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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE rD/srG.COMMENTS OWNER BUILDl:R Df I('ANA ION
<br />I hd.by .fnrm undr pdahy of pdiury thd I en .rcmpt frcn th. C.ntacloG l-icnc l,s for lh. folbwi.S r.en lsLt.7011 5
<br />lr6ilB .,n t\ofBb. (o&) Anv Ciy or Coof,) "hth rqliE . Fni ro c.rdru.r. dr6, iipr.tq damlbh or r.p6u &!
<br />nddur., Fbr ro irs i$uuc.. al$ rcqur6 rh. E)phcet tor su(h p6irr ro lilc a $rNd $dmor rh, lE .r shc B hctu.! pleAil
<br />t, ih. Ift,vi.ilG oa llt C6msld'3 Licai.d tis {Ch,{nd 9, ( onmmins *nh Scrbn 7000 or Dn ilnn I olrh t}trrns ..d
<br />PmaerioN Cod.) or rhd lE m rn i! !r.nF rh6.from !,xl rh. h6! for rh. alkxcd HmI,lFn Any riohtionotsd1ion 70rl.J by nny
<br />.pplicut aor . Fmn $bjdlr th. 4pltrut lo . c'\il Fultr. of not mr. lha li\ . hun&cd &,llts {l1m)
<br />L B omd otrh. FoFry. or my .mplolE wnh ws86 B rh.n $k comFNrion. f,iI & llE wod srj fi. $nElG b ml
<br />i 6&l .r or6.d ld $L (Sc.?Orr. BlG ed ProfdioB ( o& 'llE Co r*roa. Li.e t s'd6d{pl}heouEoa
<br />th. FnFry who Uiil& or iiFova rhaatr !d sho do6 sh ert hihr.lf or h.Elf or lbrcllh hir.r hs os drloyB.
<br />Fovid<j lhar sch inFoE a$ G ml lioxt d aroltalj 6r s]. Ia btrw6.llE tli$ry .r EslEEi a $ld *.hit.E yr
<br />oa@npldhr llE ()sE Bni&a sU h&! dt h,rld' ol F!$s tht h. or ,E dd tut hnld q i,rFD\t lhc FiF! fd lrr FlrIE or
<br />I. ar oue of rh. Fopdty. m .r.lGi!.1, co.rrdinE wilh licar.d codrdos to connrud rlE Fsjcl (Sc. 70,14, &*sB
<br />.d Eotusnd (-o& Ih.Co r&lois l-ic@ lru &6 nor arrly to s ou'n6 orFoFry $ rr, boil& 6. ihpdd rh66n.
<br />dd *ho (odrrl! ror rud FD.r.d3 wnh. codri<ro(s) l'.ded A drothc(o rdo..LkruL!f,).
<br />I m.rmF und.r sdir
<br />D.t. Oinr
<br />notu(f f,s-('oitaf, Ns^rIoN
<br />DICI.A.8AIIOT
<br />I hq.b) dmm undd Feh) of Fju, 6k of rh. folh*ins &.|& bB
<br />I h!v. !d will dintrh ! Carifrlr. otcoenr ro S.lf-lBU. for *vL6 otrrpdlr 6.. a Fov'd.d for b, khn l?ur of llE
<br />Lrbor Ctrl., fn rtE Ff6lM. of rh. hrt tm qtrh lh. Fmi ir isu.d
<br />I h.$ lnd snl mxllri uortd sEFs.rx,. 6Ul!rG. B i.qunqi h s.dnn 17m of ihc rlbor co&. aor rlE Flon1m. ol
<br />rlE *ort for which fin FDi i! isu.d. M, *0116 @rtqBdron i6uru...rmE dd poli., mmb6 &c
<br />%h. Eue. 9:o4V- r 7 ,/t/*
<br />I cdify itd in rh. Flolrffic of rhc rorl for qfith rhis Fnrn i! sucd. I sl6ll ml on loy oy Fen in Mr nEF
<br />t, 6 lo bq:m tutier ro rh. s on6 conlEat ion li*i of Cdrtom( .a! .sc rhd if I sn lll b6oft subj.( lo trE
<br />$0&6 comFsrh. pbvtioreolsalhn l?00.arh.ldor ( dlc l lrtrll. forlh$ ith.lnply wnh lh's pmvisio8
<br />$ARNINC: rnE. b ffic sorl6'onpqdFn orsr*. 6 unhstul. ed rhrll ubj.tl d .nlrors kr ainin l FrrB dxl
<br />crvil nncr u, l(r onc hun&.d lhouud dolle {ll00.0ur). in iddnion lo lh. cosr of conp.Mrion. ds.!6 d provid.d lor rh.
<br />Sdion 1076 ofrh. l,hor CGi.. inlsd lxi dlorrEv r fc'6i-to-ra {
<br />l rci-rtsFh (oNTRAcTon
<br />DECId8AIIAN
<br />I Hry lalm un<ld FEX! or Frury rh. I @ liGs.d und6 Fyabn of (-h.Fd I (coffiin8 wnh Sdliofl 7000) or lr^ ai.n r
<br />of rh. Bcin6 ed PmfdrN Cod.. axj my lrcN t h fult t c. a,l cfi<l
<br />/3 J-z 7
<br />/-r.r-,7 (.on, dm X-
<br />CONSTRUCTION LFNNINC ACEN(TI
<br />I had:y Im un& FEt] of FjuD- rhd rhc. ir i @tt,ru<rih lddnl8 .Ec, tor tlE Fftffi. of tlE emt tt \ hth rha Fnr ir
<br />isu.d ls6. 1097. Civ C )
<br />AIEU(AtrLIIICLAAAIIO!
<br />I hadt rrmud6 r!6!b ofFjun o of fi. fdtld*rng rt(.hdio6
<br />l).mlirion Ps,nils-Alb6ro! Notilic.tioo F.d6!l R.3ul.noN ('l (1. "10. P.n6)
<br />R.q!n€d ldaof Nd'6dion
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<br />I (d'S rh! tL fdd.l r.suldFB Esrdus Bbdo ,mr.l e tut 4tlubL b
<br />'h! FDd
<br />fur- t
<br />^r,.*,*rfplE.,E. '.d rd. rhi rh..lE\. inrodbn i! cfld. l tsre h @np,r'qs'rh.ll cn' ild Gury
<br />ordM. an{ srd. trE Elr'ns to ttuildi.8 .odtudttr !n h6.by rdh.ie r.FsidN6 of lhir Cny dd Couiry to d. uFn
<br />'lEr\,. trd,rnrJ,irNlr\ r.{ tr' , ,,
<br />.r,,',,,,,,,'..-.,,,.'r,,r,,,,. X 44*t2 Lr r.
<br />P{ri,Nnrmr(p.in,):A ZZt"a-<a //*
<br />//4.,
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq '7/</t+ ,.*du-ef\)<..6
<br />Shear Wall
<br />Framrng
<br />lns u lalio n/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 />- vlwl ff ,.D(5r|EIU vnFINAL /Z 'TM+1{Y\A./N1 fru0,M)JAx
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
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