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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE COMMENTS (,WNI]I' BUILDEN DEL('ARATIoN , <br />I h,cby rrlirm utoLr Fnnlr, (f n(r|Ury rlx l ,m.knllt lnm rh. ConBrhs l,x.fl{ u* ntr .lt foU,rPn! rJlr {S( Irll 5 <br />Uulnc$ iRl ttolc{M Grle): Any Ciry or Connry uhrh rclotrcs r lrntur r) (Dnin!.r, drcr, rmlr,vc. ,lcfrni\h { mlor lny <br />nructu.,Irk{ t, il\ rsutr,kc. dl$ r cquirc\ rlk lr,flrrnl Iu \tr.h Frnnr t, lik r !8rJ {!r.mnr rhrr lr or $. s n!.n{d nu$lnl <br />r,r rte FovAtr)n\ Dt tlE Contrr.nx r l,iend l,* rchrr{( t. Conm rn! qnh SccNn ?(IIl ot Dr$i'n ] dr rh. BonEr\ .tu <br />I'n,tcssotr\ Codr)or rhrr Iror \h. a credrrr rlrrlron rRI rhchNN litrlh. dllclc(lcichnlnnr Anyv!'brnr.lScrr )n'70.ll5byany <br />,pddnllrtr!Itn suhJcd!lhc.tl|llEldn,!eirilrnnlty.ln, m".rlun fivc h ndrcd ddu{r (llllr) <br />,l. r\ .*n(rol rl( I)fi)|tn y, or nry cmtluyccs w h wuEcr rs llrctr !n.loarPcn\llkD. w ldi' lhcwrk rhJrlrsnkrurc N 0!{ <br />tr{.al.J or olln+r r', qL rS( 7{}l.1,llusncs anJ h,ncNons (iic:'lif, (ixrrrrl{ \ lr.nr L! &f,\.oratf,r r, rtr owkr.l <br />rh. I!n{xn, sh, htrlll\ nr mqrr.\ rlrbn. nnl !h, ltrt \hh lsrl hm\.ll or h^.ll or rhnruSlr hr\,, h.r.!n.mpl,y..l. <br />nnrkl.J rh.tr \u.h mpn}.nrnkrlxn Drc'i.Jor.lkrrd nx$l. ll.lx's.Rr. rli lar'Um! ( tr ]tr{t*cmnr d!,ldrnhmotr. y.d <br />_,. J\ o*nd ol rlr F)Ir.n y. rm rk lllvcly eotrkretnt urh l'( ctrrJ (nr r rr\ t, rntr{nrl rhc Itr Fd ( Scc ,0J4. hNnc$ <br />,d In !1\rm(iih.Itu(in r.!!tr'\l-,(tn{l.!wJ,r\d rtlnl} k)uouns olI'rlncdy qhobu'lll\o. Dprrc\ rharc{n. <br />rtrd Dh conrr(( tur n'.h F,rrr\ wih i (innG(nfl \) lr.i{J nrnrnr !, thc (ir radoi \ LHnrc tf,* r <br />-l.dcrcmfl <br />u icr Ssron-. B. & P.C n,ln6 i.er <br />!rcatrr&t:gluullafllJtlpECLASATO! <br />I h$L.6y nt ltrm un ( r^-nrlry o, Frlrr oR .l rl[ nnkr*mg J.! lirir tr)n. <br />_l hft fll *,ll runra'n r C.d'l iric or (i[k'd nr S.ll]lnsu,c |,tr ror k.r! (r{srer inr, ^ rrsyrhl ntr t, SdriD :l?(xr dl rh. <br />ljtx, C(ilL.ldrli.IIrn mrndol rl[ wolk nrwh'(hrlr Frmil s rsucl <br />_l haE anJ wrlr m,inr.m *orkcrs- rn'ry.ns.rifln{tuk.. ar rolumJt'rSsrnm l?Ot ol rh. rilltr G{.. nrrh Fn,'rlfrcor <br />rh: w.rt l,*whrhlhN pcrnnr s ssErl My wnrl.B' lomlEn\lrk,n rnsurn(c.trd lni F lr, nnnhd e; <br />llrrc] Nr hcr:-l:r|-.s <br />_l (cn'ry rtur r rlt ltn.rtum. ol rh. worl tn whf,h rlri\ F,nnr ( i$u.J, I $rll mr cm,'by any Fron r rny man'tr <br />{' ,rn,hc$nE$rhtd n)rhc *or1.B (onpcnqlhnhwr f Cillnmir, utrJ u8rcdh r iflshouldh.!omsuhaatn)rh. <br />* *.r( L ohn nsrri,,n F,rr^i,tr! ol Scd $n .l7tXl sl rh. I ih, (irlc, I \hrll. i(mhwirh .$nply wnh Ih,( I,ovrins. <br />wARNINC: !.'lnr. ft, rorc *rtcB ronitnshn drv.n!. r\ onrawrul. rDl \h.ll suhFr cmphrr b m'nrl F lis.rn <br />Uv'l lnrr up n),trtr hundrrJ rhor\MJ Jollr^ rll(xl).r[x)), I r . 'lin!r !, rh. r!\r !'1 .JrruFc\ rs nnvklc(l rrtr ihc <br />s.Lrirr 1rl71r o, rlr lrlttr (irl.. i.rc{ dJ rnrn'ry/-/f-z\ <br />ur!L!!!Il! <br />dl ilr lnr$Ns\!tri Pdc\{onsC lc, iBl nry lNn\c N lllln{rc filcllcrr <br />B_CI <br />l- l>-- a <br />o l6aqQct I <br />-( <br />^inl rS.. 1lrt,7{rCr <br />ATIUSABLIIECI.AIAIIIIN <br />I hrc$y,,lim ukl$ Fnlxy ol tr.r!ry onc.irh. nni,w 8 dcrhrrron! <br />l).nndn PcrDtrsArh.{.\ NorrElri,n rctlr.l R+!hrpn\r'r h{t l'Jd6) <br />_RcqrrcJ lrrrcr ot l'{irlturxrr <br />_l(.n'lyrhrl rltrrcddilrrBll!funNrcBrnnnt!rh.n rrcm'qldr.n rrrnl'.rhl.t,rhdB,r.rr <br />l.m{rrl'rr I lu\t tu'an rh\ rml(sr n {rr. rhd rh. ,h'v. tr o,mr !r rr orR.'r. I ng( h Lamll, s{h rll C , .nd Counrt <br />'tr(lrnrc\,'nn Surc l]w\.cL'r'nr n) t)trrU 'nnru.rNn..nrl h.r.b! ru(hr'/.nrar'vc\or rh^( It rnJ (o!nr) r!'.trr.r trFr rlF <br />rh,v. mr rrcJ F,I\ny1,r trI zl <br />A rpli..nl 0r At.nl SianituR <br />f d<r,-, 3a . <-rI <br />/-tL <br />Set Backs <br />Forms/Steel/Holdowns <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsu lation/En erg y <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />Handicap Req. <br />Depuly Flnal Report <br />Engineer Final Report <br />Flood Zone Certif <br />y7-/)/-bom <br />FINAL /4'(- />'-ar") t1 / <br />Certilicate of Occupancy <br />Notes, Remarks, E1c. <br />ID/SIG. <br />Erection Pads <br />I <br />T-Bar <br />?r"-- <br />l.nd.rrAJ&cs: <br />I