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BUILDING- INSPECTOB RECORD
<br />SITE.WORK DATE ID/SIG,COMMENTS OWNER BUILDFI DELCAR TION
<br />I lrrcby rrrn !d.. FMlry .l IElury rh.r I .n .rn{ rtuo 'tr Co Eth ti.rs tiw r dr lolr.r*n8 E.r,n (Se.?ol l 5
<br />BurEs\ !n Pmf.$i,i Col.)r Any Cir, or Counry whah r.!uG . Fmn !o ciwtur. !lrd. mlmvc. !.mlirh or rFt xy
<br />rodm, Fitr b rr rsu.mc. rLv, raNiEr ltE .I'r i. tu iNh Fmil to lik . suEd {x.rnr ihr h. or dE ir li.n$l ,r,otn'
<br />b rhc ProvBEns or Llr ( onlr&ln r LEnsn llt (Cn.flcr 9. clrnmrD! *nh S&iirn 7str .r DrvkDn I or
<br />'rE
<br />Bus,mrs uJ
<br />Pn rsinr Cui.)tr tlur lr d sh. * .r.npr lh.rciiom st rlE b.3!r ,.r rlE.lLt.!l .r.r{ron Ar,tnL!'onorS.d$t7Oll.5hy.ny
<br />.rrrlErnt lor r p.mr lul,dk rbc rrnlir.r rorc,villErlrynffttl mErhd 6yc huRlrcJ Joll,rs li5m)
<br />_1, .' owrr of tlt FUFny, q my .ft?lotErs * h wia.s .s lh.u sL .lmlxtreiiotr wiu & rlr vdt ,rl rh. rulm tr nn
<br />ii.nLrl orolT.Lrl,r.L (Se.r044. Bu$mr! o.t Pn,f.!$,N C-oL: Th. Co rkrdttrcrelrw&E!troIr,'ttl,6uowrrof
<br />rlE |r)Fny *h' hilt! or liuE itEn,n, rd wll rlBBis',t hiIE[i{ lExllorrlF ush ha r lEr own.t't'hy..!.
<br />pruvrLJ rh{ such imprDEm semr hrsrlai coffttd !q *.11, nlcffi.llE tnilju{ rtr urlr)Eftnr as l*nhh(ftF!
<br />orcdr{,hu llE OwF Builjd vi! IEE llr hnLiofFwrB rh.l l*,r nE Jri ,hlllorlqr EllEFI6yl(rh.FrF)tor
<br />l. .s .*F ol rlE Impdt. .n .rcluvrcly (nrrd.hry * h lk.nr.U $d.*(n n, onse t th. FrFt (Sa ?1r.l.1, lluriEs
<br />.d tn'fca\iD Orl.: Th. Conk(kr's Lf,.nr ur Ll*r d rmly (i .n o*.n or iroFn y *ho hurlds or mnrcvcs rrrrc n,
<br />rnJ whr, $ntr&h,'tr {Eh ihrFk r h.Ci.hb(r) l..n$J InrFU.nr ro rnc Gllllr{tur'\ Lrctr{ lrvl
<br />_l m.kml{ uhLr S--ri)n_. b &PC ntrrh6,.!$n
<br />D.t.
<br />-
<br />o*mr
<br />-
<br />woRxrffi
<br />DECIJAAIOB
<br />I h.hhy rrtrm utuLr FBlty dl Frry oE of rrE lolhwtrE de[nrr8
<br />_l hrr. ol *iU Mint.n . C..l,lttr. ot CoMnt !, S.lalBu fitr s qi ($mlEB.rion..! tiovrkrl ft, bySerxfl lT(xl otrh.
<br />r:hr cd.L, lor rlE Fro|fuB! ol lh. Mrl li, rhih rlE tEml i! isrtn
<br />-l hnv. r' *rll romru *ork.( .omFn.rton msorrh-'.. Ni rcqutrcd hy Setdn.17(() ol th.l:hr CiiL, n,rlr F.l,llruN. ol
<br />rhc *trk r,trwh(h rhs Fmi s EsrJ M, wo,kd' omFnslo' 'n mrufltuc dnrr !n Frry nunrt. rc
<br />Pol!(y NuEtE :--ErpEr
<br />_I .cn,ry thrl h rlE Fntrdhr .r rlr wort iin *hEh rh,! rErtur t isud. I ddl n .q'r'y r.y lEnon m .ny nrcr
<br />$ n! b tE(aE 3uhFr ro ihc soiGr,o,llEndnn hrr orcr.linmn. .nl .Fr 'h.' l ihould tE omslhj.dn, r
<br />h.l6 NmrENri'n I'n,vrb6 ol SRhn lrm.f ft t 6tr Cri., I ildl, n,nh* h L1'nll yw hrh.*F,vsrri
<br />WA${ING: l'.rlurc k' sR rr,t.ft lirpcnsrirn L$qs. ir unl,*tu|, r $dll rusFr u.rr+ldFr kr ffitul FEhB .nJ
<br />corl nn.. un ro om hunln! rlrl!.rn dollrs (3ltx).(x,(l). m r,jdni,'n t, ih. .oq ol $rr{inerin, J.mg.. .r tmvrldl ntr lh.
<br />5*-16.1076 olrh. t h* ( dL, iflfti .nd .tromyt fccs.
<br />D .r- ArdL.nl:-
<br />LICENSffi
<br />DECIdMIta!
<br />I lEshy .l l[n ur].r Fulr, ot Frpr, rh,r I rn ltrlr<ri utuld l(,vFon of Chtptq e (!\!6nlfi us ,'rt Sal ih ]UD) ol t 'vRr)n .r
<br />ol rhc Buim$ !&l Pmt siou Culc..d my li.nr ii o tulllontlrlcfl(.
<br />fr.l.:_ ConlEior:
<br />coB$aItlJIIlNrENDdq-&Glll]
<br />I h.Eby.lfrm un,lcr FMlryof Friry lh l rlEr. ir..rndturrrn t nttds rsrh, ft, rhc Frrollm. of tlr qtk iE *ni.h lhi! Fhi !
<br />r.u.rt (s4 109?.c,v. c )
<br />Lr .r'r Nrm
<br />-
<br />lr.tl.r's AddF$: _
<br />AIILICAII.IECBEAIP!
<br />I hdrtlt .fm utui.r F.rllt ot Fr!r, oE ol tlE lollovmE d(k.r i.nr
<br />rr.dnlbn ltm,r+ArtErh,! M i,i..ri.rn Fc&nl R.BuLibns lTirk t(}, Pd6)
<br />_lt.1r!r1t l.kr ot N{nfkrnun
<br />_l cdfy rh.[h. r.d.r.] R8ul.rtuns rc!.rnq $h.sro\ rcfr)vd {. rn qtpllcbk n! thf lln,jdr
<br />-l
<br />dlfy rh4 I h.v. rcld rhB rt{'l!il$n on xt.lr lh.l tlF lh)t hn'rEri,n r lrrdt I rlrebra,nJryDxh.UC,ly.ll Cunty
<br />,dDrtuG frr sirr. bwr GLrh! lo buJd'n8 mrrlrkliotr.,n lEEh,.u'hoit rcIi$.nlrliks olrhlr Ci!y dl O nrykr.nrduFnrrE
<br />rti,w mnr!,n..1 pruFdy ftr GFit$n purF)(s
<br />Appll(ol o. A16l SEBr{E
<br />-
<br />hl.
<br />P.mllR rmrrrinl,:
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Ven1/lnsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext.i lnl. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />tl I rP
<br />FINAL td 4\'LJ 6)
<br />Certif icate ol Occupancy
<br />Notes, Remarks, Etc
<br />Brown Coat
<br />Flood Zone Certif .
<br />Dt+-11
<br />Cai6
<br />L(cM Nunlt(
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