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BUILDING. INSPECTOR BECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER !UII,OEN DEL('ARATIoN
<br />,h.rchy.r,tmurkrnMly,rlp.rju,yrhiIm.r.n{ifn'hllEOrir.n'lrcn(tlql,trrhcli)lhwb3tua$n(S.e70ll5
<br />Buws .d Pnnc*r'n C.rLr: Ary c(y or ai'unry *'hf,h t1luE\ t IFmr to 6n{Mr, .lr(. rtr{tow, &mlirh or rcFr uv
<br />durm. Frn r, r srutu.,.l$ rc{umr rlE.I,rtl.l.'l ntr rkh Fmt it rrba rllFl {.rcrnr rhr' lIo. rrr 6lf,o$l pnNd
<br />r,, rhc FDvr$n{ of rtF ConiEcroar l-Nnscd llw (Ch.prcr e. CoBmcnrrs s h S(tkt. ?0(r ol Drltiln I .t rhc Bulncs and
<br />Pn .$iJn! (',rL r ,* rhlt h. tr. rh. i\ crcr{i rh.rlom fii rh. hNs lor rl* .llc!.n .rcm tn Any vrlrtr. trt S.!l!n 70.11.5 hy y
<br />rlirilud nr t Fm ru6r(h ih. rl{,lkmr ro..tvrlp.mlyornn r)rrhrn f'Y. huhiEtl dous. (l5{jo)
<br />-t.11
<br />o*n.r or rh. l)n'Fd y, (r my cf,rdoye\ w( h wrrcs ar rhctr sh mn .nstoon. wrll dr rlE M rd rh. dtunm n ftn
<br />d.dldl or ol|Fl lir qL ( Ss 70a4. FusN* oJ P$f.$r'nr CdJ.r TIE C dreioi r l-irns br &tt Bll rlrly t' u owFr of
<br />rll IDId, *lr' t ltr ,* rthB rh.Nr. .!i wl!' ds uh qrl hs\.ll or tE elf rlNllh hr m lEr ovn .r{tbye..
<br />pn'vrlcd rh:r rkh mFrErnk ft n d.nidl d oltfrl ttr {1. Il h'}.4. rlE t! u{ or trrln)wmd !r s srhx ir r{
<br />ol u,ftd.rrn. rl{ orncr au .hr w i tuE rh. h^ld ufrtuvm8 ihd h. or shc ld ftn h !.r iryruw rh. polEny tu lh. nulJlrf of
<br />0 -rt
<br />e 1..\o*Er.rttE Fl,trny, m.r(lultlyco rarh8 rrth lx.ntn c.,nr"()^ nr la'n{tur rlr Flr(r (Sd 101'1 Bu16t
<br />!,r.1 [h)l6rrn (irc: Th. Conrr(tn ! l-(cnsc Lrr do.\ nor aftty ro Miwncr olpnll).rr, *h(t hx'ldt or mPn,v.r lhcR'n,
<br />rtu! wh, d,dads l,tr {.h Forfi *r h 1 Codr&k'( O h.n{il puiiud t' rh. C-onrr*roi ! l-trd* tiq )
<br />I rm?r.N urLr Seron .B AP('lorrhtrEsn.
<br />WORXERS' ('CIMPT'NSATTON
<br />pElldSauox
<br />I hochy afitrnr utulcr n(nnlryol rrJury om ol rh.l,,ll,'eml. J(llraron!
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<br />h,v. rll v'll di,re. Ccnirr.r. o,Clffd h &rlnsF rd kxl6 o,p.trtdEr a Fttrlal 16r b, Seriq.!700 of dE
<br />trtrr Cdl.. fd rlE pdrru ordr wri rq rt$ llE Frtr ! B$.J
<br />I hdvc rnl q rll nrnrtrm wor lcF ron|xnsar0i
<br />'n\orah-'c.
<br />r\ r.quir.d hy Sc(r i,n .r7(X) of rhc lrhi Co{c, htr lh. FJfo@n( ol
<br />llE qrkldwhf,hlh! Fmn rs 6sra! My *oA.F' (r,rqEngr $n oQr.ec ldEr rnl lr)hy nuhhcr e
<br />Ctmr-
<br />s.(rx{ 10?6!nr[.l.rhtr(!k1..tr.'.{. .nr rt1
<br />, h.(hy atlirm uolcr FMllyofFrjtry Iha I d li(.$i u.d.r tr,vs
<br />o, rh. Burtrt\ :ri Pnn.reN ciilc, rri ry l..n{ s r tull ioftt
<br />(rr r rrxx)rol l)!Nntr I
<br />\ojbuSr
<br />.;,L.t lLu I tg
<br />I lrrchv .llts !ftLr p.n y ol Fri[, rhi rlm B r !$nrtuL'i Ea]n3 r!.Ny Frfllru. ol rlr srl for }trh ihs Fflr .
<br />Ar'(J rS.. r(f)r.C'! ( l
<br />ATTLIIAILIIECIAEAIION
<br />I hadry.rlmtrd.r ltn torFrroryoEof Ennl,smf LL.Lt lNr
<br />l).BndDn P.rn.+AttErro! N(r'ff,rron FaLr.l R.SuLrbn(rTnL 4)- Pd6)
<br />llcqurcJ I.(crol Mi'liretxJn
<br />-l..nfyrhd rh.t.dc..lR3uhrrhr rtdrg r{h.no\ rd,!.jft Bn qrluhL t'rh!ln,jd
<br />I (nnirhrl, hrv. rcaJrn! lmlf,lrH,n url nrrd rlrr rh. fi,v. rnttmrlr t ror.d IrPEkr.of,PlywirhrllCiry d(-,)unlv
<br />.rlrML.r.nl Sr.l. L:wr ElruB ro hd'Ll'n! conrru.r$h, lrl h..cty udrr. cF.( ro1c(ol rhrCry.ti Counry ro..rd ulbn tlr
<br />.h'r. mnrnftJ ln,Fny nr hltErrr
<br />Anrli(snt or A!$t Si!mluR ^\ l Lu llq
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing ,lilt? _U2,.,I 7d - h "of re -,o"( <*LQ
<br />Shear Wall i ,e,uqf eq,q
<br />Framinq vt/
<br />lnsu lation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certil
<br />ll
<br />FINAL
<br />Notes, Remarks, Etc
<br />-l
<br />(drfy rhd r rh. n rf mEc ot rlI k,* ntr *hrh rh. Frs r Riu.n, I rh,U rn .q oy r.y FMn h .!y 'rkra, .t n' lRonf, ruhjcrr k' rh. m*61 r'flIrnriron lav\.i ( !ln,mir, tal r!t. rhrt ,l I thoull h.{m rubF
<br />'ottEk'rtqi o,{rneran F'vKx,n! or S&l kr l7O0 ot rh. Uhtr CirL- I rlElt. r,tthvih .l,r$ly riih rh)t psvr$nr.
<br />WARNING: rarturc k, su. krt6 Ni{Eiqrrln oEn}. 6 unL*rul .'!t \hru lubFr u .tnoloF lo sutltl p.ElE !n
<br />.Nrl liN\ up t' oE hurlt.J rlbu{n, dolls (31m,(U)). m .{lilbn io rh. lnr of (m!.n{rpn. d.D!.r r\ FoY .d fttr tlE
<br />,",., 0'-{ l1L\ / \4
<br />L.trj.r'r Arltf,t
<br />-
<br />(It<lt1 P/ro(,.7n
<br />Certiticate ol Occupancv t
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