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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS oWNER BUILDER DII-(-ARATION
<br />I hd4 ,l'rn undd Fcht of Fruo rhd I m .rm n$m rlE ( od8 oR l-{.e l:\r nt rh. follo$int .aen (S( r0l l J
<br />llusinBs and ltoferion (i .): ny cily or (irunr} *h'ch rqtrn6 ! Fnrn ro codru.1. !h6. imFov.. .bmltsh o nhr t.l
<br />nru.lu( Fir. h iB ireft., .,t* E+n6 rh. q'lrkmt for 3uch Fmil h fiI. ! sisn {t slrffir !h, h. or sh. k li.ds.d nrR.nr
<br />krlhcpi,visiotrsotrh.Co.clr,il-ic.nr.dlr\richlr'rd9.Commtr'nrsnhsdo.70(x)ofD^RrnIorrh.t|8'ie1tnil
<br />PlolBnns (id.l or lh,l lrorsrr (.rmfl rhd.Gof, i d rh. nsL foi lh. .ll+.d .!flpln,n Any violtr n. of sdion 70ll J hyant
<br />.pFli.nnt ior . ,.rni tubjcrs rhc .r4li..nr I. d dril p6.h' .l nor frtr. lho fir. hui<t.n rhllJr (l5u)l
<br />l. al o*G of lh. rorEn). or my chph)d snh Ms6 a\ rh.r $k 6'nlE!Mi.n. rill rh rlE $d nrl dE rndd. ! n
<br />'.ro{iqj or orTqqi aor sk (sd 7(x.1, Buins Md Pruf*iom ( od.: Th. (nnraclois I-ic6E lls &'6 nol q,tlt io an otrnd oi
<br />rhc FTEO qb hr[tt c in{m!6 rlEuE !d trh. &E sh uo* h'ms.lror ho*ll.r rhnluh hir or hd o$n.'npl'\6-
<br />pnrv'&d rhar ruch 'npmvdk! e mr 'di,t d .r dll6.d for *k lf. tr!$ 66. rh. hnldin8 .r ryio\ .'1d G rld { ih'n oft rd
<br />dacorq'kr(llE(xErtn&rslh^.lllhn&norFrinrrhdh.d:lkrtdmrtr'ildorinrncthcFIFIyfi,th.B'rtxEof
<br />L do\n. orrh. IroFdr. m.rctun.b codrdin* (nh n..ed.odr!.loEnt $dru.r !k F,rd (s( 7Gll.llu\i.6s
<br />ad lh,bstun(od. lh.Conraci{r's L'ccns.l.ru dod n6r.tllilyh ano\.6 oftr.p.ny sho h{ildsor mpro\6 rhdon,
<br />^nd r ho .odftls fo. ruch FoFds \ nh . (i doflr) ltos.d rulul krllE(illnr&lor,s I icle Ii{)
<br />I dn.r. r u.d6 Sari(,n
<br />D.rr ()$ner
<br />lllBlif,&i:(a tElttllarorgd&ulQ!
<br />I h.r.h\ imrh undd Fn lrr.f I'ojun on..frh.ldlo\!n! ddtratNns
<br />I h'r. ed q ill minram d ( d ilirar. o I Conrdr ro S.lf-Inff. lor $ orldr' comtasl on, &r l,o\ idd for or( Sdhn rTllr ol rh.
<br />I nh)r ( od.. tor ltr. Ffommc. dalh. * orl aor { hth rli. Fh a su.d
<br />I h,!r rnd * ill m.'nr.in tr ort(s comrftdi.n iBurimc. B rcquid h sdri.n r 7(x) .alh. I rh.r (id.. for lh. Ffomlncc ol
<br />rh. q.rk for * hkh rhi. Fnn[ is isuGj Mr $ ort6 .omF6dion rrou.ffi. cMF rd tbla) iumb.t !.
<br />I..nii rhal inlh(pqfirroh-..of rh.uo ror sh'.h thi{ p.'nrn h issttl. l shtll nol mpn,r. ony p..son in any hd.d
<br />F &\ ro l*oN suhj<r h rh. $ orld' conp.M Fn L\a or ('!haom6. nl qsr rl', 't I rrnuld t<.ft .ubra1 h rlE
<br />\0116.onFsrionp($ionsofSdln'n:r?(xroIth.lltn.('od..lCEll.tonhsirho'ntly\rihrh.kpmlkoB.
<br />WAININC F il!r. ro c6. trolt6 .omrdlrio, (ord!r. is unh{hn- '.d rhall st'1..r M mpk,td t, .mmrlFtha md
<br />.nil lin.s ut, lo on. hu!&.n rh.usand doll6l$100.0(ro). ri add(k,n b rh..ori Df (onFmrion, dlmalB a I'orxl.rl litr rh.
<br />Sdk)n 10,6.f rh.l..tv (.d.- inls.n rnd r orE) \fc
<br />,)",,-g.r:r, i ^i'i.,,j(1"!d" 4/
<br />D[(la8rllo!
<br />I h.rct ! .mm un.Lr Fnlhr ol Frn rhd I m licqE! und( Fn\6hnor( hrrr6I (6mnftrn+ $ ih S*irn ?Ou))of l)nishn r
<br />ol lhc tlu.'n6s ind Pmt6sioB ( od.. dd ,ny li.m. B in nnl tor(. md .lld.
<br />o,rJ-/'l?
<br />grNilalcuori.L[lDllc-AcExrl
<br />I h6rt') rm.m ur&r F.h) ol Flury tht tlE. i! ! coldrud ion lddrns !*d\ aor rh. Ff.ffi. oa rfi. qn tutrhthrhrFniri!
<br />i$u.d (S< .1097,civ ( )
<br />AITUCAULI}ICLdAAIAI
<br />I hdd) aJrm u.d6 p.nrh ) o i lErury on. oI ih. fullNr mr dd ldarins
<br />l).molnrn P6mit A5IE ror Notric{n,. F.n6al Rqruhn$r(Tnka0. P.n6)
<br />Itltlutr.J I.rr.r.l Ndii! (!r
<br />I .d r ly rhd rh. acLlml r.tolarions rcgddrnt &slstos ,6nor.l .r. nol amlrahl. tr, rh's pn)lftr
<br />I .61it rhar I t{r. r.!d rh's imli.ar
<br />'on
<br />drl nar. rhd rh. .tn\. 'nli'md i.i B n,rd I ura l(, co,II,l! tr irh rll (
<br />'rr .ftj ( ,\u }
<br />.rd'MN6.nd Sr,,.l!\r r.LrinI nr b{ildi.r .odrud ion. MJ hd.hy rurk]rlr. rqr6olnriv6 oflhis ( ,ry &d ( ounD ro mr( ulrnlh.
<br />.t\r\. m6rir.dlln,n n! li{ E:il;;."",;iD"-*/ c!4 -,."-/-//
<br />PmrlrF rrm. (pnnr):
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln su lation/Energ y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lr,4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL 2-+-K x.tl-L)l
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />+
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<br />I
<br />I
<br />I
<br />Flood Zone Certif.
<br />I
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