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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE rD/sroa COMMENTSt
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Framing
<br />lnsulation/Energy
<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 Certif.
<br />,/.,.4.n - Aa* *tzfl-tj D*l t.y<
<br />FINAL l2-4 -/4 ,W/.J
<br />Certifi cate of Occupancy
<br />Notes Remarks Etc.
<br />OWNEi BUILDEA DEITCAI TION
<br />I no.try lmm urdd Firy ot Fjury rhi I m dop fNo rh. Coirr&roR l.rGe b{ ror iE lolbBds t6]nis€.7orl5
<br />BGilB dd Profsi.n (od.) An, Cny or Cou*y shkh Equic r Fni 'o F6tu( .h6. ihFove d.,rcli.h rq6r ey
<br />nnr.l@ Fior ro irs is@cc. !b. r.qun6 rh. .ppltdl for !!ch Fmi lo nL r li8nrd ,dffir thd h. or llE i! li(dE d Fed
<br />lo lh. rmrlio6 ot E Conreroi3 Lt. .d b$ ((1uf,6 ,, C(Mftins unh Sdbn 'rfr,lo of Dna.ion .l oarhc &!i,6 .ld
<br />P6fr$in! Cod.l ( rh.l lE .r th. n dorpt rhs.Ircm &d rh. bein for rh. rlL{.d (mFioi. Any liol.rion of Sdio. 70! I 5 by ..y
<br />spqhcur lor 5 Fmit lobjdl! 'h. .tplico' b . .i!il p@h) of @r Nr. lhd lir. hu*l,cd doll-s (!500).
<br />L E ornn .fth. I'oFny, or ny mplo)c snh s!s6 6 rhcir sL smFdi4 uill &, tlt trqt rn iE rrErE ir r{
<br />indLd or o,I6.d ln sl. (56,04,1. Blsilg e'i Prold6s Co&: Ttc Contf,loa! Lic@ L^ dB ar apl)ly io u otr@ of
<br />rhcFlpdry sno hiildr q inFov6 llEq !n efio &E sh m* hirelf or h.*lf or rhmugh hi. d hd o*n nrplra) G
<br />FoviLd rhd uh lio.orlldr E d ird&l o otlrd ftr -t lt hlqE. llE hrildlr c iqrovaErr i $lll wnhh on. !6(f compkion.lhc ()trnd Buill6 *i[ hlE lh. htrrb' ofFn\aa thd lr or Oc dd mr txild d imFlE,r FDFry nrl,r F FEor
<br />L 6 o*E otllE FrF!'. m.rcGn clr.odrdtr| wnh li.E d.o aroB 'o
<br />$Nrud iL F.r.Tl (s( 70,14. Ildtrm
<br />ttld Pntutm ( ortc, th. ( o.kicloai l.'c.ntc l,!w doB nor .Dplyto o .e n6 of lrordy u ho boildr or inDrc\6 rhqon.
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<br />I m.rdF urk!.r S(non
<br />D.r. o...r
<br />$rrRhrRs,i onirI s^t ioN
<br />0lgrlB,IllQ!Ih.'.h\ rilin 0tr'ld lf,n{lr! olltir'$ onc olnr nnn\.,nx n(hr rrnr
<br />I h.!. !trd will minrain iC61i6c .orconqrro S.lf-l6ur. for *oird' mmpo-ion, 6 Ftrvii.d forb,sdhn 17molrh.
<br />t E{ Co<t. fm lh. Ffo,m olllE ro* for rnkh lh. Fnn ! is&d
<br />y' rnc rna *,rr nr,nran *o*6 rmFsr.^'6@EcE r.qutd bt s.dhn lro0 oatlE uhor Codc. fo,lh. rEf(r|mN..fih. \.rt,ir$hi.hrhisp.nnir is rsu.il My world' con,r.nsr Nr iNur:nc.coms nFni.r nurl( d.
<br />{.,,,,., (eJv!<;od Frre
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<br />I tdif! rhd in !h. Ffo@(. otlli mlt lor Nhichthn Fnrn ir isu.n.l lhallnor mploy.nypF$n in.n) meh6s 6
<br />'o
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<br />'o
<br />rlEwrl6 snFsl6n pm\ isioN of S.dior i700 of th. ri.r ( d1., I dEll- lonhq ith rcmdr r'(h rrns,ftvai.ns
<br />WARNING fi'luc lo s@ \qtd .ohF6nirn o\a*c s uLrtuL .Dd $.ll uUFl o aphrr
<br />'o
<br />aini.d Frlis rn
<br />.nil fi.6 up ro oft hund.d thousnd d.lld (1100.000), in sddnio.lo rh. cos of conp.Nhon. dnmaJd 6 provid.d f.r rh.
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<br />TESIAAIIAA
<br />I rElby tm ur&r Fulty o f Fjurr lhd I o li€L!.d und6 lnlrilhn of ( h.pr6 9 (.ontrrocin8 $nh SEI$i 7ux)) of Dir isirn l
<br />of th. REin6 i.d Pba6sioN C.d., rn ny lic@ ii m tull fora .,x! cfl<r
<br />K**.n*y'-. I B- Cto
<br />lrl l\a
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<br />I r <aJcrn Foreve-{
<br />(alsIaIrCIIQ!.IEBlllIgl(}:!(I
<br />I hd.b! .irm u*ld Fult,. o I Ffu r-, $d rhn. n i onrrudir Llribs rrffy hr lh. Fnnlruc. of rh. so fir*hi.hrtdrqril ir
<br />isudltli(. 1097, ('iv ( )
<br />AIILIQILDES.ASAUQI
<br />I hddt, .fm unk' Fnllry of Frury oG of rh. follos int ddlaralntnt
<br />D.ho lr i,,6 l'dnnr Asb.rros Nori6. nir F.ddilR.*ularn,nr ( lnklo. Fan6l
<br />Rdtut.n Ldrd of Ndifrdbn
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<br />l.difvrhar I h!v. r..d rh6 appliotn\i.nl ralc rh,rrhc.bo\c rnl-onndtnn is.ord I asrero.ompl! qth rll( 'rr ind Counlr
<br />ordmk6 rnd sbr. l,$ Ehne ro tnillins ..trrtu rx'tr !n h(cb) ldtnp. rqrsnd n B of rhis Cnr .nd ( ounr]_ ro mrs utn. rhc
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<br />\ I'.rnrilm nxnk (prinl):Do rn rnr 1ur t Cclefo
<br />,"lnI n
<br />UFER Ground
<br />Shear Wall
<br />C<
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