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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Reporl
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />FINAL 5 -?4.2/J)"\
<br />Certiticate ol Occupancv
<br />Notes, Remarks, Etc
<br />OWNEI iUILDE& DEI.CATATION
<br />I h.r.h, lrTrh rnJ.r Fulry.f Fjury th.l I rh cr.n, 6om rtE C.nrr&rm l-ir.tr€ kw nt rh. nrlhvmS tc.$n (S.('loJl,
<br />gusincs {n Profc$it'n Cd.Jr Any C , or Cohry whah ,cqufr r Fd r, .oNer, .[6. mttot. J.mllh or FFr.n,
<br />.turw. FN b ni srller, .lo rcquftr rlE .Ir,l.er ror rNh rEmr ro rrh. r|smd sltl.rnt lhd tl or rl* ! lt..rd l[rur
<br />n' rh F,vni,E of Llr G,nldnr's l-&nrrl t * (CMnrcr 9. Ctrl:mRin! rilh 5.(1il[ ?Utr ol t ivNion :l of ih. 0urifts ud
<br />Ptulcrs$nr CoJ.) or th.r tE (, sh. L1 .r.f,Fl rhs.tum .ftI l,E t$n Iu rhc nls.'l .r.4r ph. Any v$l,rrr or S..1rn ,01I J ht .ny
<br />rr0l dn,rFmr bFk rlE .prl..nr ro . rrn lEMhy ot mr mE tur liv. hurr.rl Jolbr ( 1500)
<br />l, .s ord orr,x pruFny, or hy.nploFs w h *r!6 a rh.tr $L NrIEnsrkr. ril Jo rlt xri .!rl rE rnd$ 5 d
<br />!r.st j i,olt.rJ n*sk(Sr 7tX4, Bu$$.nd ttor.r.ilnr cdic: Th. Conlrekx ! lirrc t,* ri,i! Bn qDly t' osn.rof
<br />rh. p$,Eny *h)hl,lr.rllrlmEr E!on.. wtu &6 \.h krn tuMlf o, lrrrlr o. rto{lh h's or ts rwn.f,q'[ryc..,
<br />I'rovd6l ih,r lkh ltF mk E r, iddial nolldEl fr, qL ll lr,M, rlE t!rt]l[3,r lrrmEm Bri!*fiin,mJlr
<br />oll$ipLr,arirO*rcrBuil]sei!hlFG.hr&nolFrvuBrhrrlEor.drlkrhudlorc{mE0EF{ElyfMrlrI[rFsor
<br />L !s owncr f rhc pn,Fny. !m .rrlu$vcly .onrorlns wrrh ltrc.Fj ronks(,N !' conntu' lrE tln)Fl (Sa nx.r, BxrBs
<br />. thllatrrCiiL: Th. Co.rctn'\ Lt.nsc 1,, **r d {,fly h,.novM.l FoFny sh' tu'!! o, ihtn)t.! rh.rd'n.
<br />.n.l vli! (mBls ntr ru h nn,r.rr wrh r Conl[(l,m l) lrcncd pur\rs n, rh. Cdnkrcnr's l.&ne lfw)
<br />_I m.r.mfl unl.l Sali'n-.'aary'r n'ud"<qo"" ..f t-t f i czl
<br />I h.(h,.rrn unLr Fndty oI Frury oE ollh.,nll'*irE &aunii'ns
<br />I Mw!n u,ll mrrrr . Ctn rr..rc .l Ci,nc n' &llh!ur. lnr *r[.r' ron{Ensrrr!. s3 F,v!.d ntr hy Sc.l r)n 17Ur .i I lr
<br />lfhr Cirlc.l,tr rll IErnnrune.l rh. wolk lnr wtf,hrhcFmi n h\ucJ
<br />I h.rc.nJ *illminr.in rork.ri (.trrtrNrri'n in\urtu., sr rqurcd by Sc(lnr.t?(tr ollt. Lrttr Oit. tu rhc n rforrE. ol
<br />rhc w,t tu *hi(h rhN Frhx R unrn My *nlr6' .alrntEhrrrx," ffuntu. (dB.,n Fn., nldv ft:
<br />I (.nrfyrhrr rtu t rlorBftcol i& lort,,, whrhihtr I'.rn rr r\\!cil,I $.ll n cml[rylnylx^on 'ny maikr
<br />$ ,\ t, h.$nr \rhlccr h rlr wolkdi $mlEnrlhn I.*r .l Crlllom,., rnr .tr rhar rl I rk,u! tn.m subFr tu rlE
<br />w)rlds $mF_n!rhnr porrr)n{ ol S&i[n ]n$ ol rh. lf,lrn Gik- I Jull, ,,f hs h (,nyl] unh rlD$ IFrvi(t'n1
<br />WARNINC li ur. r' KUrc qrk r'rotr{xnsrk,n ('vcrs!c rr unltwlnl. l rhrll suhFcr dn cmplorr h !r$'nrl Fmirs lnJ
<br />.rvrl lirr tp t) om hunJrcJ rhoo\.nl J{lh^ l!lm,U$), rn .&ldrr (,ih. u'n or.ooFo!!on. JrnSG :\ l)tnrlol ror rli
<br />s(rx'.1076olrli lrhr GxL, nr.rr rd.(mr-s rer.
<br />>li129aT1
<br />I h..cl'y.linh urtr p.Mlry o, Frlurr rh:r I rh lk.nrl !flki rt,vrl!. o, Chr0ra 9l$mmEru wirh S.ctnn 7([)O) ol D,vri,'n ]
<br />ol rhc llurm\\ nl ltoLst'n\ cl'Jc, r l my li.h:. r n tull t,Rc uD.l cfi.cr.
<br />Drie
<br />-
<br />Conlr..
<br />knJcriAJJEls:
<br />-AIEUIANI.IECLABdIIAN
<br />I h6dry .rm undd Fnrhy ol FrFry oR or lhc folb,rry .L.Ld*r.:
<br />D.tuldD. P.mteA!6.ios NorifkrrM F.rLr.l R.Eul,rrr! (T k,!O,l'.n6)
<br />_R.qur.d L.ncr ol tldfi.rih
<br />Ilcn yrhi rtu l.!t.rrl&.!r[u n\rlr rn! ]\h.(.\r.m)vildrc fr{ iff'l(lhb rr rhr pr,,.!r
<br />I lcnriyrhi I harc rcal rhr\Jnoli'rriuranldrrcrhar (lErh,v.,nntrmh"tr.(on(r.Ire,eb..mnlyvrhrllC y,ftl(i'unry
<br />ord'nrn( c\ ahl Srrr. Ir*s RLro! b hu[nn8 !.n!ruerk'n, ,il lErhy rtrrhtrr. r.Fcrnrrr't\ I rh,r C y .^l Couniy t' cnr€ uF,n rlr
<br />rh,w mnri,Lrl pnrFny l f, irsFrri'n Tklte4.tppli..nl o. IE.rl Si*mluE z<r2 I
<br />ru1 G'(r t) (
<br />IA-
<br />Erection Pads
<br />T-Bar
<br />$lsrB!.tcuaNJaglc-eqEBtf
<br />I &^-ty rtlirm l8Lr Fuhy ol Frjury rhrr rh.rc ! . const ttln tndos .8.tuy rrtr rh. Frfi,nutuc of rh. *ork ntr vhf,t lhN Fnrn 3
<br />irslcrl (Sec..\{lr?, Crv. C.).
<br />2
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