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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE rD/srG.COMMENTS OWNER BUILDt:R Df, I-('ATtATION
<br />I hsd') .mm un Lr Frlr) 6f Fjury rnd ! n .rmt'l nlm th. Co 'rlots l-k.e l.! for
<br />'h.
<br />,ollo$Iry ra). (st'urr 5
<br />BNm6! r,td Proadion (-od.) Ary Cily or Coufly trhrch r.qu'G i Fmil kr coNru.l. .ll(. irrovc. ddmli.h dr EFt uy
<br />struduc. Fior ro ils Lsueq !lr. r.qun6 rh. rpgikd fo. 3u(h pdinir to 6k a lirn.d 3rd.lMr rhd lF or 3h. i licd.d plBdl
<br />to th. rr.rshB of tlE (i'nr*hrt l.tE!.d lrn ( lDpl( 9. Conmd,n* trnh Sdlion ?I{D of D^EFn t ol rh. Bunnd ..d
<br />Pmfsrcns Cod.)orlhll lEorsh. s d@r,l rh6.nonrnd ih. bdln lor rh. rllcS.d.tmplion n, \tld'o. of sdion 7(rll S ts.nr
<br />+pl'.im ior !,qr rul,jdr th. apllicet t' ! civil p.ohy o I not mrc ! he 6\. hund.d ddllm {tim)
<br />l.ero$nsofth.FrrEny.ormydplo)Bs'ilhrlsdsrhor$l.com|Fcrn,n.nill.hrh.\ortodlh.slarftani
<br />inroxkl .r olld.d for sL {Se 7o$. aNi.*r od Pm f*ionr ( od. TIE ( i'nlr..loa! l-i.d* tls d'd noi 4'nly lo s o\ ns of
<br />thc ImId! tr hr t!il! or rgnr 6 1116( dd * lb dE kh $.* him.lf .r h<*lf or rlvou*fi hL or td .$n ar'I)lo\ 6-
<br />Fot kLd rhar r!.h ml'uqdi e tur iddi.d ororftrrd f.r sk ll hu66. rh. t 'llqB d ntFGsd n ai.l ( dhf, oN \a
<br />ofcornpkion. fic Ohd truikg will h.!. lhr hldo ol rovins tll{ h. or sh. dxi nol hlild or if,In.!. fi. trtrFtl lor lh. Ilqr)e ol
<br />I. Bo"rdolrn Fopdr, mcrclEiv.ly contrdhs *ilh licds.d cootr&16 h oNtud rh. poj.d (Sa.70d.1.I}{'nd
<br />!,rl Pn'hrion (td. Th. ( omsroii Li.os L,* ddd nol !Ppr, ro s o$n6 ot DrorErly sh. build! or iipror6 lhda,n.
<br />6.d {ho Ndfrr fn 3ucfi F!j.rr! rnh. (.orrtuuis) lica!.d FrEur ro E(tnrroii Lt@ |,tr)
<br />Iiunc\cr.pt und6 S. nn
<br />D.l. orrr
<br />\IORKERS' ('OIITPFI\S lION
<br />Ir[clJSalloB
<br />I hdtt r .mrn un&r FEh\ ot rErr' on. or
<br />'h.
<br />tollor m{ d.(hnno6
<br />I h!!. dt wil, minr.h ! C.nificst. o I Congr ro S.lf-lEur. for so di onp.iBdion. s FodLd lor byScrion 1700ofih.
<br />t trtr code lo, rlE Ffolrffi. of rh. f,ort fo. sl*fi rlE Fnit it is,.d
<br />I h!v. !d will mlinllin wo,td conp.G.|i.n i6u!.c.. s r.qui(d b, Sdtion u00 oflhc ljbor (bd.- ror rh. palinnMc. of
<br />6Er v\ *.dd mm?d.. ilffi.GEldFlr) runbd !c
<br />(eF fl-la -/z-2,'o/ / t
<br />P6,,()Numbo . fuz'1 rQ .14 ,.,,,* ,),/r1 ,/t r
<br />I (6tiryrhlr in rh. Ff.trlrs. of lh. worl tor shkh lhi. Fdmn ir Lru.d, I iullool orloy tuy r6en in tny meB
<br />e sto banm {bjdl lo llE *srd omFlriJn bwofc.lifo,u,nd tsE rhd il| ltruld tE om sud lodE
<br />*!116' omrourion F!\nio6 ot sdrirn .r7m or rhc t bor c.ia I slElt. adhwnh NEdy s'ilh th.- ForiroB
<br />\ryAlNlNG: Itilurc to su. wrt6d comrcddion cor@s. ir unhrvtul. ud lhall subjd e dt'kt)s l. oiminll Fnlhi< tnd
<br />.nil fin6 uF r. orc hlnlr.d lh.usnd &'llB (llu),(x)o), in ld<jilr
<br />'o
<br />ih. .or .r sqdD.. drr,B6 a pro, t.d ror rh.
<br />S(rirn l0 76 of r h. bbor('o& i dd ud dtr'lB'
<br />^.,. 91t /le- n,,*,,,tac4 L<,'
<br />DECIJf,AIIA!
<br />I hq.tt amm unds Foah, olFjdy thd I dr li.ar&l undd rodlion o f Chrpt( , (conr6(ciir wnh sdi.f, 7ux))oll)irision I
<br />ot $. tlEiK !.d ltofBbB ( ('d.. d ry lad& s u tull ({.. tn drct
<br />';:'Yr7i I r.tr\. \urh.!
<br />,,,",,,,,",Y- 2'/[/3 7 a
<br />=--<.,"&tL L/
<br />( oNsTnucTron r,ENDtNc AcrN('t
<br />I h@hy sfirm und6 Fdlyolpsjurylhal lh@ is a conslruclir. Ldins,soc,lor rh. FaollMc. of thc "ork lor {hich rhi! l]@i n
<br />is.d {sr 10,17. cir (')
<br />arllllalj.Dll;LAEarlo!
<br />I hodry 'tr'rm uod( p6!hy of Frury om of rlr follo$ins d..hrn ioB
<br />I).mlir {'n P6n s-Asb.sbr }tor't'rc!r hn t.d6al Rcruh ionr I I 1. .10, Pd6 )
<br />R.qun.d I nl6 of Norilicnioo
<br />rh,r rhc f.ddal r.8rhn,N r.8d'iinr alr*rs rmo\.ler nor iDpliclhl. n,lhie r(rd
<br />l.dri rhd I n^c r.,l rh6.r,lt hn 8l trr.r.rha rlE rho\. rnforniF. k(on.l Irarer.omd!
<br />.rdinarc6 d Sriic I is 3 cld ins r. 1,!
<br />'ldm8
<br />co.stucr on. drJ hs.nri rurh /...Tr66!dn6oIrh6(irt
<br />rbk mdrnr..i tn)tdy ntr iN!..rnrn
<br />,rppfionr or,rrmt Sixnrtu,c X
<br />remire nrmc t prinrr 0(/LU/ L'O
<br />s h all( "r anJ(i\u.r\udc nhh-zuFn,h.
<br />. {//r //*
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing ,,),/ t:l
<br />Shear Wall
<br />Framing
<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 />.r,l I
<br />FINAL H2 il2-lrl
<br />Certificate of Occupancy ,J
<br />Notes, Remarks, Etc
<br />I
<br />Erection Pads
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<br />Flood Zone Certif .
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