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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS I)WNI]N AUILDER DEI,('ARAT'ION
<br />I h.tuhy rl lirn unti.r lE.ilrr ,,1 p.lJury rhnl I crcmpl fom rlE G,nr*,E' l...nc t:r lor llE nnh*ins men ( s* ?0:r l 5
<br />ttuqnc\( Jrn ft,'lc.\nn (dt ' Anv C ) fl (itnr) f,h|h 'cq,trc\ J frNr 'mF'n., J.;r.ltrh,{ EF,r, Jn}
<br />(ru.rurc. Irirn' irs hsudc, rln' rcqxn.\ rh. (pirlr.nt l 5u(h Frmn h) fiLa {3rid ird.nr rhr lEoi \lr F liriEn putud
<br />t, rh tmvshh ol rh. (i'ntrrM r l-i..<J ur lchx .r 0. conmki.S sirh Secri'n 7t[x) ol Divnhn .] or rrE Blsi^ns lnd
<br />Piolc\lntrr(nt)orrhlrlf,orrlttrcr.Drrh.dtroldndrh.besnf, rhcalt scdcrcrorhn Anyliotarion(,rsdhn7o.tI t l,y 6rt
<br />BFplNuni l(tr r lcdir \rhlrlB rh. iftliclnr h.crvrlp..!ltrol mt nFr liu ln. hr lfti doll{r ( l5(xr I
<br />L r\ oe rr orrh. loFny. or my cnullDet wiri *!s.\ a\ ihci, y,L d'mFnsrln. s,lld' rl* kd Nd itt r iE i\ ml
<br />datn or ofi.ki rl, sL lS< '7l},l. Bu\itu$ rnd l'or.$irN CsL Th. Cnntr(tr\ I (cnr tr* dr*( not qtrly ro !n owmr ol
<br />rhc lh,Fny sh,t ildr or in{rnrcs th.G'n. lRl rh' d{B uh qnd iinr lr or h.Mlf or rlmru8h hr or lr..$n cn{btt.!,
<br />Inrvkl.i thut (uh rnrF'\mdr R nn ddld orollsdl fir qL lt h)uew. rhc h{rllill8 or iqn'Emnr ir Y,kl witn'n om )td
<br />ofdfulrri,( lll Osftr tlu,Ild will hlvr lhc lDdcn of I'ovins rhr fuor\hcdrl n t iU or nqnrE th. F)F!y f{tr rht IrrIIN ol
<br />l. is owner oI rh- tmFny. !m ci.tusElt unterin! *ih lr.n\.d cnik{n,F n' con(rucr rlt In,iN rS( 7D,l, BunE$
<br />rd th'tc,\in (ixL l'h.C.nt{kr'' Li.nk bEdN\ nor lpnly h o*ncr{llr,pcnyrhohuild\!rimtnvcsrhc.con-
<br />!trd rlx' contkrl tu such pmFk *ir h a (.ntrt(r, li..nyrl po^unr (, rlt CDd.sr.ir I i..fl{ I * I
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<br />!m(icmllundrr s..rnn,-.ll &f ( l(trrhnrcJv'n
<br />lblr ()rn.r
<br />!1( llrFt{\' (',ottP}-'ls,l rioN
<br />D&lla8auo!
<br />I h.'cn, rrft ,!rd.r titrrlryol p(flr]uEol rlrl,n[)r'ng JNlrrirnr
<br />IhrvcmlwrllnEinfurnh(tnnklrcoaconrnrhS.lIlhur(tr$orkd!co,it{.ur$n.!rFo\ildlforbySdri:l7ll).lrhc
<br />ljhr C,xlc. l(tr rh. Fnffit ol rlE s,rt lirr shth rtr Fnni i t\!cd
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<br />hik nBl f, ill .uinr.'6 tr orkrn roqEn\.riotr insur(E.. !\ Rluncd ht Sd k,n .171I ) .l lh. I itxr Cod., nn I hc Frfoirrrn.e nl
<br />rh. ! liinshxhrh*Fmnr'!h\EdM)wtrlLc^'!,n'F(nr!ri,'n'hu,srt.LdrrnlFlr)numtqdr
<br />.""-,ffon D.rer \n(urance kfvicec ua<\, \nc,,,,",^,.*ltcco\2l20\h\ "n,,," 0U201?j1-4
<br />I ..n i! rhxr in rh. |xrformrc of r h. *uk n{ s hih rhi! ncrnrir ^ tskd. I rhlll n.t cn{'l(,y lny pennl
<br />'n
<br />lny nhtrkl
<br />g, !sn, hc.oru luhJecl ro rh: krt.rr'.omfcnrrrirn Lrq5 ol C.la(rflu. md 4E th,r il I rh,oU tr<.ft.ubF<t rI rlt
<br />"orrsi mn{tn$ri,n F,vrhnr .a Sfrl -,. :t rlx) of rlE LrEr OxL. I {{ll. hnhwit h (rn0ly u irh rh)s Dmvi\ions
<br />\r!ARNINC Fnihi. k! ccurc *u ch (,np.nrlrion $v!EE. !. un[eful. tftl !h:ll ,.hFr !n dlrr,F !o (,miHl FNtis rr]
<br />.ivrl fin.\ up n, om hunda! lh'uend dou!6 l! I U),{xI)), tn .Jdni'n x, rrE $n of.oqrnqli)n. danu8.{ as Povidcd f(tr th.
<br />selr!,r 1rr7r,!l rh. l]lrtr{ixi.. iri.rc{rirlrnr'f,y'\rrc{
<br />6rritt^z[01]oro HawraLtl.Li,)ru_(]Ju&rulBllllLiSilUQ!
<br />! lkrhy afinrn uDdcr rcnahlol n rJxry rhar I unr l'.rn{n undc. Fnvilirnnl(lupr6 9l.rnnnrRrn! rnh lALri,i 7lrx)roflrri\hn l
<br />ol rh. 8!{6r md frolcliirnr Co{.. 'Jil ny lr.n< r m full nn.. ari talNr
<br />,.""^" an*, E ,.,cchcNu,nr\, 4L\L^\6
<br />CDc Er,ur\ers, lnc-,.,,LlqDn\b
<br />(a\un.l(IrriL!liDl:1ilc}:li(I
<br />^\ur,l(Sr( l(l/7.CN C)
<br />lr lrr\ A(lntu$
<br />AISLIIANLPEI]I.A8AITIJN
<br />t hdtt, ill"m untr Fnah y of Fjur) oE or rl.F tultuins ddLrarr'n':
<br />l)cn'lirirn Sern s A\h.nor Noriff,rlirn H.rrl Rcrukrionrl litk.!).,'Dn6r
<br />_Rcquu.n L-n.. ot N({fr.'i,n
<br />I cdrlJ rhi th. lc!j.r!l rrlulriin\ rqqdinE s\tE\r\rcm'v.l.. rn itrfltrhk (' rhtr Pn,F.r
<br />..,l.unif) rhJ I hnr. rud rh( rtlllr.rio. un i.!c rtu,h. aH'rc i',ntrnnhn r odd I lFE k,.r'nDly *irh lllCir! rfil C.unty
<br />dnliuR_c! url srlrc litrr (bri4 ro hflld rn! .on{ru.r i.tr. dd hrr.hyourhtrirc rcpr.\r rh.sorrh,lCiyddCounryrocnrd F,nr,r
<br />ny f,{ 'n.n(h,n nrFq.
<br />At,0li..trl nr,\[0]Si!ntrx,
<br />(l rrh
<br />tloluw
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL I-ts-/g _/)eCtr.,oi,\
<br />Certiticate of Occupancy
<br />Notes, Bemarks, Etc
<br />,+t
<br />$
<br />lzo/
<br />Subf loor/VenVlnsu lation
<br />T-Bar
<br />Flood Zone Certif .
<br />*+-o,.-< rr+ O^,4t-*^<4
<br />\G)
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