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BUILDING- INSPECTOR RECOHD
<br />SITE-WORK DATE ID/SIG.(|wNl:t aLIl.oER Dl.:t_(-aRArl()N
<br />I hd.hy smnh und{ Fnalr, ol rcrrury rhlr I am .x.trfl lom rhe antrrrElon l-tetr{ lis nn !h. nnbwiig r.s,n rss /011.5
<br />Bu\irls drl Profcsi(,n tixlc): Any ( ily or Counry uhi.h rcquirc! 0 lErmi l. con{rucr, rhd, in{tn,k. d.nmlish ,{ EFn atry
<br />{d.tur.. tri,ro ir\ rrucc. rl$ EituiEr tlE alplaiol ir luh lrnnn n' tilc r rilFil nd.mn hd rtnr srE is licctren PUNlnr
<br />k, rh. In*ir$ns ol rlr (',,ntr.1tr. I-r..ri ti" r('t!l n 9. ao rnxrrn8 wth Sr.rnn 7U,O ol Dn6i,n I ofrtE Bu{k\i..d
<br />Pnn (irn(Codc)or rtut lI.,nE i\.tcq rllacrmmlLl rhc l4is ntr !h. !lh8.J.kr?rim /\., !*rh' r'n.f Sdi'. ro.r I Ity.ny
<br />rppl'crd rin rFrm \rhj*k rrr rlpli.inri(,d.,vrlFnnrryorfr fr{.rhM fivc hunnrcd 'rolles lttrx))
<br />_1. !r o*mrolrlt rioF ny. or mr .,r'th}irr sir h *!sc\ !r rh.r {,k .onlltnerhtr. * dorlEu turil,tertrmNnn
<br />rhkri roficr.d ri, skrsr 7tl$. Bunr(.!.d lrt,lc<r,B Codc l1x (ir{Eror'i I irtre ll*drrft, {f,lyro,nort.ol
<br />rh. Inttsy *ln lxill{ (' qm6 rllEn r s h, dG ufi xD& h'nMlf or h.r{lf or lhn'u8h hn r hcr o*n.mpl,ye\
<br />ItuvikdrhtrrrEh nqn*cmnFern idclild o..lT.Rd nn eb lr. h'*.rs. rtE hitlina or iqnNftdnq*l *ihinok !t,
<br />of$nt'brion. rhc Osdr Boiud witl hnr rtb t d.n !f florii8 lhd lE or \tu nil ml hrillornqnovc rhc pmFny for rlt PxrFr of
<br />l,.ro$mrofrh.tnrFnt.mcr(tunlcl!ro r&163 gnh la.n€n od,el.r i. un{Mt lrE Fr'tir (sd ?lxl. ah!r$
<br />lnd lh'hsih(ixrr lh. ( o.rrtrtr'i Lrrns. lj$ d,r\ rn 'm,lyn, 'ntrskof ltr({Enyrh. burldr rnl|lmE\ rhcrcon.
<br />r d *h. .o h.(lr .h |ln,F(rr snh . C.nrr(tfl r r lrcnsd nu^u.r bln( onrrctn \ Lk.ht lr*)
<br />lrNcrchpr uIdd Sdi,,n
<br />Il8li!8sitlltfL)sArrc
<br />DI'CLAII"A'fI(IN
<br />I hdd't rliirn unrlcr lttrrlryol pcrj,tryonc ol'rht n,l! '$ int ,lc.l[ar i(tr^
<br />-l
<br />hjE .td *ill drnrlln . Ccd ifr{i. or (itneni h s.lr ln\u'c ,r ${kdr .$nFn€rr6. $ Ftvilcd r(n hy S<ri'n 1?lI) ol rhc
<br />tltrr (iiL. tu rlr F.fnltre ot rh *(t ror *hi.h irE rmir ir 6\Rl
<br />_l hrv. rfrl $i!l,nrinilin {orkrri $nn nurtr,n rn\urtrn.r, !s torluirklhyScction.lTlr)ol thc lrlxv (inlc. turrht Jx1l(trntrtucol
<br />lh.uortntrwhirhihnlf,rnriri\i\\kdMyso crr$ n iqrion ir$in(t .nicr i Fnicy numtr$ lrc
<br />,""", ' fLrhraOh, /hnJl*
<br />,.,',,,t,,,,*, . bt) gtt 7t z - u'n,". ' t7 'llC
<br />I rcn,lyrhar rn rlk FrhtrrmnccolrM uok ior rh{h rhn pcrn,i n n{f,d.1\hxllior c'nIkry itr} lfr\n inonynuntrcr
<br />w, rr' Nl-om shl.\rn, rlE *ortd\ Lrnqrndxrh lr{\olCrlinnnr. n,$Nrhlt r,l \buld tE{oN rhF_r hllt
<br />*d*d\ d,orlrner rn, pn'rrnnr of Sd! r,n l7m ol rh. l/tltr CdL. I JEll i,nh* nh .otrglly virt rlllr' p(\ Fmn!
<br />WARNIN(; Fail!'. n, rrw worhrh' .ontEn'.ri e"tcd3c is lnblful. lni \hrll \uhF.r 'n .q'['F. t, f,m.ll lr uh.\ .ftj
<br />.i!rl nN\ ut ro ur hundrcd lhoulrnd dolloF ($llx,.lixr). in rddli,,n l,) rhc coi olcomFnernrn. drrMl..s 0s p(nrlcd lhr rh.
<br />S(rr rlrT6flrlr 1.,'lrrC'tr|c. i tr({itr,lfioner- \rLr\/*ra2-28't6 ,u,,,.",,'l qy'u/
<br />Lra\slt, r-()\ I t{r( t(lR
<br />uEgdSarltrN
<br />I h(Rh, lmirn undn n niltyolI,. jury lh{l I am lienql undcr ,n)vi\ion or(}apr.r 9 ((,mmmin8 wilh S$lion 7(lx)roal)ttion.l
<br />or rhr Busi*\s n l Pnrra\ionr Cd.. el my li(cn€ | in full i.rc ud .lllrr
<br />,..,,.,,,.. - ct1
<br />,',,"' ,Z'2r' lg
<br />b75 7ri
<br />,-,**"( br.rdr onl ?.yl ryd./,e,/ V-c
<br />caxlrBlj(11Q!..LE!Ul!l riEltr
<br />I lErby rln n undc. FMny of p.rpry rh.r rlE r ir r o.{Mirn hatmt r8cfty for th. pcnrmN o, rl! * tor whi(h rhF Fni ir
<br />isu.rl (sd lsir, civ ( )
<br />AIELITAdTIEI;I.AEAIIAN
<br />lka+r,inmundcr p.nsky of FcrJUry onc oI lh. fdk'whr dLsldrari'n\
<br />lxrnirn,n fern ri A\tr{os Noxti..rion Fdcr.l R.luhti('N (Titlc.{). Pln6l
<br />Rqur.d t n( of fl{t.rnbn
<br />-l(ni,ylhd
<br />th.l.J.rrlrc8ulj otr\ R.Exkl'iSr\hiio\ rrnx)vrl r turtrl,plf,ihL ri rlrN fr,r-tr
<br />l..n'lr_rhrrlhr.rcrlrhtanpl(irronrl{i(rhlrnfJh,rri Ir8rar,$t,t'lrr IrllCir\it(l(-"u rv
<br />ordlkc\r"rlSrJr.l-t(\'(hnBn'hnklrrtcotrnNrr{..nih.r.h)Nhtr'7.rrfrc{trrxi^r\ofrhACr,xxl(,nrtn,.d.,lIrinrlr't.z!
<br />^ndrrn,.rlscn,\irnd,ure AZ-/J4.-'---- o^" r Z - 28 - /6
<br />p.m,FDm,prin,,: /- ttltitt,lA- GUtt I
<br />Set Backs
<br />Fo rm s/Stee l/ H o ldown s
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/lnsulation
<br />Rool Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<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 />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL q-,/ - /B -(/.(>1=fiq)
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc
<br />-+
<br />COMMENTS
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