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BUILDING- INSPECTOR RECOBD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNPI BUILDET DEI-('ATATION
<br />I t rlry tllts uftLr Fnrly or Friury rh,' I D crcn{,r Imn rlE Cinkkl{,r' trt{ l,w lor th. roll,wo8 Er$n lsa ?o11.!
<br />Bu{n.tr ur! Prclarb. Cni.): An, C y or Co!.ry *h{h cqokl ! lkmn b ..n{rucr. .xd, ifrlmv., !.m nh or t!F( dy
<br />slru.lur, Ilrrtrk) irr t.u.N...]n] EquEs lh. rlDlf,.nl ldr sBh Jrmn I',llka !rcisltlcRnt rhar lror rh. ! lt.ni.d pus{
<br />to rh. th,vsx,nr of rtt CDntrrh*'s Lcn*J llr tch1t{d 9. (lmmtum8 wtrh S(rNn ?UlO of DrvnFn ! of th. BuriB( uJ
<br />PFl.tri,n! cxlc)ixrhr lFffaE n c!.qi rlftimhgn rlE h.r! ntr rh..lLs.J.r.r{r n Anyvx,libnolS-'n.70tl abyry
<br />,;#;f,*ffi ffi;*;**'**ffi ffi#*ffini.*.,,,
<br />rh. f&trny *hlt ds nr 'nlf'wr itrErtr lrl eh, d,f,\ \rh k,* h'h*lf or h.r$lf o. rhnuh hn or h.. .qn cq'by..s.
<br />pruvr!ft1rhrr !u.h imFDmdrEr d.nLl orortnd ftx ql lr.hrkE,rt tlrllrr or uitbEmnr tr. 1*nhhoEFs
<br />o, dnqrLrrn rlE O*cr BodLr $dl h.E rlr hrt .n ol FM! rhr lr or {r drl dr hl'tl .tr ltthE tlr FrFty nr ,r FrFx of
<br />_1.r\ *krolrh.F)neny.:mc\.lunkly..' rr.rn8w hll!.nqlr.f,t, ,F n' (,n{nd rh ln,l.d (rq( 7l}L. Busmrl
<br />mJ l,n'f($r,i ( (rlr Th.(,,nrrcrdis L(cn\c t.!q d'$ hor rpt'ly k, in.wnc!ol pr't^-.nyuhr t'url,lsor mpnvcs rh.r.on.
<br />anJ *ho ronrrrLrrhr{trhpfl,F.k* ha(tfi!.nt(n lf,.n\cJ punulnrt,rh. Ci r.(tr'! l.f,.ne lju )
<br />_l
<br />Xg"I OhJz-o
<br />DEC].II8AI,!18
<br />I h.rhy rllm, uDdcr t^-nihy or l^-q!ryon. ofrh. nrlL,*'nt J.rldarn,n\:
<br />-l
<br />Mr uj will Dlid r C.nni.k of O|Md ro S.lt-lntu. d *xtn' on9.M.n. .r Flvild tur bySc,ro.1700 ol ilr
<br />L.!x C,rl., fir llE Ffurrl[! ol llE srt lq *tl1r llr Ftu ! BEn
<br />_l h!v. rnl * 'll nahrrm wnrkcr' $hN n\trr$n 'n\urrR.. rs r.r]nmJ hy Sr(r 16 17(rr nl r h. l2txtr Ci'J., ttr ih. Frlolrr]n. {l
<br />rh. utrk ktr whrhthr\ l'.m r s 6\u.d. My work.B'$nt n\ar(,n rh\rrrnr. rdf,r.il F)lEy numhcr s.:
<br />Cair:
<br />litrnuhc ol rh. *o lrtr *hrh rhn Frmr ^ h\u.J. l rhlll nn cnllll,y .ny !.N)n rn .ny manE
<br />\rhjrri)rl'(w!trk.s'$nrNnYrrlit*\nlCrl'lorfL,,,rrlitk.rlrirLlI\hi'l,ltBni.\ut!..rn,rh.
<br />hr*.i\' d,mp{ner ion pnrv$irh of S.o.n l?fll uf th. lrhtr a',x1., I rtull, tunh*il h d,mply w h th)s pmvisirtrr.
<br />W RNIN(; Fr,lxrc b e(u( w(rtcF' d,n{Enqr rrn (ov.Erc 11 unL*lul. . l rhrll trhFr - snpk'y.r r, otusl tEMl.r orl
<br />c,vd arn.r W (r oE hu.dEtl (huq[l !oll8 (tlm.o(xr. r .drt.r'n n' (lE .o{ ol.onVf,nslo., dm8.r $ fDvdcd fttr rh.
<br />s.!1r'n 1076 or rrE l:t{ (it'l. d.Er .ti ,roEy t r
<br />-2o 6 2g'z-Cct -
<br />DECIdSAIIOX
<br />I hcrhy .l lonr utul.r IEMI y ol FrJlry rhtt I !m lNn<{ und.. F)v(ir nl Ch.o.r 9 (!'mrh-' itr! * h Sc.ri,n 7UD) ol Divrrr I
<br />of rh a!tm$ 'Il Pnrr.sr)N CnL. .rl mv lr.n{ F u tull lttr( !n clr&i
<br />D{1. (lnrlm(
<br />coi6atuc-rlon Lr Drtc acEN(1
<br />I h.rby drim ud.r FD!, ol Frpry rhd rlrft n r .onrurDi hnlut .!.ft, lor rlE Ff.llfu! ol rlE Hxl ior *td rn! Frh, !
<br />dfrlt!a-!t![gJ8[rar
<br />I hnhv rrnmu'khr p.nrh! ol FrNry oR ol rlr n,l!'s'nE J..lrrrr)nl
<br />o.'a,li(,n l,.mi\ A\tt{o\ N,i"'(!rk,n ri,krrlR.rtrlrbon\ i'I'rl..ll).I,rd6)
<br />R.qnmJ lrx.rol Nd idk,n
<br />I td'rtrhr rh. r.tlcfllftlll]lr'nr Er.rJrr.\tBn* r.B.r.ld D {,l'lrrhh r" rhF FlF I
<br />':[:,Rdo**'^,;*,..','";.,;"'*,'*"h.E,nr.mi!,ns!o".-.,rrarat,.unpr,*ihr,,c,y. cdu.,y
<br />ordinrrc.rd lSt . Llws EUruu ro t ! ildin! (onnto&on. r,n hcEby .rrh,@ Epr.*nrd 14 ol rh6Cny, cDu.ly lo .nla ulr)n rh.
<br />ah,v. nrnrntrKrl a )l.ny lrtr trr
<br />(petor
<br />"r^!6rst.MroF O ,'<, LC<t -^
<br />,'7a.,; / etz,2- /./t -/_
<br />,.t2-21-20/3
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Mason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />/A
<br />FINAL l
<br />Certiticate ol Occu n
<br />Notes, Remarks Etc.
<br />Ll
<br />tr- I]c
<br />\
<br />nsxtl (5e. .ro()7, cr. c )t tut .r Nrm:
<br />Set Backs
<br />Sublloor/VenVl nsulalion
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