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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG,COMMENTS OWNER BI]ILT}AR DEI.(.ARATION
<br />I r*Eht ltm lht r Fh.I, r'r Flllry rhd I m ct.q'r liofr trE (.nrr*(B' lr.n. bw t" llE knb*!8 E.ar rsa.?llll.J
<br />Btr(..\i xrn Pi(n.(r)n Oxl.r Any City or Counly whrh rcqurc< r ncmn t) @n{dcr. ilrd, mniitE. J.R sh ot EI{. Dy
<br />{oNr.. F,, !! nr sse!. .tr' r.quua rE qTlrd ntr s'n Fmr b riL . \l!&J {rrmr rhl rE or tE i! lr6<n IIt\@l
<br />b rh. I,lvxir ol rlr (i,nkrrd r L..nc! lj* (Ch.prc. e. CommRmr *irh Sdbn ?U$ or DivBon ! .l rlE Blrircs D!
<br />Pi,rc$rinr (-,Nio , rh, lE or rh. ri .i.mB r,shom d.l rh. h.rr tu rrx rlk!.tl .r.r$on An,vii.ronorS<!nn70:11.56yrny
<br />ap?lkrnr lor. Fmti \ul'Fk rlr rplila..r krtdv,lFmltyolerr mtr. rhu liv. huhlcJ drnLF l!50O)
<br />l.r{d*r.olllrFFnr..xny.q,htErrdh*rg.!t\rh.rr,k!.n{Enr.ri,n.*nl60rsrtlrlllrrurw!.B*
<br />dcnkl or orl.r.,, i(* ssk (Sr 7(r4a. aurm$ .n'l lhn.$i'nr C,ilcr llE (tnk!.ttr's l-kn< lr* &t( ft, !fllly n, an nqrcr dl
<br />rh. rDFny s lll ho'll! or ,rqF,B rtmh. .d *r$ dEr rh rld hmqlr or h.r*ll or rla'!8h h( ,, h.' o*n rrf l,yccr.
<br />nn)vrlcd rhar ru.h 'mF,kndimn{ mr.ni.it ornllml hr{L lf,h,w.$(ilEh{ h3 o. DthEmd rs q'll * htrorcr(
<br />o,.!nilrs. tlr (Bmr Buttkr sil h.E rlr llnLn.l F,uU ih,,E or \lI. 'lr! nn toll (r ritnlE th. JnIEiy turh. Frpeol
<br />l.d\ wn r ol rh. lntl'(ny. {h cr.hvv.l! cnnrarnns wnh h(nrcd $nrh( (tri I
<br />'
<br />d,nntud rlI F,Ar (Sd 1Ur4. hurR\r
<br />rDJ Ln'l(\q. Cc! Ih.Co r&rn'1 l-r.nsc li* ,lr\ n q'tlvh{noth..ol,toFriy*t hu.Llr or mPrrv.t rh.r.oh,
<br />rni! slx' (onrr..tr l(tr \uch pR,F(r\ w ha(i Ed.(n lf,.n<d nurud nlrhcG)nrri.rtr r L'..n\c,-,w).
<br />I rn'.\.n,1{ trtr.1.' S.!r otr
<br />.UAEf,IELrcIIIENIAIION
<br />IEI]I.AXAIAIi
<br />I h.r.hy rfinn ueLr r{Mt! .r Fyjury oB or rlr folr'*or tLtL,.um!
<br />-l
<br />h.E !n will trinrrr . (tnrr..t. ol Conr tu Sclf-ln\uc nr *f,k.n' .on{En{.n. .r tF'Ydnl i{ fy Sdrr. :17flJ ol rh.
<br />l-shr (iric, tuthr Frfo,Mccoflh. q'll lnr *hrlh rhr p.flrl ! R\kJ
<br />-l
<br />havc xnJ *r ll mlrnrdln work.6' romFns{i,n hrurrn( c, rs rcqnu.i hy SNr trD .!?l[ ol rh. ljt!tr Cidc. L, thc Frf,r,ru. oa
<br />ihc wql r{r *trh rhr Fmr r $*1. My !ork6'odyrnsr)n hrlrB..uEr Ti F,lrrnunts e
<br />1-o. ^^,. - (n no o^-t
<br />ln*!N,,l*,@r.p^', ' 8/,/ rq
<br />t ccd ! rh.r 6rh.FdnrmLr{lrkqxtft,rhxhthNFmr n Frun.I rh.ll mr.n{ ,yr.tlxMns.rylMmr
<br />$ &\r, b.u,n ruhFr t, th. w)*cn .lhp.ngtnn k*! ol Crllomb, :*l !3E. rhlt n I thulrt trL m ruhjer b rtt
<br />s,lt.n.!,ltEndbnpo$nnrdlSd,u}rlxtolrrrLih{(.rl..Ilrrll.tnhw.honply*lhrbttrnvrrB
<br />WARNING Fiilur ro rr@ worr.F' conFnliron coRrngc ,r unl.wtul. r.,i rhall $6Fl in .nn[,rtr b ffi..1 lcMtEr o,l
<br />(w lrNr up 6 oE hurrEJ rh ori &nh! (sllxl,Ux)r. r arl r'. h rlE .i( ol.oqEnernn, drnuFr s Folrj.rj for t
<br />s.lrkr loiir.r rlr l.rhn (irl(.'nn].{.trtr| !m! t r..\
<br />z l't- I t c\"",,Y-<-)r.ifiislorB rn.rt rrx
<br />DECIASAIION
<br />bt.lftrmunLr p.Mlryof IE!!r, rh.r I.m tnrnEl td.! F)rtrir of Cre,ld 9Ic.llmEn! rrt Sdn 7(U)) olt rRr'.l
<br />lr Euimrlrd Pn)fc$a,mCodc, !n my li..nE n in tullt,'N arrl.tr(r
<br />^('. z/z1l
<br />^*- <-) L-1-
<br />(!!EIA!!.rqUrENUN{i-&GlNCr
<br />I h.Ehv tfrm unLr p.MIy ol Frll,.y rhr rlEE 6 . .r,NrBrr'. LoltrS .S.Ny r(r rlE Frforlis! 01 irr nxl ior wh.h rhil Fma !
<br />noctl (s&. lo97, civ c ).
<br />L.nj.r'r N.m:
<br />-
<br />A8IIICAII.DEIIJSAII(}Ii
<br />Ihdtr'trdm,u l.r Itnllt y or tErrrry om I lh. n'lhuh8 d.chrr i,n.
<br />Dlrun ()nP.rnrnr^\h.nosNortirlroi |i.dcrrl R.8{lrrinFrlil.a{). P{n6)
<br />R.(ttrtr.n Irr(r l Nr[ irr(tr,
<br />I (.n,lyrhar th! lcdcrrlrcfulan nr NSedrrI &sh.do! rnx,vrl rc nor iff'l(rhl.t, rhN!n',.tr.
<br />94-d',yrhdItukftdrhr.nnltrdrinlrl(dcrh. ,h. rtu( rnlorrorinr '\coftcr I!8rc.1',u.nDlyw[hallciy dCi,unry
<br />(-r{o.ft.\:Jn Sr{.lrsr Flr!\3 r, hrrtlrry ron(tu,i,( 8i h.'.6y rlrlbd. rcFc*ddnrt olrhr. Cry Jrl Countyr(, c (oFrrlE
<br />rhn. mni(nrn pn'trtrv n, nrtrd( Nrtr
<br />ArpliHtrl o. \Fnl Sirn$l(r€z/2,/,.1
<br />X1
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subtloor/VenYlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />ln su lation/E nerq y
<br />Drywall
<br />Exl./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.5 ,tt\rq z u40)
<br />Depuly Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />b Itt ,Ulq@
<br />Certilicate ot Occupancy
<br />Notes, Remarks, Etc
<br />@ 5 L1\d1 o.^,r1 rl
<br />v.4,1
<br />j, tr o?
<br />Pool Fence
<br />FINAL
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