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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE rD/srG.COMMENTS OWNT'R BUN-Df,t DELCATATION
<br />! hdchy rfirm utrdci p.mtty ()f p.rrury lhd I m.rcryl rrch lh. Co.'lr&rnF LiccN l,* for rrE rouoqin8 E.$n lS.{ 70.11 J
<br />Borims\ sd Prctc{t'. CflL): Ary Cny o, Counry *hih rcnunc! r Frd k, .rn{ur. &6. irr{,rov.. &mlnh or itFn n!
<br />{tulm, Ffl o ns ns.N. .lso Eq!i6 rhc q,, .ul for rEh Frflr lo liL r slstd {i.e.r rhd tE or rlr ir liansn ,[rtunr
<br />to th. tmvhn,ns or lh. Contrd.tols l-r$nkd t w (Chlptcr'). Comm.mi.r wilh S.crion 7(xl) of Divirion I of'h. Burinc$ rtrd
<br />l\if.(r'nr ((nl).r rh.r lE ( nE n .r.rpr lr.dron rnd ttr lrsi tu rlt rlLSld cr.rq{irn An} rhLrhn of sdbn 70ll 5 b, r.y
<br />opplklnr ro. r Fm \ubj.yh rrr .p,rlic.nr kr . civil Fmhy or mr m'rc lh,tr nvc llu"dEn dollus (llm)
<br />-1.
<br />N oEF. olrlE I'oFrly. or my crl{,loys wirh r!!6 ! rrrt $lc.$trtF.dirn. ll&rlt'rrtrdllErn(Eirn{
<br />i.rcnd.d or oftdcd ror elc (Sd.7(x4, Au.imsr .nd Pmr.ssmnr Cod.: TIE Gnrnclq t Lk.nE tiw ddr mr .!rly ro rn o*rcr of
<br />rlx F,Fny wno 6{iLtr u i,rinlE rliGn an *ho da uh k t himrll or h..Elro. rhmuth hh or hd lun cnPbFs-
<br />Fovrl.d lh.r Gh inr(nffir & d irdr&l G olH ,q elc. lt t kB. rll lllrrlE r lqm*rd ir 5ld wthin m F,
<br />or cdrll)Lrb{ rtE Ovn( Build.. will hrR ttr ttrdcn ol pmting fix tE or rtu di] mt ttitj or nrqh,h t ! FoFy f.r llE ,tr4n. ol
<br />l. dr own$ or Ih. lh,,xny. rm ercl!\iv.ly .onlr!.lins wi h li(.nql .onlret'n b con{ru.! r,E Fn!..' lS( ,(}44. Auiircs
<br />'ld h,llsvn Cod.: 'tht Contrroir t-l.nr. llw &E nn +tly k, .. o!rcr of p(,Fny rll) build\ or in roE. rh.r6n.
<br />lnd who .onimds ntr ru.h Foj.{F unh ! G)nln ('(s) li.n€d pu^ur lorrEO,nt&k, r Li.ns L.})
<br />I rm.r.f,f un!.r s..rin-
<br />Itraf,!&traufl:lisAll0ltD[llJ&tIlaN
<br />I hcrchy rtlirnru.dcr |tuhJ_ rr pcJurv o'E or rh. r,)llotrne &(llrrrinr
<br />-l
<br />hlvc irxt will nuinrain r Cc.lifrDrc ol c(,n$.r k, scll lniuft for *orr.h' c.q'.n$tion. !r Fovidcd l'o' by sern,n t?u, .l rh.
<br />L!h, C'{t . rd dE FnorlEnr of rlr *ut nr rtih llE Fh'r i\ i\sEn
<br />_l ilvc d,illdriaruin*o,k.n.orp.nslrtninrurim..'! r.rtuiEd by s(lion.17(10 orrh. btDr Cbd.. n rh. FrlomN. of
<br />rlt h rq *hit rtir Ftur n i.srd My wrt6 d,nFNr,n i.io|!m.air rn F,lty nuntrE e
<br />cJnr, \J wiit Lr.Jh -, rns
<br />,,',,., n,",*, fl\JJvl ( c; t <, U ?.1 \ rltl
<br />I Nn,fyrtur i. rrE Frfo,mE. olrlE *orl for *hth rtis Frmir ir trsal. I shill ftr.nq'k'r.nt Fmn i. $, unF
<br />c' !s h hcoB iuhjcd n' rhc wodsi ..nr.n\d ion l,wr ol (
<br />"lifomi!. od s8r lhll il l sn uU h.{ont slbr.r ro rh.
<br />rsltst mqf,nqti'n Fovnhns ot Sdbn .l7m of rlr t2h' (-odc. I lh.ll f(,nhrirh Nn{ y * ilh rh,c I'nrirbN
<br />wAf,NNC FliloE k, suE *ort.B onlrnsri,n coE6r. is unl,stul. lnd rtill sbFr M.nl|)hy( b nimimr FEIB rnd
<br />.ivil in.i ut b om hundrcJ lhousr dolls lllix).(xx)). i. ddiri,n ro rhc co( of..'nJxnqrion. d!m3c1 !s Invil.! lttr rhc
<br />I tEEhy .llrfr un&r ,rMlry or Fiury I hal t rn lirnrcd unld Foyihi of Chpr( 9 (omtin! *nh Sc.li,n 7(m I of Dilirirn l
<br />of tlE Buriftr. 'ild PrDfc$irm Cod.. rt nv li.nr r in tull toft ird .ilNr
<br />\o ttl<<.1
<br />('l^)!v,ic
<br />Ijlrlslf,ucrlN.JllDagilIiEugr
<br />I hcrtly rmrm u.xt r Fnohy oa Friury I hxr rho. is ! onnod,n LntlhS r8.try lor
<br />'tE FrformN of rh. ktl tor *hf,h lhr IEmi E
<br />ksu.d lsd .t097. civ. c.)
<br />artucalr.DEsltEA[t8
<br />I H', .rim utd.r Fn hy or IEFry oE ol llE folhrinS &.Ldiofli:
<br />D.mniion P6nit. Arlt{or Nolifi.rli.n F.d.nl R.guhlbnr (Tirktn, P!n6)
<br />-RcqliEd
<br />lrn6 ot Ndifadirtr
<br />-l
<br />d,ry rhrr dE r.d.nl EsuLlid Esrdans dE{o! Eturil s. n, qtrarbk h tht t'nl,.cl.
<br />G.afliry rh.r I h(. E&i ini! .pplt.! tun rd {r. fid ih. rbow infor tion ir @.r! I lard ro 6nlpl, wiih rll cily.nd Counry
<br />orniruNr &n sr!'c L.n Ehxn8
<br />'o
<br />t ildine.nNdil(,n h.rc5y irrcrrccddi6of rnil Cnr I'd Cdnry
<br />zt A,
<br />ul-r mn'iorc,l nmpcnylo! i
<br />,{ppllonl or Attrl Sk tuE
<br />F.mltr rm(prl.l):9tt 5
<br />wfrcfii**
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lns u latio n/E nergy
<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 />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL \\\o\r\V*. q^t <.<l lLU,Lq(te)
<br />Certilicate ot Occupancy T-
<br />Notes, Remarks, Etc
<br />Subf loor/VenVlnsulation
<br />il'67rfld"^il;;ffi
<br />lo LO ta
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