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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCAf,ATION
<br />I tEEby.rrm udcr Fdly ol FrJ!,y rh, I d.r.npt homrrE(.ortrn Lsnt L.s lor rlt rollowir8 EBn (Ss70.11.5
<br />Blsi6r .d Prcrsi,n CdL) A.y Chy or Cdny vhih EquiE. t rEnx ro @n{M, .l'd. i,p.oE. &mli$ or rcF, uy
<br />rmmft, Fitr ro arr srurN. rk R|uiB tlE .p?ltut for trtr Fnn ro [L r rilEj rd.'El lhn lt u di ir linEd PurE n
<br />h 0E ElvnbB of rlE Conrftrd\ l,icrid trw {Ct rr.. 9, Co.lmri.r r irh S.tlion 7(ID of Divtion 3 ot lli Briiftar dd
<br />Prct <ioBCo&) o, rh.t lEd rlt ir.rc,pr fi.r.rron.d r tl.rir fm rtr dkr.d c&,r{'rDn a.yvbLrhnorsdri}n70ll5byry
<br />rpplklnr ro, r Fnit sbFk rlE .prlir ro . civil Fdly ot &r mE llls nr. hundr.d dollui (!5@)
<br />-1.8
<br />o*E ofrlE FlrEry. d hy.BpbFs vnh w.I6 rs rllir $L$rIEnr.lb Pi!iLrlEurr!n ErrElEiin,
<br />itrcid.rl d .r.Ed nr eL (5d roa,4. BBiBs ed PrDf6rhnr Adq Tlf (i)lxrid! titne tlw d.'d mr lt)ply ro - owr .l
<br />rlE F{dy *rh hliui or ullmE r}-$( rrd wh. dG ch sd hilelf or ErcU q rh^,ugh hi d h.t oPn .nphy6.
<br />pmiir.d rhar wh inF,wnrr c d iicd.d oroturd t eL.ll lr*.E. rtE tlillins r inFmwd k$Bqaho.m rr
<br />ofonpbi.tr rrE ()wffi Buillr *ill hE l,E t!d.n of FDvDs llEl rE d lrr dd fl{ tliB .t itrIDt l,E FoFry lor lrE IUFE or
<br />l.r{ wtrcrolthc p"fny. ur.rclu\nllyconrxctin8 wirh lir.n\rdroiti(rtr\ni c nnrud rh pmFd lS.. 7Ol4, Bu{n!\!
<br />sr{l lt,lc\\im(inl. lhc(i,nt nn ( l-ic.nr l-awdN\ nor 0pply r' !! o*mr ol p(,p.nr sho hu'ld\ot irPtovc\ rhcr.oi.
<br />rtrd whn . ntr.rrfitr\u.h'rU.uh $irh rConr2.bn\)lircn\cd Pur$r n,rhc(-tnrkttr \ 1.i.tr{ lru)
<br />-l
<br />rncrcnrfl unncr Scrirr
<br />toaf,E8st-lallt!;!5allll!
<br />DESJBAIT!]!
<br />I hcrchy '!nrm un&r FulrvolFllry oft of rh. folhrinS dNLr.rr)N
<br />-l
<br />h.E rn vill minr.in. C.nirrdc o,Coed ro s.lf-llm rr wt6 o'qmldno $ Foritd lot by S..li,n ]r@ of r,t
<br />t lo. Cod.. ld rlE FflxrlrN or E qtt rtr ltth lli Fnd i! iro.n
<br />-l
<br />hlE Jd siu oinr.i. eorl6 .ong.nr.rirn i6uEmc, .i r.guiEd b, Se--rln l7m or rrE t br Cod.. for rlt FfL rjIm of
<br />rlE svt td Bhah rhir Fmir ir iriEl M, wGI6 onIEtrdio. rNur.d .oa ad Fliy nuntEr e:
<br />l..nif, rhur r rhc l)( rldnuNc ol r $orl lhr shi.hihn |iytr,l n A\kLl.I nrxl f' etrln],)r_ rnylrlr\otr i'r r y ntur
<br />$ 0r h E(om suhirr h rhc anrlctr' co'nFnqrion liws or C0lirarnio. und alrc rh{ ir I fi,rlil ri.. x suhFct l. tlE
<br />workc onnctr\uri,r rnvnnrnsolsmrbn 17fi)orrhc bhtr Grlc.I shrll nlnh$irh (n:{ly wirh rbt Povsi.ns
<br />WAININCT F,iluE tu {ur. w rkcr'.onDcnerio, c.vcng. is utrls*tu|, ntl \tull \uhFr lrr cmphFr io dinnnrllrMli.\ lBl
<br />.iril lincr up k' otr hundErl rhousnl r,olh^ ($lm.omr.
<br />'n rddirxrn h rlt (ost ol (onDcnscri.n, dlmecs ar Provil.d ntr rhc
<br />y's/te
<br />^
<br />y'a
<br />DESIXAIII,IB
<br />I lEEby rllm oi.tr FMlry oi Frlrr, rhr I m liens.d u'xlr Fi.ior of (rEFd I ld,llmBing wnn S.cl hn 7@r .r Di!6nn l
<br />of rlE AuriBt rd PmLriiofi Cod.. ri ny li.n. i i. rutl roN lrl .lT(l
<br />,**rr-' 8-
<br />- _/!/l €
<br />gllisrBlJgrlQ!..LEBllal .a!!(I
<br />I tuEny ullumunl.r rEnlliy orFlrrr rhd rh.rc is r.onsructi.n Lndin8 uscEy nn !h. lrrr..mkc ofrhc {ork f( ehi.h rhi\ Frmn is
<br />issucd (Sc(..1(,r)?. Civ (.).
<br />AIILIIAdLDEIIISAIIITB
<br />I hEtt'y .trm ui{t r FdX, o, Frory oE of rh. folbrin8 &clod hnr
<br />t>mhif lt mr! ArtBrs tidrrr.ibn tunl Rc8ll.|i'ni{T l.lO. Prna'r
<br />_R.lrunGj lrl'r of M,lifurln
<br />-t
<br />.tnify rhi rrr 16l.r., E8!L! ir,. E8.,ning &slEsr6 Emvll E e {Pli(rbk t,
<br />'hk lxoFl
<br />I ldify rh.r I hltr Eel rhF lrl tlion erd n.l. th, rh. dnr. intutuir ,r h .(ffir I .xtr ro or!,ly Birh rll Ciry .nd Counry
<br />,. rcF.*ntrliv$ of thir Cir, .rtd Counry lo .nrr oln. rlEordmrBt. rnd Srltc Ii$r EhruX I t{ iU rtra condrucrk ( uri h'.h:_ rhr
<br />rtrnt rEnr6md lfi)Jrdy tur
<br />Appln$l or \sonl Si,:ntrrtr
<br />a-/, f L,c .z)r ^.2e/ty'+
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFEB Ground
<br />SLAB Floor
<br />Subf Ioor/VenVl nsulation
<br />Rool Sheathino
<br />Shear Wall r^
<br />Framing 2-10-v-\41Q1
<br />lnsu lation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL I 1 k.$+"10
<br />Certif icate ol Occupancy
<br />Notes, Remarks, Etc
<br />-',-t !,44
<br />x
<br />Ext./lnt. Lath
<br />T-Bar
<br />Flood Zone Certif .
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