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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Rool Shealhinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />lrilason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL
<br />Certif icate ol Occupancy
<br />Notes, Remarks. Etc.
<br />t
<br />OWNER BT,ILDE DEI-TANATDN
<br />I hdcl'y {rrm lidcr Fulry ol FiBy O.l t e .r.dr, n@ rli Colf*r6 tilM L,w fd lll rdb*i! ,usn {Sd.7oll t
<br />B6in.s orl PNfcsir,, tu.r: An, Ciry or Coudy whi.h rctuir6 . !.mil lo drirlrEl, rltd, irpmv.. &mlnh or E!.t My
<br />rtu.E( rir h ( itrlj.G..1o Earict rlr rlpltrd aor r&h Fdn b fl. r rilrd dr.mt th.r lEd dE i! licrn F,${i
<br />ro rh. FoviraB or dE Cmidol! Lia€d Lp (Ch+rd 9, Con@Er! sah sclbn 70m ol Divhor I of llt Burcs !n
<br />Pmlc$i,ns Cod.| or lhrl tr or slE is .x.nql dmlmm .d ih. brsit lor lh. dlg.d .x.ml, ion. Any violalirn of Selion 703 I 5 by uy
<br />.pplr.d to, r Fmn ohFB rlr .Fli.d ro..ivil Fnlyof Er mE rq tir. hudEd.toll, (t5m)
<br />--1, !{ owmr of lhc F)Fnr. rtr ny cmployEs wilh wa8 s &r lh.n $L omFnsl6n, willrlo tlr w,rt lrd ll! *urE b ml
<br />i aH G olt Ed fd qh (Se 70rl, BurilB rd Ptofdi,a C6&: Tll Clrldd r LLtc Lr &.. d .pd! ro o ovE 6l
<br />ih. Frld, srs hikL d qffi dEa an wL, dx ch sn hirer d ts*lf d rh6lgh hir r lEr.s .npbF6.
<br />pmvid.d thd i.ch inF,t@ntt E mi ircn&d oro,Idrd lor s]..If, ndxei rlE h{ildir86r lrpowmn' n sE w inorFr
<br />of@riLri,ll rlE olrEr Bribd *iU hr rli hrd.. otl'on r tli lr or ltE dn iEl hrild d i!ffi in Frfdry fd di rirFE or
<br />-1,
<br />dr owF ol rlE F,Ety. m .r.tusircly cordir8 plh lt.tu n .!dr.drn to odru:r rlE pj.rr (Sc 7O!r, Bu!r$
<br />.d Pnlsin Co&r TIE c.dEror's Lkr.* bs dcr mr .C?ly ro a orF .a Fotny qls 6uild. o. r'p6E n Nn,{n{ sho Lr.hk air Mh thFdr snh r Co'n,ri6(O lEMn purMr b !h. C.dtur.r'. I-i..B tr*)
<br />_l.m.khF ua].l sc'
<br />***, ,. "r,*.r. *,,r.,!.!iqrn\ir.n trnu,n.. r. r.,utr.r h\ \Rr n17rr,
<br />lh.s'tn s\khrh^m"dr'\h\u.d n|tr,rlc'..'qrn{rtrin ururtr,JnarmlF
<br />.""". g{4b kxY"?
<br />6fth. lrlx, Cd&. t ih. p..fm of
<br />v'zq -z_
<br />_l6niryrhd in
<br />'h. F.ftrmr. orrlE Htrt for whan $n Frnn ir nsEd. I rh.ll mr ciI,k,y rnyFnon in -, tuE
<br />s {r h b.sm iubirr lo rhc wk R oq$s.rtu besof Cllifofrn, !n rs6 rh.t irl .buU tE<om $bFl lo ilE
<br />h*6 orpcMrirn n6viri.i6 of Sd6n i7m of Or lrhr C.&. I ltrlL ii,nhqtn orply riln dE Fovti,
<br />WARNINC Fiturc lo sE q,LB snp.ns.lion oEE! is unL*tu1. .!d rltll ilbr.l D crploF Io oinlr.l thrlri.!.d
<br />civ'l linus trt! tr' orc hu rcJ rlx Ns'] (ldllr6 (llrx).llx)r. i r']Jittrtr, h rhr
<br />bA))' \\ra
<br />tEcuxarxt!
<br />I lrEhr.mrn u,ncr pcnllry ot Frjlry rhd I m lienEd !trd6 Fottion orOrFtd 9 (o'ntrrirs Birh S<ri,n 7(r,) ofDirnio.l
<br />or llr Bucs.d F$rsi,ns C.dc..,n ny li.re 6 in tull foe.,n.ffd
<br />4\o
<br />-LEtr(
<br />Nun*Er Qtaa
<br />l\-\\,-za ry..{ea El<-
<br />CON.qTNULTI(TN LE\NING AGi.r{C:t'
<br />I lrEhy rfinnundcr Fnllryo,tE jury lhrl IhcE is ! onsruclio. Lftlin3 oB.Ey tor rtE F ror''u[--c 6f rh. work for whihlhn Frmir n
<br />nsn (s€..ID7.civ c ).
<br />tai.r'r Ad.Lsr:
<br />AEIICIINIDECIJBA.UON
<br />I hod,t dlm rid.. tmrlry of Fj!r, oE of rlr loltr*i.g &rLri i,nr
<br />Dcn!,lirion ttrnrirs Aih.tros Norificlrion trd@l Rcruldii,n\ (Tirlc 40, Pd6)
<br />-kquirJ
<br />lrrln of t{r'fMin
<br />l ..dily rhrr rh. rctlcdl rgrbr ions re.dinS r\h.sros Nfr)vd N rn .pplf,ot L lo lhG lmitr
<br />I cdrfy ttur I hlw Rrd rhar rlDlrlii .nl *r. rh.r ,x dlr,w int lNirn r oE .l. I ltr b $trply *irt Cny lnd County
<br />ordhaftrr 0 l sr0r. tius rcbri,r8 r0 nuiknrg hrdc rq'rccntrliEs oflht Ciryand Counryio cntcr uF,nlh.
<br />rtirc rtrrkrrdfl,,Fn) nn
<br />,.,. \\-UI-ZD
<br />llr8f,E8LCOltTESAIM
<br />a&ll.ABAl:on
<br />I lxrcby rfinm undd ltelry of I. jury orc ol tlr follo*in, d.LLrdio'!:
<br />_Ih.r!n*ill inri, ! C.nirrd. of Consir b S.lr'ln@ fG qris o'\Endirr, Fovit d ror by S€rin 17@ drrlt
<br />L{b.! C.d.. fitr tlE !6fomN. of llE wlt ror whih lh. Fml i! t.u.d.
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