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.BUILTUNG. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER AUIDER DIiI-('ARATION
<br />I hcRhy allt ufrlcr I'cnulry ol Frrury rhlr I rm .xcm lirm rlE Gn rEnrr' Lkci* ll* litr rh. n l*in8 Essn rse.70Jl.5
<br />8trnfts ! lrori.$tr,r C,rL): Any Ciry or Cornry whrh Eqrn r ! Fmr to .Mirud, .lrs. rn{mE. &m sh .r rcrE roy
<br />{uruc, Frtr tu nr $urhc. .l$ r.1lurcr rlE .I{,lud n, rBh Fmr n, fik x sBRl i.rcmnr rh4 lr .r Jr ! n..nsr n{r$.rr
<br />r, rlr Frvshm o( dE Conr,{ntr s L$oFl U* (Ch:Fo 9. co.ftL'n8 enh S..r*h ?0(D ol Drv8nn I .l 'lI BuliEr' lnJ
<br />I'nr.*xr.\ C,rl.) or rh{ IE or rh. Lr.rcn{, rh.r.fiom rr rlENrn lorlhc rlLS.nci.t{ r'tr Any vkihrr'n of S&utn ml1.5 by My
<br />!p,'l(or lb. r pc.dr subFt rh. snpli.snr i, r.'ril n .lhyoth mk rl$n,ivc hundEn dolles l!tu)
<br />.-1. - ow.oIrlrFoFny.dh,.npbF * hv+s.r rlrr sl. otrFdrrrr w'I & r,rknanlh.ddrcu nl
<br />lrdrldl or6lLr..l rd sb ISr 7fi4, Burm.r rnd PlolB*rN CcL: TIE (i!ral( r lx.n* t *drBri4'dyb orffiol
<br />rlE F)Fny *h, htds or rE{drBs rlEG)n, rd wt$ Jra *h srt hrmrll or h.r*lf.t lhNuth hn rr h.t oh.hpLrai.
<br />Dn,vijql rhrt $.h ir{nrEmnlr e mt inl.rrl!.l orolEd tu qh lr. h'kE rlt ttrillin8 d it4t(Nmnl ir $X w ho orc )q
<br />or .,rrhu dE Ow6 B!lr]l.r *dl h.r rlE trnl.n ol F)vuB rh.l h. .r t& nn d hdi { uiF,r UE F+qt, rr uE Frr$s or
<br />l. r\o*tr., !!i rh.nn,Fny. !tr,.r(lu!vcly.otrtknns w h l'( ctrs{l (
<br />'
<br />dnr t)F r) .on(n'.r rtu t or.(r (s&' 7{xt, lr'^ur\t
<br />,rl l\ntc*.n(i . lh.(in rktr's l-trcnr l-!w,l(f,t norrnnlyn, rnr*ncrol nn'I[ ywh hurlJr orrhl,nlves rh.!c n,
<br />rD,l *h,' (onrrrrr\litr{'.1'F,F_tr$hrChntra(ti\rlkcn{Jl]ur{i!r,rhcContrr(r'LLi.n{li*)
<br />I mr!.ho 0 ltr S-..rK,,_
<br />TA85E&Lj]AUPJNIAIIANrEcldrAlllti
<br />I h.rcbr.lltnuhd{ tEMlty di Flrry.e ol th. nrl,*h3 d.lLrrrr,r
<br />-l
<br />hlvc rnl wrllmi' rns(.n lc{cof C.n$nt n} Scll. ln$rc tu -orkcn conFo$rru, sr F,vdcrl,r by S&ri(,h ]7fi) of rh.
<br />l:txtr CaL.lir
<br />'h. rErfolrN_'. dl lhc $* r,tr *nrh rh. pmr ir nsuctl
<br />I hr{ !n l r rll ruorrm *o'rcri ror{inur nn 'nsunh., r\ r.qurcd hy S<thn ll7ln .r rh. lrtr, (irL. ix rlr Fn ru:c ol
<br />rh( w.rk l{,*hf,hrhk Frm ri r\u.J Mysorkd' con{.n{ron rnrur.R. qtrH.d lr,lrt nrnh.r ftl
<br />,*-r, t rkg/
<br />lS.,-1l\-cgs,@6 )37-o .-*. a3af-:]aAt
<br />I (cnily rhrt in rhc FrlnruEc ,rf rh. wort liJrwhi.hrhN lj.rn s hsu.d,I shrllnol chfloylnyFBon in lny mnncr
<br />qr r! k, b.s,B ruhl.(r to rh. w!r!.6 d'f,{Enelnm la*s lc.lfonu. !drBNrh2r if l x,uld }.<om.uhj.\r ro trE
<br />*rrt6 comlEtrqri'n F)yri'nr ol S-rrD l't(ll of rh. Ltr* GJ.. LhlL l,f,hs h onf y wit rnE F)urioB
<br />WARNINC: htuE io q..'uE wnldr \r,nlariDn (1,w.ts. 6 unr.wrul. .Dl .h.ll rul,Ft r .ttlhF lo (rlJrul FE!6 rnj
<br />uvrl llmr ut r, or hunlrcJ rlx,usdri Jolls (Slm.Ut,), n .rldili,n r' rlE .on oa omFnsrroi, J.tu3cl r\ I!l,vd.1r [t rh.
<br />s.(rir .Il76 or rl,.l.rhr(ixl.. ni.r.! rtrlld(tr,f,y s 1..\
<br />4( c,---
<br />DECIjAAIIAN
<br />I hcrcbyaI1tmrnd.r n Dhyrll)c Dry rhd I rm lNnsd unJ.r Frclrii'! o, Chaprs 9 (codn.kng edh Stdrtn 7UX)) ol DrvrDn t
<br />nr rh. Bu$ft$ inJ Pnnasr,'nr C,{., .rl my lr.ns r r lull bkr ul cfiRr t
<br />ht:)/obrort
<br />,,.,".d)'Ll^ -Lr ,.."^*** fu"a- q.'"i-t t4-\r/
<br />roNsrf,lrJtQNLENlalilcElt}
<br />I hrftt'y.Itn rnd.r lEn{lryol FrNry lhar tlk . r { c.n(rultrrn lcBlo! rt.n.r n)r rh. FnortuN. ntrlt wor* n, whrh rhs Fm[ r
<br />,sucJ (Scc Ir.)7, C'1 C )
<br />lrnkt A.ldr.s:
<br />-
<br />AIILII;ANLDEqLASAIIO!
<br />I hdrtt ,Im unLr Fmlr, ol F,lry oE ol lh. foll'wh3 dcLLrllrtrr:
<br />l^1m)l sn P.rhne^sb.iB Ndr(rrbn Rd..rl R.8uLrrrn, (Ttrk 40, I'd6)
<br />_RcquncdLrlcrolNol Edir
<br />ffiffi;ilffi rt tr rm!!!le n {dr.hr. n' rh\ pNF!
<br />I lrre lo c.6rly q hallCrly.ndCounly
<br />h.r.hyaahn'7cr.Fc\r L'vc\(,lrln\C(yrtrrlCotrnlyt'(trrcruFrrlI
<br />.h,k mnlt'mJ ltn p.ny lk tr\p..r iro tru4r'rl
<br />tpplic$lor 1!..1 SlaMlu(*,. ,a4-u-,
<br />Set Backs q.\, z
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/Vent/lnsulalion
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />[trlasonry
<br />Pool Fence {622-zt //LL/9 .tf@j'2t1
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL 4hol,zr Jt\.n-
<br />Certiticate of Occupancy I \{L/
<br />Noles, Remarks, Etc
<br />-D
<br />l).1.r-
<br />,nn, Ob-.U-L,Lt
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