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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.(,lvN1:R Btrlt.D!:r lrl:1,('4f,{Tl()N
<br />I lrrclry alfirn uni.r Bnrlrv i,f n rpft rhr! I m.tcr0r fFm iht (irtdor' I kcnq l,* k, rlE nrlhtrrl !.!s{r lsd rlr:ll t
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<br />k, rl* f'!nion! ol ltr (i'fun ror\ l-iccnqn li! ((hrPrc' 9. (1rnnrn.ir3 *irh S..rH'n 7(xX, oi Divti('n I Ilh' llu$nc$rid
<br />llolc\\,n\C.xl.rorrtr h..t shc i\crcmnr rlx r.(iom aBl rh. h.n{ ttrrh. trlkScdcrcn{,rrn AnvviohrirnofSlLri'n70:rl!hr"rnv
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<br />l.n\ n*rrolrh.FoFnr_.n,nIYc.ll)I[a\$ hrr3.(aih.rrYlLrn'qrnqrx'n.trrlli.rltr(,Irnlh.{nrrrtnnn
<br />i'ncrkat orollccd ln, qh(SR.. 7{r,!,1. Br!tu\rn(l ln'lc(io.s(irtc tlr(-' r&1or'\l.f,.nqInu&BnornPnltn)!tronmrrt
<br />rhr|t,Fn, sh)t itnor irrF,K\rhrcn. nlulrr d,.. iuch ur hi'n\rlfothcNll.rrh(,uthhnorh.r.trn. {krvt*.
<br />F,vd.d r hrr luch i'npn,lcirnr\ rE rx inrc' Bl
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<br />tr olllftl fi, \rk ll lo$cvEr, rh. huiklirt or ill{rnvcmd ir v'Ll sirhin .nc Fr
<br />or conokrDn. tlE OwNr tlulllkr wrllhrvc rh h]nLn ol FoYing rlNr h ot lh. dd mr hd'Ll or trr0t'!! rh{ FmFty tu rh. Purlrt ol
<br />l. r\ or Er .l rhr FnF1l. am cr.lu\{ly c.ntNr trrt f, h lrc.{n .ontki(,F ro .undru.r tll ro}rr lse Tllll Uu!m\\
<br />ul h'lssnn C(xl. rh. (inrrlcnn s Li..a\c l-rr tlftr ml anplyk, (hotrncrolnn,pcny slx' huildr.r nl]pn^r\rh.r.on.
<br />si,l who otrlft.l{I'n\u.hFuJ.dIIirhr(i,nrn.r,n\)ltrn\8illu,$rn,I'rtuConirrd'(l-icen{hra
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<br />DECI.IIBAITITN
<br />I lrrcby imrn undcr Fn,lrtolFiJuryoft rr rh.l(,ll,,r 'n! dNlrr,! \
<br />I hrv! !ftlrill nri' ri,rtr (.nrlicdcol Cont n' sclf lrNr'c lur *n!kc^ ronl^-i\ rtrr. i\ n(,vidcd f(tr hvlic.lion l7(x)oriht
<br />lnhtr (ixk. for rh. Il.rr.nrBrt'c rlrh. *ort I;, qhih Ihe pctnir n c\u.l
<br />I h!r. rnd *ill nErra rn nn cF co,rg.ner rt 'nurtft c .\ alutrtl ht Ser irn :r7rx) sl rht lit$i Ckk. ntr rn lrrft"'ul'' 'lrh. f, Ih trhrhrh\lr,rnt '. rq{il ilyx'{\d.'onllEnayr'\,,tt,(s\ /r,lh 1rl<{\1u,r",n*,*, ( NJwco,71 o?u- orr* ]
<br />l.cniftrhalnrln FrlotMtu. olrtr snrl ntr rhrh rhtr Frnn h tr1uci.I sh2llfrn.irk,y lnl Fmn in,iY ronNr
<br />v' ^ r. tE om shFtr r' rlE uod€\, or{Ensrr{ hr( ofc.lirni!.,rl aFnE rhd n I d)ull h.{om cuhFr !r rlt
<br />tuilcr ll,rIEnqrir lllr ni,F of S&l ion :l7ix) of rtt Ijhr (irk. l nul!. liihs [h d{mlt *irh rlh* nn nins
<br />NARNTN(i Failur r! q'ur trort.^ ('mFnsrDn otsrfc i\ trnb*ful. snd shatl ruhFl !n cq,hlt, ro fnn'ndl FBli\ rtr!
<br />.ivil fitr !p k, oN hurlrcl rtolsand ilollf,h llllx)-(XD). in ldrlni('n k' lli con oI.onlcnsdr,on. d4ro3.\ r\ frorn!'d nn rh'
<br />IEUIAAITXT
<br />I lrrhy ufltm u,xkr Fnrlry "r !.4ury rh,r I !m lt .\t und.r F'rsi,o ol Chrt{d 9 l Llrnrmming f, iih Sd rrn 7(tx'r or Dn niln l
<br />.r rh. AuriE$ snd Pn,fc$i F Codc. lrl my lic.n{ ir in full f,tr( '.i.affti
<br />;,Yry#mt ...*'-""-f"' -)!qzte
<br />(1).Nlir8l!IIAN.L!!illlN ji-f,qENr
<br />Itur.hvrfltmu cr trnolryofrcrjfiylh{ rnct i1D.ondtu.rim Ltrdtrrg rScmynn rh. Fltunn{ncc olrhc {orl l({ *hi'hrhnFi n
<br />l\{kal rsr. lm7. ( ir ( l
<br />lxnJu, . N.m
<br />Ill]tfI.(iXTD}ilIAAAnOI
<br />Ilr\hyx,linnu dcrtr hy.l txTjuy om olrhc n' L'sirgd.c[Irrrtrr
<br />I)etrk,l[('n ltnnii\ \h\r,\ N'rriicnrtr ,I.,l.I)lR.!trlrrxnrt ilirl( Jo.lrx 6r
<br />R.qtrmJ lrrr.r,n N,r,ltrrrn
<br />I cdrly rhglr.6tl.al ,.8!Lhnr r3ud,trF r\h.n.\ tnrrrl!E ftn q, kal,k t, rha Ih,Fr
<br />r,l'n,r.\ rklSrrrr I r\\ r(lrlinA !o hLrl,l,n!
<br />ahrc ornrinni polr"nr_ lu 'n'F{rh
<br />Appll..nl.. &ot Sl![luR
<br />E?an'()4,,,."
<br />lrn(ir!itr(l(,{ni\ n,r 1.r u[(]rlr
<br />5:/ ' I
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/Vent/l nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq fft,?e, 9 Da lF,r]t.El<
<br />lnsulation/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 />Engineer Final Report
<br />FINAL 5,/eSr lc 5 we,znt *'6
<br />Certif icate of Occupancl
<br />Notes, Remarks, Etc
<br />COMMENTS
<br />I rnrrcn|n ud(r s..rntr'
<br />Forms/Steel/Holdowns
<br />Flood Zone Certif .
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