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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS O\*NI]i BUILDER D1:I,('ARATIOII
<br />I hd*! .lTm unld FBhy of Fjut th, I m .rnF ftod lh. ft,drsroE' l.ke ll$ aor rh. nnb*oe rarii lrid Trtr !
<br />Bosn6 atrj ProfdNn (-od.): Any Cil, or (irdv *hi.h Eqotr6 ! Fni ro codrud. ft6. mrr!\.. &sol6h.r rqbr o,f
<br />rudd( Fi'. lo itr (u@.. .Lo r.qun6 rh. iprlrer ror su.h rEmr h fir..3{n.d ri.:@r rh, lE or rh. i! liGen pudrMr
<br />k rhl Fovnn\B orrrE Oorrlclois l-'ccnsd l,s (( h.Fs 9. Com.mris slh sdrFn ?q)0 dl DnBion 1 olih. Btrsin63 dnd
<br />Pmf.sio.s ( od.) or rh.r h. or sh. is .r.mfl thfi.arofr dd rh. bd.h aor rh. .llq.n crdflion Any viol.rionofSdrior?ull 5 h) iiy
<br />opplicant lorrFnril suhjElrlt spplicanlto.civilp6allyoamr!nor.lh fi\.fiundr.dd.lls!(tto(r)
<br />l. B osm.frlE F,Fnr, or ny alphtG rdh s+6 6 tlE; $k srmFditn. trill&r tlE snl -d rlE tuE ii mr
<br />diqd.d c o,tdd ,c r]. ( Sa 7044. BBiE mJ ftlf6hB Cod.: Tl'. (tdEo.! LtG l.\ 66 tur +?lt. ro & orr. 6f
<br />'lE FlF ! nrr horLl d rrylt6 rlE6r rn *b &6 sh rur hrnMl, or lEr*lror rtmuen nn d ls oM oplor.€,
<br />Fovid.d lhd sh uirN\d1dr e mr mdr]ld o. ollad 6r $L l[ L*6r, rlE brUirB or nr{m'ffi ! ild $ihh oE }r
<br />.f onplde E ()$c ltnlrl, "il h.v. rlE hldor orF.vrE rhi l! d {i< dn m| lniB or irqtu\t rh! trrEry nn $. puFr of
<br />L a.ren(orrh. Fopsty, o .rlBivrlt .ont.(in! *irh lic.Nrj (otrxrc1fn k, codrucr rh. Fqd lS( 7014. Bunndl
<br />rd Eotsih ('od. I h. (nnr*lois L i..m. l-.\ d.6 .or arplr" t, rn .$ n6 .f F.Fny who 6u rld, oi imFo 6 !n6Fn.
<br />.nd \rF .odrdr ror ruch FFj<ls q h!((n rrrodstltrqu.driuRudbrh.(ontracloa!licoEl.{)
<br />lon.rmr, un&r Sdt$n
<br />D.t. (r*nd
<br />n (lr{(liRs, adnrPrNs^ fr(rN
<br />DEC] AEAUqX
<br />I h(.by amrm unrl6 !.ndr, of Fjory on. of rh. fdlo*in[ dckr.rions
<br />I h!!. ald sillruid.i. r CdrfEr€ of ( oluar lo s.lf.IMrc for $ort6'.omD.Miotr a D.oridcl for h,' S.(ior 3700 of rh.
<br />hbor Code for rlE paf(qrlm. of lh. tr.rl l $nrh th. t6nn n is!.n
<br />I hr\!.ndu'llmfinrln trorld comFulirn '6ur.N.. s rcqutr.rl b Sd{,n r7ulof th.Irin(od.. tffrh.Ff.'m&.oI
<br />rh. rorl for *hrh rh6 Ff, i u_Alrd Mr 9{'r ' t nm[]Mrn'BU'n. (snF rd polx ] nunln r.fitz /'trtr)
<br />n,.,n.l*-. ' 1cSq sf y- ,.,,,^ /3*^ /-1?
<br />I cdiry'hd in rh. Floffi ofrh. *orl f q hi.h rhii Fnd L bso.d. l sh.ll mr dpht .nl pcsn in .n! mdE
<br />$ d to b.roE tut d lo lh. vrrld' comFu F. Ltr3 .f Cslitomi.. ml qrr lhr if I 3touB tEroG !ub6l lo rrE
<br />r o d oiFdnn FrviFB of S.ci$ 1700 ol rlE t bor Co<lc l Cr,l. aonhl nt .o,ply l nh rEE For 6Fnr
<br />\tArNlNG: Frlur. ro s@ xGld NnFsrrn .or-rs. ir unlN ful. ,al rh.ll rbj<r m dnFhts b cininrl FEhi6 Md
<br />ctril lin6 up ro .R hudr.n rlk]usnd 6l W4:n'.. d.m.36 d Fovd.d for rh.
<br />r.r t iF+ torrrrr rrrr
<br />lrt:( l-tRt tl()\
<br />I H,y !flm !.dd FElly ot psjury lh. I o lkEE d u.d6 p.!r thn ot (lhqr( 9 (snnftinr * h sdFn 7000) ofDirirK,. r
<br />of rlE BrtilB.,vl Pr.a*bE Codc. lrl m, lrru is n tull aor !n.l[<r
<br />c37 o J/
<br />D.,. '/rt9-t2
<br />I hgtt,ylmdun&r F y otFjury rht
<br />'hd.
<br />i3. otdru.rion ladlu,sfty lor rh. Ff('lrre.6ltlE unrl hr $nkh rhis Fm. u
<br />\soj {Sa 1007,(i! ( l
<br />ATEII(ANLDECI.ASAIIO!
<br />lha*,y rilm undd Fi.lryof Fju] orc of rh. nnhwi.r d<br.rir.r
<br />I).ml'rio. Ptuit'AtlEro! Nofificartn Fcdsrl R.*obr F.s (TitL J0. Pd6)
<br />R.quftn t!r(orNd'Lnird
<br />lcdrryrh8l rhc f.{mlrquhlioN rcsedm8.!tBr.r rmor!le. n.r ippl'.ahl.ro rhs pm)d
<br />I (cnily rh llh.Bdrhisanpii.atn)n * n.r \,lrtar lrsr.{h.!,trr,r\ s h ill( il!ard( r,trtr"
<br />o.dinan.6 and sr.rc Ii\r. rhiu ro r.f'(5ari\6 oarhh ( i'y od aounl! lo dld urnn ln.
<br />.h\. mmtion.d ,".F1' ror
<br />,!pplicrrl or..\dl \tnrlur.
<br />Pmilft 6.n. (prinll: l-
<br />/ k/f:/2
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorN envlnsulation /
<br />Roof Sheathing W /17 1.'Va.r '(.71t 11Y
<br />Shear Wall ---T--
<br />Framin s
<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 />Flood Zone Certif .
<br />FINAL lL/tx /r? 5.rxru'I4L 44
<br />Certificate of Occu ancy
<br />Notes, Remarks, Etc.
<br />scrrcn r07o rrh. rrrlll.d.. mrig M,r {rM
<br />,,.,", /i-/>-1 /
<br />"1,J,,,
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<br />Engineer Final Report
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