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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lns u lation/E nerqy
<br />Drywall .-Y f-t2-tB.ltl"]" t ?D h,l- ) Al L.)cl)$l
<br />Ext./lnt. Lath L
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />**^-edT-Bar:P lolrflrg-?2)
<br />Handicap Req.{)
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certil.
<br />d,ruueUFINALI 't)
<br />Certiticate of Occupancy ul
<br />Notes, Bemarks, Etc.
<br />,(t Ltb
<br />ov-b t>
<br />oWX}:T BI'II,DIIR DI,:I -( IARATII )N
<br />I lxrby ltfi,n xndd F.rlry.l Fdiry rhd I m.rnf{ fn'n rh. Grdki6 Latn€ b$ nn rlE folh*in! Eron isd r(}ll 1
<br />Bunnc$ (n Profcs\ion C.,Jc) Any Ciry or G'unry whrh r.qurc. r Frnir k, arn{tu.r, alrd, 'n!,m!LdcTolth ot EFn lny
<br />ndJrr,lrn k, iri h<udc, d$ icquiEs rlr qDli.lnr rn, lrh Fmd t, fik. ir8rd n.rcrnr Tld ltor {r d lkoeJ Purs.tll
<br />ro rhc lrorni,ns ol rlt Conrmr.. i l-itnal lrtr' ((rllptd 9- C.l'mEins rirh s..rNn 7m) of Diriir I of tlE Bunmr .ft1
<br />Pn,li\\ion( ( od.ror rhdr tE.r \hc n crcmpl I h.rcfrom !'rl rnt hori rd rhc rlh8cd cxcrll,rinn Any viohri.nofS(lion70:ll5 hy aiy
<br />.rTlf,.nr lor . Fmil {bFk tlE rg'lkrnr h r .i{l FEhy or mr B!rc rhon nlc hnnir.d doll{^ I !5m)
<br />-1.
<br />!s owNi of rlE rrlrEn y, o. my cnohy..r ei,h vlEG rs rlEir sL on{xnlirhn. will d. uE wdt ad [i (eiN ir mr
<br />inr.,n n r o,Idrn td dc (Sr 7044, BuriBr md Pnlsrhd Co&: TIE c.dtdm r Lt ne L,r dG d rPpl,
<br />'o
<br />M o*B ol
<br />rrE InIEny *rb hik. or i,ttFB llEl!@ 'rd et dB uh k,t hintclr or lEBlrot rhblgh hh or lE own.,Ilok,r6
<br />F)vidcd rhrr 3Eh inll'd\ffis * B, irEflrrl or oficEd fo. sL lf. h.tE. rtE trildiq nr intmEmd lt $ld wiihin .E Ft
<br />of$r"lrio[ rlE(NF Blitl.r.i[ lEr rlr hrrldr olF,vilB ,lEdrlEdun{taixorrp.n*rrEFFiynxdEf rFEor
<br />l. $ N rr ol rh. |'orEn t. !m cr.lurtrly cndal 'ni rnh lt.nrd cofid,n t, $niMr rlE ,noF I Sd ,o'lt. Brim$
<br />lBl ,lDIKim Codc 'rh. Cont.cttr'r l- krnr liw d,Er mr lplly k, i oq ns or Pn)lEn y rb htlldr or ion(E hr6,n.
<br />rnd wh' $nrrucls for such rmixr\ sirh r (i6hk)d s I rrc.si I'ununr b rh. G,nt&rors Litnc lj* )
<br />I nflr\.nr,I unnrr sc.rtrn, ,B &l'('inihtrr3(nr
<br />ii/f", ("kr *ffi*
<br />I h((h) rlnrm uftkr ttMlr! nl pc.J(t.rc rl rh. nnk)rnB d&lrrrrxfi
<br />I hrvc sJr! $ill nEinrdir i Ccnilrrrc .f Gr{nr t' sclf lnruk tr sorldr' c.nqrn\",i(,n. Dr pt,rid.d f'tr bySe.'ri('n l7(xrofrh.
<br />liir Cdk. ld rh. Ffomwc of rlE kil fix rti.fi rh Fnn n i<ud
<br />I h.vc,nd uillroi rin torkcra roflJ.nrurirn insurrm.. * r.luimn ny Sccrir lTur ui lh. I ihor c(d.. for rh. !.aronEB. ol
<br />rh. *mt itr r'hah rhir Fmi ! ii{xd My *dl6' frqRsi'. iBu.B! crrr d, Fl.y runh.r e
<br />I dfy ihd r rh. Fr,ormr or rtc ro rd rhah rhi\ Fnrn n il$.d- I \rE m' crplo, !.y FEr in 'ny mnftr
<br />s r\lo tis,nE sxhFr ro rh. rs*6! $nFnrrim ldwr ofc![rDdi0, lRl d8R th.t ill rlEuld ti<oft $hj.!r
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<br />rlr
<br />wortcn drnF.{rl'n 0o!i(hnr.lScclhn:17(x).trh.lrtn (ixl.,I rh.ll- fonhwilh.TmPly *irh rb* lmvirhn!
<br />.8. n unL*tul 'nd drll hFr r crr?tDd ro 6mjMl tmls .ft|
<br />etrrl ,lnc! !I ro oN hun'lr.J rhoosnJ dollr\ r!llr "'*'p;p**n*'nu""'uS..rn ll)76ol rh. Inlu(iil!..'ntrr!r'!rlin',
<br />lh.tuhyrirnnui(ld |tnrlryoltf,rltrr! rhr lar ln ( 9 r.onntun.rn! *[h Sorir 7(xrr)ol I)r\ni,rn I
<br />ol rh.llu\imss xl l'm{rr\i)n( Cdl...rr1 my lacnr F in tull l,nc nlcff.cr
<br />,1r' k
<br />44,',
<br />1,flt)?*'/yypj (,c/r*cl,v--2,'
<br />I lf,'rhy illnn url.r Ii!ulry.l|*a 'yrl,d r itr! r8rtuy lnr llt |t nr!tr'..,,1rlR sork l,t trhrh rlh ncnni N
<br />^{rd iSra inr.('\ Cr
<br />ASfIISAdI.D}:CIJAAII']!
<br />I hdrt, .fl'm und.r Fnlll y of p.riury oE ol rlE f(rbwin! d&_hr.thn<
<br />Drmlnbn PcrmiNArb.nos Norifi.ibn F.dcrst R.suhit,niI rirk 41). Pan6r
<br />R.nw.d t (.r ol fhif*.lion
<br />ly rirt ull ( iryand (i)unry
<br />, rd (oxnrt r0 cnro u,nn t,r
<br />-l
<br />c.nity rh, ttE ddi Elahirnr r.a!dm8 .iE(or rcmtrl @ m' qtl..bL ro lhtr InFt
<br />,*no,t,,1., 'n, "nntrsri'n dt-rh6tt,d rh. rh'vcio,ne,nn NJonMr I r.re rolwrrt
<br />aamml rna srr( tr* rlug. b.rt i6_."e1*." a. t "r(.$_'lqif(rftid,B or rhn c(
<br />"trtr.Bl\q,6mFi, rirn.".c^',y1_ /'- /
<br />4s-,*Atusw,"- -..n/ u'/l':/- D.,.
<br />P.mx(E((pdn,):/ 7iba, /-l T ^-
<br />rltry'r
<br />Set Backs
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