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BUILDING- INSPECTOB RECORD
<br />SITE-WORK DATE ID/SIG.OWNl:R AIItI,DT:R DEI,CARATION
<br />I hdc$y allirm undcr rEully {'f p.rjury rhd I rn.t'n r rn,m rh (irta.roF' Lilns L,\ for rh. r{'lt,*in8 r.s$. isd Tolr 1!
<br />Irurircs ctn fto[e$irn Cd.) Any Cir, o. (irnry *hrh rcq!tr.< r Fmn lo on(ry.r- !lrs. t!,oE. &mri.h r EFn .nv
<br /><Brm, pri, r. iB i(olR, rk r.qun. tE qrltd ntr ikh F mil ro tlL. iign i qr.r.nmr ihd lr.r i,l ar l&.<ri lrNrrr
<br />t, trr Fouri'n! ofrh Co.kxir* r t-krncd l^ (Chaprd I, C.mmrrn8 *irt Sdrim ?O(1, of Drrnirn ! ol rlE 8!rir( rnd
<br />PmL<si,nr Cod.J or ri.i lEm rllc ir.r.,rl)r rlEr.ln,nr rtE herir ld rlE rtLld.Erg"i.n AnytitLrio.olS(rirTtlll !hyrny
<br />rmli.rnr ntr r rnnir \uh tlr.nr tu. o(lFtulryof tr{ nrrc rhln llrr tundftit.jl,ll$ (!1U),
<br />n(rh. ImFnr, tr my.rrihF. rnh *re6 r\ rlrr r)L rn,r{E.qri,n. qill rLr rtl.N*rnilt !01R i n,
<br />doflrtd fd eh (S< 7trs. BuriB.r l Prfcs.n. (ixh Th. Codrdm'i Litns bv dEr iq'r yn)nno*Fol
<br />rlE l,rFny *In tliltr tr !tr)6 rt Ern. lrl rh d- u-h ru* hmlclt.r hcrclf or ilFuah hn or tr ouf,.r{'t,yce.
<br />ltrviicl rh.r i$h inqmEr r E d ndrl<l r olI- ror {b ll lr,kvE. rh. h{ildin! or iqr*r n $U rahtr tft Fr
<br />of .orqtl|i,( rlr hmr Builr.r *ill lrrc rlE hr&n.lIiNinI rl{ tI i, dE dn &, h,ld d irtn,E dE I'.Fny II* rrE t{rF{ ot
<br />l, at .wrcr of rhc I'oFny, a'n cr.lusn cly .ono:Krin8 r dh l(cnr.d conrrEr.r io ondfld rlr Frjer ( Sa 7l sr. Burm(
<br />r l thft{l-'n C.dc: lhc C'{'okrckr's l.kcn* l-rs dif,r Rn trnPly b .. o*ncr .l proncny *lx, hoikl! or in{'nrv.s rhc,.on.
<br />nxl $ho conhcr\ tur \urh troF(rl \[h i (nftr(r{rli.tr\.n N'{'r rri rhr (in r..kr'r l.rci\.lii*r
<br />I rn'.\rtrrnr un,lrrS(rnnr
<br />t"
<br />"",,'t'j {rtl
<br />I hcr.hy rmrm u.d.r t.Blrt or Frrrry.rc rh. nrln,si.3 dNh[r irni
<br />-l
<br />h r rn sillEi ain r (tnifE.tc of(i'nkd h Scll lnvrc tn *nk6 $np.n€tirn. ri Jr.riLd fi, iy S{rirn 11l) ul rh.
<br />tlhr Anc. n, rtl Ff(mc .f rh. eolt n, shah th. F.nir it i.ru.i
<br />I hrlr .d tr ill mi .i. ro.l.r3 orFn!! im inqrrB c, rt Eqldtrt ht Sd ion l?(x) ol itE lrl'or C.d.. ro. rh. Fnomre ol
<br />rlf, ldt ld *tih lhn Fmn t srrd My r 16 d,qtndit. in{lrm ffE lttd Inlty.lniEr ft
<br />lEnny lhlr itr rlE lErLrnBtur rf rh. wo tu $hkhrhrFrf,rt n n{kd.l shall Dr .fl{'k,t any Frq,. in .ny .unffi
<br />w, r\t,hL.onrlubFr r, rh.ro.tcii ( rtr.\[r{|.rtr\!l(-al'
<br />{or[r^ comF sri,n Frvni' s.lSc.ri 17o(r "t rhc lrh{ (
<br />WARNIN(;: fzilurc ro ccnrc trorlcn .n lrxri(n'.o\.rr8.
<br />I'rl x8Rrhrr if I rh.ukl h..orE \trhF.r hrh
<br />ll. ronh*irh omply {irh rh,.!flriri,nr
<br />ul. and \hrll subi{! rn cnfk'ts ti .rnn ,
<br />IW
<br />rl rh. rlu\im( rnd Prof.sr
<br />k, rh( .!{ f.onlltf.rri,r, ,lxn !(\
<br />c. i' r'rnxnll r(rtr'f,y \ 1..\
<br />- ppllsn(: Y ,f-/4k-
<br />DIIIIIAIIIJB
<br />rFrrury rhd I !m licnql ! lcr Imvnion of Chq'rs 9lornrkinB wi' h sc.rbn ?(xxD or l)ivthn :1
<br />'n\C.i..rd nry lkcn( n in full titrrt rBl.tINl
<br />coNifnuL'llo{ I r\nlM; ,l(:FIl(:r
<br />I h.rhy .rm u.d.r Fmhy nl F rury lh.l rhsc n r lin(nr|i,n !ndn! r!.ry rot rh. Frl,rlrr. ol llt wl ,nr .{l(h rhir Fna h
<br />i3rki rss :}m7. cit c.l.
<br />lrtr(l{ \ Addr.\r:
<br />E ttl.llirxllEgAAAllllN
<br />I trR{rrin'rndrr p.tuhyoi|r,t,tryor',1 rh. l',11"*tr't,l..l'rrk,N
<br />l,rnk,liri,,i Pcrnrirs Arl^({"r N.riii.!ri'tr, l.(1.'rl R.ttrlxri,trr fl irtu.1lr, I)d6r
<br />Rcquncd I.rtcr ol Norili.rri n
<br />INnlyrhxtrh.f.drrrl,rxuhrn)tr\r(rrd rn\h{o\'.rn\,'li.tr!.'tdrrl,l!n)rh^fn)r(r
<br />ffi'",*rn***rhrr th.,h,r. innnnBhnn i\..fl(l I rArmt'con{ly wnh ill( iry
<br />1i,n. ,,n lElrty !!rtmtc rqr.ed,riks ol rh'i Cir y rd Coun',
<br />Aprll(Dl * AF sl*F.lrn j(
<br />r.-r,--*16,I, XM^
<br />I
<br />\^L\$^7,
<br />- i,.'t'
<br />'"V"(
<br />t-Adk--
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVent/lnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Fleport
<br />Flood Zone Certif
<br />,/\\
<br />FINAL 5t3-A Iir]0
<br />Certiticate ol Occu nc
<br />Notes, Remarks, Etc
<br />y' n-.t
<br />-t
<br />COMMENTS
<br />Erection Pads
<br />Ext./lnt. Lath
<br />Cu-r
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