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BUILDING- INSPECTOB RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OlINTR BUILT'ER t'EI,('ARAIION
<br />I h.Eny .rltm uBh. n n lir,n F4ury rh, I s .r.mfl rn,m rh. (!'nrthtr( Lr.nt lrq f,n r& nnl,in! rciqr LJcr 70.!l 5
<br />tt!!n.$ sn,l Pxnc$t,n c,!r.) Any (iry o, G nr, wh(h rcqtre\ a Fni (' (hndd. .lrs. rtr{hr( &fr'hh or (Ftr sv
<br />nturuE. F, trr dr sru.E.. iq' rquiB rh. .lTlf.rl nn cu.h Fnn t, ,iL r {3rf,J (rrcnrnr I hd lE or dE n lic.n(d Pu^umr
<br />1,, rh. F,vtronr ol rtt (ontr*ttr r l,rcna{ hw (Cnrflcr 9. C.mnErtr3 e h Seri'n r{xn or t)vrnn I ol rlf Iru'N( rJ
<br />Pn,lLsrw cliL r'{ thrrh. or rh. ( crcmF rh.rcrrtm.El llr h.$ litr rh. ]llcl.d c\(nuron Atry lknabn ol S(rirn 70rI5 hv inv
<br />xipl'(, ntraFrnniruhjckrh..mh.lnrr{,.crvrlPculryol tu'R rhr rtrc htllEl Lr,ll,rl1l$)
<br />-l
<br />Nr owftr nr r lr FlFdy, ,r ot.h0hti.ti lnh q.3.{ .{ rlF! s,k .onlrrsr)n. *d Jo rli krt al rh. {di@ ^ rr
<br />li.nld or ofl.rcJ ntr sk (Sa-' 7044,8u\in.s and Pn)!.\\rn\ (iil.: Ih. G)nra.rn r t,r.n< tl* dxl ri q'plt i' - urrr ol
<br />rh. tmFny rE' l'o*lr,, mlnlF rlrBn, rn *lrt L!r! u-h krl hrn$cll or h.rtll or rhn,Wh h! ,{ lEr o*n.n{lk)vc.r.
<br />pnridcJrhltntrh ihlrtrv.tr 1r ,dc dddl6lfttrrk Il.hr{w.Itrt{ o!d, urI'okrrd rq,U *thuw r{
<br />ol .or,ihrn rh. ( )*'Er Au L, w l hrw r1I hmLn of lh,vms rhd hc ,t dE ,lil nn hd'|, or mlhrv. rh. Pn,Fny i,tr rl* ptrrlrrc ol
<br />L.rdrmrolrh.InFdy,!h.r(lu!r!lyld,rr&iu8r h lf,cntd ro,rmli r (, (,i{ru.r rlr Inlrd rsd ?O14. Butm(
<br />tltil.\\m(nrlc llr(orr'r!rtr'\Lk.n\cI-x*dor\iorMlvr".tr,o*nc,(rlnlx ltrh,htr
<br />*h, dniEr{ t, skh tmFt *rrh. O, ktd{rlnn$dNr
<br />Ih.r.hyllltrmu u FMlryo! p.ru'vofr ol rl* l(nk'w,nt Jfrhr ion\
<br />lhuvcnlwlllnu'nrrnrC.ilrlf,ilc.l(htrc.trrt,Scll'ln{n.krwtkd{LomP.n!itrnr,.\rf)vLl.!ilrtrhyS.(rr$lTlxtolrh'
<br />I jlrtr (,rk. n*rlE nofimE--. olrh. uo* lir q'hr h rtl Fmrr E snkJ
<br />Ihf,rrnl*'lltu.ouodcrr'.omll.n\rrIn'n\ur&c.r\rcquu.,lhy5.(r(,6rru){lrlrc|rhorC.!l.nnrlEn ormrrdnr
<br />rh. work t,r whf,hrhh Frmn s R\\al M! *orl.^'$n!iti\ri)n untrriN.\:nfl drlFi(t nunn{r1.
<br />I..nrly rh.i m rh. pdntrtuN. nl rhc w.rk tu. *hih thr Frmir tr roc,l. I \hrll n r cnfL'y lnv p.rq'n
<br />'n
<br />rny nrnNt
<br />q, a\ n, hlarnr luhl&r h rh. kyl(i.on{tn{i i,n U*\ of('.ht,mu. rnJ rsr( rhr n I rhruu t\Lonf, \uhi\r 6 rlx
<br />*o,t.r\ (nrFtr\rin{r pn'vNon\ olSc(ntr' 1?(xr nl rh.l.fitr (
<br />rlAlasl!(; I Jltrr. t) a\u. so,kc^' .!nnl{nlrrn' (r\.rrs.
<br />('!,1 i r.\ rt, r' 'N hun(l'r(l rhoorr,x, dollr^ rlllx).irx,r. tr'
<br />''rl!.. ] nHll. nnrh$dlrs)nl|nv *ihrh,t Pr
<br />ll nrhi11 rn .mr!)y.r tr,
<br />!!l (!,nlin\rrn r. Jrtru3
<br />,,hf,(iri. nroc{ .r .lnrmr\ ldl
<br />I r!,trrtrf, .tr'r !th \..rir Trxxr) !'l l)rrF!'nI h.n-h\ rllro trr r. nnrlrvol Ir'ntrvrlur I rm l(.trarl unJ.r |kr^n'i dl ( hr|nu
<br />I rh. llours !r{ PN,i(i'nr (ixk. ftl my lf,.n* tr m lull l,rr ul.lrd!
<br />coNSTRU('TION r,EltDll'ic AGANL'l
<br />I h.Rhy i,lmr unL. rtulr v ol Jf,ruav nl.l rhR n r $n{fldtr lcBlu! 23.tut nt th. F-rldmuRr ol rh. { * lnr uhtrh rhr l[nni r
<br />trlkdrS... J{l97.Crv. C )
<br />l.aL.t Nrft:
<br />-
<br />APPI I(:ANT DECLARATI('N
<br />I hdltl) rl]im !,rt.r p.n.Xv ol Frrrtry.r ol th. t'll,w'n8 &(brrrr!.!
<br />I).nr,lnr'n P.ro sArh.dot Nurrltrri,r Fcdcrrl R.8tr[rkn,\ arIh ltr. I'J 6)
<br />f4**,-
<br />1$''-,rhat rrE Ld.r.l E!!Lin.r F!.,U'n, .itErtx EB'trl & n {'rrlE.hh i(, rhn F'Fr
<br />I(.d'lyrhr Il .rc rhtrxmlkilndl{..I r8N r' lrrmly *'ih ru Cny..n (i'unry
<br />oilinrfr'.! lnd Sr.r( lr*rrlrrnB ro hu
<br />rt$r mnri,kl ptu|iny ntr o!p.1iir
<br />nr,,r.\ol lhtr(!v MJ(,n'niY
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsu lation/E nerg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />I t,
<br />FINAL ti,ltln rL"Ul'//{l! ,o ,1
<br />Certiticate ot Occupancy r
<br />Notes, Remar[s , Etc. tk v\ /fis+t6
<br />IY
<br />-)
<br />I
<br />Li(Nc Numkr
<br />---------L
<br />Set Backs
<br />Brown Coat
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