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<br />BUILbING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNIIR aUILITER Dl:1,( ARATION
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<br />Pnrf.(i',nsCod.)orth lrr 5h. n.i.mprrh.rcfnnnin,, rh. M\i\ nnrh. lk3.d?r. {'rhtr Any!iolnrk,nois.cri'n ?l,ll 5hyrtry
<br />applkldntr.tErmiiruhi.(\rlEippl*..rrrr(iyrlnidtrt"lfr{mr.(h!.lir.huntl.J llurllslrx
<br />-l.arD$mrolrh.rn,Fnyrmlrmnbr!.\*rhrnr\i\rlEnq'b.n'nFtr$rli.*'rltrr'rrr,rrirlr'ts(r(m^rinr.ftl.(id{nr.dn,eFrsr7l}r.1.Bultr*nlPror.$r,nl((xl.Tlr(inRli\1.r.tr{l.aEtlft\rt(lntiyn,mr*k,,
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<br />phvid.d rhrt rurh irtf,nEmn(u.n ' . lni ol Ehlntr ql ll hu.F rhhr'klinror \rnr!.nr ii('tluihnom \i{
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<br />-1.nr"*nr
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<br />rd Pnft\\nnC d.'1h.Co rnnsIi..nrl0rJo.rinirfnlyn'in lnn fnn'F y*hl huil(h r Npn)v.\ rh.r.,tr,,
<br />.nd $h, c.dtrr f'r u.h F'j.dl w[h i ( nnBlnn l r lr.n<J Ftr\li $rllCodrritrllr.nelxrr
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<br />li'hr(ixl.,itrth.p.rforn!'ncr,'f rh.*oflnr*hi.hrh.p.nn ni$oal
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<br />rlr rtd n, $hkhrh. Frtui n F{hl lrly solt6'n)r{*ndhn inslrnm..dE. lFrl! nlnfi.r !,(
<br />I (fl'r) rlEr r rh. n ,n nrh.,rrh.tr' lntr$nrhrhxF.iinn'\F{'.1.Iannni.nrr')rnrF
<br />!, a\r'lr.onr \uhFcr n{lr {ork.r r
<br />so*.i\' d,nrr.n$ri n nn'rnion! of S(
<br />WARNIt(: I'r,lu( h) r(ur. r.rk.^
<br />rn'l fin.. trr nr or hnrtn.,l rh,u$nl
<br />sdrnn rrrarn rh.lilr cuk. 'nr.r.c
<br />nnrn\rh,n l,*\,n( ir,l,m,x rnrl)rn. rhr 'l I \h{Llh..onr !'hrr r! rlE
<br />ri!tr' lnrrrI rh. I rrrtr ( r{1.'ll. t!trrh{irh utr,r,lr $irh rh!,{ rl ^Di\n'1 xnJ \lull !rl'r!r ri ttr{rl!,\.r i, ermn,'l
<br />thn r, rlr.n< t ro,riiild
<br />Ih.Ehrdllirmud.rFd[]ofI!juqrhdIrf,lrift.nu.rForirit.of(th[{69r.Mrn.dm3riltS.rlim]rrrrrnllrrtrirn:l
<br />o, rh. Bu!E$ !n Pr.f.1iDtrr C.d.. ml Ey li<.n( n m hrll Lr? lil .ifcr
<br />I h.,.hy rlfirm und.r FMlty ol lErjury rhd rlH. i< a $nidi lnli4it.dy fd rlr F.irB,k..rrh. *rrl nn*hxhrhnFDi ir
<br />traR! rsr ],97 civ (- r
<br />AIILITAIIIIIS.AIA]IA}
<br />, klf itrir unJ.r p.f,ik
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<br />or p.rjurJ_ E Irh.f,nr)x,iI,k.br hns
<br />l)rmrliri"n l,.mnsA\t:{o5 Nnrifrc.ri('n l..d.ril R.Sui ror\ r1(l.llr. I' r6)
<br />R.qutrnl L.ri.rof Mi'rtrn)n
<br />l..n'rr rh. rlr rakrrTr*uL pnirr.'nh,rr\h.{!\,.nrtrrl . nt{ r(ll,lf,rhk r] rhh |niBl
<br />;"l"Tilrlli,Rl./,.["r]il#t':l]ll;'.1;:l'1"*'r'n*itrN(r'd "'(o"nrrsihr (i'|n r 'I('i#,Wi3z;?)
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lVasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certil.
<br />FINAL q//{/n)-=.A Lzrt, /ad
<br />Certificate of Occupancy f /Y---...,-
<br />Notes, Remarks, Etc
<br />l{..v rlll.r)/.21)1
<br />I
<br />Subf loor/VenVlnsulation I
<br />I
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