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BUILDING- INSPECTOB RECORD
<br />SITE-WORK DATE ID/SIG COMMENTS OWNIiR BT'ILDER DELCANATruN
<br />I h.r$y rn.l'n undcr Folry or Frrury lhd I m .r..rfl ,mn rlr (ndr.d8 lirre lle Lr rrr fnlL*h! ffi ls6.,,t)l l t
<br />Buriftrr rflj Pnrte$tn (i'd.) Any Cily or cl,o t $hih r.1!ir6.lmt r. d'nntrL.t6. int'.E. d.rFli'h EFn n/
<br />iitu'ur.. Irix io ds i.s.N.. rls Grir! rh. 'mla.ni r(, sth Fmir ro fik r rilBd (.rcmnl rhi h. o! sh. ir Iiena{ pu?ru.nr
<br />h rlr Fovnionr or rlt Conrkk" < l-t.nEn tr* (Chrrtfi 9. C.l1mNi.A $irh Sdi.. TUL ol ltivirbn l.f r,r BariE3r md
<br />Porrsi,nr (-od. r d rh.t lrorrhc n cr.nfl rhcrcfro rndrh.h.riritrrh.olh8cd.rcq'r6n A.yvioltthnofsftli,.T0ll.5bvMv
<br />rmlk. fd.F,mn3!6Ftrh. q,flx. h.ciril,Etuhyorn, m'Ernlnfivc huidr.ndolLtr(15{nr
<br />-1.
<br />I o*mr.rrh FnFny. or Ey ci4t,ts * h *.!5 $ lh.n Y,b on{Endion. *illd. rtt *$r* irn rlt idr@ i' mr
<br />id.rndl or .r.Ed for sL rse 7044. auiE$ cnd Pmr.iri.,nt Cr* Th. Co r!.rm r LitN ur &6 d .9t v h !n o*B o(
<br />rhc F{d, rho hi}jr q ntrB ih.lw. rrd *b dF *h ktt himsclf or h.relr ot thmush hh or lEr own.rpl'y.'r'
<br />nrovd.n rhrr reh nqmwnrl E B, irdn d Got[ftd n, q! lt rblr6. ttE b{ildi,E d inrrw.iElr ii n& *thi. m )a
<br />orsir?tlion. r,E osM Blild.r will h.\t ltr hrd.a oflDvin! hd lror$c dil hr tlild m nqmt lh.lmFrv ftr llE l,utnt ol
<br />L.r.sEoarlElltr)ltny.m.r.turiEl).odrtin!lirhlaltrn.odBrosh$irtu10EI'tFl{st,l}16.AtriFs
<br />lBl Pn'ftrri,n Cud.r 1 tc Co"track, r t.i.ene l-.w dm. mr +ply ro dn o*n.r of Pm|'.ny *ho huildr or inpFrti rh.ton
<br />&l wh o.rrrlr ftr cn F Fr wnh r CodEo(rr lt..tn t'{Bunr ro rlE C.naddt l-atnF l,s)
<br />I r.'n.rcnfl unlc, sdhr
<br />Drt. r)sn.r
<br />]}!Jalr:&s:s)utl:rlli/lrrl!!rcIAAAIIAB
<br />I herchv alltrr un{kr FuliJ_ ol F!ru,t.m.l rh. tulk8'ng ddhrJri)n\
<br />-
<br />I h.tr ui *ill minhin r Cd irrrlc or (i'enr ro s.lr.lruE ix rintsr' smFrr.rion. 8 Imrii.n lor h, S.{ti,n r'7m ol rrr .
<br />Lk Cdc. Lr rh. Frlomtrc olltE Po nn *hEh rrr prnlil k i<s!d
<br />,lh.lcrnd *illtrriikii e.tkc coNp.nt{rhn inrurtk.. !. Enutcd brsftri,nlT(rr
<br />thc rnrl ti rhi h rhu lrfl{ ii nrEl M} {dldi o'irFnqrnn 'n!um. on H rn F
<br />,.",,AWnrAn1,w,{l -
<br />"",*,n"-*, 4tu(9DQh$J- f(Ptr.'
<br />or rlE lior C.&. lor rl' FfmN ol
<br />-lt*o l-17
<br />Iccnifyrh inth.p.rfornunc.dlrh.sotkfttrshi.hrhnP.'nln is Frud.I \h!ll ur cnPk'yrnvrrv,n in,ny ronrc.
<br />q' ,r ro lEn'.r \ut rii i. rh. r cls' (qrnqri,n hr r or ('atn,nn. !r lsN rhsr llI rt'uu lrdft obiil lorlI -.
<br />sorkeG co'nncn\arion lmvi\ioN olScciion.r?fl}ofrh( ljtltr (ixlL- t lllll. ft*rhrirhdrnDly !irh rls< pmrisbnr
<br />!n!U iubFt .n crr?toFr ro nmiNl FEti.: tnd
<br />^r of mr{tn$ri.tr d.fl8.! .t nrolil.d Lr rlEr r, 'ft hrtrtl'.rl rho0.itr(l (lollri rllrDr
<br />Sdrnn 1u76.rrh. tih{ C,d.. r.rc(Nnd,n,fty-"9/r//q
<br />I h.r.t,y .litrm uti.r D.ohy or pcrFry thsl I m lirnan unlr Flvtior of ( lEFd 9 (mnmEins rnh Sdm 7uD, or Divn'n 1
<br />or rh. BusiNs ind PNr.sxinu Cod.. uxl :y liccnE n in Ioll f.rc aal cfiNr
<br />::-ry;i#&
<br />q -7 3Y-16I
<br />coNsTRlr(:Tl(tN I rrull\(; a(:ENCY
<br />I hcEty .mrn undo FMkt or lcrrr, rhrl rho. i. r snnMhn Lndht rs.my ror ih. PcrfonuN of th. Mrl 4.. whi.h rhir Fmir k
<br />k.u.i rsr '{r97 (-iv C I
<br />Lan&r't Nrm
<br />-
<br />A.8TIIIbILDESIAIAIIIN
<br />I h.c{,} lrm und.r Fmh y ol Frlur} oft or rh. rdh* irt ddlurcli'nN
<br />t>m,lirirn P.flnir Arh.iror NolifErtx'n tu rrl R(8xldnn. (Tirh.(,. PM6)
<br />RaNnd ldrs ol l*rtfrrtion
<br />lr.nilr rhr I hx\. rcrllrhh:(,flr.rrtrr)'xl \r irlormrion n .omd I rsrft r. o rply * irn .ll Cir y lnd Counly
<br />.n:r.urhrn EF.*ddrv6.f rtn Ciry.nd Cou.lyro cn!6 n bn rrtoilituN6.nd Slrrc l,*r rhring h
<br />trhn. nf,nrrtrFd tsrEd, nn insF.
<br />,\t'plnflr or ,t,lcnl Sitn ltrro
<br />(r A [e/qYdt-,
<br />n /s /r7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />T-Bar
<br />Handicap Beq.
<br />Deputy Final Report
<br />Enqineer Final Reporl
<br />rl
<br />FINAL a I *Y{frCertilicate of Occupancy I
<br />Notes, Remarks, Etc
<br />Erection Pads
<br />Shear Wall
<br />Pool Fence
<br />Flood Zone Certil.
<br />tlt lll/t
<br />k' .r'i Addrc$ _
<br />-l
<br />rlrry rh.r rh. r.dcrl Eslhrrnr r8edinS tl{or r.mrlrl{. ftn tPlltahlc ro rh'i pmFt
<br />W
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