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BUILDING- INSPECTOR RECORD <br />SITE-WORK ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subfloor/VenUl nsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lns u lation/Energ y <br />Dry1ryall <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />-)FINAL V"129-lU J)elt-l 4Y <br />Certificate of Occupancy <br />Notes Remarks, Etc <br />(,WNER BTJILDER DI]I-(' IIATIoN .I h€.q amm u.&r FdD ()l Frrun rhd I m.rqnfl !i!m lh. Co rrlo6 l.{mE l,s r$ rh. f.lh\na 16r l\d nrrl r <br />hRh6s md |rofe3nrn cod.) ADy ('ity or (iur, $h'rh r.rtun6 a Fmi nr .oNtu.r, .hd, impkw4 ddnolisn "r Erqn i ! <br />sr .1u.. Frr h ns Rj@c., aL. rqon6lh. +rlkd a su(h Fnnn h fik. si8n.d sld.'Hl lhd lE or rh. . 1rc6r.! ra'Niln <br />lo rh. Fo\i3$B nf rll (-o.Lklr'3 l-rm*l lau (Ch!fl6 9. (imnrd'is *nh s<rion 1000 of Dnisrn r of rh. &rhc rnd <br />Prot sions (i'dc)orrhrl hedshe h.rdng th6.lron.nd rh. he!6 itr <br />'h. <br />ilLt.d danptioi ntliddionofS&1ion 7(lrl5 h! nn) <br />qrk.nr fo, ! Fmir iubiEtt 'h. a!f'li(5nl ro r $ rl pml!! of ns' mr. r hs nr c hotr:t.d .hll{s ( tSu)l <br />I <br />l. s os nn ot lhc ,r.Flt. or my cnDtDG wilh sasd a rh.tr {n. ..hpddnrn, $ ill &' rlE worl Md lh. srudsc ts not <br />d6rr.d orons.d foreLisa 704t. lnB'B rnd Prct*(o6 ('dc rlE(tnirdo, i l i.6r lx\r do6 nor q'''l! tu e n$n6 d{ <br />thc F.rd! trhohilknur{i \6 tnd6!n, n1( ho *6 rld nod h,B.lf o, hftll.r tfr.tr*h hir d h6 ounnplo!6, <br />pn d.d th.' rucn i lnllmB e *{ imad.ri d ofs6i litr $k ll ho\-d, $.ltuildin8 o nnFo\dHr n $U $ilhin,,n. )d <br />orompkira rlE OsF tllliliq n <br />'ll <br />lE\. llE hr.kr Df Imr inl rht h. o. slE dij N toild m i,qre\. fi. FoFt, tu ll! ItrrII,* of <br />L a o*F otrh. ropsry. d aclBir.ly.orirrriry triri licRtaj codrrdoB r. $E ruci E rmj.d (sr 7([], &(Rr <br />nj PFtsrh( od. rh. Co.rNo.s t.(tN l.re do6 mr rprl) b D o*.d of FrFdr- slxi h{il& or mlror6 th(6n, <br />.n (ho .onrra.r\ f,, su(htro.lNss h a (irntaclot9 I'ce.ql rhc {i rr.ro, \ li.ds.lr(I <br />,rrr'r,-2ftf:ii- <br />I h.rhr_ aflnnr und( lErll! ofplury on. ofnr lnllo$irt d(lanrii)ns <br />It6trdd$illmr.t.inr(d,fic.r.{lConHrros.lf.lmmntr$ortd3 comrn$ron.8 rro\id.d tu h!sdion r7(x)orrlE <br />ljh.r Cod.. nr th. r6fomd.c oalh. *$t for $hi.h rh. pdmir i! 6.u.n <br />I h!\. and tr 'll naFl!'n N orts' conp.rslFn rNur.N.. 6 ,.qtrn.d hr 56t i,n rrrx) ot rh. I .ho. ( ndc. lor lh. pqfonntnc. ol <br />rh. s oIk t{ \ hrh Ihn pmn( i! s.d My \eork6 conrrEstion insurancc .ffiis iBl policy numh( uc' <br />l.dily rhar i. rh. tElorn'rn.. of rh. \or! iu rh'ch rh* r,ff, r (strd,I shallnor mtl('y in,F.on in.n,nrMno <br />$ !\bbarrc bjd lo rl'. srnl6'coorEMn. L$..4('a|6mna ddr*Erhd iiI shou tEcoft rubjEr i. (rE <br />Ioa6.omlwtxr.For[i,BofSc1'on]7(x)ofrh.Ltnr(o&,ICEllnrhqihcompl!tr'rhttr<p.ortrnd <br />$ARfilN(; l;aihtr. r' sor. $orkds' omp.nsdion.ord! <br />cnir lin6 u| lo on. n!.d,cd lhou$n'l rhll.c Itlm.dx)r. in <br />shdll n'bja1 rn mdDe t' timnal FDi6 ii(l <br />cci .f.omn Eiion. daDa{6 n! prc\ .<l li[ ih. <br />CorL. 'n'sd i.d drol6 s lc <br />DIiCIJAAIIO! <br />I ho.hy amrn und6 rmlyof Fjurylhd I m licss.d !nd6 Fo\iiio. of( h!rl6I (.ommftins eilh s.(hn 7000) nll)nision 1 <br />of rh. BoritB &J eofsNB Cor,.. ,n mr ke ir in tull fok. en.lT(t <br />(a irBucllaltu;lDltc-&GEdcr <br />I hd*ry amnn u.dn F.xy orFjw rhd <br />'hq.6 r codn'crion l.olns.stuy for rh. Fl6m4. of rh. *..l ntr \n(h rhis Frni i! <br />isu.dls( lt(l)7, Ctr ( ) <br />IITII(ATfDIU.AAAIIOf <br />I hodl afim und6 r6alr] of lE rur] on. or rh. a(nhr inr d.rL' r' ons <br />Dflnd l ion ld mils- lhcror No' ificd ion r.dd.l R+uk ion! {l i l. .l0, Pd6 ) <br />Rcqtrtr..l r.drd of I'tori6.d$n <br />,r! thd rh. tsi(rl r.luld nK a*&dht f,rhGrot rm\ !l m! Nr rtT'l(f,bt k, ihs Foj.rl <br />rhhil'rilicari(!rIirrrcr n[\c n,6' urkr] r\..r.(r I rn ro.onti\ ( rh rll ( ir! irl (.trDr\ <br />sr.r.lrNr Ehli^! ro hril,l'n* (o drl @.dh.tr. r.F.sdn6 of rhbcn,_ &d ( olntr to ol( ul{r rlE <br />c btfnal I]n,to1\ ntr 'nrr.i,on <br />,at p'i..n, ,. ,rr-, Sirn.,r* |( <br />r,",.,i,"".,,n.rp,i, ,*-3,a?r /'* t./ra <br />/-/ 7 <br />DATE I <br />r <br />Ext./lnt. Lath