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BUILDING. INSPECTOB RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS (,WNET'UII-I'ET DELCARATION
<br />I rrrclry rrrm unLr FMx, ( Fllry rh.' I d .kqi ln'6 rlr Coilrrn lx.M Lr, lor rL (rlt'*!u r&n (Ss rt-rt J
<br />fiunr( ltrl Ptot srr CirL): Ary Clty or cl{d} *i.h EguEs . F,nr h or{M1. rxd. qroE, tkfrnnhitr EF, ds
<br />(urk, Fitrr) ils Brurru.,.tt rcquB llE +tir.nr (tr rhh Fmr b ik. 5l3rd .r.mnr thr lr.r CE s lr.nrd ,lNa!
<br />!, rh. Jrov(ons or rh. (i,nr.(ktr'r Licnsd lj* (Ch! cr e, ConWNur * h Serrin 7ul0 of rriyllD I ol rtr BusR$ .nd
<br />PnntssNns Codc){r thul lt or rhc a cr.nFt thd.fnlm rD.l lh. h!$s tu rh. rlk8.d d.qrlun. Any vt rrn). dfS.crk,n ?0.l l 5 hy,n,
<br />rmltr.d inr . I'.mt suhl(h rh. lml,crm b r qvil ticulry ol nor ooc rhd iv. hudr.J dolles (5500).
<br />-1.
<br />I o*E of llE FlFdr. n ny.,rptry.c *nh *.86 a rlI! $L otrrFNlon. wil & tlE wot.,rj E rN.rE ! nr
<br />ur.nrd ( oficEn tu * (Sa ?u4. Bu.Er .d ProlBri,N (irLr TIE Codrar{'r rj.M Lw dcr nd {d, lo e.*d or
<br />tlE Frdy vts hd.lr { lqnrB rlEq an wb tirE o:fi k* nrrelf or lEklf n !lN!!h hr d lEr oh.n?loF..
<br />F)vilql rhi tutr dtev.Btfi G nr,ratai i.on rli to .L li trt€. tlE hillhr a IIFN,E !$llrrlbmF{
<br />ol dlrllbDtr llE OxE Au J6 *r[ lIE tlr b@,l. MF!v{C 0d lrd3lr lil Di hltl or np.!w UE FId, nrl& F,IrE or
<br />l. $ Dwncr ol rhc t'mlrn y, !m crrluriv.ly $^ra(ru'! w h l'(nrd onra{n nr roh{o(r rlI ln,j.!r (S( ?041, lruwk$
<br />rnl ttt,tssr C,{c 'l M C.trlrd(ntr's Liccnsc lrw ,nEr Dr rmly tu an owtrcr I lrtrFrl y vli' buildr or imnn'v.r rh.rc.n,
<br />( rr.rl(tr {rh p!'8tr $ih a Cini'ri,n\rlr.trlal r) rhc Conkd,i lrcns bw r
<br />S(r
<br />2-]'
<br />I lIr.hvJllnn,u .rF-. rkyoltrr|urydNdlrh.l!'ll',rnrt(lL.
<br />_ I h.rc a! *iU Bi,rrin . C.ri i.rrc ol Conrnr lo S.ll-lnruE tu Drkai .omn.N.ron. .s rrrvij.! ntr hy Sdrx)n l7(rr of rh.
<br />lrLtr cirlc, fi, rn F',mN ol rlE mrt tur *n.h r,E ,E hn s ,su.d
<br />_l hr$ rnl *,llm,nrrm worlcB' .onlEngr $n ururrE-..,I rGluEJ I'y Sar[n r7r) oa ilE Lrlw Cok, nr rlE F l,'lDB. o,
<br />rtlt ud n whifi rhs Fm tr LNhl M, kf,tdr $n{nqi$n Ellluc .rd Dl F)lry nunftr &:
<br />Il,l() Ntrn$.rl
<br />-l.cn!lyrirr
<br />in rh. p.rlorrm. ol rhc *ork tu wh{hrhs pcrmrl r s!uc!.1shrll not c'qrlly.ny ll.rion F.nyn.,rcr
<br />$ a!t, h(-m $hjftr lItE *'f,tdr .$qEns{on lrws or C.l'lt,mi, {il rlr rh.r 'f l ,!U traffi sbFl bilr
<br />ul*m d,rrEneri,n |'^,v&)nt or SdrD lnl or rtE t,hr (ii., l sh.[ nnhw.rh.rry y e'rh rlE* p$vEf,l
<br />rd 1lIll lul'Fr tn sq'r'Jf,r ro t,lroul tsl5 aftl
<br />LN'l nhr\ ut b od hunlkJ rhNs,rl Joll,r\ rll(r).rrx)r.
<br />'n
<br />arln b rlF .on or .ohFnsrM- Jrtua.r .i FovrlcJ li,, rrE
<br />, (irL.
<br />'nroc! .nJ a(omr'\l(\
<br />g 21
<br />I h(Ehy r,ftmu i.rFMlryol F4ury rhrl I im lixr€l tftLr Fovtain olch.t{6 e (rr'wEins *ilh Snii,tr,uD) olDNsm I
<br />or ih. Btsirs r"J Pnrc$r'nt C,i.. !n nylr.M ! hlu[ nEc.,n.titr.
<br />l-kLn( Cltr.\:-
<br />lhl.:- Contmtor-
<br />CONSARU(TION LENDINC ACINCY
<br />I h.Eiy rfltn un Lr IEn.i y .l Fryury rhrt th6r is . (\Ntur hn LndirA rfcEy ,ttr rh. Frft'tmr of rh. stxl lnr vhrh thr IEmt B
<br />'r.u.J rSc. J0!'?, Crv. C.)
<br />lr .. r N.m:
<br />-
<br />lrnLi, A&lrcss: _
<br />ATELICANIDECIAAATq!
<br />I h:Elry dimundcr I'.nllly ol !.rury orc ollhc roll,)win8 tbcl .iDns:
<br />rxnnli,n Pcmire^slrdor N,rifErrion F.J..rl Rq!Lrl)n! (Tirh 40. Pm6)
<br />-Rcqued
<br />L€(.rol f*,r'rMtM
<br />\r-l (d'lt rhII rlr leLr.l RtuhnN EEdu! ElE o\r.mv.lGc n arplr.f,k r' lhE FtrFi
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulationi Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Reporl
<br />Flood Zone Certil
<br />5',1 -/-D2l t(-c-z rl
<br />L\.7- Lz-?-t &a42.
<br />FINAL *lr-,bt '.h;;
<br />Certiticate of Occu nc
<br />Notes, Remarks, Etc
<br />-l
<br />..nny r&r I h2vc,cril ih! rmlr:rn,n ajn
<br />dd!'rLc\.nJ St!1. L!*\R,Jruu t|
<br />dilvc nknr mJ !r)n ny ntr
<br />/1ppli(. or/1fenlSi*mkrrc
<br />c ^Jr-
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