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BUILDING. INSPECTOR RECORD
<br />SITE-WORK ID/SIG.COMMENTS OWNER BUILDEi DELCARA'I'ION
<br />I hs.h amm undq Fully of Fjur) rhd I d c$nrpl fton rh. ( olnraclod' l-ic@ lr* rdi th. f.lLsi,8 dar (S( 70rl 5
<br />asind r.d Prof i,. CrxLl An! Cry.. Go t {hih ..qu 6 r Fmi h oBDd, nrs, imlrotq &ft,l6h or Rpan m}
<br />tru.1Eq rior to G is@cc. .ko r.'$n6lh. rpflicer for suct FDi b nk. rso.d {d.:6l rhn h. or $. i l'..c.d poMd
<br />to rh. F.lieioN ol rlE Commto.s Lic6s.d tjw (( haptd 9, ( omm.ncinB sirh S.crion 70I[ of Divtion ] oflh. B6in* dnd
<br />Pmr*nE Codc) or rh.r h.orrh. ie ddpr thsdron i rh.bdi! lor lh..llcs.d rrdtrion a.yyihriMofs&1u7011 5hylnt
<br />4plr.n' td . Fsn tubj..i! 'h.
<br />q4li.er h . oril pcohy of hr tun. rh,n li\. hu,Lt.d rldllG (lJt0l
<br />l, $ oNn6 oiltu FoFny. or my Gmrlor€ wilh waB6 a lh.n inc mmpqMltun. wll .I' rfic q ort od rh. rrud s. s nol
<br />inrsrlcl or olIsd tr sl. tsE 70.11. B!r'n6 ed Eor6sioN ( flj. l1E Codrldoai Li..e tj* d.6 nor ipply !o e o$ no oI
<br />rh.rn'r6\ \lrh k d inFr\6 rtEoa !n rb da kh *oll hiN.laor hdrlf or thmu8h his o. h- o$n drplo)6
<br />For kLrl rhai 3uch mlmroErl E Dr d6id ororls.l aor e]. lf. nrtrEs- rlE tlllltrB.r,rgmlsE 6skirih'noE!a
<br />otcon ll iotr th. o\$d auikk will hlw lh. hd.n ol lrtrling rhn h. or sh. did an hriu or iqror. ,t pNrEly ftn rtE purrr$ ol
<br />l- 6 otrF of th. F.Fry. u dclBNdy co.ndiry f, h licdsGj codrxloi ro oBrru.1 rlE FoJ.d (s< 7o4,r, Bdrs
<br />.d hliisir cd& Th. co.rr.rors Li..n!. tr* do6 nor arrlt r. m o$nd of ropd y sho buil4r .r nrprov6 lhson.
<br />&d u'ho ent ls for such Ft!.ns sirh ! ( onlEcio(r) licosal riEu,r krrh.Co'n,&loir l,icde lrw)
<br />I .\mI, udd S.tlu
<br />Drr. ()nNr MrirSr(a ffrsarla!llrgdSalla!
<br />I h6ch) irlimundd p.ralt).rFluD ot.rrh. foll,,tr'n3 d6lIar(,1c
<br />I h.\. .d will minrdn . ( d iff,st. of (-onsI to s.lf-lBur aor $ork6 \nnFsd ion. s Fordqj for q- s6ron l70o .f r hr
<br />r:bd cod.. fM rrE FfolM. olrlE r. rd {tih rh. Fm a au.d
<br />lha!.and sillrntrinrain wor[6 comr.ns!!ion insu.inc..6 r.r]utr.J by
<br />rh. ( r| fnruhrhrhLiD.nnr ir 6ecd V]trorras +,nn Mtr,n 'nrura(.ko, *z Qua. L
<br />P^!,Ndmb6-
<br />- aSz hbl
<br />S(rion 1?(K)otrh.libo.(odc. rd rh. D.rn,nnd(. o I
<br />cuis ed lx,l'(r. oumb6 &c
<br />s/,lv
<br />l.nr,ryrh,r 'nrr.Ftollrlmcof ih.roll lor*h{nrh6Ff,n 6 ea! I.n llmt dplo} mr p.e'n in at mME
<br />$ 6 ni h..om. stldr ro rh. so.t6 .onFN'ion b*. ofcdifomi,. dd .3r rhd it I fi.uld tEcom. $bJ.cl lo rrE
<br />Bort6'omp.netionpmvisioNofSalionlr00oflhclntorCod..lCEll.fonhwilhonplywirhlho*pmvGioa
<br />WARNINC Flilur. ro su. *dd $nFls.rion co|ds. i uh*tu|. rhd rndl lbjd a dpbF ro ainiMl FElii< ud
<br />'o
<br />om hundr.li rhoNntl d<nlm (tl ). in ddno. ro rlE co{ orconrEE rio( &d*6 a Foril.d for rh.be.lo ttr k 1o,(.-<?
<br />DTCIJAAIION
<br />I h@br.frm undn poElryoapdjurylhd Imli<6!ql uidd Fo\Brn ofcll.ptd e(mrnnrcins * h sRlon 70rli)olDilrnJn 1
<br />ol rh. [uffi.rd Prclsr8Codc. &n mr ltrN ! h lull l.rcc&n.lT((
<br />'r,^/,
<br />/1/27
<br />-" '(,? Lt,./,c-ra <-
<br />COXSItr]JIIIANJIIDIIG-AGEICI
<br />I h6.h! !fim un&r Fllly oa FJUry lhd rhsc is a clBlruclion L.dtra lafty r.r rhc p6LlrM.. .a rh. ktk tur snih rha Fnrn 6
<br />is!.d (sr 1007. (-'r c).
<br />AIIU(AtrLDIISJSA]IS!
<br />I hany amm uod6 podlry 6rFJuryo.. ollh. follo*m! d(ldari,'nr:
<br />Damhtnn PmnlAet c.r NolrrEdion f.nsal R.8uhois (1i'l.l(r. Pan6)
<br />Rflurcd I drdof Nor'fi.arrn
<br />I sri! rhd rh. f.d.ril (xuldioB Esed'ns BbdG r@\alM. nor rptli.bk ro rhn FFI
<br />I Ldr rr rhd I h.v. ..aJ thi! ir,rrli(ano, dxl srd.
<br />'hd
<br />rh( nhr. rn n,tuon itcnncl I aarelo.lmDly w'l
<br />rurhoriz. r.r,s|ar'v6 ol lhB Cily dd t'"d, 6.ra ur',1,h.
<br />6 lrq/rZ
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />lns u la tio n/Energ y
<br />Drpvall
<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 />I
<br />FINAL 7/tt/t7 &tt,I
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />DATE
<br />ordir.n.s nnd sr.t Lrs
<br />bo\. mdrhn6ip(Fd' aor
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<br />Framing
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