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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS OWNT:{ AU ILDER DELCARATI('iI
<br />I h.r.hy a ritD undcr p.nulry ,'i lerjury lhll I d dc'npr rn, r rh. conlrrn's l kcne bw ntr lhc knL'*in! re{qrtr ( s( ?0l l J
<br />Bu!inc\\ rl lbfs\k$ (iiL): Any (-iry or Counry uhi.h rqlirc( ! Fnfl tu nrnsrrulr. nhs. iqr v.. d.ml'\h or EIun liy
<br />{tu1urc. Irir(r r( sru.n-.. dw' turlur6 rrE.t',iranl for {Eh Frmit k, fiLn q3Ed irtntnr rhd ltu rlE i\ lktnsd l'ul:rd
<br />n) rh. Foliri'n\ dt rh. (i,nrhcrG r I rc.cd l$ l(tuprcr 9, (\{nnEEinS *irh S.dnn ?(xx) ofDrvnr)n I ot l|lt l'u!n'( a'd
<br />Irolis\i('n\ Cu .)or rh.r lEorstu k crcn{tr rh.rclioN rnn lh. h{n\ nr rlk nlh8dl .r.mpr i{,n Any vrlclionofS€cli('n 70.ll.5byanv
<br />!t tli.rnr tu . F.nil subF-G ihc .mltlnr lo r .ivil Fu h y of not nr( rhu tu c hundri dolluii ( $5ur,
<br />L n\ o$mr olthc Fl,Fny. or ny.nPk'y(l*irh s6!6 r\ ih.r erL $mtEnilrhn. sillth rh. *nt.tn th. drdE 6 tr{
<br />i,cnLiorotlcrcdforsk(Ss.7044.8u\imsa.dI'rr.*n,n\C[b'ftrConkrtor'rLacnElrwdr*nor.Frlyxi.*Erof
<br />rh. Flxny uh' hoildr nr n\x,v6 !lrR).. srn wM drE{ uh *o hifrr.lf or llrtll or rh'ulh hn or h.r o*n cmlkrv..r.
<br />pinr Gl rh:r 1uh itrlhtroEd3 N r, i'n. .rl ,, ofiRal tu {L lt. ,n*?ri'. rlr t{ildir\8 ot irqiortrd i\ Y,U \ ahtr rr Fr
<br />fontrlrion. tlr'O*rr a!'kln [illtsr( rh. h!dc.or I'lrrrg rhi h.it {Edrl an taitl d rtnlE rh.InlFny f rh. FrF'|{of
<br />l. !rovxr olrhc Fofd:-, ancxclu\ivcly conta.r'h3 snh la.nan $.lra.t'FnI (In{ru.t rlr pmFr (s& 70*.lru{ms
<br />!d li,fs\rn (irL. Th. Conr,-ror\ t.trn* bq d,t( ft, tlt'ly t' eorkr ol JllotEny *ho hriklr o. nnl'n'v$ rhcin .
<br />tr.d $t co.rffrr fn iNh Frj.tN wrh r CodBlo( { r lilnwi , ^ud !' rlE ( onidol'\ l-atns trul
<br />I r rc\. rtr !trdcr S(rnr
<br />lhr. O.mr
<br />n-0.81i1f,liiAUlI:ISrI-UAIDfrI xluuli
<br />I hrr.h! Jlltrr' !trd.r nrtrxlir oln rjur! oo..r rh.li,llL'trtr,! J!tlrnntrN
<br />I har.,il *rllnEirr.r. (tn'rtd. ufG,ncnt h Scll.lnsur rtr *tk6 i)tr{Endhn. !\ ln,riial ltn h} S{rxr lTlll.Ithc
<br />tihtr Cod.. ft! rh. Frf(mBr.f rh. *ofl r(tr wh.h rh. IE mil ilr\ .al
<br />-l h.rc lnJ s ill nsi.r! r stdcr' o'np( tr\lii,n ntruB'Rt. rs t.tuncd hy S(r id l rll0 .a rh. l,xtr Crx].. frtr rhe pcnormn ' ' 'l
<br />rh. \rrk firrhf,hrhn ltmnt rs nest My s.rrdi.o$F.eirn nrunrc&nrr nFniyoumlf,,rc
<br />l\)l() Nu $.,
<br />-
<br />- l'!Ptr.\
<br />l.cnifyrhrr inrh( If,rnrnurmc ol iti f,.rk r{, qhf,hrh'1lr.nd r\ is\o.d l th ll flr c rl!'vsnrrxrnln rn rnvn'nrtur
<br />vr N k, tr.mr $b1..! ro lnc workd $nllxni0rion hw\ il Crlinmit. rnd u*rcc lhnl il I \h tri ld h.conr $il.d nr rtE
<br />tr or[s( .Dnl{nvr n,n n.r rhn! nf Stu trn l7U) trl nr lrsr (irl.. I \h,ll. tln hsih onnrlt
<br />WARNI|iC ,:rilu,c k' q'urc $nrl$ .otrYE.ei,i itrcE3c r
<br />('r,l fift\ u0 t, uR huntlBl rhuqnl dollu( (1llr).lix)r. in !.1
<br />5.(rnri l{)r. !'lllr l-iti ( '!1.. nr.,.n r litorr'\ \ nq-01'/B
<br />DESASAIIQIi
<br />Ih.Ehy!!llrrun,l.t!.nrhyofPcrlrylhnrI!mlnttrklundc!Inovi\tr)nnfChlntrt9(.nnnDrcinAw hS&rhtrTOUDolI)nnion l
<br />or rh.It!{Nls rnd f(lfsinnrCoJc. url myliccn{ is in lull nr( Md ctln.'r
<br />L)-o1-r g
<br />nsucd tss .l(,97. cir ( l
<br />lrBkrr Nrnr
<br />-_
<br />aflulALlllLllJlarloli
<br />I tRlry.lilnntrntlcr F- trhy oi r.Uur) om ol rhc 6lt'$'ng dG..br.rr)ns
<br />I)cmr(io! l'.rnrils A\htno\ Nori,i.!r!r IrcJcrul R.!rlnrions ( l irl.40. Pd6)
<br />Rcqund lrrrcrotNir iarrt
<br />Icdr'rirl', rh. ra,1('rlr'!uhrxnN r(S.tr r!r\h\t^r.nxrrllrmrnr)flrlrl)l(rirhtrl)r)t!r
<br />l.dni rt l I harc rcd thtrrtt,larrk,.uirr.rr I E-'! I rf,,( r' onplj r irn zll cn! inl (i'unry
<br />oil'encr rrl sr{c lis\ rEbna ro horllmt.o ol rhn CnY rftt Cou.ryn'.nrs trF,nrli
<br />rhr. nr r,ut pn{'cnyntr mrp.ti PurF)s
<br />,\u i.!nt nr \Bnr silnrri,r
<br />,/1.r 2
<br />h
<br />q-.7 -/s
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq 'l /l r-/lt 5. )otz war*t'
<br />Shear Wall
<br />Framinq
<br />ln su lation/E nerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Depuly Final Report
<br />Enqineer Final Reporl
<br />Flood Zone Certif
<br />FINAL 41,Ulq'.',r-,EtJ,{fi1-4
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc
<br />ID/SIG.
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<br />-/l
<br />Subf loor/VenVl nsu lation
<br />Pool Fence
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