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BUILDING. INSPECTOR RECORD
<br />SITE-WORK OWNER AUILDET DELC RATION
<br />I lENhy .ftm u ndcr Fndry ol t rrury rhi I n .r.n{,r rmn tr. Co.h-roE Urnr l,* ftn 'lr folt *ins lwn (Sa 7011 .5
<br />auliN{ .,n ProLsshn Cnj.) Any Cry or C.rdy *h.h EquiB r F i 16 ond&l. rxd, 'nproE. dcmlirh or EFn uy
<br />{dG. Fr ro nr i<U4.. tt$ rIlirc( rlE.rnliur lor uh Fm' ro 6k r ri8rn {&m rhd rE or rlr i! lirn<d prqd
<br />t rlr Frvni'N of llE Conlrrror'i Laln*d lju ((tLl'rd 9, Co|lmErn8 *nh S&t.n 7(t0 of Dr!$.n I ot rtE Burirs .nd
<br />ln,L(i,n\ Co&r o. th.i lE m rh. 6 .r.n{r ltE fiom !d rlE h6i\ for dr ellcBdl .i.rqr6n Any t-Lrion of Scrion 7011.5 ty.ny
<br />upllErnr ftr r Fmir {tjdr i,r !pr!lt{r ro ririlrr.M[yof mt mrc than fivc hu.nrcil dotldr ( Iim)
<br />I. r\ o$tur olrh( Irolrnr, or mt rmt,k')r.\ *(h *rI.\ a! rtEI w,t comlEn\diin. $illLl. rh ](rk ul rh. {BlN i{ mr
<br />N.'rlc\l or nlltrcd for $h I Se.. r0l-1. lturmr\ M lh)r.$r,n\ Crxl. Th. Conkmnr \ l-i..nr. I f,r d{x\ frn alply b rn osncr ot
<br />rlrI'n,Fny wh hu,lds or hpnMs rh(nr. r'rl *h, {\\x.hBlllhimsellorh.r*lfo'rhnn'*hhaorh.r.trn.mpl.}cc(.
<br />p'oviJcd rhrr ru.h impoEEnNenn i, ckLdorollcto{ turrL.Il, t.mltr,rlr h!1Un8or trqJn)v. r i n $l]wirh'nom Fr
<br />orronfkrr,L rhc owNr Bu i]tr wd ll'vc rlr hotul.tr rfp0v,B th[ hc or shc dil rr huiltlor irqn,'vc ih.,nrFry nr rh.IU,Trr or
<br />l. !s .wrcr ol rlrc FoFnr. um cxc lu\ivcl, (onr&rin8 rnh li.cn{n .onhcb^ h ..nntu1 rh. pnrFl tS6.- 7(x4. Brnmss
<br />! lhli\sim C.de Th. Cotrtrcror's t-i...* lj* do.\ oor ,mly to & o*trcr of prrrErty Dhl 6uiln ar nu,rovcs rhcr.on.
<br />snd $h,.snrtrkfn{chI[j.rr\*irhd(i,nrEcr'n()lr6rttucunrkirh.Conrdcrr'rl-ac.*tjw)
<br />Irnckmpru d Sdrir.
<br />IIIBIESS:.III'IEMA.IIIIE
<br />I h.nt'y .rim und.r pcutry or pp.y o* "r rr. r"tt*insffi
<br />$ t* ",n
<br />*'u *.,*. Ccn,r.dc or(i'nknr ro S.rtttrr!rc rq $orrs. Nmncndon. !! F)rxt d ror by s6rion 37m ol rrE/ trhr Cud..li"rhe Fnolr14culrh( rnrr n{ *hihth( Fm s r.Ed
<br />. drrr,w"nlrrrrm-nrain*ork.^.Dmpcn! nnmsurar..a! Equ,rcd by salrrtr r70o or lh. liktr Gnl., ror rh. rdrornlmc o,\ th. *o* for wh'chth8 pcm tr nrEJ Vy*nrk.^ hn nsurinn rn.u,mccm.r ud lolEy numtrr uc.
<br />/o*", EVFiirT PtTeM.r,. tN5vfi(Ntd (o^IANV
<br />( ,,,, *,,*, a; o Et'Llrlol - t,r,,,. ty'lz I
<br />(r{,""nny,*, ,n,* 1.,rn* or itE sod nr *hih
<br />'hi!
<br />p.mi
<br />'s
<br />irsxcd. I shrrl mr crproy &, Fmn in ry lMEr
<br />e n b l<oE {trcl lo rlE qnt6 odrmi.l.n L*r or C.Iro,m, :d +r 'h.l
<br />il I nuld lf,.r.nulFr ro tlEsrtdr' on9.fu.ri,. FDri{a6nr of Serirn .t7(D or llE L.t f, Cod., I shll fdh* otrpl, enh rnE Fovili)mWAnNnC F{tuE i6 xi@ wL6'o,D.N.ri,n @Eryc ! urLwtuL .!n !h.ll $bFr .n drploF b qiminn FEIaB fd
<br />.^d imi !p ro oE huri,.d rnousd dollI! (ll(x).@o), in .ddiritn ro rlr co{ ol otrp(tr{rioc .LnFr G pmril.d for dE
<br />lsran 1076 or E bb. C.d., inr.6r dd .rbftt r fa!
<br />. o,,,, bb.tfrx/+t .-..^,*-/nz#
<br />I tcfNsit) ct[fu{(f_n)R
<br />r rE.hy srrm und.r p.M,y or **,r,r, r - r*n- ffilffich** 9 (.\,drcrins wnh s(rhn ?ooo) orDivisFn 3
<br />of th. Bulim$ ud Pmfcssi{rnr Cod., di n, li.c.E n in flll f6r$ ud cfler.
<br />l,i**"CL*, B
<br />/o.,, o i/to/tt
<br />5sz '/
<br />taluf,Ijllll()NrfriDlltilli]:tilr
<br />I h.fthl lrrd undd FEhyofFqurt ih3r rlrrc a r.rn{Nhn lcnding 4ctry f,tr ih. pcin,trls. of E rql for *tEh rhn IEmi r
<br />rild (se .r1r7, cir c I
<br />dIUTANLD}iCIABTIIAN
<br />llrth, xlllmofrl.r p.nrhy olp!trry otu ol rhc n'!['rD! rlcclarJrmnl]
<br />lXnn,lrlon Icnnir\ Ash.no{ Norili.arin I.ddnl R.ruk((r\ (T lc.lO. Prn6)
<br />-l
<br />.cnify rh, rhc fcdcr.l rc8uhl ioN EBlrdi.g *h.{or rmvrl ar nor rrplir,bL tu rhis nmFr
<br />[L-n, ,* ,
<br />"*.r,nn
<br />Nr irr,,n !d {.,c,l.. ,h. rh,E inrom,rion n otu r ."re r,.r,mpry ynh.[ ciry lnd counry
<br />ndtr .rllld Sr{c tr*sE,{iEroh{ildinf corrodbn. srj r,y lultnrn! rcFcEnui i!c\ of r hn Ci, rd Count,
<br />'o
<br />cnts upotr tlE
<br />rtirF 'Enri,md ImFd! f.n hlFri{rtr p,t!Fg
<br />/ADDutul.r Arol silEtoE
<br />7C 7 1(trP.mrF Eftrprino: A[n0c l
<br />,.., ot/ltL I
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL 8-tu-z r W*srlz
<br />Certif icate of Occu pancy
<br />Noles,.Remarks,,Etc
<br />\4"4-
<br />I I I
<br />DATE ID/SIG. I COMMENTS
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