\l-d leDmtprirl):
<br />'7
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulationi Energy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />Handicap Req.
<br />Depuly Final Report
<br />Engineer Final Report
<br />Flood Zone Certil.
<br />---1
<br />FINAL
<br />Certiticate ol Occu anc
<br />Notes, Remarks, Etc
<br />l.r\ *ncr!n rhcln.!l(ny. inr.(luqvely(D ra.r$3 wih lNn{d conrrr.rtrIr,lotrnr rhc lrl+.tr ( s( '7044. Busdtcs
<br />,rl Pr,l(1wn(irl. lh.(,,ntann ( l-k.n( lru.,.r\ n +flvn,{nrftrorlllotE ysh) hu,l.,td. rml'nxr rh.r.tr'.
<br />atul *h..onrn.r\htr\u.hpn').(\wihr(nnrr..n)(\)lrcnaalptr^urnrt,rhcConta(rtr'\l-k.n\.lnw)
<br />I h,r lnl wrll trdl. slt.6' roiFnr.ri'n ot!rB., rs Rqlrql hy S(rM 1700.r rlE l.lnr (iij., nn rll Frf(,lmr or
<br />th. wor* r(trwh.hthF pcm{ L. n!El. Mywork.n ..mFnt{t'n msur.tu...Ef,r ml F l.rrumh.ra
<br />Set Backs
<br />Subf loor/VenUlnsulation
<br />T-Bar
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