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BUILDING. INSPECTOB RECORD
<br />OWNEN DUILDEI DEI,CABAIION
<br />I kr.try rn m lds trtulty of Fpry rhrr I m .cqll lti'm tlE Corrlr6' lalns L* for lll i( hvna Erqr (S...Il I 5
<br />Busrm$ rd Px,rcssi,n Cd.): A,y City or Coudy *hth cq@s I Fmn lo .otrrto.r. .lls. uttf,ok. &mLnh or qf,r rn,
<br />sh(u., F$r (r ns $ufr.. rlro rcqur! th. +!la$l for reh Fmr (, tik r rSkl 3t.t.rnt lh.l lr or rlr 6 t(MsJ nlNd
<br />b rlr FtrrrnE of {E Conrrrrlxi l-Ensl L.s (ClEI*d e, ConmBmB *rh S<!nn }In of O'vsrii I or'lI B!\rs r
<br />Pbr.rs$ns Cul.) or rhi h. d sh. N .rcqlr thdcfhrm rnd tlE hrnr for rh. rlk8.d cr.mFon. An, vi'Lri,n o! Serion 701 LJ by rny
<br />.ntl(thr ibr ! F mir ruhj.lrr thc rt4,li.rnr b r ov,l FNIry .f nd m)r rh.n liv. hunlrctl ddu{s (ilUr)
<br />_ l. ai o*rr or rb. F,Fny, o, ny cnuloy(' eirh *.3c5 ,' rh.r $k .onFnsdir, wd &' rrr s,rt 8l rlr iturm r n,
<br />dlnLJ oronihl n, sk(S& ?lx,a. Bt\i r\ rhJ ltrrcsDnx (ixL: Th. G,nrs(rr'rL(nr lru .lf,r n.r rJll)ly to rn owEr.l
<br />rlE|nlFny *h' hill( i{ rtnE rh.EE . *h, tls u-h H,I h,mrll or ltr(lr or rls{Eh hn ,tr lEr om.n?k,rccr.
<br />F)vrl.rl rh:r surh mrn,wft e d ormLrl dnftrtJ fttr sL ll h,kw. rh. ho duB d rrIEErir i. r)tl *nhm dE Fs
<br />ol .onplcriotr. I h. Ovmr Bu sw h.vc llE luJ.n ol F'vur llur lE or $. Jtj n'r tu l or E{i,re rhc pNrEly nn lhc rrrlr)s ol
<br />L arowk.ol rh. J,n,p.ny. rf,crclulvcly eoftron* rirh lr.nr.tl .ontluloR 1,, connE.r rlE FnFr (Se... 1ll.{, Burtrss
<br />.ol Ern<sM CixL: Thc Co rshtr ! Lx.nr L.* J{E Bn .r'ply ro .n owEr ot roFny $h, builk di erok! rh.r.s..
<br />.nJ b Lrdtu1, t,, rEh F'Fk w h r C'otuxnnn lNnr.d llnd rdrlt Cotu*tri Ltmc L.*)
<br />I i ercnrnr und( S(r
<br />vQEaEEECAltfjltAr8N
<br />DECI.6f,AITA!
<br />I lrEby .rrD utrlc, Fndty of Frory oE of rlr firlrwuu &.Lr.tioE:
<br />_Ihrwr wrll mrLo r C.n rfr.rc of Ci,n.nr t) S.lf-InruE l ldlcr' .rhFNli).. .i ltovrlal for by S(lion]rm ofllr
<br />L.hor (iil., l.r rlr Fillrll^. ol rlr qrt ltr vhrh rlE IEmr E affJu-Ll hav. Di *rll ru d rn *"rk.n (mFnr.! N,n inru,!h-c. r! rqunol by Sdrn,n .l7(D ol lh. trbd Cdc, n, th. FrLl].e. .l
<br />rlr kxt for rhxh tliu Ftur E lrrd My krl6 .onFErri^ 'NrLr ffi d poLy nurlEr &.
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<br />_l (nilyrhrr nrh. Frlormtu ol rh. sork td*irh rhr Frfrr t r\kd.l rh,ll mt cmfbyenrFtron inrnymnmr
<br />$ .rtu lxd,m lubFr li, rrE wtrt6!'lon{sr.rbn lr}i ofc.lrlom, rll .3E rh.r LtI ttnux rl or $6Fr brh
<br />k)rtsa lr,mFndbn pmvrn'ns o, Sdrirn .l7ul nl rlr bix, Grl., I ihlu. nflh* h urnl'ly w h !h,s l'$vrinK
<br />WAnNnG: li,luft h al:m *or,(ro d,hf.trerioi rov.,!8. rs unhvtul, rd rhrll ruhill - .nqrl,rr h (rihind Ffllls rtu]
<br />(frI ,im! W h oE hlhlrctl rhr rt tlolL^ rtl(I).llllt. o rllnM b rlE (i of .\rqEerhr, d.d8.r .r Fovn.d tu lll
<br />o/rr/hrcrcnr l .nomy r fei
<br />Lt!t-$tllr!l-u8l]:lll!l[!t"!-8 -lt!\
<br />I h.Ehy lllirh unLr JEElry .f tx.Jur, thrt I m liencj udLr Frvirir trl Ch.pr6 9 (rclrrllItu3 wilh Sdirn 7(lr0) of Drvrsh :l
<br />of rlE BusElr .fi] PnircsrsN C]lrL, .rn m, l..n< 6 r tull ,oN .nl (liftt.
<br />,-."..-",*, /o/ 3/ov
<br />ro!$4.lgll0xrENt2aicn(ililrl
<br />I tkr.l'y rlltr!trJcrlttrilty.fD.rruryrhrr rlrrc x..'r{ru(rN'n L' intrg.ny1,trrlrp.rntrnuRcnlrlr*orkntr*h(hrhaI{.mitr
<br />sru.n rse. 1tD?. C'v. C r
<br />l. .r!Nrm:
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<br />AITLICAIILDICIJMIIg!
<br />I h6tr, dm u .r rsir, oa F.,ur, or ot rlr n'U'*'nB.k{ll.i.nr:
<br />Dcmr $n P.rn,rlAshc o! Norrlk.rion F.J.r.l R.3!lrr$n,lT l..(1. Prn6)
<br />_R.nu8{al l.(., ol M{ff,!hn
<br />_l r.n,tyrhrr rh.,cJcrrlrclahrons FldJ ,S r\&nor r.morrlr. nor lPll.nhk n) rha tr)t .t
<br />_l(d trh,I h:r.r rtr apd.rrx'n {rl rrlrerh4 rlr r}r)k,nfomr()n Lr.,rNr I{NtuLon{ yq n.llC yrriCoonry
<br />ordinrRcsand Sr!r. Liws EIlxry ro nuiilin8 .onsrnBtDn, mlhcrch,0urhtr,c rcltrc{trr v.tolrhnCirymdG,onr,trcnr(uB,nrh
<br />lhrvc mnrn)EJ ntr)rEny n, u
<br />Appli(inl or Aaol skn{
<br />DATE lD/slG.COMMENTS
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulationi Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Depuly Final Report
<br />Engrneer Final Report
<br />Flood Zone Certif .
<br />FINAL tLlt / zo w-oa )
<br />Certif icate ot Occupancy
<br />Notes, Remarks, Etc
<br />,lz,ry'a
<br />SITE.WORK
<br />ZGX-z;.lL/ Ll
<br />a*,,-rU.. 4?0
<br />",,, ?/ z-yr/. t r1-.-
<br />tal.r! AIlBt:
<br />Formsi Steel/Holdowns
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