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BUILDING- INSPECTOR RECOBD
<br />SITE-WORK DATE ID/SIG.COMMENTS (r\t\itr l .t)trk t)t,.t.( ,rk'\t ll,
<br />I hcrchy atinD un,ls t nrlry,,1F-rttrry rlrr Lm .(nfr Irdn' rhc (.'nrn.ntri l-r.nr ltr* ,nr rh. Lnl'rwiru rcorr (Sc( 7lrll.5
<br />Br\nc\\ rtrd Pn'fcssi(,n Cul.)r A.y Cdy or Cdunry *hf,h rcqunc\ n Fm[ ro r n{E(. ,lr.r, nr|ll,vc, J(mohsh or Nn!tr lny
<br />nflrrrurc. pri,tr r' irs i\surncc- Nl$ Erturc\ rh. anflrini ntr \u(h Fmir h ilca rirtrcd (Jrcxrr rhrriro. \hc N l(.rRl trnu,
<br />r' rhc l'orF()n\ ol rtr Cohk rk r Li(nsd Lr (Chalrcr q, Cdmm(nfln! wrri S.(rrtr 7(Xl) ol l)rv^kr I ol rh. ltustrc$ !tu1
<br />I'|n),c\\otrs C(dc)o.rhar h.orrtr !scrcmprlh.rcliorr rhc hd{\ ntrrhc rllc8cd c!.nrfl('n Atry v!,Lhndl Sc.lr'! 7OlI 5 hy atry
<br />,ptl(rtrr lnr ! pc.mn \uhF.tr rhc rml'rlnr t r uv' I JrMlry ot n.r frtrc rho , rv. [u!,]rc,l rjolln ( li5(n])
<br />l,6 ow,f,r otrlEtr)Fny. umycnr!)yrcs lnhwag.\ A rl[tr $l..rryrnrdDn, wlldo ltE wort a,ri rlr ndnn. ^ r{
<br />dd tl ! tr oftrd n, q[ I Se.. 7(}l,1. lJuw* ,n'l Prslt\ssns (irlr] l hc (ii rn(kn r l.t.nt I i$ J(t\ Nr rl'flr r, itr rq'* ol
<br />rlIF't{ny *h hurJr or 'mnn,ks
<br />rh.BJtr. anl rh' J,r\ u.h xnlt hm\r ll rlk,\.1,nrrlh lh lr'\ n. h.r own .nDl"vc.\.
<br />F,r{cJrhrr\urh inp.ov(]rL-nr\ rc n inr.nhl d oll.rcJ ftr rk ll. h,wocr. rh. &rllnr! or n4n^tmtrr r\ srld *[ho , r ,r*
<br />nl (urgktx{ rh. Owncr B ,lbr w l hnvc rlE tnrlcn ol F,vurS rtur h. or \h. drl ,in t{iLl d nlfrrw lhc linfm y fitr rtr PU,IrM ol
<br />t. ,i.*E ol rhc l]rqri y. ,6 .i(lurnrl] L.ntld ir13 wdh lktrc! tonrrrt ^
<br />n' ..nnd.r rlI fn,r. r ( S.!. 7lna. llNtrEli
<br />inl [k,l$sxr Cqlc: Ihc Cnntr rd's L(cnr. l-.u i,f,r o rppl, t, rn ornd ol pn,F yqh) hnrl,l\or rmtln'v$rh..cnn.
<br />d vl!' (ont6('{lnr $(h ltrl)irr\ ,ih , (],nrr,.rtrl\) hcn\cdN^nu r}rlr(id,lrfttr \ t,r..\c lJq).
<br />I.mercnF u 4rSerin-.B &P.C (tr rh(rc.nr
<br />uatrE&tcaufjllArg!
<br />DECIdMIIO!
<br />I h.r.Ir, .llir m lndcr lEn.hy of Fri,ry om ol rh. riJli'err (h\l,noont
<br />-I
<br />h^t .rl w l mot,o r (tnrrk.r. or Conql b S.lr-ln\ur nr knks' $rt{k.sirrr, .i F'lilcJ tu h, Serir 17xr dr rlf,
<br />Uti, Gri.. t!, rhr Frfomtue ol lhc m tu *hrh rL pcmi! 6 r\\o..1.
<br />I h,v{ .sl wrll m'nrrin kfi.ri .onltn\rtxr msur.tu., ar r.qutr.J by Sdr id .tT(x) or llr l/litr (iJc. nr rhc 0.rlr@h c {l
<br />rhc xtrt lor *nich rni! nem'r is 6\hL My sorl.^- on{rnsr r,. rr{rrB. cd.. n! pn.t nooh.r d:
<br />_1..n'ry rnd ,n rh. Frrormftc of rhc s,* I'r uhrh rhF JEmir 'r NrBJ. I \Mll n c'r{ dy,r,Frnn orn,mn'rr
<br />e .s N traoft suhitr ro rh xxtqs .rqrrerx,n l,w\ ol Cal omr.
<br />"nd
<br />,!E rhd r, I dull IE DB {uhral lo llr
<br />Ml.rsi oqxnsri,n pft,visKrns Df S&1$. l7u) oI rh. Lhtr (iil., I dul. lonh*'rh (,orly snh rhE In'qiir\.
<br />WAINING Failoi. t, a-uc wtrldi .-nvrnerDn r'orcraAc N u.!.*fnl rEl \hrll ruhrai .n.ht 'ttt l. dtmn.l ,rMll.r anJ
<br />rnl lin.r ut ro orc h! rcd rhlus. &nLu tglo.lt$). 'n
<br />dJJ n{ b rh. .on of conFn l!'n, drma$ !3 Fova.d lor lhc
<br />S.(ron 1076 ol rh. Ltrtr Cdc. Drcr.sl a rnomy r lel
<br />Ltc[Ns]r-coNr&lcrcf,
<br />DICIJf,AIIO!
<br />I h.rcby rltun utul.r Fmlty ol p.rjory rba I a.r lucntJ u ls Jtrovrlr o, Chnprd 9 {$nmN,n! w h S&l Dn r00O) ol Dvr$n t
<br />ol rl. aurftss and Pnncsstr,n\ Ci,rc, lrl my l!.n{ r\ mtul n}(curlcirc(r.
<br />Ltrcns Cl.ss:-Li(ne NumtEr:
<br />Drl. Conrmro.
<br />COljiIf,IqIlONIE DIN(iJGBS}
<br />I hcrhy rl lirm utr,L. Fnrkror p.roiyrhrrrhrc ls, r',n(nkrxrr ,cnlrtr! ScNy ntr rh. I{rlore.(c ol rh. work j,tr *hrl, lhl\ F m A
<br />Asrdlsc 109?,civ. C )
<br />^IIIICANfI)IilIr'llAIIOtsI lrr.hy dlirm unl.r pcnrlryoil^-rtLtryon. ol rhc l,)lL)w rFJccLrrdrnnr\:
<br />I)rhol'rrn,Icrm +Ast nosNoldiriu.nl;cdcrrl R.!uhrntrN('l'ir1.40, Prn{,)
<br />R.qtrrr,l l.rr.rrl N,till.rtotr
<br />Ir. 'r) rhar Dr lid.rrlr.!trlirn)trs r'!&lrtr! r\lt(o\ movrlrr. trorift)l'rihl. i' rh^ D,'1.!r
<br />-
<br />r dd,ly rhar l halt ...d rlns ipflLJrion irrl sldtdha hc !h 'vc mtunnar (r a (n.!r l !3R t' nlnyw hrllCilyadCoutrly
<br />ord rnc.r J Srrc L*\ rcbr 'ng
<br />i) huild6! ondruexotr. !ft1 hcrchy aurhrh ,c[c{nrrrrv.s ol rhir Crry .Ll C.utrry !) .nrn uP rlr
<br />rh,vc mnr(,rcd pot ny for in.Fuotr luqixcs.
<br />lkmnleNrE rprinrt:
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />t.t tl /1
<br />FINAL ethilftt da
<br />Certalicate ol Occupancy I I
<br />Notes, Remarks, Elc.
<br />I
<br />LLL:-
<br />fI
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