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BUILDING- INSPECTOB RECORD <br />SITE.WORK DATE IDiSIG.COMMENTS OWNER'IITLDEI DEL(AR TION <br />I hcEl'y rflirh unLr Fnaly ol Finr, rhd I n.i.rQr aoh rh. Codkkx' LNne L.w r{ <br />'lE <br />nnt,*trr M$n (Sd.7o.ll :l <br />Bunms ,r Pnnir\r,n Cdl.) Any cny .r Coun'y whkh r.quri r Ffl b Larnsrur. llrcr. inPbvc, Lkn'l(h dr E atr .r, <br />idcrm. Frrlo r !!uc...lio Equrcs thc.prhrsl,nr suchFm b ljl. r tisn.d (.r.m.l lh2r tE or rhc tr lf,cnscd Inmur <br />b rhc FrlDnr ol rlt Comturr, r Litnr4tl b* rchrfl.r 9. ComtrRrns w h Sdrir 7Ur) of Divrb. I ol <br />'rE <br />Busm( rll <br />Por.s6r. Cqtr ( rhr rE ir (,r !.rcn{r rhsdNn.nl rlE h.rit fin rh rlk!.d cmlFbn Any vbLri{nr S-iM 70115 bru, <br />rlrl$d ror . Fmn lobitB rh. .prlr.nr ro . c,v r I tEDh y or mr BE rtur rrrc hudrJ dnL,! ( 35m). <br />l. as o,rc. olrhc pnlFny, or oy.htL,Fs wrrh l.s.r !s rh.n $k c.mFnr.l$n. wrllt!, rlr x,l rr.l rL {r*rr 6 D( <br />inrc cd or ollir.d l(,r rL (S&.?(}t,4. Buims sd Pnr.$(,nr Co,lc Th. (onlrklq s L..nr. I xw (trr nol rplly t, d owmr ol <br />Itr Ftlrny *h| h ir o. ltlnEr rlrrn $l *lr, Ltf,! ihh *,ll fimr.ll or h.elf or rtNu3h hlr or h.r os cr{,hyccs. <br />p.ovrldl rh.r rkh lrFiErdt F nr dmJcil ryolid.{ ir qh ll. h'M-.lI t h{,*mthRmd!$tlrrhroE,u <br />ol lfi!'trm rlr ()*kr Butld uI h.F rh. h.n!.n ol F,y!t rh, tE n rlE drj Br hdl or lrfnt rh Fqd, tn rll FrPoE of <br />I d.t mF lnLr S.d.n <br />WORXFRS' COMPFNSATION <br />DECLAEArq! <br />I h.rd'y drrh un&r FMky ofFrruryor {rrlE nnll}or Jdla.rrr.{: <br />_l hrE Ii rrll mtu . C.d'fr.k ot Cord b S.lrlNu. Li *rt6 $nV.M.n, !r Imvrlal for by Seiu ]7@ or rtt <br />lrlM Co.l, f.r rtE lFrtl)lm of ltr ux* ld wtEh lh. Fmn ! nntn <br />Ihrvcan,l*rl1nr rrwork.r!(omp.n\rionin\urrrkc.r\alur,lhySr(t(:l7ix, Irlf|ihorC(..r,trrltr|tnnmdkc.l <br />rhc krt lq *hi h rhr! Frm" L\ K.J Mt ve*q{ (,npfldrt drurm. (.mr .,n In <br />,-r.* Ins, C,, Jt"tt, af l'je nn5v Ivarir A[;"ffi Es/o /t1 <br />_I..nrlyrhrt rn lh.Frfomn..olrhc *.r[ thr *n.h rhN pcmir i! tr!!.J,I shrll nor .q'loy .ny lEson rrny'mftr <br />qr r! r, trioft {hiir ro rlr urt. .r,n{Fnerhn lrur ol Crllfomr. 0l {N rh, if I \rrtuU tqI,m sut',..r h llr <br />hr di df{rnurhi |'.rG$nr tJaLrr!.]7morrh.l:hf c L. I .lull. l(,rh,nh o,fly wrh rh!. FDYsInr <br />WARNINC: f.duE h su. xrl.n corFnrrFn .r@9. r lnL*lul dd th.II ruhFr u.rllchF b qntu d FoI.( nn <br />!'vrl in.. up !, oN hunaJEal rh,ulrnl .k'lls (lllx <br />Scdr)n .!0?6 otrh. ljhn Cn<1.. nr.rc{ rnJ !tom}\ <br />, rh. ({ of..nr.nqrnn. dffi3.\ !1 ttD\rlcd l,tr rh. <br />3 <br />I rrNhI al,um u.J.r trulryol Frllfv rhi I in k..<,tnLr riDvlru ol (lurr( 9 (.rnmh(! u.h Sdrn 7000) ol Diaaln 1 <br />o, rhe Bu\Er!rnd th,f.sH,hi (irL !d ny lr.ni N 6lullloR..rdcll..r <br />b cto ;JffiNf 1L4t)31) <br />1t4 1,,^. <br />,,,,n*,*,lf*,owr* <br />I h.Eby 1[rn urd.r |.uxy ot p.rjury rh:r lh.E it t sn{utnn !ndh! ry*, n, th. Fnolllle! of rh. v.rk for *h$ lnir Fmc ar <br />no.n lss. .r0)?, Crv. C )L. ld r N.m: <br />- <br />AELTCANLDECIdEAIIIIN <br />I H'y dlm uolcr Fn.lryol Fr]llry oE ol rM ftnbwn8 &LLd6ni: <br />Drfr,[rn P.mr]ArlE(or fl{ rari,n fnLzl R.3uLiirs (T.k!(). Pd6) <br />R.qum,l lr(.rol l*r'fdr, <br />I(cnrrtrlrlrl\.l.,l.rrlr.3ultrk)n\n.!r,n!r(r\ir,.nrrrlr'(tr!i'l'ln(,,r'1.[)rh^P'or.rr <br />I .d 'r, rhr I hlvc dd rhir rfi'l..rrr .,rl slrl. lhlr th. .hrv. itrtumr.n n lrlcl ! .!r !, omrly Erh tll Cr, . C6{dy <br />(xJmr^-'.r lrl Srr.l:*rEldlt8r'bu ln r r4 .rl h.Et y &rhna FFtd{r6 .r <br />'tu <br />Cry In G'unrt ro .dd ulrr rll <br />rllrc mnrk,mJ lttrtidt ntr <br />\'.",ir". *n'.rpanl,I I <br />Sel Backs <br />Formsi Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Rool Sheathing <br />Shear Wall <br />Framing <br />ln su lation/E nergy <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 />Engineer Final Report <br />Flood Zone Certil <br />FINAL 4//+ltq t TfVrht b> <br />Certificate of Occupancy -t <br />Notes, Remarks, Etc <br />\ <br />-1. <br />a\ orkr ol rlk lrotl(ny, anr c \(htrn.ly (! r!.r mB wrh h.cn\.,1 .onrrr. n'r nr u,nifl.r ili |i,nrr (S.! r(,4i. llulm$ <br />rnl lhni:sDn(inlc lhcConrrr.nn'\ l-'.cnrc l-!*,l,rs nrrrpulv (' mowkt dl propcrryutt) hurlJsor imPr&\ rhocon, <br />r *ho (,nt!(r\l(,$(hlinFhw h i O,nradi\rl.cnrd pu^urd n!rlKG,ntr!tr'r Ltr.n{ljw) <br />-, <br />A. & P.C. tu rh! r.sn <br />lr{r.: <br />l.dl.rt A&lEn: <br />)