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BUILDING. INSPECTOR RECORD
<br />SITE-WORK ID/SIG.COMMENTS oWNTR AUII,DER DI]I,CARATloN
<br />I lFhhr rlllro unLr rEMhy ,'r rxrj!!. lhd I m .rcnu li,,m rhc O'dr'cnm' l..cne tif, itr llE fi'lk,*it rclrJn (s{t 70.t1 5
<br />susnrs od ltolc!\i,rn (iric) Any Ciry or Coury *hih rcqlnlr ! Frmir 1,, mnrrMr. .l's irytillR. &nrith 'tr n1ui onv
<br />\rru.rurc. rritrr,, irs rnrr c,dtq,rc{urcstli aPnl(an, ktr\u(hFm tr lih a sSrcd \rarcmnr thrt tE.r \hc h licctr{d l[r0nnr
<br />(r ihc 8ri<ion\ or rh. O)nrNbar t-i.cnrd Ir* rclBlid 9. CommNin8 sirh Serk,n 1(XD I Divnnr. .1 nl rh. Iruqn.s rnd
<br />Pblc\$onr Codc ) or lhlr lr or \hc i\ .rc rr rh.rcftur nnd lh. h.si\ lnr lhc alk!.J .rcn$ nn Any viol,ri'.oass-lnn 701l J hv...v
<br />rntl{lnt !,tr ! p.rnrl lut'Fr\ rrf, apflkant h !cirrl!.n11!}!lml nx,rcrhai nv. h! tcddnllus(S5(xr)
<br />-1. '\ o"rrolrhc FrFny.,, my.q,l,,trs $irh s{c\ as th.n q,h .nmlEr\d i('i. *illdo rlr !o nlrh. dulk i"
<br />'mrmrcftkrj or .ficrcd nr eb I S( 7(!1. A!{6i orld ltrolt(nF CnL TtE Cdd,erni \ I ..nr ll$ ilGt nn q'dv h an nsffi of
<br />rh( nf,,trdy *h' ttrrlds o q,n,y.\ rlrt4 snlwh' d{E\ \Kh wurt lrinNlltr hcrrll or rhm!!h hil or h.r .$n cq,krvc.\.
<br />Itr'vdd rhlr ruch nqn,mdi e mr i cddl,n dTcrd fi, !t ll. tn*c\s. tlt turuin8 or Ftn'Emnr i. !'ld *ihr um fr'r
<br />orMnpLrhn.rlkOwncrhiuqwillh$!rh.tlrd.noIpn'vin8rh.rh.or\h.dnlI,huiH.itF,EllEIs,ldyh. E IU.P{nf
<br />-t. i.otrR!.lrh.rrF,rt, a rct.l!{ tcoffa.r gs h l'.xn{l cofird{\ nr .onnhid rtE |nrc.rlsrt 7l[J llFi't*
<br />r'{ lhia\\i'n(ixlc lhc(i)nrrrrnn \Li..nt li\ il,E\ rn!mlr_r,rno{n$D{trulEn\ tr lr' hu' lJt o nl|In'r! r h.r.o..
<br />dtrd gho (n rid\n,5uchIn{,F1\*trha(i'ntr.hn\)li(.,r{ N^urtrr loihc(i '.t}'(l-n.nrlrwr
<br />I rnr\.
<br />'pr
<br />tr d( S(n,n .8 &l)(-ntrrhNr.r\u
<br />lhler o*ner
<br />ti oRxl ts ctrrtPFNSATI(I:\
<br />u[lLaSal]lN
<br />I h{ch! rfltrm utr'Ir n nrl!) of F]tltotu ofrh! l.ll,$int dr_hrari,ns
<br />I h[r !r] *rll m rrlin , C.n rff,lrc of ( onsnt b Sclf. lnuE lor wdrkd J (nnP.tr\6rinr. as Pn,viilcd ntr by S(r irn 37lt) ol rh(
<br />lrhn (in . tM rlE lrlflm ol ih. $olt (t {hkh rh. Frmir i i1(ui
<br />I h.\. anl * ill ,mmriin rortcri cnn{tn\ar i',n in\unur. rr rqutrcd hr SAr nn I rli) ol rht L3h, (-rrh. ntr rhL p(nrtutut I
<br />rh. trork nn wh'chrhr f.hn{ is r$!L\l My s.rlci .omn( nsrir nr\urrn.c.rrtur 3d1Ir'li', nlnlhrr dc
<br />.,,"'", ' {\A\\rr>t Ch6r} J^a' S
<br />,,.,,cv Num,rr - (3{v g'l,lI-W=OZl \:\. r 1
<br />l.rnify rhar ir rhc pcrlornur. ,)l rl* so.k l(tr trhf,h rhtr F(nir tr trleal, I lh.ll ftr .nrh! !n! F!)n rn trnv nuimr
<br />$ !\ r, trL.fu \ubj( r ro Ih. r o kcn' ronlf,nq tr,n I',w\ ol C.lrlonns. ond sgr( rhrr ir l {h,u ld tEconE {ftj..r tu rlt
<br />s o*cr .on{l.! r,i lllorrbni of sdi,n lT(xr nf rh ljtrr (irrc. l !Ell. lon hr h onlnlv u irh rh,t n({ ti)nr
<br />WARNTN(; l:I|trrc tr surc qorkcr( .onren$r i,n .ovrru!. is utrlrllul, adl \h,ll suhA-r !" cn{loltr t, nimiul lruhis eRl
<br />.nrl llms un h om hu lr.J rhruqnt dnllr rll(r,.llxr in ld r n! rh( (,ai I con\an\rrn'n. dntre3c\ tr\ Pl 1rl.J nn rh(
<br />):;- [Ph 1n
<br />I h.Ehy allitarufr,cr p(n.lryofFrJUry thd I {m lientn u crrs)liri'nof(h0Prcr9lclnnren.ingPiihS..rbn'7(xnloll)i!i{i,6I
<br />::Jr'ffi <<.
<br />r f,.n\c Nu rr - " oOLPL&l
<br />\24)!/Yk7n1q
<br />I h.rchy ifitmuftlcr F,uh, urlElIrry th.l rtft i ! 6'n{Mlir bto]i.8 rlcmy tu rlr F lormmt orrtE *o litr *hih rhN Foi ^
<br />'$ .d (Sr. ID7. ('rv (- L
<br />AxEulA.NfDlilLlSAIlQ!
<br />I lrntw rflinn uBh, rEnnlt! ol p.rrort o* nrrhc nrlt,*trrE dNlanr[n\
<br />D.n$ln('n Ptnhns A.h.{oi Norili.rri,n RrlrhlRceuldr'i\ ( Iirlc,u). Prn6r
<br />R.{und l.nd olNnilidim
<br />I (dily rhlr rh. tqlcal ,.BUEtirn\ E3sln8 Nh.{o!'.nsal rft r rt',,|t!l,lc b rhn nn,Fl
<br />_1 .!i 'rt rhrr l tu\ c fu,l rh^ rppl.d i{n, ,ril {!rr rhrlha rh^t nnonrurnn a .ons_r I
<br />.klinrr slnd Sirrc lrw\ nhrlll3 r,,'ryr.n{tu rion. Jrl h(rch, autlrirc rcpr.{nrxr
<br />ltrrc trNDfulr pnip.nJ nn
<br />\DDll.{!l r,\rmlsirnaru
<br />?tar'4.,-t
<br />tdi*f'aH';;
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framins Pef-, *1 4/!r ,/tc I r'{a n-tEirQ(
<br />lnsu lation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<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 5/qt 'rg €.>fr,Le7w5A
<br />certnare of ocanpanat-
<br />Notes, Remarks, Etc.
<br />DATE
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