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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />-1.
<br />N\ .*mr or lh. IftFriy. or my.!r{,k,yas wilfi w!8c{ dr thcir s'L con$nserion. villd. lrr 8 k3d llEid1ft n tur
<br />d.nldl trofi.Ed fir sL (Sd.704,1. ButiFr !o! PiorcKioN Cnd. TIE Co doas Li!.* LtF {t ! ax lllply r. u o*trr of
<br />rlE |tIEi, *ln hdlr d intmB !lE6n. rd *ls d(6 un ftn hin€lr or hrclf or rinDd hi d lE o*r.nphF6-
<br />pror&rl rll.l .Eh lrim@lilr E d iide dotu rrr qE ll h,@. rb hoilrin! q iqremd i -ld vani. m F!
<br />or(xq rio( dr o*E BuilLr ,ill lIE rlE hllln oa FovDs tld h. d {t da mr bild q lqmw tlE FDFry frr dr FrFt ol
<br />-1.
<br />!ropEof rhc F,Friy. m.kluriwlyco rdinS wirh liinrn.odr&1.n rosn\tul rlE rreFr (Sd.70.14. BurEir
<br />8l Pi,ksin Cod. Th. Co dolt Ltc.r Uw d.F mi .pply io { nsffi or FoFny rln trills or inpDEr rhtrNn,
<br />rn vh. onrl:li ror *h F.Frs *nh . C.ffid t r lirmd PU^d ro rlr Co r.rd r litE r,v)
<br />I nr.r.mpr unLr Sdn'n-
<br />lrol.. (hn.r
<br />$t,xriIjlL$ ca)nlltl \s^r'lo:r
<br />l,L;,clJttrutIlIr.h) rllirmunJ.r IrtrJli) oltrrru* 'trk "l rh.f')lL's rt dc(hrari(r\
<br />lhivr ! *rllnudrirrC.nilirrr.olCon\cnrt,Srlrln{mf(rwork.ra..nlntn\srntr!.r\Pn,vi.lcdturl'ySNri(,nl7l[).lrh.
<br />ljhn(ixlr,lorrhr |xrnr urccof rh.wrIl{,$hi.htltrnnn i\ i$urd
<br />-ltlwrn*iuB'.in*ort6.orqEne.bniBrr.r..rrrcquirn6ys6ri,nl7fiJofrrrtboradic,tortlEpdfolmoltlr strl rd Bhih iik p.mir is irrEl M, *ctm d'r{Enr.li)n iNrtu. of,i, .,rt Flry m,$cr e:
<br />S+A1e- FUNP
<br />',,t",N"",t*, q 91- ob 2olb E c,* l-l'lq
<br />El (cd't th,t 'n,lI FrfortuN. urrlr rorl ror *hrh rhN rErnil i\ nrNJ. I lhtrll n, cnlk,y.ny p.ts,n n.ny lMrr
<br />i. ,' r' ts"m.ur'Nr t, rtr *orlo\ i r'I{nutr.n llwr orcsliromia. rfrl4E lhar il I !h)uu trrom \uhj.d k' rrE
<br />qorkcn'.on'pcn\!rn,nprovisionsols(ri,,nl7(norrh.ljhrC{i..1\hrll.n)dheilico.nPly*ilhrlhsflovirk,s
<br />WARNINC Faihtrc t, sur trork.^ .unFneiron .)v.r,!. is u.l!*tuL lnd tull \thAr en cn{,lortt k' (ririrol frtuhaukl
<br />.ivil ,iocr un h nr hudrd rh,!\!nd ilulln^ (lltll,(lr,',
<br />'n
<br />rJJ i.,' r, rh( ron nf.onqtnqrtrr. drD8cr f! FrvxlcJ ntr rh.
<br />. krkin 11176.r rh. lflrn cliL. mrcE{ rrt drw\'\ rN\ t / l
<br />Mor.eJ Mok"' tbb'/L '"'-'h*,fz/n/to appro,,' Lr{jEllrJll,lllrnA(Il.lf,
<br />DDIUBAIII}N
<br />I lE .t'y lrfrh uftld lEdry of F.J!r, rh.r I o litnr.d unibr Fbvta,n oaclupls 9 {@nmaine virh S..rh. 7o0o) oa Diri\i,, ,
<br />.r rh. Buri6i jn ProGsbN Co&. !n oy litE i in fill lIre r,n Efidl
<br />4".",",.",, (+lo
<br />\,. elat,o
<br />(jrL
<br />Mu*.. kol*
<br />grxsrrlgxruldDlliGA{iEgcr
<br />I h..rar.mrdu.dd Fn yotFrrurylhrl m Ls ! currMlhn Lnilins ds.ey rd rh. Frr.rfrNc of lt url i, whah rhii Fnlir it
<br />issucd (sN 1097.civ. c ).
<br />A.8PII$IUECLAIAITAN
<br />llml'y ulti.nul}l.r ncnally ofpcrjury on. ofrh.folk,*'nS nE-Itrsriotrs
<br />D.trr,l xrn P.rm !A\h(nul Norifi.rri,tr ld.ral R.suLri'h alik.rl). P!d6r
<br />L.rtlmd tJtrd ol t*{irr'dDn
<br />_ -l (.nitylhd rh.lrn$ lrcsuhr(,nr rugeling r\tf,{o\ rtnx,lrl !rc turiDdrllhlc n, rhtr tntcr
<br />-l.rd'LrhjrllErcr.ndrhn.pl'lkrrr
<br />drl {alclh.r rlk fir\c rniinurktr, tr.oRt lasrrL!limfltqirhnll( t'nd(i,unrJ
<br />, J'Mn'c\ rnJ Srrt l-,r! RbtrrE r. t{'ll'nrr!,n{Nrnm. I h.rcny id htr'/. '.F{dd tr.\ of rhn C[, ! Cou.rt k] cntr ulr$ rlr
<br />rtr^u trrn,r,mJ rn{rn} r,n 'n.n t"rtdlJ*. /f;;;;';;"" *clfj4 4<- ,,,., rz/'o t 't
<br />p.mh*Er,.,prin,,: l,(|aP^ Uoll,L
<br />t
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Boof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />FINAL t\r'r\r1
<br />^,1L16\
<br />)
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc
<br />\
<br />OWNER BUILD& I'ELCAf,ATION
<br />I h.rchy .litn rod.r Icml'y dr F,Jlry rhd I m crcr{lr Imm rlE O,ntrodm Lt.ns li* for rlE aolkr*h8 &$. (sd 7o.ll 5
<br />Buiin.rl dkl ProLtsn,n ('odc) Any Ciry or Coutrly whi(n rcquirc{ r rE mir ft, co.nd.r, tlrd. nq,ow. thmlish or EFon !try
<br />srrucrw. Fi,r to irr irruffi. db Eqlirci rlr applier (, so.h F nir ro lik . srgEn (d.nEnl thd tE or rL i liccntd puoan'
<br />t, rlE F,vnionr of ltt Co.t b ! Lirnrd tip lch.Pd 9. Conmrini *ilh Sdion 7ur) of Darhrr ] or llE BuriE( tnd
<br />PrDr.si(nr Cod.r o. rh.r ll d slr i..Erfl rh.rcfr$m.!n rh b$is for rh clt stn cr.nirbn Antvbbti,nolS.nhn'7031Jt'y.ny
<br />.m,li.rnr ror r Fmn runFr\ rlE rppli(ur roa.ivilFMhyofmr d,c rhln nt. hudEddoll!,i(SlD)
<br />Ln l.r'r Ad.tB:
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