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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS owilER BUTLDER DELcnf, ATIoN
<br />t lrEtt rrrm oil.r Fn ry or Fr,lry rh.l I n.r.n{i ,iDm rlE (i'drdoF' I-acrc t * for rlE n'lb*Ds Errr (Sft.mll 5
<br />ttusD.s (rt Pn)fc$r'r CGlc): Aoy Ciry or Cd.ry whlh Equn r r Ir nil l(, con{ru.r. !lld. rmrnrk. &frrirh or Elu ey
<br />nulu., Ff, b ni 6!rlsr,.ls,6tu6 rlF {Ol.et fit rkh Fmr ro lil r rEE{ {d.'ffir rhd lr r {r a litKn Frld
<br />b rh. lf,D!(xlnl of llr Co.lr&roir t,ic.kJ Lrw lchrlr.r L CommBuS *irh S.urn)n 7IlI] .f DtvFn n I of rti Bdsft{ d
<br />PDrc(Dn. CoL) r th.r lEdllx n.r.,V rlEdion.nl rrE llr!! ntrrlF hScJ.ichFF. AntrnLrmorSdnntul1.5bvuv
<br />lpd(rd tur r Fmir rubFlr rh. .ppli.rnt ki r civrl FMlry or fr'r fr'rc rh.n liv. htdlt d Joll{( ( !5UJr
<br />L .r o*mr ol rh. F'fEny. r my .t{tby..! e h wa8.r rs rlrr s* con{En\ar Dn- sil ljl, rll *rk lrl dE ndrw s on
<br />dorLtl o. o(llrcJ tu eL (Se.1X4. B!.trI.n, ehlsrn C'rL: lk Gfirrtr'r Lrfie l:* LLK {rl! yhuo*Et.l
<br />rh.tnrFdy *lr) t'oili {r rnthwt rh.cr, ,r.! uh &f,s tuh H,ri h'nRl, or h.r*lf or tt@u8h hn or h.t oqn .mPl,'y.4-
<br />F-rLl rhrr \kh lr{mwnk s nn ddrlol or off.cl (r.L ll. bss. rlr l dllE d n!ftEmd s s! saho im Fr
<br />df6npLrr4 rrrosmr Bui&t * h.k rlE hhto of FJ!ryrn rltorrh.diRntr l o qxoE rhc In{tly fnt rlE tiuF&or
<br />-1.
<br />8 o*E ol rh. Fr{Eny, m.$lurv.lr. nlr&rna }ih lLcnG!.odr K!!s,ni*r rh. F)Fl tsc. m4{- 86lFr
<br />n! lhrir$'n Cixi.: I h. C.nracktr's t-r..!. L.w dB. ton.prly tD e ow..r ol Dn,pcnryl& huilJr ur nFi.vcs lhcr.on.
<br />rnl ql$ u! ddr nr rkh FrFF *xh. Ctds.i(n l.tnGj no.u.. t'rh. Co rddlti6€Ll).
<br />-I
<br />.h.tcIllr ur6 Sdrrr-- A &PC,qrhaRrqrn
<br />t!o86!8l-l:aNfENrAfl9!
<br />DECI.ARATTON
<br />I h.Rht a,ltrm uiJcr FrolryoftFrtrry rk ol rhc tull,,er! d.(l.rrrbns:
<br />-lhsv..,rlerllmuraorC.d
<br />xd.nrcl,nrnr t, S.lf-l.suE loruo*c d,mp.nr.rrr $ pn'vd.J f ht Stt$n lnx, of rh.
<br />- lI)r Cuk. rir rrr Frlulrru..r rh. sf,I lq s,rli'h rh. Fm ^ nluJW-
<br />X Ih.Erne'lldrr.h$,lsor{r.rrrr3rr.B.,.r..qu8rlbySerrr1700olrtrLrhorC'iL.litrth.Frflmof
<br />\l* *d hn whtr h rhn p.mrr F tr\El My eorl6 lomFndi,n 'n{tu. 6H Di f"li y nuhl'fl m
<br />-ErpE.:
<br />'
<br />_l.cd rrhar rh. Frfolfftur df rtr qorl ld whEhrhrFrn( n!ru.!,1lhilr .n'r,hy any Fndn in rny mnmr
<br />1 s n' t oB rur'Fr h rlE h.tm .o'rrrnu'nn het orcrhnlhE.Irl.ac (h.l II tlnuL,lr()m uhj.rr ro rtr
<br />k, s corvEnur iro p$rFx,nr .f S&rr)n 17m nl rh. lrhtr ( u1.. I drll, nflh* h corply *irh rh* !f,,h!x,n3
<br />WAINING: F.'lu( k' EUE H{kcF rnmlrnelrr.o@3c ! unlr*tuL 'Jrl ttull rubFr r .rr'Ch}s kt
<br />LN,l limr uf t, nft hundril rh'uqr,l Joll6lslGl.(xxr), hfl ,n (' rhc .on .f $nqkie(nrn.
<br />::"{i olrh.Irhtr(irl.,nr.rcdr r '5t'^4 -z<>r.LcEls@lqNu^soa
<br />llEclASAr.lotr
<br />I h.Eby.lttrn urLr JEMlty or Frjury th.l I M lEnln uBlr Frvii$n ol Clurrd 9 (utrftNo8 w h selD.,0mr of D'vsn .!
<br />oI rh. B!\ftn,rj Ptut s.nr CdL. ol myl..M B u tu nru lrl.lffrt
<br />,-,..,..ar.., '\a
<br />-,. - \:q-2o
<br />t-.1'/tn
<br />I
<br />!]l!Sl!!\-l10lll!!!llI!-r!!l]!]
<br />I lrEr,, fm uul.r Fnnry ot F]lliy ihi rlFr. i . rs{Mbn hdo8 .!dy tu ilr Fnirllnr of rhc k rt tM rt.h rhs
<br />ssu..l (Se ]09?,Crv. C ).
<br />t nkr\ ArttBi:
<br />-
<br />AITIICANLDECTdEAITON
<br />I k'y rnih unLr pcn.ky ol pcriury om of r& rolb*in8 d..lJ.lbn.
<br />D.mrtron P.mnk-Arh.nos NohlMr{n Fcnml R.iuhlk,rs (.rnlc40, P 6)
<br />-RatU(d
<br />tar.rolMrfdrn
<br />/'l
<br />l,/U -
<br />I (d
<br />'ry
<br />thr ttr l.J.El FtuLri'n! rrr ih8 r.t {". rmry,l m d qlnluhk i(' rhr nn'rlr
<br />8,.-nr,*' ,t* *.u,nn lmlrrti,n.[l (.!. rhr h. llnE rntumrir i\.oRr. l.8,d bomply snh.u c'ly rnd Qrurly
<br />otiiruru.! rBl Sht. tllrrLrrE nr b(r rvd nl thd C y {dl C.unry (' ..r( ulirn rh.
<br />.'hr. nrnrnr.J tn'n dy r'tr
<br />,\ppln{nl nr,\x.trr SiRnxl t
<br />A caNa-.^r
<br />7 -2J)
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf looriVenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy {
<br />Drywall n2-7-t"tu x-!\l I
<br />I
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />FINAL L+-2-20 .kl ir,
<br />Certiticate of Occu nc I
<br />Notes, Remarks, Etc
<br />\
<br />UFER Ground
<br />Ext./lnt. Lath
<br />Brown Coat
<br />i
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