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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OITNER BUILOER DELCARAl'ION
<br />I h6.hy altuD unds plulty ol Fiury rfiar I m .rdrr, non rh. Codrados l.'c.e l.s lor lh. tollo$ in8 .arrn ( s( 70 \ l 5
<br />ttsin* ad It a6io. (ixL) A.r_ (-nt or Coudv {hth Eq!n6 a Fni ro .odDd. .ha, imFn\c &ml6h or rqln d\
<br />noduc. Frnro r is.. !E{ Equr6 rh. $91rcd for ruh rEf,. ro iik.lr3rcd {dmr rhn lE.r sh. . I'c6E d rotud
<br />lo rh. ForismN olihc (onk.crois tico$d L.w l(-hap16 e, (tmftin8 $trh Sdion 7()(x) of Dililnn I or rhc Busr6r ind
<br />PmtNions (td.) orrhlr iro. sic is clonpr lh6di{rm lnd rn b6n foi rh. rllrr.d croDr'on Any\rhnnofs.nio.T0ll t byaiy
<br />qTh.mi lor . Frn $bj<t rh. rp?li.d lo a ci II p.olt ot d,r mE rh,n fi\. hun<lr.d &llm llnx),
<br />l. 6 oM6 of rh. FotErr. or ny mplotc wnh $rBB a in i $1. omFMion. will &, tlE wort and llE rruiu. 6 ml
<br />i q*,.d orofis.d lorelcIS( 7044. BNindud ltlfsioB ( od.: Tn. Colnr!.rori l-icce lru d66 hr,!plytu M.M6.f
<br />th.FoF,r-_ rh\t ilA o. rrmr6 ilEFa ri stb dE *n *nt hrnelf or rFr*lfo. rhmqh hk or h6 osr mphr6.
<br />Fo\d.drh.r s.h tr'F\€rEa Gd dEn d rofisld tunt lt ho*ss, llE hiltir{ r lrguttd u$ldrnh ok!a
<br />of.otrpl.lior rtE O*G B{ildq *ill h.E rh. hdln of Fo\ ins 0n rE or slE dd mr hild !r u,p.or. th. F.Fry 6r rlE F,Fs of
<br />l. a otrE of rh. FFr), @.r(lurtr.lt .oturr inS uirh lrda.d (otuLJoE kr colBtud rlE F.Jd {Sft 7orl. t}arc
<br />n Fokrh (-od. Tt. ( .nir&loi! I rc6. Llr {k6 mr alplv ro i ou'n. o, rop.n! tr lF build! or imprer d rh6Fn.
<br />ind $ho.odndrfor.u.hFojds*irh6Conrr..ro(rlicqndpuRurdbrh.c6tuddo.!Li.aslis)
<br />I m .\.!nF lndd SNrh.
<br />D.t. oind:
<br />w()n(F[9 (l]luPf Nsa'!'IoN
<br />DECjf!AA]IAL
<br />I hd.q rmm undd rlun! ofrEjur).kolrh. a.lbs'hr &.!tu hd
<br />Ihivi dd tr'llmiinr.m0('6riliot.orCoNdr k, S.lt l6urc ntrsrk6'ro rpdern,n, tr\ providd itr b) S(ri,,n :1700 oIrh.
<br />hhtr Cod.. ror lh! !6fonnuc of rh. u!* tor \rhich rh. p6mir i irs!.d
<br />I hrv.. $nlnrinrrin ro.Lm rd|Ur.d b s<h.l7m.r
<br />rh. $ort lor *h*hrhnFhn 6 s.d Mt $ntd (ompft6!'o.r,Nuft. (M< d'd Fntr
<br />rm \
<br />=1i\+< '-+tA,^d
<br />e"txyN" *- ll!]7 LLi? erpis\Y2/ rk
<br />I c.ditlhlr in rh.Florrunccolrh. $ort lor *hth this Fmrr 6 su.d. I slull not dpllly My tF$n in rn, m.nE
<br />$ a to b..od 3uqd b rh. $ 16'mmFMi'. lr*j of c.lifom6. rnd leR
<br />'hd
<br />if I stFuld tE oEiubd l.llE
<br />u1'd6' onFMiof, Dm\ !16 of Sdm !r00 oarh. t b.r ('o&. I JEll. fonh{ h oirl} f,nh lbe F!\ iiod
<br />WARNINC: FliluE ro BU( troitd ..npdsto. c.\@9. ! unh$ful, ,nd rhrll sub.J<! d atloyd ro aimtul Ftsh6 Md
<br />cnil lin6 up b on. hundrRl rho$and dollc (lr{x),(x)o), i. iddntr,h u rh..os!.onrrnsrion. danE86 &3 t o\id.d for lh.
<br />SalFn :r(176 ofrh. tihor ( o&. im€d drd
<br />,,.," 116/t 7
<br />DECIASAI]a!
<br />I h6rb !,Im urLr pq.l' of Fjur' lh, I u lics!.d utr& FolEhn of clrFs 9 (onnE'ne *nh s.dnn 7sl)} olDiritir. r
<br />of rh. BBi,B dd PrcftsioN Cod., !d my lk.M i! in tull fo(. rn.fid
<br />r(mk,',as, 9 rC 1"s
<br />^"7/ 2e/ / 7 ,.^\ 9,olaiT;^^x-
<br />caxslallcllllJ.lliDltliac[Na
<br />I H'y dlm unjc F,.ty of rErjur, rhd rhqc t !.oldrucrb. lqd!ts asdy ao. tl! pcfolr1@. orrh. tror tu, $h.h rhi! Fmi i!
<br />isucd (s6 l(I)T, aiv c.).
<br />AEUTANLDIS.dAAUAX
<br />I hddr! atr n u.da p6.h r of Fjua or of r h. tolbq 6B .hl,r' krnj
<br />l).mnnion P6mi's-Ash6ror Norificdri'n r.ilal Rqiul6rna (Idr. 40, Pd6l
<br />R.aut.d I dhof Norli.orion
<br />I rorify rhn rh. a.d(ri GXuhrrB r$edr$ at sts moultrc nn qDl{$L ro rhk ln)Fr
<br />I c.nifythal Ihr\.rodrhhlDplic.rn'n. sralerhit rhcilnvc inn,nratnrn i (otrat. I r[r( ro .omplJ- rvrrh allCir) dtrdC.unry
<br />onlD.N6 r.d Sht.,rtrrELlm*ro h!'ld'ne codtucl k n.hs.h lurh.u. rqrendn6 ofrhis C(! E d Counrrro drd uF,n rh.
<br />:::*}#Jft ott ll 7o<-z--y
<br />*" 7'M lr7
<br />Set Eacks
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation I
<br />Roof Sheathing / o/o 7 /17 nffvi1-.'
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />all
<br />Ext./lnt. Lath
<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 />,,1 ..1
<br />FINAL t0t1+fi+uil/t:ff
<br />Certificate of Occu pancy I I
<br />Notes Remarks, Etc
<br />I
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