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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNIiR BU I LDER DELCA R,{TION
<br />I h6ctl} !fiim und.r Fn!h, ol tcjury lhol I m .rmF from lhc Conraclos l-ids lr* tu rh. rolh*ins rd$n (sft Tlrll 5
<br />Burindr ! PrufRrnn (\{.) An} ( nr .r ( oud} {hih rcqun6 r pdnir r. odrud. ah6. iml'o\4 &nolirh or rqrn d}
<br />strudoE. Fior h ns is Mc, lkl rq!n6 th. q)plkM! f.r su.h Fmn lo fik ! si[Ed ndffil lhd h.or ]h. t lico*n puM r
<br />ro rh. F.\ni olrrE (o.rr[.loir l.i.6rri lr* (ftarrc 9- Co@mins sirh Sdhn 7(x)0 ot Divtion I of lh( BN'D6 ud
<br />PmfaioN (..d.) or th lEor.h. ndmF rh..fiom od rh. h6n ao. rh. ilkB.d.(aFiri Any rirLlxu ot S..lrr 7r)r l !b rn)
<br />rp0ltr f.r.Fm tulGBrh..prl'cerrororrlp@nrofm!mrcrh,,fir.hun<lr.d&llJt(lJ(xrl
<br />l, a o*c oarh. rnFr). c i! ongloyG $nh urs6 d rh.n $h o.iFsio( triI.h th s t rn rlE rirlR 6 n{
<br />ddlLd off6.d fo. nL{sE 7ol4. BBind od ProftsioB Cod. nECo rrld ! Lt* L.s &6ml {"tyror.uEolth.FnFry u ln hl'ld, n inF.\6llEstr .n * b &6 qrt \oli hilrlt or hdell or rlr.ugh har d ts o*n 6r{'h!G.
<br />Folid.d thd Mn imp..\d c d noi.i orolH an rL lf. h*6!, tlE tlildna q hss!6i 6 hB *ihn oft 6
<br />of @l4'ldm th. Osc Boiltd tr llrE tE hrdr otForiie rhi lE o dE dn d brild or !r+.!1. fi. FoFiy tn llE Frrrtof
<br />L a o*G ohh. l'qE
<br />',
<br />m.r.llBn.lt ..drkinE * nh ltn&d ..ddm to mBtud rlE Fwd tse 7O,r, &!!6
<br />lrl Etrk in Co& I h. ( . rrroir l-ico* t,s d<,6 ml rr?lr ro e on r otFoFry $ho bu,ld! or inpnrr6 'h66n.ed $ho 6 rdr for r(h Iroj.(s $nh ! Gddo(3, lk.E d Fr6o,rl 'o
<br />rh. Coir&1oiJ l.tc trtr )
<br />I n.rc prunJrSc-jnn
<br />ltaa[Eei-(a]lrElsallaxDli(l!$AIraI
<br />I hschy alltr trnd6 tH,allt oltFJrtryon.orrh. nnLrrina d(lralFB
<br />lh.\cond*illm.inr!'n.(-.nificar.ol(onsorros.ll-lnsurcfor$0!16$rpqridi,,n.Br(rv'd.!rnhys{ri,'n:17(x)ofrh.
<br />lxbor ( olc aorrh.Fdnnrmnc.ofrh.$o* for wh ich rh. Idmil i3 isrd.
<br />.zy'r r,-",".r*,rr*.,.. *,rrr!'( rnn tr$li,n ,Ntr/,hc s.rr lf{h(h,!ruM)', ",r.,.'i My'l,r.";,,,,>h/ l^J
<br />pohc,Nu,rrs ! ?ts?ttV7
<br />!nc..6 r.quiEd h.rSarion.1700 olrh.litrr(-o&.Ior Ih. nqfomerc. of
<br />mn<t lion iNue. ceid dd poli., n,mh.r a.:
<br />{/r,l/S
<br />I cdia, $d o
<br />'h. Fft'lflm. of rh. r.rl for trhih rhir Fnn is ir$.d" I sh.l! .or mph) u) Fen in lnv mDnd
<br />3, 8 ro lE$nc $bar ro rh. trsd6 c.dFqFn hus otcsliaomia and.sG rhd if I
<br />*.6 comFlslFnForiladnls.dni lTm.rllE l.bor Codc I JEll. fdh$ni
<br />u dphla ro turnd FsI.r ind
<br />h on. hun&.d ih.6ntl ilolld ll100-(l(l0). in .dli'hn ro rh.
<br />'on,
<br />.LBr6 B rnorri.n iY lh.
<br />s<lion 1076 of llE I itrr (il}, i,nn.{ ,.d dronEr'3 f6
<br />-,,, '/zr/t7
<br />Lr!t_!Eula]
<br />I h6.t't .rrm o.dd F.lty ol Fjury td I m li€!.d undcr F.l tion of clrytE 9 Gomnffiins *ilh sG1nn 7uU .r l)n iion r
<br />of rh. BBild ilrd PDf<ioc Co<t , .rd oy licte !, tull ror.. dld.lId
<br />t,."nr"<t,* 7 ('/D
<br />-" ' a/t r/r7
<br />D
<br />I hd.b! amirn undd ltnah, of IEjury rh, rh.. ie r .o^ctuc1ion Lnding .8acy for rhc tqfollME ol rhc $rI lor s hi$ rhi. lEhir ir
<br />t.u.J (s- 11097, C,v ( )
<br />AITLICANLDECTJAAIIA!
<br />I h.6.llm u.rL, F.h! ol Fjlrr om ollh. folhtr in8 .krld ioE:
<br />Damliion P.m 3 Art6n r Notlicd.n F.dd.l R+uhrir6 (Tnb40, Pd6)
<br />R.qur.rl l.drd oaNd'Rd.n
<br />I cdrtl rhd rh. fqLtrl rcBuldnN rct-d'ry alEslos mr 4,tlrrbk n' rhitr ptuFl
<br />l4airr rrd r rnc ra rrrs +pli.dioi ad nd. r a.mplt s hrll( \rn.l(i{nt
<br />ordmn.6 rnd nd. |.tr! Bldms h tu dr6oarhirCnr d ( ilun\ lo oto 'q$n llE
<br />*,, o/zry'z3En. mrtun.d Fo0<rr tu EIKrp
<br />lpplic. o.,ltol siS.rr,,.. X
<br />P.mrR nrmc , prin,,, Yr6" ),//.-.-,a-'16^ntz*w-O
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lns u lation/Energ y
<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 1/_7/J,l D -afr4 O^^ b)
<br />Certificate of Occu anc
<br />Notes Remarks, Etc
<br />--i
<br />...,..,...,.x.-
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