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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.OWNf, R AUILDEN DEL('ARAl'IoN
<br />I hmt'y .min u.dd p.n.xy oa pqJury rhtr I on crcnpt iion lh. ( ontEd.E t.ic6r t s lor rh. aollo$ins r.eh (S(70ll5
<br />Dusin6r Md ft.t6ri,'. ( o:L) Any ( iry or Coonry tr hrh r.qut6 r Fnit k, Ntr'lrucr. 01t6, inFotc &nolih or rq.t Mt
<br />3h(1ul( nN kr itr kruftc. .ko rapr6 rh. qrli.er nn scr Ff, ro lih r lisrrj {dorEt rhd rE., slr ir lr6.d p(e.tr
<br />b rh. InnbhB of irE ( o.htl6r,i l,.o<d l.u' (('t.Fd 9, ( ommftinE "nh SRlio. 70m ol l)nis6. .l of rhc B$iEs d
<br />PrefRrion! (-od.)tr rhd h..r 3h. ir.r.mt,
<br />'hacftum
<br />i.d th. hctn for thc !U.r.d a@Frn Anyrnrhtion orS.(!nr T0ll 5 hy.iy
<br />appli.. lor.p.friliubjdlslh.appliclntloa.ivilp.nilryof.nrmoErhaniv.hundr.ddolls(St{r0)
<br />l.6 otrffi olrlE po[6y, d mt @0b!c trhh *r*6 s thtr $l. mnFE tNn, {ill& 0E *ql tn {E rrulG E mr
<br />id.,rLj or or6.d Io. xk tsa.?o{. BGi6s sd frniBrir6 Cdc lrr ft'dr..ld'. lx.e l^.dE Nr +dy ro 6 o\c of
<br />rhclml{t \lE tril* or inFor€ rlEon. rn *h d.6 *n *r{ himr.lf .r h-*ll or rhtuuah hir or h6 o*T opk }c.
<br />govi'l.d r hir .uch inrFr\ ams ft * hrdrd.d or ofidni tor st lf, lr's dE rfi. boilding or inFolfut 6 hld wirnin nn. )r
<br />oacontkin! rh. (nc D{it d wiu h.w rh. hrrt6 ot Fov'lg rhd lr or $. dn d hrild or inpr.v. O. FDFry aM rlE ,,rFE of
<br />l. I oq 6 of rh. Fol6y. m .rclGh.lv codridhS \ irh hcFsn (odrrbs to conirucl rh. roFl tsr 7(X-1. ll6llK
<br />ond firish. cod.: I h. ( ..rr&!( i l-i.d$ Lls d(6 mt .ppl' n! rn o$ n6 of pnlEnt sho bondr .i impro!6 rhd dn.
<br />and shtr conlEdr lor !!ch liljds r irn . ( ontr0.1.n s) li.ms<l ,udrtrt ro rh. (nnt!.rois l-icdc lrtr )
<br />I s.rdfl und( sdFn
<br />Drl. ()rrr:
<br />rroRK F fsl-t tntPriNaa ! t(rN
<br />DECI.A8AIq!
<br />I hn!$ .mm uftin p..!h) of Fjlry .E or
<br />'h.
<br />lolLs inr d<LT.rmE
<br />lhlrc!d{ill Mnr.i. r ('difi(.'. of (-oMr b s.lf lnry.fors!rk6 snrFllri'on. s Forid.rj for b}S(tiir l?(]0orrhc
<br />lrb.r ( (tle lor ih. tEfonnan.c of rh. Mrt aor *t ich I h. rsnil ie iiru.!
<br />I h.\ ! ..d $ill n!inr.'n u orkd conFBlrion inrur.r.. B rqur.d L^ sdhn r 70o of rh. ribr ( o&, for ilE pdfntllj,e of
<br />fic $. f..$hthrhaFhi a iqEd M} r'rl4 omFsio. iBu,ft.6i d tblit nrmhn s.
<br />I.drfr rh.r in rh. F nnne. orrhc uoa r{ rhich rhis rErfti B $u.d. I itlllR{ mplot..r F,et. in or'mxE
<br />$ &r r(, tE{omc s!t!,cr h thc "!rt..' $nFndion l rof('rlirnmi!. d 116th,l 'f I lh{uld }Erotu luhjd' k' th.
<br />*ork6 co'nposirion pnrisroB orsdnh 1700 orrh.Iihr CrIjc I rhalL.onh*nh co'ntly snh rhoe lroiish
<br />WARNIN(; F.'lur.l(, {1-uc \0116 comp(Mlion (nd4. i3 unL$ful. dd sh^ll rubjor ophln io ainiml Fnhi. dnd
<br />cnil nn6 u0lo rE hundrdi lrFNaxl &'lls (tlu).uxr), in 6ddnio. b rh. cor of (omFM!o.. dm86 a Fo\do] for rh.
<br />Sdhn 1076 ofrh.IjlF, ( o<le rr6d 0d dlo|6 i f6
<br />^ppn-,,, ,( > \ i 1'.-ra
<br />t-lar-NILD ((,NTx c roR
<br />DECr.A8AIIq!Ihd 'y lftm undd Frht of FjuO rh. I m l(!Ed uidd F!\ irir of Ch4,rs q (coffiins s nh Sd.n 7lxx,) .r D\ 6ion !
<br />ol
<br />'h.
<br />aolilB ..J Phf6n6 Cod.. !n nr tictu it in lull fok. nn dler
<br />."",...,". x--U Ls(6 A
<br />CAXiIA]JCI]ONI,IIDINi-ACII(I
<br />I hmb! nnrrn unlr tEnnlrr'.f Fjun rhd rh6. i! r codrucr.n l.rrimS +c) fo, ih. Faoroc. of rh. $* ftlr rhkh rhir F,ri !
<br />6su.n (se !(,7. ( n c)
<br />ATILI(ATLIIECIISAIIA!
<br />I hoiry 0fm unrLr Fnalr! ofpdjur) nN oarh. aolk\sinr dakrdbnr
<br />l).moliln,. Pmil3-Arh6rorNorifi.dion lcddal R.rulstio.s{lnl.,1l), fM6)
<br />R.{u!.n t rd or fk iariir.
<br />I.drltrhd rh.fd{rrlr.!ul.rtr,nr 'q:i'd'n! ldBkx,dn \.1 .n.rlppli( lchrlNproi(r
<br />, cqlilyrh8l I h!y. Hd rhir applk i.. lrxl !rai.lhd rh..t 1. i.Iomdin n corGt l.Erct,Fnd, *nh rll( irt,.d(ounlj
<br />oid@(6 dd $!l. Llu Ehrt8 ro hildin8 ..drudi4 td hd.b .dlr,.t. rqr<nd n 6 ofrhi! ( irl an Counr, r. arE l+o. E
<br />rh{.'mr n,l Dr.rd\ 1, ftla.rr'n trit\6 ,
<br />.00,,".n,o,'*-,.,"n.,,." I Z \tsco A I z1 -1_g
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Frami
<br />D all
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL t0-2tl- fr ,JLI-h 'Er,
<br />Certificate of Occupanc v
<br />Notes Remarks, Etc
<br />COMMENTS
<br />SLAB Floor
<br />nq
<br />lnsulation/Eneroy
<br />Masonry
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