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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.OWNER BT'II,DER DEI ('ARANO:{
<br />I h.r.b, trlrir r u.d.r lktulry ol pcrjury rhll I m eic'nnr rmn rh. c.nthr .' Lr.nt lji rtr rh. n'lr'1trtrrr'tc+5" ls.c 7)ll'.i
<br />Buri.c\{ ! Protc$n,n (iilcr AnyCirynr Coumy shnh r.quiEs u ltinil ro.on{tuct, rx.t, nnPtovc. &mli\h or h|!funy
<br />$uiur.I'rrroir! ir\oztur, srcqunctrh.lllplao ntr !u.h Fmr n' lik r si8*d {dt.mnr thd ltor shc n li..n$.I Pu^uo
<br />ro lh. Ftrninrl of llE (i,nrreioi\ I i..trrd l,* (ClMOrd 9. Gmmei.! *irh S.crxni TllX) ol Dirni)n I of ilr Burk- lnd
<br />Fmtc\.i,,nr ( odc) o, rhrr h. or \k ir cx.n{'r lkrcfrem.ft, th. Mrn lor rh. rlhS.J.r.iqlir Ant vhbiirnorSda,.l0!I I hy.try
<br />rrtli.itrr turcp.hnn ehj..h rh. lpnltrlnr ro icivilt ulryolnor mftlhrn nvc hufrlBldollM l5t0or
<br />-1.
<br />s\ oemr of r h. pn,Ixn y, (, my .mpk,Fr *nh r!8.\ d\ rh.n sk $nD.n\d ion. $ill tl' rtr *ck {rl rh. dtur@ ( nn
<br />inr.nlcd ,{ ofi.nd f {k r S$ '/Otr. Burm\ rrd Pm6!r,n! CdL Th. ('rdralri Liu$ lr* dxr n, {tlt to u oe8 of
<br />rhc Inlrn) *tn tx dr o. iqrr6 rlrG$. rn q ts (,- {rh qrt hrm*ll , h.rcll or rlJuolh hr or lEr .*n .n{ oy6.
<br />pnrvrlcd rhrr \Eh iqr.tmdl c ri inr.r!ft r olrs.n r,' eL lt tnrdt. !h. h{rllm8 or rtmErnr i\ q i eihin oE Fr
<br />ofconrkri,n. rhc Ovk. Builld wiu haE rh. hddc{ of nn,vrnt thal lE r\h:did t tl.rrnf,t r FoFny ft'r rl* poqrk o(
<br />-1.
<br />arn*ffi.f rh. roFnt. rm.rcLrn.lt.onkar'ne f, h lkcn<d c.dr&l.r xr on{dl rlr I'oj.t ls& 71}aa. A6r{s
<br />ud PrJtsrnclxL l h. C,,.rtrroal t-iccnr lis dEi B rnily ro an owrtr oa nn,Itn v f, ho builds or imprurs rhdnn.
<br />dnd wlF mnrR-r\ f,,3u.hI'roFrk rirh r Conh(ront la.ntd pu.su! n, ltE C.I{rrft, r l.iccn* tr* )
<br />I! .rcryl u cr S.rririn
<br />lrg8ruJN:gl fl:]nu&r
<br />IT:II,NXAUIJN
<br />I hcrcbyrllrtrrunLl{ p$nlryolr.rjrrt.i.nrrh.nnlURtrrt rrhtrrtr,n!
<br />I h.$ dn will minrrh r (tn ifEr,. or Cons.t t, S.lr.lnslr. fot rulsr .oqtrerx,n. ri I'rriLd ld hy Scrir. 171xr nl ilt
<br />I:ti, ('(xL. rd 'h Fndmn. .f lh. slt l( snich rlE Fnn ir i\ssrl
<br />rhl trorli,tr wl,i.h rh^,rnnlr \ i*h(l ltryr,trkdi c.tr,tktr\rrtrtrr iI{trJtr...rni.r rfrlIi'l'ry u rhct rc
<br />l..nifyrh r inlh€ |trtuirnome oilh.vork tur *hih rhirF.rmir i\ i\{rc(1. I shall nol .nD['y .ny pc^o indirrmnmr
<br />s !r lr tr\rnf, subis n' rhc $0116\' (nrqEnslri'n kw\ ol( dhrornil. md.*B rhd irIrh'rld l\qoft h,.tl lo',r
<br />*ortss, .'f,yEnqtrn F)vnion\ of Sdrln l7(Xl of rlE l:h, C,ilc. I {ull. ftnliritfi cnr{'lr Lrh rb€ lmvn$n(
<br />WARNIiT(| l:lilu. k, (ur. sorkd\' .rrmFnd h. orcnr. r\ unb{lul. lnl rhrll \uhF1 dn crr{'hys n, (InWl Fflh. nrl
<br />ciril firc{ up r. or hrhJEti rh'usnd,l!ll.r\ r3llf,r.(xrr. r ql,.litinr b rh( coi of.odFn$rrn. drnrS.r !{ [niidcrl ft, rh.
<br />Sccti,|n.l(,76nfrhc lilrtr(ixlc, inr.rc{ {n,l rtrorfty r lirr
<br />D.l.: Applionl:
<br />ucf!$u!l)Ir&r(IaaDljll,lS6llQl
<br />ol rh.ll'^irr\\ rnd l\nlrstrri{Codc. itr(ltrry lNn\c i\ r lirlll!tr.c rl.rl!rr
<br />rl]lualllluulldltlrltiENcr
<br />I hc,r$y ilnrfl utrd( Fuly ol pc'JUry rhd rlrft irr A,n{turi,n hrdins !S.ty f.r rh. Fnn'rEN trrh. }..k tu *ntt ihn Im, n
<br />i\(kl rlift Vl97 C,v ( )
<br />l.nJd ! NJ'r
<br />AftLl$![IlEllax.ul()ti
<br />I il'yrllinnundcrn Nhyol pcrjuryo'rolrh. loll,,etrrtl(lrrrrinN
<br />l).m,liri,n I'rnnir\ Arh(nor N.riliculi,n, l.Jcrrl Rc!ulnri,trtr fl irlc.rll, I)d6r
<br />Rdto d I.ncrol fit.rltdDn
<br />lrcn'lyrhf,rih( ful.rrl,+uldx)n\ rsJnllnt r\trno\ rrtrrrrla,c nur rtl,lkrhkn' rhr t ol((r
<br />l.cnrfy rhrrI tuvcft lrhnlnt]li.rli,rurl{licrhr rl(rhM 1nf(trndtri, n(.f,$r lutntn'
<br />orJimnrr lRI Srrr.lrtr!rrhnns ro hoiltltrt ..n{rucri,r Jri h.rch) rurhnrr rctrccnrllivct.l t
<br />b Qthutit
<br />..nrly {irh rll( iry ind (irtr[v
<br />hi .ir\ rrr(iml,rc'k' ur,{,lf* 11,,1'y
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Su bf loorVent/ln s u latio n
<br />Roof Sheathino
<br />Shear Wall
<br />Framino
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL l7-S'tl JJcl*-drl)
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />COMMENTS
<br />,\ppli(rnl or,\!enl Sisn,run
<br />r,"-rir"" n*n," rp.inrr, f-
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