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BUILDING. INSPECTOB RECORD
<br />SITE.WORK DATE ID/SIG.owNEi BtllLtrER Dt:l,cARATI(rN
<br />I tE chy .lfum u kr FMhy (Jf Fr!.y rhd I crcn{'r tn'm rt* (idrrdor' l-itne l^ nr rh a,nl)a'n3 tlFn r.^L 70.11 I
<br />Ilu\inrsr ml Pi,L*i'n (od.I Any Cily o' Cnunry whih dlutrc( . F.nir ro !I,n(tu!, :hd, nrin,E, dcmlih (}I qun rnt
<br />iMrur.. rior ro its i$u!ncc. uhn Equndth. amlklnr n, cxh Itn'ni b nk s \i8m(r {3r.nrnl lh.llto. \h. i< l{.n{d Nr{d
<br />n, rll. Ir{rti,ft nf tlE CodE.kn r Lctrv<l lr* ((-h|I)r.r 9. (-lrmmtunl3 siri Sccrmn 7OX) ol Divtk,n I of llE Busin.s dnd
<br />Pn'r.$.n\ CGL ) or rhal h.or.h. *.rcE, irrFrron.nd trE h.n\ for rhc rlhs.d .x.mlrion Atry rF[rionols.tri,n 7lr]l r hy lny
<br />amli.. ntr. Fimir rut'J.LB rh. rPtlkrnr k, rtirilFMhynlmt nDErhrn fi\. hlkid d.ll.F(il(rr)
<br />-1.,io{k..rih.F.Fny.(nnryctrlpli'rlc\sh$a8.strsrhctn'kconrlEn\urtr}illdolh.wolkorith.(urun'ridt*rl .. oicEJ fiy sk ISft-7oU. Bu.iE( dPn'L\.r'nc(odc'lh.(i)nhrt{sItcntljwd(r\nu!$Pltrornotrmrol
<br />rh.tn)Fny wlr hoiklr.. ry'ntru rtrNn. e, wl$ ds *h uul him{ll ur h..tlrot rhn'u3h ht or lE osncq'k,rer.
<br />tcd rhI n'.h 'fl,tn.\. 8.r\ ffc n rn .rxl$l ( o,j('cd nr qL lr. h)*tr.r. rlE huillirS or nqrtr.'tuir ^ r)ll wirhino'E \!r
<br />t)krin.rlE(t{r, B ildd trrllhJr. rh tntrJcn of rnor !rhilr,,dt,ldnntitrldrrirlntcr,{ln,FnyfttrrhPurlx'vrr
<br />l. r\ .$ tur nl rh. I'UIiny. !m cr.luslcly conhkhn3 * h li.rncd ..ntr.ttri t, .onrrru.r rh. |h,r.tt ( S( 7(!'l llun*s
<br />o Pnna\s ( rti. 'l h. Coittk{'r l.r.nc I ir '1.!! d i arrPlr n, 2n o$ *r ol Jlrlt'cny *hl huikl\ o, inrP.Nt\ thcka'n.
<br />aml who cunrelslirru.hr'fl)rcriwirh.(i,.rro.tn(i) ltntd N^unr b I h. (i,.t(tr'( t-f,c.* tr*)
<br />lJn,.!.nrtn u u \rrr,l ,B &P( f,rrhru{'n
<br />]tl)8lir:&t-CQ!ftlj!I/rlllr!ll[Lata.uox
<br />t h.rchv ir ftfl !ml.r p.rrlly ol p.rErv oN "frhc n)l[i$trrE c(linlt)o\
<br />-l
<br />hrvc tr d e ill ,Dinrain r (tdit..slc uf Conenr ro S.lf l.rnr. fr, eo si or{rndin. ( fmrd.n tu hy Sati{ .rl(n ol !h.
<br />btu ('.rd.. for rhc |rdn' nuto'. ol rh. srt lM *hf,h !h. Fm R n(u,l
<br />1lhr\. risrllnEmtm*oltcB roryrn$lr,n m\uEN..8 Etuifti tt Sdr i,n 17c0 ot rhc t,bor Code. In rrE r.rrdftk! ot
<br />ihc *or* fur *hah rhir rErmil ir isti M, surlm d,nvEndrn inrure .raa in F a_y nuniEr e
<br />Sdlrfe 84..4
<br />r.r,.yr-,,r-.' Q ll{? 0L e.rh. '12-tZ-l&
<br />I rcdifr rh.r i. rhe JErt nu'u,,fih. $olk (r uhth rhtr Flrnlr r i\lud!. | \h!llfr{ (nl0h, tn} Ir^.n 'n
<br />3n, tunmr
<br />s i{ lo h(.nx shFr h rh. *ol*d{ ()qtn{lnn bu!.f (nlitumi,. $d +8. rh.r il I ttou! BLoft \ot'F1 h llE
<br />wortr1, ('mpcn\d on ttuvnn,n1 .l Sc., ion .l7lx) ol rtu lihtr Gxlc, I fi'll. bnhrnh .on{'ly s irh rh,c ln)rnions
<br />WAXNIN(; r.itur( x' q'uE *nkcr'$nqEnidhn t1trcr]3c 15 unl!trrul. rri shd,l ruiFr an .rq'hFr t, nminnl Errkr{ mi
<br />r'r1l inir\ u,r k, u,f, htr'rn.d rhru{dl doll.tr\ rll(,o.llxr
<br />Seli 1016or rhr lrhtr(i)d.. nr.'cn nnd r ,nrf,y \,.e.
<br />coryEn{!i,n. drfr!.s .r !r.rrr.d ir lrr
<br />r)urr:' l-Z'/.-!B
<br />I hehyrrirmu,&r F lty or Frjury r h, I m hcnln unkr Fl,rni{ ul ChnPrr e (NomminS wrh Salirtr 7(rn, or Lvisi(,n I
<br />or ttr Bu{m( ml PNtcsbni Cdk, an ny ltc.* ii in tull n,e In rfldj
<br />,...*"."* (-34
<br />o", ' L-zaalL
<br />l.K.n\c NunEr j 6al7_
<br />I h.r.by rfltm ud.r Fnrlry or Ftju.y lhd rlrr. n . Nn{ntliin bn!trB rs.fty ntr rlr F.romm .l rlF srk t, *tf,h lhr Frn, t
<br />itf&l(llNl-lll:ll Xlrll)!
<br />l lrrt'! rrlir ru.n.r trtrrlr'r, F.-'rxry o'r !l rhc h,ll(i*in! J..lrrrrtr"r\
<br />l). x'l'rrtrr I'cirn \ A\t\{o\ Nori1., trr lrctl(rl Rcrtrl (rr ll ilc,ro. l'rn6r
<br />R.quncd k(cr of Mnillrarin
<br />-l.Mir_yrhrr
<br />rtr rcd.rd Eerhrnnr rcsrnins !\l\ {.\ rcmtr rl rr mrdPlrlf,lhL n' rhtrllrll}{r
<br />I *,r, '*lI *'.,-u,n" "oDrrtrrnnukl
<br />{rrc rhnrrhctrhrrc i'na ulr'n i\.oftd Ilrreh'(mnlvw hnllcdv!d(rrunrl
<br />""]i*m. '',1 rrr. r ,"..ru,'ni;' h',,u.F .trJM,r/. rfld-bA!') du,rn,,r tF *nrdr (\.r rh,\ c ) snJ c unr, r. cnro uF tr rlr
<br />P.ml,Frmc,p.,,:l( Alb{* hiA
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation I
<br />Roof Sheathing z-t-t6 .Wl/_I
<br />Framino
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL 'tilt/;q ine ul-;AJ,{'
<br />Certilicate ot Occupancy
<br />Notes, Remarks, Etc.
<br />COMMENTS
<br />'sucd
<br />(sN lo'J7.(lv ( )
<br />trndd'\ N!ft
<br />Shear Wall
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