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BUILDING- INSPECTOR RECOBD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER AUILDEI DEI.CARATION
<br />I h.r.by .ltm uBLr Fnhy in Frrnry rhd I d.icnpr lNn rlE Conrr t,F l-f,m* t * tor rh. nnbwi4 Een (S..70:11.5
<br />Bou.$ .ni Por.$on C,nc): Any C(y or Cou.ry whih ntuo.r . Ftu !' d,nnul. nr6, in'frov., d. ,Lsh or EFn oy
<br />dddm, Ftr ro rr! n\rec. rt r.qurrc! rlE .prlrrd ntr ru(h Fm t, fiL r.l!ftn {.r.cnr rtur lE or rlE n tic.n(.d Duusr
<br />t, rtE Fovi\hn< ot tlE Cotrtrcr('r LEn<n L.r ((Tun(.r e. (i,nmftm3 w h Sdriin 7(xD or rrNnkr I of rh. BunE$ .ni
<br />Pn'fcr(x rCGk)orih, h. nrlE E.<n!, rhc.lron:d rlE lunl l{ rh. .lL!.! .rtrpron Ary vrLr[notSdanT0]15 brin,
<br />.j'plf,.nl lor r Fmt suhjet rlE rl,0li.rnr ir r c'y'l p.nrlry or n m,F rh6I'v. hlelrJ Jolhfl (15fl)).
<br />l. .< owr or r,r FrFny. d hy.drl,tt r w'rt r.3.! .r rlrE ri. ('rFnu|r'n- , Lt,rltEturrttlntfti!d
<br />id.olar.rofi.GlldrL(Sa.7(*l.8urmsr..lPi$f-rhBC.iLTrr(idtur'.trebvtrEtd.pplyroo.wErof
<br />rlE tmyd' wll' Milk {r nFrE rlEmtr Dl rho &s B-..h vrt hm<[ tr nrcll u il$ulh htr * tEr os .ftpldF...
<br />F,vrLtt tld mh lrFuEmdr a rr ,.nlal ttroff.Gl lM qL lt, h'EE, rh. holli[! n ltFr.Ern ! $ll vaii lF ,wolo.l?Lr4 drOlrr arrl,d *dl hrE rh. hmLiolfn'vut 0! lr ( rlc dn n t0 d nw.oe ttr FsFry fd llr FrFr of
<br />_1. s owr of rlr lr,rEny. u .!.lu!E ly (oddr, *rh r..n.tl Lodr-nn r,r .r'nrBr rh. F$Fr (Sd. ?&t. Bdus
<br />.ti PDhsb Co&: TIE Coddor'r LEn* L, LkF! br .til, ro d o*kr ol IhFd y wlb 6lrllr o. irlpNEi th.6tr
<br />rfrl *ho @d*rr fd uh pn'Frr * hrclr Blono l..nkl t[nu, hrlr C-.dre1( r LraE L.*).
<br />-l
<br />m cr.mF unl.r S..rr
<br />wo {KttRv cont Pr.lsarloN
<br />IESJAAIII'!
<br />I h.fthy altnh undrr !.nrlryslI). jury om ol rh. nnL)*u3 d..k.ri,nr
<br />I hrvc ,ri *,ll m rnrrr J (td rtEsrc or ( ,r{d n, Scll. ltr{tr( tn *or k$ .onl{n\r n 'n. a\ F}vxiJ l,tr hy S<.'r i,,n .l7(Xr or rhc
<br />trhr C(d.. ntrrhe p.rloruBc ol rh. wort htr whrh rh Ir(nn[ \ rsu..,
<br />I havc ind wrllmlnrdn *orkcF .omr(n\i r,h rn\ur{e.., r\ r.qrka,hyS.(rn,nl7(X)o,rh.tllltrC'{c,ntr!hc!.rlo.m.nccol
<br />rhc work itr wh'chrhill.rmr ir rNcd. Mywnlk.s (,n{ri\.rhi rnuflnr.enrr !,!rrftynumh.r sc:
<br />$^* - Zi,'ALA McP1C4y'8!3. Co.
<br />",,t
<br />,, t,'^,*,,' V-lC-1481 '/-? !-!4-t-tg
<br />-l&nrrythrr
<br />rn rh.FdnrmEcofrh. *ork nn vhrh lhr Frmrlr r!k,i.l \h,ll fln cmploy ypcKrororMmr
<br />$ !il') b&om {hj.cr kr rh. wortm omFnsrr n L$ olCrl'lomr. ,rl +r. rhl rrl l,rrU t&!\..om sur,ad n,.lr
<br />*ol(cn' .Dr{xnr&,n ln)vtrbE .t Scd k'. 17m ol rh. ljhtr ( *L. I \hnu. fdhwih u'mply pnh rhjc J'$vsnni.
<br />WARNINCT Fa uE lo q-E work r' comtE.!.r|r . vcrf. r( unbwrul. r rhrll !!nFd u mtlt,ylr lo suull FBIB lrl
<br />drn fxs up ro om hunrlrcl tl$uqnd doll6 (lllt],ltt,).
<br />'n
<br />ddnkr t, rlE e { c{qE.sl!,n. d.m3.\ .{ rovir.d fot rhcI ilo{nur-,. :( i)*-,
<br />LICIITELS}NIEAIIqAIESAIAIIO!
<br />I trr6y,iim udl.l Fdllol Frrury ih, I n lEn<n oD!. Frvlnn ol(luF( 9tdrnftBu! *rt S&rr ?m) orD (..l
<br />ol llE BurE$ .ri PNfsrDn! Co.t . .rn my h..c ! o lu n,^. .rn .fier
<br />A 25XCt/ /
<br />,", 7-2b'lal ,.".,-.,".r( t+A{BRO
<br />(.ONSTRUL'TION LFIDINC A(:NIC'Y
<br />I n Eby rttum uBjtr F..ky o, tEriury rh{ rh.t ! I .r,ndturrn bnl,r! rg*y fttr rtu Fnlllrmr ol trE wrt for st$ lhri Fmn !r
<br />$kd 1s&. .1097, crv. c.)
<br />l"Ul.llrllifDlr:LAf,Alt1l!
<br />I lrthv trllimru cr pcnrliyolp.rJuryoN or rh. r,nl,)*n,,r (1.(hr.n(nr
<br />I)rnr)li(,n I'.rnn\ a\hLno\ Nor,l'(rr$n I..,l.rr1 Rr3u[r!ntr I lrlc Jlr. I'dn)
<br />I (n,lyrha rh.l.dcrllNSula(tr)n\ r.I[,]tr'g x\t'cd.\r.nx'vrl . i qrnlrrhL L, rhr 0n,jGr
<br />D?ili-,r] ,r,, r r','" -.1 ,r,r apphar (,n mi { d. rhr h. I r rs,r n) !-q)ry *nh au c y an corniy
<br />y ,nl Counry !' ..t* uFln rlr
<br />.2-2b-11
<br />.iar,r( Dft,/1 D MOL I tnQ
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathi ng
<br />Shear Wall
<br />Framing
<br />lnsu lat io n/Ene rgy
<br />Q4rwall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handica p Req
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />]fa4fi,fu,/2.e,)
<br />Certif icate ol Occu I lf a\pancy
<br />=
<br />FINAL 712.4 lt
<br />Notes, Remarks, Etc.
<br />Sarnn .(176 ol lh. L.hn Codc. !l.rc{ .,n dtmy i l.c\
<br />,rr, ' 2- LLa- I j
<br />.nlrMR.\ ud Sr.r.h*(rcbinxhhu ,.x
<br />fir. nrtrrrrr,l lr,F-nr r!tr m\F.ron
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