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BUILDING- INSPECTOB RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BT'ILDER DEI.('ARATION
<br />I hcr.l,! 1fliim uid.r Fnlhy .l Frjury rhrr I m .rcnfl Iom rh. C.itr.irh Li.n€ L* tur rh. i,lhvinS r.!$n (Sc'( 7031 5
<br />Bunn.sr rnl Protc(on (irL, Ary (-ry or Counry *hih r.1u!$ . Frr, lo .n.{Br. .116. rprot. &d,lsh or ftp.u ,,
<br />nocrrrc, lntrt, t t\oaM, w, rqtrft\ rhclppl(rnr ktr sorhFrnd t,liL r s{mJ d.rcmnt lhd tE!r aE ( ltrcnsd PlNanr
<br />b rlr F.$i'nr ol rlE (hnrr-l{'r t.r.nsn L.* rclEl'rcr o. (i,ltmrr! wih Nqrnn 7ltl0 ol D,vnrr I .f tlE Burm( .fij
<br />Pnnistr,n\C8lc)orrh,rh.or\hc s.x.mpr rhcr.iiofr ud rh. hr!\ tur rh. !lk!.ti cr.mfln. Anyvkibr(,nolSelDnT0.ll5hrmy
<br />.[?lr.nr l!tr I tEmn luhFrr rh. .pt Mnr ni . dr rl ,rMlry or ft'r n)rc rhs I rv. hutrlGj Joll{{ i $mJ
<br />_1. ri owNr ol r h. F{rnt. (tr hy.tr{'r,Fi uirh Mp.r r! rlrd r'k ( {Fner,n. w l,}, rlrlirt nrl rlt {.sft s dn
<br />dhLl orolLh,r uL (Se.?04t, Burm( .fl1 PNl.s$nr C(k Tlr (tdBioir l.Eo< ljw &E tu, rr0ly (, d owEr.r
<br />rh. l'n,trd, *hl hJd! or lqh)hr rlrh,n. r *h) dms tuh k' hin\.li or h.r{lf or rhrDu8h hn d hcr own cnlll!'y..r.
<br />rovrLtl rh.r rkh lqmmn. e nx d6L{ o olkGl li{ €L ll. h,ws. rlr h. lrB q cqmErd ! $u khr im )cirl.orrLlrr, ltE Owncr Bu ls wrll hrE tlE h]nlen oI pn,vnr lh.1 h. or rh. drl ml ttr or n{rrE 0x FrlEly nr rh. px4$* ol
<br />_l- !r owrr ol rtE riDn dy. rm.i(lu!rcly (o,lr&rms urh lE n.rj cod,rlrm (, .r'n{el rh. F,Ft (Se- 7(r.1,{, Buies
<br />.rn fn'rc(r. C,xL Tlr C.dr&rtr'r t-!..e L.q &* nn {Tly h d owrcr of FoFny rhl burLl. or rmrEkr rh(6n-
<br />rnJ who .odhdrnv\ucht ,irkw hrCirntx.k'(n ltcn{d N6ud t, rh. contrntr'\ tr.n.c b*r.
<br />_l rm.xcmfl undo S.dion_, B. & PC. tu lhN Ea$.
<br />D.t o*m.
<br />tlr]l5!8s:r{lM[Edsa.rlaN
<br />OECIAEAIIA!
<br />I h.rhy aflrn und.r Fnshy ot n rjury on. ol
<br />'h.
<br />rdlowo! J.rlir ons:
<br />_l hrk url * 'll du{ih t C.d 'fr2i. o, O,nknr t, Scll lnrur ntr *nt.n' comtxnid Km. r\ ttuul..I lrtr by Ser trr rl(x) of lh.
<br />Iihtr (iic. nr rtr rEnhlrrret ol rL utrt ror ehrh rtrc Frmir ir !\u.J
<br />_I hrvc .'rl w l tuid.o workcF cdmtEn..li,n ni!rn(, a. rqund hy S..rnr .t?ll) ol llr btxtr Col.. nr I h. Frfo.r11n. or
<br />rlE hrt fd whrh th6 p(ma Ll LiruJ. My *0lt6 $qEn.rir m$re. w rn Fl., NhrE d:
<br />l'.liry Nun$.r:
<br />_l c.n,fy rh{ ,n rtu Frloimnc of lhc ktrk kr wh(h rhtr Frm( ii nru.d. I rhrll ft, .mpl'y.ny p.Fon m tu, @kr
<br />q, r b &a!r s$r{l nr rtE urt6'otrF.qrnr l,${ oi Ciifomu- rn, +ft rhit d I rl.'!U tEtom tubFr ro llr
<br />b*.. d'(t n\{ on pfurtrion! of S&rhn \7Ul o, rh. trhtr C,rl.. I lh.ll, lod hwnh comp,y *!th lh'r fl,rlon\
<br />W,lnNN(: FntuR h EE k,r.^'NqEnslr'n ..lm!e rs unLrtuL rd rh.]l lohj(r rn dr{'rrF t, 6md FEta lrl
<br />.,vrl fiftr up ro .rc hun!,cJ lhredl dnlhn IS l lrr.ull), ,n .dd i,n n' rh. uo< or $n\tn\rihn. dm8.r t! Fovrl.J rin lh.
<br />Sc(rxfl l(,?6 rrltr lrhtr (iilc. nrr.rc( !l
<br />DECIJAAIIO!Iltrhyritthu LrFn.ktol F ruryrh{ l.h bdrqd ual.r p('vtr$n ol Clu s I (..llftmu8 wnh Sc(tr ?Iltr) of trvr$n l
<br />ot rh. B!\fti\ rd Pn,l.rix,n! Cirl, lrl ny li.it tr s lull rtr( tni.lter
<br />I o'1q ,1Li, 'ei,.t.I
<br />COISIf,IJCIIONIEXDINCAOEIIJ
<br />I h.Ehy .Lum ofti.r FDly of Frrry rh{ rlrR Ll r coNet,n knl68 {my fttr lh( Frflrur ol rh. krl ttr wlEh thtr Fmr 6
<br />ssucn (Sc. 1()97, Crv. C.)
<br />lril.rr Atlr.!s:
<br />-Af&laINLlEgd8AUqB
<br />I hdrh, .l[m h!.r Fn.h y of Fr!ry .k Dt tlE folk,wmt d..l,ri in!
<br />l)cm,liDn l,crnul^sh.(or Nir (d{)n F.d.r'l R.8!hrk,n. (T k a0, Pd6)
<br />_Rcquu.d L.rr.r of Ni'rL.ir)n
<br />I (cnrlyrhr rlf, lc.lcrrlrc3ulnDn\ (g&l$t rlrr{d\ r$r'Ll ir. rn rpnl'rftlc i, rl"1f0r'rr
<br />_l..,rir rhrr I hnt E,r! rhr.fi,lrar$i d {rr. rhrr rlt d$ l.ar hd'rr,l, *ri 'llCny nl coldy
<br />,{ nja.t rl Sr.r.l:wt RldUlt ro bu'U'np u'!jlEk'r4 lrl lEEh} rurh,roc rcrnedrrrr! or rhi\ (ity 'd Cuunrv
<br />'o
<br />cnr.r uJhn rrr
<br />rtrrk md.rJ F,Fd, ftn o.Fr-. n"rpqal-' I I
<br />^*n-,-^o",.n-,"-L t9),_ - z[t4l,q
<br />P.rnlt.rtu(prl l:
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation -,,,-.{
<br />Roof Sheathing ?-21- t1 Ecrsr-rz.6 24 /
<br />Shear Wall
<br />Framinq
<br />lnsulalion/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL >tL,f //1 a/|0/h'/ ez---
<br />Certiticate ol Occupancy
<br />Note R arks Etc.
<br />Pool Fence
<br />| -r 'lt
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