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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILT'ER DELCANATDN
<br />I h.rcny .rtrn unLr FMxt ol Fpy rh, I m .t ft+ fon tlr (odrxroF l.irnE ti* for rtr tdl'*ins ra$i tsc. 701 I J
<br />Btrsinc$ !d Pror.r\i.n Codc): Any Cily or Counry *h.h Equn$ o Fmn b fr'n!tr'. alr.r, im0ro!., .Lmlkh o. rFr ry
<br />{Me. Fnl ro ir\ irffi, rlq' r.+n.r !,.,r,rrliur ,or ixh rEmir to liL ! itftn nftcnt rhrl lE or rlE ii lic.n(n ruNi.r
<br />ro rh. pNvhnrnr olth. Cootncrn\ Liatrrd lru (Chrrr.r 9. Coltmrine pirh Sftrion 7ffi, ot Diviii. .l of rh. aurifts.nn
<br />Prot si(lnr Gr,.r or rh{ lE or ih n.r.m,, ilErdmm !d rh. h.{s for rh. rtlcs.n crcmprio. A.yvn,hrionofS.crionTlrll5 by &y
<br />apdiclnt for r lErmir rubFc rlE rmlk.nr ror.irilp.Mlryolr, BErh&nv. hudftn doll,F ( l5I[ |
<br />_1,!s o*Er of rrE Frrny. nr.npllFr *nh *.*6.r rlEn sk o,rE rion.*ill{hdEqrtrnthfixnft!nn
<br />i'ncf,H ( ofi.rcd lor slc (Sc.1044, BusiB, dnd Pror.sio.i C.dc TIE Connektr r Lit.* L,B &8 mr +!ly t, e owkr or
<br />E rftFn, wh rail.r! d inFoB rtElt{ rn eho d(E rxn w,t nin*r or lFelr n rl,.usn nn q llcr o*n .'r'0hFn.
<br />prnviLd rh!! luct imFtr@nlt e d iicrd.d ordtu r.r $L lf. tnkw. rlE tlibing or irlmEr t$h*irhinor)t.t
<br />of N'q,Llia llt (}*rr adE r * LEthhrL.o,F.viry0!rl!ff{EditdhiildGit+rnEdElirEt,frrrrEF rnEof
<br />l, tr\ osmr of rhc pn,p( nr, u, crclusirly cotrl.rct in! * h lic.n\.{ . trlrft1o^ n) .on{R1 rhc pr)F*r rS( 7lll.1. llu{rs\
<br />rnl ltt i\\nr((xi. thc(i,nndoit Lacn{ l-a$Jri\ fl rpnlyr'xnof,nrr.rpnrncnr"rlx'huild\trrrmporc\rhc,.on.
<br />rtrd who cnnrrocrl ior such ttr(xcls sith dCrnra.kfli) lt.nd puFurd r)rh Conrk(r'\ t a.n* 12!r
<br />I trmcknrr un&r S(tn,n
<br />uaaf,Ex5:(outIlirAlt0!
<br />I]DI:LAIAIIOI
<br />I hurhy rrlnnund( pc.rlry.fpcrrur, om !lrlt l,,lh*ne de!,r!rirF
<br />-l
<br />hlE{n lnltui .h . Ccnifr.k ol C.n$nr !o Sclf.lnsnre t tr *dk6i snFnsrirn, r! ptulit d frtr by Setion 1700 o! rtE
<br />Labo. Cql.. for E Frfolrrmc .fllE uml ro. *htn r Fnn i isu.n
<br />i h-v. r l *,ll minrrin worl.n corqrnuri,n 'nru.rc. .\ kr|uiEn by S<ri'n .t?(Ir of t,E L.hor C.d.. ror llE Ffnn@r ot
<br />rlE Brt ftt *hrhrhn pcmir ir trnd My work6 mmrtnidli,,n insurarc{Ep uxl F,lr} Nmh(r m
<br />,-,"", ct// rfuf. 6,^ t,s
<br />u,,,'"-*, llt1l11121.f-l-/ f
<br />_l .cnily rhal in lhc Frro.d.cc or rh. *o.k f(tr whi.h rhi\ l. ntr n i(su.d, I shall mr .nrl,k', any Frq'n in m, numr
<br />s * b tr{-E {hj.{r io rtl rvt6 oqEnr.lim Ler ol C.[nmi!. .,n .3 rh.r il I lrEutl tE or 3uhj.rr ro rlt
<br />ro*.r\ co lpcn\rri,n F,vistr'ns ofsr.rn,n:lTlrool rhc lihtr c. ..I\h!l
<br />'h
<br />comoly *irt rhE fl,rnio.s
<br />iuhFr !n cn$t Fr t. aimiMl FtuhB rnd
<br />crvil 6,rci utr ro.nc huded rhrus!trd dolles (ll0O,lXXl). in
<br />5d i'n .10?6 of rtE trh, (',n , inrcEr .td {r.my\ f(r
<br />.o{ orNrr{ln{ri)n. d.m8.r.s Forikn f rlE
<br />u*, )-/u ^l(
<br />PSJAAAIIIIB
<br />I hcfthy ifiirnt undcr f,ctuliy of p.rjur rhd I an li.ctrql unds rmvilion otCll'prd 9lmmrrcina *nh Sdin 7Uf)) otDivkbn l
<br />oa llE Bu\imsr !fld Pilfcsrions (ild., ui nry licnc ir in rull foR dnd.lfdr
<br />.16 90 Az q
<br />?-/0- 1 ,
<br />C!'NIAT]I;I1ONITNDI!Ij.AIj!MJI
<br />lhcEbyrfirnunkr F.rhtofF4u.yrhr ih(c irr.on{r!di,n lndiry lg.tuy for rh. FlrflN ofilF cdl fd rh.h rhK Frrir B
<br />,r\!.d lsr ltr97. Ci! C I
<br />afturaliurl:ll.ataMt
<br />I tHrh! !lln utul.r tf, nnlry of Frr!ry oto- or rh. n)ll,s inS lNLLnarirn\
<br />lk rl (,n I'(,n ( a!hc{o\ Nonrirlrotr tid.rrlhquhlrrns ( lirh,ro.I'rn6l
<br />Rcqtrcn trrr.ror Mi'tu ntr
<br />I\dnlvrh rhrl(l.rrlrrtuhrr,tr\r(tr(lotr\lrn,\'rnurrlr'. !i,'t)t'ltr.rhl( n' rhn [r',i.r
<br />l(n lr- rl r I llk r.)l rh'\ rppl'. rnn,:urllrrrr r irl' truri( n(on .r I !ar< rn @rllll, wirh dlCnyrd Counry
<br />ordnutu.\ rnd srJrc lr{\ (hr'tr8 k,l,u'tltr,r.on{
<br />'
<br />lurlltrre rq'.strrrhc\ olrt'r Cirr.nd Couniy ro cnh u[,nrhc,r,,.,,r,m.trrr,rri\ Lrirrr\r,,A,1 1
<br />,rDri.'nr u. rr"nr r,tnur.*,2) /\
<br />*crnn,ccn{nn.,Drin,, lQ"/r'L,tt,,l
<br />7-ro-19
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Fraln ing
<br />lnsulation/Energy
<br />D rywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />En tnee r Final Report
<br />Flood Zone Certil
<br />n
<br />FINAL Y-2-6-l\Nr,v+l(
<br />Certilicate ot Occu nc
<br />Notes, Remarks, Etc.
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