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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE tD/stG.COMMENTS OWNER BUII.DT:R DEI,('ARATION
<br />I hr.hy lllufl u,ri.r En.lry,n lirNry rhrr I rn cx.mpr I'o , rhc Conkr.t'F- Li..n( l-.w itr rh. n'li,!n8 ro{n'n ls.(.7llll t
<br />Bu$ncs a,n Pnr.snn clrlc)r Any c{y or Counry wh*h rcLlu,c. ! Fmri L, drnntu.r. rlrc.. 'htt'vc, d.m,lsh or rn!! .nv
<br />dturorc,Ff kt ! tr\un.. da, Equrcirh. {dr.nr fttr 1(hrm n,I'kr '3rfr1{dmnr rhdlr.r{rnlr.n€J p{r s'
<br />io rh. Eovr\!,n! dl rhc O'nkakn,! l.k.h<J lie (Chrr{.r ,r. (-,rntrEmg wlh F(irr ,llx) ol Dr![i,n ].1 rh. Bu{ft( .nJ
<br />Polc$r'nr Adc) r rhrr lr or \h. tr .\.mp( rhrclhn dd r h< hrii tu. lh. rl[tcd cl.npr!)n. Any vkn{ (,n or SerDn T(,l l 5 ny any
<br />+plr.rd ntrx!dh[ ruhFrh lh. lPtl(.nr t),crvrIJ).n.[yol'r frtr rhlh I'!c hunJr&lJ llds(15(Xr)
<br />_l. .r o*Er ol rrx FlFn y. ,r hy.mpk,F. f, rh wi8.i .\ ,trtr iic (.qFnuil,.- e &' rlE qit r^l dE nBm n nn
<br />d. rl or.fl.Bl ld eh rsr 7(!.l4, Bu!i*$ sJ Pnr6ti)B c(ik: Tlx (inx r'f r t.x.i{ ti* Lr.r {{'tlyxrxo*ftro!
<br />lh.F'Jrny ulll hrildr.r rF'wrrtf,Brn. I wh, n,rs skh Hrl hm\.|, f h.rtll ot th^|u!h his .r h.r own cnlloy&r,
<br />fuvrl.J rlEr su(h m{h,rmdr N n, dcdd,r olfcrd n, st ll lx,srr. rh. t'o[183.{ qmtnrd n w'Ll E[ho 'ft F,
<br />of dsr drn. rtr ()*r.8!il&r ril hAr tlE tuLn ol FrvaE rhr lEdnrdrl dr tudl u lqmw dr F,Iiny ld rlr ln.Ft.f
<br />-1.
<br />n\owncr.lthr nn,l\ny. !mcr(lurivcly.onrr trrs* h L(.n\ql rontktr\ n, connn( r lE ta']C(r (Scr 7044. Btr{n.\i
<br />u, lh,h$r,nC,'lc lhc (hnkf,tr'r l-'r.n..l.r*,1,{r nn amlyk, rn"un.r n, prop.ny *lx,6u,Ll(or mtor.s rh.r.on
<br />rtul *h, $ddr\n{rkhInrFl.*ih.(i'firrldr,l..nsdNrurd!'rh.cl,dra1i{'rLrtncllrr
<br />I i .1.mpr n*l.r Sc(rrn .! & l'( htr rl,A r.rotr
<br />IIII8{ESSTAUCE SAIA!
<br />DESJf,AIIO!Ih(rhtrlltrmunJ.rtinllryoltrrru.y x I r h. n'ln'wm3 d( LnIrrr
<br />I h.y. {n *rll Drnr.u . C.n 'rrrr. ol Cirtr{nr r, S.lt Itr\uR ktrsrk. '.Mf.ns.r0n..t li$vidd !,tr hrS.dr,n !7lXrollh.
<br />t:htr (iiL, td rh. rEn'Mr ol I lE *qt hr wnrh rlE rirhn ! !ro.J
<br />flh,*r'nl*rll*rrIn*",k(rr n{)cn\rrrn 'iturrE.... rr EqueJ hy s(li'n rr(x, ol rh.l2lt* r,x,., ktrlrE F.hhuBc i
<br />lh. $orl t,tr *hi,h rtu p.'m '\ rlurl M!qurx.F \nmrEn.r[nrn\urrn\c(Jtr*, ulFnrynumh.r K
<br />,-.,W, llJwuto^r-r, /^< /u,( ,,
<br />".,,,,,n^*,ul4o,)o/6Q o,8 - ) t'r*p,*. b//lq
<br />lL.n'lvrhrr hrh(FrloflMECUlrh.$dt nn *hf,hrhFFrnnr tr n\f,,| l\hrlln cmoL'vrny n(rv'i 'n.n! n':nrr
<br />o r\i'he.m \utr(r n' rh. r(,t(( (mFh\lhtn Lf,i or ('rlrhrnr. .hl ,8R rhar,l I \htull t\l*nm ruhr(r t, rll
<br />*orl.r (mp.nqr ir nmlrx,n ol SRrrn tr(X, nr i h. tjhtr (irk I rhrll nln h* h $mplt $ h rh't Pn'rnDn(
<br />WAnNIN(; Frltrr t' r(urc wdrk.^ .on{'(n\rrDn c.vrri8. 'r unlaqhrl. ri \hall {rl'l(\r in empl('ycr h lrnrd lrula\ arl
<br />(n,l 1tr,.\ op n' ok hrnnml rh!tr \ rl 'loll,F rlllxr.lrlX)r. tr'.tr1'l'rnr r, rl'. (!^r .l (nntnIFni,,,. (rulcs x( nn,v .d ld rh.
<br />(irir. u rhi rDl rn,trNr ! trli
<br />lllEls&DsallxAcllr8
<br />IIECIJSAIIA!
<br />Ih.Ehyrllimu Lt FMhy ul Frrury rh.r I m l..nElu ., Frlrnn ol ChlFs 9 i ummB h3 *!i Sai rr 7txl0) .1 Irvssn !
<br />ol rn $uses\rdPrn (.ni C(!k. ul oy [.nc sulu0ntr(ri.lldr
<br />":::"'&/r#1,
<br />6&,,'
<br />AIILI(ANUETLAAAIIO!
<br />IhR{,yrnl utul.rD. rllyol |(Uuryomorrh.n'lk,uing Jcrhrr!(,nr:
<br />t^\mnni,n P.mn!A!lr{.s N(i (J{n licJcrll Rcgul,r{ns i'l L40. Prd6)
<br />R.(or.d k(cror Mr irrrr
<br />I (nrlylhlr rl( lnl.ralrc!ullr(,h rc!iitttru rnxdor trnovrlJc tr"r rpt,lk$1. i, iha p'o,.rr
<br />I rd 'ly ih:i I hlrt krr rfir .n ..r.n .nl {r. rhr rh. .h'v. rnlomrr'. r roft1 I ltft r,,..n!'lr *ih.ll Crt r (i{d,
<br />,rUo!E(.d Sbr.lrlr Elruia t, h!rllh! cdnnBirr. ul hcr.6yrurhtru. EFt 'r.! ol rhs C y .nl (bu.rr h .nr(r uF,n rlr
<br />rtr'!. nrtrrk,mJ pn,Fd, ktr mrBdN
<br />Appln{nl or,1$nl SixMltrN
<br />//a-
<br />5/r 1//,
<br />Set Backs
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing *7n-l\E€E*f lD3
<br />Shear Wall
<br />Framinq
<br />lnsulationi Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />T-Bar
<br />Handicap Req,
<br />Deputy Final Report
<br />Engineer Final Report
<br />1-1".)1 \.w_1rl
<br />Certif icate ot Occu nc
<br />Notes, Remarks, Etc
<br />t:qllralllla!.l.llDltrcAc-EN!:r
<br />I lt.tny rliuo ull.t FEny or F ,!ry lhll ltft tr r .nn(Br,n LDlDs rscBy l rtE tirr,,llldc .l rlE k'rt li,' whlh rh( Fmr n
<br />!.Ed (S<. .Irr. C'Y C I
<br />L.n!.r . N.m.
<br />--
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />Pool Fence
<br />Flood Zone Certif .
<br />FINAL
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