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BUILDING. INSPECTOR RECORD <br />SITE.WORK ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Sublloor/Vent/l nsulation <br />Roof Sheathinq <br />Shear Wall <br />Framing <br />lnsulalion/Energy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />Handicap Req <br />Deputy Final Report <br />Enqineer Final Report <br />Flood Zone Certif <br />/.-., <br />FINAL a, <br />Cerliticate of Occu anc <br />Notes, Remarks, Etc. <br />-) <br />OWNER BUILI'ER DEI,CAf,ATK)N <br />I h.Ehy dltm rnLr FMlr, ,n Fllry rhal I h c\cqr litm rhc C:o rd(m' LEnr L.w aq rE 6U,*ut E <br />Bunn.( dnl trolcsir (irk): An, Cn, or Cotrnry wfiih i.qurcr . Fmr to .on{er. .l!(. opfttw. tkfrnEh or RIEI lny <br />dto(rE., Irxrn, r tsortu., rlqr FquEs rh.rptl.rnr ntr suchtEm (, ilt s r8ftd n(.mnl lh.l lEor sr{ N I'ctnd 0!mar , <br />ro th. pn'vsftr! of th. Cml[kr'r l-tcnr.J l,w (Ch:Ir.r s. C.mmBrtrs ,ilh Sccri]n 7mo or DrN,on I ol lh. Buntu* md <br />Pn,rirroF Cii]. ) or rMr lr or (h. !.\.41rlsdrom u! llE tusis nrrh. rlk3.d.r.n+i). Aryvt'Lr$roaSdr,nT0ll5hr y <br />.mlr.d tur IFmn suhj.rr! rh. lpdsnr ro r0v f.Mlry or mr frF rhln trl. huoiEti Joll,^ ( l5uD <br />-1.[{**,ol!h.F{Enr_,itrmy.,r{'hFrs* <br />h *,f.r .s rh., a'k (,qxnstln- rd & rh. xrl .nl rli turE F nn <br />d.nlal dr otfcr.d for sk ( SN 7014, Burmn dJ Pnrl6\i,n\ cd.: fh. (irr*ntr-r La'o{ tlw Ltri Ri .I'olv b n o*tr ol <br />rh. pfllFdy ehl h{ildr dr mqh'K. rh.Brn, nl wh',ts 1kh H',t h'mt.l, nr lit(lfor rhnUh hr or h.rosn.nPldyc.(. <br />F'vkl.J rh{i tu.h impn,kftitm nori cnl&l ur olt.Rl ntrsrk.lt. h'kE. rh.t'uilin8or rn]ln'tmnt s $llwihmox yts <br />ol $nl|lkrr r rh. Owftr Bu .r w l hlK tlI b&kn ., nn,!m3 rhrr h. or {r dn d hui! q ryr,k rhc lnllrny ht rlE IrrF,$ o, <br />-L8nwro,rt <br />lrllxn!. m.rclunrly.o r&r!u *.h lt.N.J.o,rr.io^ n, $nrtur rlt Frd 1s...'70421. alrlBr <br />drl hllcsr(dL: Tt Codraktr r Lr.n* tr*dBn ra,0ly ro .. tr ol proFny who h{ .1! o. 'q'nrEr o.Nn, <br />ed *lxl ddds lor ruh Frj.d3 v'lh. Co.reiirlr l.lEEl l!^d t, <br />'rE <br />c('nlr*rq\ ll.nE Uw) <br />I rhct.nd unJcr S(n,n .B &PC rurrhnrcJ"'n <br />l)'b Om.r <br />!!af,EBS:CAUIE!SAM <br />OECIA8^IIOX <br />I h.Ehr.fltrmunkr n Mly ol FaJury oE ot rh nnb*n3 rk{hE.nt <br />I hlvc sl wnlmrnr{hiC.nrlf,rico,Cotr* n' S.tl lisurc kr w ,kc(' onrF.nsaton. 1\ F,vrlcd ntr hyScd!)n l?(,lrorIh. <br />Lrhr (itl., ntr rh. l).nnmn.. ol rlE wor( ntr *h'.h ih. n rm t ^\u.tl <br />I h.\. .ft] will mi.ru wn&dl .or{rns.rin mr!rlR., rt rcquu.i h, .ELt rh .Uu) ol rh. I ixn Ci\te , for rlr FrirmLr of <br />rh. krl ltn *hrhrhr lm n N{al Mv kxtdl'cur.' aWAtL @.r{E.srbD riurat cuE !n lDlry nuhb.r & <br />Polq Numh.r:-(0w177 It ln lr1 . <br />I(cn i lh.r h llE FrIomN. of rlt wu* nx whrh rhn Fm n !tu.J,I thru @r.n'pr'y rn, tEr$n r ynsmt <br />$ r!n, rr$r rut'irr ro trE qxt6 omp.nr.ri,n Lvt of Crtnrh,, &r.!R rh.l iflshou! tt oft ruhj.{l b lll <br />hrtd\' $,{En{b. F$vn$nr.rSd,n 17l)0ol rlE Lirli CoL.I rtdl n(h h@qnyrrhrhrFrss$. <br />wAf,NlNG: F.'luE .o EE n,t n dn{Endr,. drEn!. E unL*llL d thd $b}tr a .iPbFr lo (rrl@l FfllB .,n <br />rNrl arNt un room honEd rhrli.rl douts (!100.(tU). rrljirn.hrlror of .oqENl$n, L,.mrt! ts FovrLJ,tu E <br />S.(rLr l(,16.rrhc llhn C,!.. N.Nr antl lhrm <br />I,!f!,!8t!!l],].! <br />I h.Fht llrrn uftLr FMll! dr F.rrry ttr I s l(nrJ unLr FD$on d (.rrFs I (.nnmknl w.h S6rnn 7Ur, oa ltrDn J <br />oI rlt Butmrr lirl Pn,i.s.nr cuk, .,n n, lrcM ! o rull aoRt !,n.lldr. <br />utr -xfr <br />cqrga!]cllo .rEdDli{i-acrNcr <br />I lxEhy rrrrh ud.r Fn:lry ul Frifi, thd rtEE ! . ltn(ul nn lcnrn! rr.ry rtn EF{i,mBiolrt*hrlforY hrh! F,$n a <br />trnr.l iS.( 1097. (ir. ( l <br />t *Lir A,l ll.s: <br />-AItU(AALDEIIASATIA! <br />I lEr{,y ,[m un].r F.!ht ol Flu.y ox ol tlE nnh* <br />'ns <br />,idlmi x,.(: <br />ocB'l ir P.mnls-Arbcqoi Nouturrk,n Fcd.ol R.rulr'r'nr ilirlc 4,,I'trd6r <br />Rqrtrn((l l.rrcrol Nd'lnirn <br />ffirly rh, rh. f.&nlEaulrlnn! ESrii[! r\tEio. rcmrql ft d .fi'll.hL k <br />thl I h.E rcd rh! 'mlr:rn,n ani (trc rh.r rh. rh,vc ml')mrr,' tr..m! <br />.nl CDunryl0. ( uFr rlxnJ Sr c faws a!ru{ ii, t'! <br />'Ll <br />18 con( <br />n{d ln,tl.ny |,tr n}n .lt'npurlrn.r <br />Applionl or AE.nl SiADlun lalt,, <br />4c <br />II <br />EII',ifU <br />DATE <br />t4 <br />T-Bar