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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS oWNER A U II,DFJT DIJI-('ARATIoN
<br />I h(Rhy antn uftkr Fmht (rr Fr!ry !hr! I dr ckf{ fmm rlr C.drr1n6' Li.cn{ tntr lnr rh. inb{iaE rcnq,n rsc 7lr:ll 5
<br />Au\ft( rkl ltofcl{i(r (ixlc) Ant Ciry or Cotnry *hrh r.q!n.. ! frmi to .onifld, 'hd, infrlrc. dcnx'lnh nt EI$tr ,nt
<br />srn'crurc, pritrr, ir\ n{r(c. rl\r rcqunc\ rh! llpli(mr ltrn'ch lltrmir n,liL r silrEd ({tcntnr rhlr h.or \h. t li.cn{d N urnr
<br />h lh. E$i1kr.{ ol rlr. (iDrrrtr'\ l.irnwl lis rcMt{cr 9. (tmmftin8 \irh SrdiJn TlxXr of DirNii,n I oI rh. l}uiin.\ xad
<br />lh'ir(i'n\ (i'i( )or rh'r lEr\fic ncr.nf lFEfF nnlrh.ho{l latlh rll+.rl.rrnyrir. n:_ri,Lri,,nol5&1rr70.r15h!rn!'
<br />appli(ror nn uFnnir \xhjdh rtu trtplic0nrrirnvrlFnrhyofnorNtr.rhxtrfivthundrcddollmlS5rx)r
<br />l. !!urrr of rlk rnrs!. rn.x.lu!iv.lr $drrr'nr tirh lf,cn{d $nh rr\rn.ttrnklrllr4{ilS(' n}ri.8aftF
<br />inl lt'l6si)tr(ixl.'lh.(irnrE.rtrit-iccn\.1-n*d'{\ or opt'lyh rnorRr ofnrcFdyBho build\ot imPRrv.r rhcr.on.
<br />nnil eln, $ts.kntrrkhIr.Fl<wilh!(i,nrnifl\Ilk.nE,lru^udn,rh.C]!rn.loa\l.tcn\tlr*)
<br />I rn r1.'q,r0'rlcr Sc.r(nr
<br />I).tr Osmt
<br />raxal;&::laufE\nul()rD[rlllSalur
<br />I h.rrhyJ{ln r !o(l( |ttrrIyoll{rtr\ on.,'lrl'. nnii*' u d.( ln'ariitr
<br />I h,\. dxl{ill mi.rrnr CdrlirlcofCon* n, S.li ln\xrc fttr q 6l.r' .nm0.n{r i.'n. r! F,rrltd t, hy Sarx'n l?(I) ol th.
<br />l,!hn Gxlc. turrhc p.rrnrnumcuflh. "ort Inr whichlh. rrmn n nsmd
<br />I hllr Md rill nEr!.ir r.rtcrr .oqrner xfln\urln c. ar tquiEd hySarhn.t7rr,.frlt l-trtr Crh. Lrtrr psfomr. of
<br />rh. *nrk for shktltirriatnir is i\nkn My ruit.^' o,qtns.t trr rnsulaftc$rkr 3!rl lxrliy nlmhcr m'
<br />Polily Nunfi.r
<br />-Eiri6r
<br />-
<br />-l
<br />ftniry rhd i. rh. FnrEre of tlE *orl tu ehth rhis Fnir ir itrld. I rh.ll mr.nphy u, Ffln in !.t mnEr
<br />v, x\ i,,lu'trir n'ly\r k' rh. q'tr(.^ tr'l 0'x. itr(lr!'L. rhtr ll nnrlll l(onf nihr'.ln'rlr'
<br />$rr[(\, contrtr! i(nr Dntri\ions ol S!a1i'n lTrr].frlr l \Mll iiflhqirh(otr{lv\ hrlrN't,ri\i,r,s
<br />unlatrli,l rBl \h,ll uhrd r cnDl'\!r n, mmiul rMir\ rnd
<br />.rrl li.e( un n,.rc iur
<br />'rt"'i"*
<br />)n r rh. .on or .o rFnrnrrn. inusc\ r\ |[t'dcd l(n rh.
<br />lj-')'/)-;
<br />I hcrcht rmnn unkr lEnahrsan rru,y rhri I rn I ; Frrirnn or(tuI,( el(mftrina *irh SstFn ?(Ixrr ol
<br />,n rhBu{N$r d lr'on\n.,Fr',rlc. {rln,)_ lrcn\'tr ,lullhnl.r icrh\r
<br />,:^^::
<br />'+7"rfrc
<br />I h.rctry riltu utrJ.r Nrulryof Frlur! rhar I rru.tion \ndin8r3.'Rr ftt !h. Jr.loirEkc oirhc*ork litr trhf,hrhr Frnrir i3
<br />t\kdrsr:!p7.ctr ( r
<br />AIILIIANLII:CL/$ lla!
<br />I lhtry lni lntd Ir nrlrl.f lf,rrur)_ oE ol rh finhr n,I ddlarcri,o(
<br />l).nllirion l.rnnrs Astr{os Nonnearon lidc.ll Rc8ubrion! 1l irk {,, Prdrr
<br />R.qun.Jl.l.rfrN,irr rr,'
<br />I\.rrnf rl,.r rr'. rL(ld.'!r.3tr1 rtrtrtu inr\!^'. r^rlrr tror rt)t,i'.nhl. r, rlrr |i,r.r
<br />r, . rh.tr rrr.'hr. tr'rntrrin(irrcl I 'sr n, .onpl! unh .ll (iry !'d Counrt
<br />r . nc\or rhn( ir\ rtr(l (-,,utrrvr
<br />(
<br />)'
<br />,1";l;;""
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation I
<br />Roof Sheathinq t :,6kts &l,u6r
<br />Shear Wall
<br />Framinq
<br />ln s u lation/E ne rgy
<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 7i ttol t9 ..llltQt n)
<br />Certiricate ol Occupancy I
<br />Notes, Remarks, Etc
<br />t. r< .$ftr ol rhc ln,Fny. or nt.ryhtsr f,irh { '9.\ 8 rl*, q,k d,r{Ener.n. {illd, rE r(rt d, rh. {Mu. n mi
<br />i .hkil or dlf.r.n ft, sh ( 56'. 7O14, Ausin.* r.d PhL$ion( C'hlc Tlt (i,nrecttr r I -kcne I i* doct nol aml, n' 3n ds*, Dl
<br />rh. FrIEny rh, h[ilrs or i'r!mR! ilE6n. rBl xh d'H rEh k'd hi'ntll o' hcr{lf !r rhm{h hn rx ttr o*. tntl,y{l
<br />phrikn lhrt ru-h itr{F\m,r\ E rn idcid.rl tr 0116, fo st ll lrtrlrF. ttI hitnn* d i'qnNmnr i{ r*l tr ihin.r Fd
<br />ofoq)Erin rh. (Ntur Blikk *rll turc rlr h!&n or lr rinS rh.r h. or .h. dil fl l'.ikl tr irqnrE rrt rqdy ft, (lE IUIFT ol
<br />a--
<br />Set Backs
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