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BUILDING- INSPECTOB RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS (}WNER BUII,DER DEI-(-ARAAION
<br />I h.r.6y .flrf, uni.r IEMhy of tErrury rh, I m.rcn{,t tnm itr clrdrutn L.mc bw tur rh. n'lt,*E! fua,n'(S.L 7011 5
<br />Iruin.s n Pnnison clrL): Any C y or Counry *hah r.quEr . r,n r b .otrd&i. nr6. nr{,mvc. &ml|h or EFr oy
<br />nd.tur., Frr n, rr\ n\xd., rto rcq!6 rh. +tlr'ar lDr eh Fmr (! tik ! n8ftJ nncmnt rhlr lr or sh. E lllnBj lumDr
<br />n' rlE ImvNrr\ ol rlE Ci,nrrrr( r Lr.n<1l t e (Ch{".r t), (i,llwBut wirh Strrr 7fil) ol D,vsrr. J of lh. 8u<ft( .Dd
<br />Pnnaituns (i*lc ) or rnlr lE or rtE tr .r.r{,r rh.Erion rhtl rhc brn. n)rth. rlk8al.r.r{rnn Anyvrnal$.o{S.dni 70115 br!h,
<br />Tlh.d for r Fmn ruhr.l lE .I'l'n(.nl t' . ov rl Frlr y dl R BE rhs nyc huolBl J.nL.i (tvtrJ
<br />I. r\ osEr o( rh. F{rd y, or hy .rt'liF.r *(h !r!.r ri !h., !'k on{Enqiir *rll t.lr r srt al rlI qture 6 dn
<br />id.nlJ orollcEl lor sk (S( 70,14,llr\D.r J kdi$i,rt Cftl4 Th. ConL(ttr'( L(..e lrw drs nd apply k' in owrr ol
<br />rlr rn'Fny wh'ho i.u ntnrK rll(m. ul*h'J(1rhxxl h'nkll rtd$ll or ! tmi!3h hr or h.r oM cnl{ll,f.i.
<br />pn,velcd th.r ruch mtn'Emd! N d hicBl.d or.ltaBl 6. qh Il, h.s!v.r rlI ho iuu or lqhwftd n bU Pirhb w F{
<br />ol d'q'tru. rlx ()wr Bo,lLr *dl h,!. rh ttunl.n ol |n al3 rh, lE,, stf, drl n h[t oi oF,E trE F{Et, tu llr Fqrr ol
<br />l, r! ormr ot rh. lh)trdy, M .r.lu{v.ly $dr&rn! wnh lk tr*d $dr&nF t, onrru.r rlE lirx.r rsa 7044, Burtus
<br />anlE!'tssruc,xLTh.Gidcioi\l.K.nkl,*diErd.rDlyteoer.oltb|tny*hdbundrormpNrcrlh.ron,
<br />lnrl *h, eodE-k n* .hh FrF1. *nh. (l! Bronn lrrn(d n{tent !' rlE C..drrlN ! l-alnr U*}
<br />l.nr.(n lnlcr S&['n .11 & PC l,trrhr...(,n
<br />traMEBE:llllltElsAllo!
<br />IIEIIAEAIIA!
<br />I h.rchy !fitr un.rn n,llyofrEriuryo.c olihc nnL'wrry d.(larihns:
<br />_lhtrv.i u rll rornrrD , C.n,l f,,rc ol Conscfl n, Scll lnsur. l,n *u*.*' (nqEhrai (,n, ,r F$v'd.{ ntr hy S.clro. .l?ur of in
<br />I jhx (irL. l!{ rh. Ft'Ilr!a---.. oi llE u{t ntr whf,h rlr Imnr 6 rruen
<br />- I hr!. r *,llnumr,m trorkcn .omFns,r,n 'n\unN...i ftatutrcJ hySdi)n rrmol ihc ljli, Cdlt. forrh.F,,l]rr,n. ol
<br />rh. wuk ln *hf,hrhN lrm,s ntkrl My work.'.on,ntngr('n'n\ur!trr.(nnfi drlf,lrynumb(r ec:
<br />Poli.yNumh.ri ErriEr
<br />-l.cnitlhii 'nrhe FrrbrmB.olrh.*o n)rwhnhrhtrFrm tr n\uG]- I lMll , .i{,k,y ..y FR). 'n
<br />.ny nurcr
<br />q, $ t,t.uom rubFr r) !h. hd6'L\rr{Fnsrh. lrwr.f Crhfom4 .rrl .3r rh.r I rhiull lE$G shFr k!ltt
<br />*o c .o,r{Enql irn fmvrD.t .l SGr[n !?(x) or rlE l2tnr (irL. l nrll lonh*ih lrnrly *rh tll,( t^,vtsnt
<br />WAINING: Fxrhrt r' @E k,rtc^' (,nFnrrr kn o\.h8. r unhwlut. oJ \h.ll subFLt e ciplo)fr 6 !r1ll@l Fd.s:nd
<br />cMl lln.( u! b oe h!fllrJ rh,uqi d.U!^ lsllu.UXr), h .dlri,n !' rlE $sl .f.onrEnsri.n. .Lm3ct ri pn,qt.d for rh.
<br />S.!rtr,' 11176or rh.Irhr Cii,(. dtr\r. El t
<br />ltEcld8arxl!IltRhtirlauhu.rFM!,olp.iruryrh,Imll..nanldd|hrvll.nolCllrF{I(cof,mBn3*rhS-iu'1000)otD,!ri,n!
<br />ol ih. Buqnc$ !nl Pn,rcsrioB C(dc. r my li.cn{ B o lull ro^! uri.fl.cr
<br />TANEIAJ]I:UONI,INIINC.AG
<br />I lEEh, .lI!n unLr FMIry ol p.riury rhd rlEr. s . .urMtnn Lnh! .!c, lor rlt Frfre ol rlk sd( tu *n.h lh! Fnr s
<br />rucd (S... 1(,97.Civ. C ).
<br />APPLTCANT IIECI"{RATTON
<br />I hddry l]im uurc. rEr.lr y or p.rpy or or rh nnh*'nt rkrl,"rr ut:
<br />rxfrrnk,n P.r lArh.rror t*r E.lin F.Jcr.l R.tuuti'nrIfrk,l0, Prn6)
<br />Rc.tu(d trlrer ol Mn'lnirDn
<br />_I(d,,yrhrr rlr l.d.rdtofuhr)n! R8d'n! a\h.{otrd,vrlrE nn la'rlsbL trlhs pmFl
<br />_l(c.idyrhll I h.v. Erl ihs {rlurE. r {,rc rhzi ilx rbk 'nr,'ini r,. tr r(ft.r I 4d kr ortl! wdh .ll Cry td Or.lv
<br />oiln (r e'i Sr.rc tjur ELrus lo turLhs $n(rucrDn. &!r h.rchy Nrhr,r! rtr.rnr,r'kr orrh( Cny.nl Counly to cnl.r utDn 1,r
<br />th)h mnr.Fdnn,Fdyn, mrlEftr lrry&r
<br />.\ppla..nr .r AE.nr siFn,ru ,^,,r2/1///
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing zl/to//q ,/fur
<br />Framinq
<br />lnsulation/Enersv
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL l///t//4 t fu4rv21 '//0
<br />Certilicate ot Occu 7 _ _ _av_pancy
<br />Notes, Remarks , EtC.'r*a4,
<br />SLAB Floor
<br />Shear Wall
<br />T-Bar
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