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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER AUILDIiR DI:LCAX TION
<br />I h.rcby allirn u d lEn.hy of pcqury rhsr I rm lrc'ry'r lonr rhc (irnt!.tra t-kcn{ lf,* ktr rhc f,'lk,*mg rcron rst Tt}ll t
<br />Buiftsr n Prol.sirn Gxlrr An, Cny or C({ntt $hrh r.1u'B i Fmir n, .nnctu1. 8ltd. rnp!,vc. d.mli.h o ,cIE rt
<br />{ruourc. Irh. t) irl i<uer,.ls, Errutc\ llE ll,nli.ld lnr \u.hrEm'ilb fi!:! riitd {{rrftir rhrr rEor {k i( rrcnsdt purruMr
<br />b rhI |mr!ti,n\ ol rtr Contr(ro Lmn<.d k* (Chanr.r 9. (i,nnkNrn8 * h S.cti,n '70(r) of Oiriron :! ol rli auiitur ,nJ
<br />I'rolc$rni(ixl.rorthzrlEin clx r.r.n{,t lh.drom.d !|r ttrn\ nnrh LS.n er.q,ir An, t iohrion of Sd.n ?0:i I Ihyrny
<br />rnpli.anr for ! p.mir clhr{F rhc rpnliont t' uciriln(Mhyofo'rnr.rhx.livr hutrdndd.lldhl$1(r0)
<br />,.*osk.ofrh.t'oFnt.ormycryblE!uirhr!A$$rlxtrq'lcotrycn\.rion.rilldorlI$orllilrlE{dmtn,l
<br />inhlcd !ron.Ed ror elc(S$?l}r4, Businc$ a ltolcs\i'n\ C{xlc 'l1r (i,nrrr.rd r Lftn- ll* dB en o.mly to !. .sBI ol
<br />rlE ,nFny rh, h'ld1n, i'lthE rh.Eu dl *h, df,- tuh rr*t h'n*lr!r h..rllo. rhniu3h hn.r ho ow..rlf,l'kci.
<br />tm! ilel ih.! suh invov.nrnrs m r, inrcnLd or oniEd l,tr sL lt trrcwr. tlt hoildinS or nn0n,rcrnt k s,h r h'n otu )ur
<br />oli,,q'Lrbn. rlt (h K Euiur $rllhsE rlI hnLn.frorin3 rllt t {drddn{t ld r nr{mr rtx [,rlFn} tu ilr F I$rof
<br />I a\ o*m, of rli Fl)Fiy. rn .tcltrlr.lv conLr.r
<br />'nS " irh I'cctr{n .ont(r\ io ro {tu.r tlt pn!.d ( S€ 7(14-1. tlu\i'$\
<br />Pnnra\inr Cdld Thc Cu0[..ntr \ l-i.ctr{ l.r$rn(\ tur rt'nly k, rtr.trner ,nt ncn, *ho bu'l& or imFrrr\ rho.oh.
<br />antl *h. ..nt.d!ntrsrhF,A1\sirhrcodrN (\)lrcn{dpuru hitr conkel,{ \ l-..n< lr*r
<br />-l
<br />nNcxcn,pr uBlcr sR..ri,n-
<br />t/lfcD,/
<br />Dt"!Ll-8rlIl2I
<br />I lxrchy rlirnun.ir p.Bl'r or F!ur! om or rlr ldk,rinE &{l{arinn
<br />-l
<br />h.vc el sill .Einrlu . Ccn rftlk or (ntrrnr n' sclf. lFurc rry *nrllrr oqrnd nn, r\ FoviJdl ror ht snrkin l7(xr o, tlE
<br />lrr{ Ori., rd rh. Frft"ftk. oi rh. wo n, *'hkh rh. Frmir n i\\f,d
<br />_lh!\.ddqrllnuitrrlintrorlc^.on{rn\rriirnnurnm..r\rqomdhySrrriur17U)ofrhttihur(inlc.ktrrhcpsntrrunccol
<br />rhu $orl lor $hich rhis |Ermii i\ N\ud My rok.rf .onh-r\d tr)n in\urrN. ur url F,lay iun$(r rc
<br />I c.n irt rMr in rhr F rri), rBmc or rtr tr.rk n{ shich rhi\ F, mir il isuc!. I shall oor Unlk,! r y I,.^un mny mtrncr
<br />v, us r' lEonE rub,ed ro rh. woikd\, mnrllcnsuti,'n hq\ or C!!fomn. !n,i asri rh,r if I .lbuU hdtrft rubF' h rlt
<br />r o.I.^' (rqrn€iin Fot i\io.\ of Sdnn l?(x) ol rtE t.Jb. (in . I \tull. nln h*irh nnnply wirh rlh* pR,vili)nr
<br />wARNINC Frilurc x' s..-urc aorkc^ .ornrcnqrnnr .\'vcrasc i\ unltrurrl. !frj rholl subr.rr .n .mpr)F h dmrul FEhis u{
<br />crn fiN{ up lo orc tuodrsl rhoue'il {t,lLB r3l0(i" J r)n n, rh. .o( !!t Lomlliertr,n. drtru(cs !\ I(trrlcJ n, rtt
<br />SNrion 1076 lrrx l) nr (ixlc. inrcrcq r.,l3r
<br />l/e E, $r y
<br />Dr:rlJ$atrlii
<br />rnn.r pn,! wo'n Chrlnd')rconnD,rrnt trirh s..ritr' Tirr)r or Dnhtr,n II lr'.hv rllnn, unt!rr tf, nrlrr or N M v I
<br />or rh. Bun,f,( r l rlof.lrrnr Cod. nnl mv ltcnr
<br />C(INSTNUCTI(IN LENNINC A(:FNCI
<br />I rreht afrm unkr Ftulr, of F Ju.y rh.l rlE. n a Lu{Mlr'n lndins rs.E, ritr rr* FrI'f,'lm. dtrh. xfik I'r \hth
<br />'his Frm i\
<br />irrkal rS\.- :1097 Ci! Cl
<br />AIPIEINIII&;I.AIAIIO!
<br />I rrrhy 0mm und.r FndLly of Frjury om olrh.IolL$in3 dfthrar$ns
<br />Ocmn irn l'crsrt\ All6tx M ili.'r-n lrd.rtrl Rrlxbri,n\ (Iik ill). PM6r
<br />-lt.qrrcJ
<br />lrtrcrnf tli 'f.ari'.
<br />I cdrlithur rh.lidcrul rctuldions Eg lin8 astr{o\ rc.mr ul rrc n, a$lf,abk to rh( nbj.t
<br />_l cliirrrh.i I hrrr rcad rhir llplidrnr d ndr. rhtrr rhc !tr,v. nrforntrron F c.trcd l rgN ro d'mply wirh lll Cir y bftl (bunr,
<br />onl nJ'f,.\.trk] Sr. . l.'$\ rrl.itr ihin8 .oNu1h6. {rl ttrhy rur nr uc rcF.cdrna\ n( rhN Ci t r l Cou ry k, .nr( uF,i rh
<br />rlrtrr nrnri!trEJ nn,F'rv lnr
<br />^p0li.{l
<br />0r .tarnl SIrNlu 4 fr3tl
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/lnsu lation
<br />Roof Shealhinq 5/'c/ts ,'0 (4tsswr;!l'
<br />Framing
<br />lnsu lalion/E n ergy
<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 Cerlif .
<br />FINAL 474 qt,lft i Da 'tttn)41
<br />Certif icate ol Occupancy
<br />Notes, Remarks, Etc
<br />Shear Wall
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