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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.OWNER AUILDER DT:I,CARATIoN
<br />I hcrchv rtltm uR].r ncnalry ol Frrury rtur I !fl.xcrnfl fn)N llE (i,nkrtuF l i.cnc lrs li)r th. loll,'*iry rcrqnl (S& 7([l J
<br />B!\in r\ !d Prol.$i{ Coi.) A.y Ciry or ('ou{t $hih ftqrn.i , Ftu t, lr'nnrud. .lt(. 'mprut.. &mlt'h o, rcIEn lnt
<br />{Mu.. I'rtrlo \ ir{uaR-'t. rno k|umr rh +rlaanr ktr rNh IEtn n' fitcI r3tud silicmnr rh.t lroi $c 6I'ccnEd pur$!,n
<br />n, rhc F,vi{ons ol rh. conrrackn r l-iccn$d liw (Chnnr.r 9, Co nn.ftinr *nh Sslion 7(lx) of Divhxrn ] oflh. Burinc$ on'lr
<br />Pn,icsinF (o{c) or rh{i lI or rh. t rftnDr rh.((rom !frj rh. b!.n n,lh. rllcs.al ckmpoon Any vmlalionolSN'ion?o.rl5 bylny
<br />rpdiunr fttr, p.rm {b,..B Itr rrplic. b!riyilFEl'yorr mtrc rhd ln. hundEn dolbr rlHx,r
<br />l. r\ o*nd ol rhc pn'Isny. or n,y c {,lo}t.r *[h wr[r\ !\ rh.ir vnc d nt'cn\lriur. N ill dt, rlr *oik flrl rh. {rudm $ nn
<br />irrcoLrl r ott rcd 1,tr sk ( S( 7(114. Busims md Pmlc*i('n\ CftL 'l li' C.nk*1ni. t.i\n€ I iw d.cr nor rnlly h, m dwm, of
<br />rh. FnFny rlrr horldr lrFoK rlIE,( dl $lh d(Fuhf,!* hmrclf o.lErEllor rhR'+h hn or tr or n .rgl')tc!-
<br />p(ritLJ rh.r ikh 'mrnNmds e n{ ht.d.d,r ofi*{ ri, qE ltbftly.rlth mEnrfF lnEd n sl] *irhin.r )^r
<br />.rcompLri,'tr.lh.()*ncr lloil]f *rllhir. rh. t{td.n ol pn'vr8 rhd lEor{kdil , ltuild or n\x,E rh. tolrry lot rtx puqiM of
<br />-l-r!urN'ofrhcpnlmt.r
<br />r\.tuinrl!_ (ontid rB n,h l(cnsJ .t drmt,F n, .rn{tut I lt tlo).d rSN 7l!.r Aon,ts
<br />nd Pn'lt\\ni Cdi. Ih. C..hcttr r l-icc.\.l,rwd{{\ noi rpnl} kr $osn$.lln'lknyrh' $urlfior mpn,!c!lhfidnr.
<br />i d nho .onrud \ lin \u.h pn+rrl uirh r (i,nrrr.ttrr\) liNn{'l l'u^un iolh.(itr rtr.nr\ l-rrn* t]s)
<br />I {ncrc.B urLr Ss..inn
<br />Kuu. .,'r'n,"rnr',,,n
<br />rl:l;la8all0x
<br />I lErchr_ rrlnfl unJcr FnahrorFrl$yoE ol rh. hnh*13 dsLftii,n\
<br />-lhnvrurluilln!'inhi6,Gnirf,lrcol(inrr
<br />lo Sclf ln\urc in wo.kc^' .onltnerbn. !\ Pn'vidcd6rhys(ri..1700olrhc
<br />l:tfl (ixL. for rhc F li,rmtr nf rtk *r,rl n, tr hah tlE tErnir is i\ual
<br />rhr (r'l 1,tr $hi.h rlN Fnnil r\ N$.tl My tro'[.rr .oaln.trL,rnnr i,Nurntr...mirr urrllxllty nun,tl.r rr
<br />I.cd'rlrh'r inrtE lr.formN nfrlt *ork kn chth rhs Frmr F NlEl.l \lBllB ctrli(,y rny FJgn 'n
<br />.nJ_ m'Er
<br />$ s b irrom \ubFd r,' rlE *orls\ sr{En\', D. la*i {l Crhfnrnir. rntl rgd ihd 'f I \h{ll h.c.E qhFr t' rh.
<br />sorlcn' (rpcns irr pmvnion\ol serion 17(x)drrh.Ijhtr Codc.I\tsll. Ldhwrrh.omtly wih rlns F,tirions
<br />WARNIN(; Frihrc x' {curc sork.B mmltn{ hn 3tv.n3. is unltr{rur. afil \h.ll suhr{r !n cmpk,ycr i, rimiml Ir rhics and
<br />.Nl fim l|t lo or nundr.d rh,uvnd d.lla^ lil(lr.(rx,,. in fjd $n L) rh. con ur.onYEnqrion. denES$ er [ord.n lor tlE
<br />Ssri'n 1076 nf rtr lrhn CtL. inr.rc{ lil dtnNr'c l*(
<br />nrr,U"r,l
<br />r lt*t 'r)c(,\ll(rl r()R
<br />Dlil.u8r!0
<br />J)uryrtut I dnr lr.cnqllRkr pmvNnrorChrtrd
<br />Co(lc, r l hr lir rc rl nr tulllnkr uxl clfu.r
<br />I h.ahydlllrnru (r tf, rh)olF
<br />, rr {!r llu!trs. rrr rr,,ln\i, Nra)
<br />9rdommmtrl3 *irh Sc.!r,n 7fi)) oI l)vrion:l
<br />lollrBl,ll]u0NIllDllc-trcllcr
<br />I h.Ehy !'lirr udlr ltnalryorl.r]lry lh{ rhft n. con\lru hn Ldi'rs Ls.h_y tu rh. Fcnormmc ol rh. *oik ror rhi.h lhh ,tc nrir i\
<br />l cdo . Nrnr
<br />-
<br /> PPLICANTDE('I 1T{TI(TN
<br />Ihdrbyrflt und.ri.n!ll,ort(rj\n,oft otrh.h,llowrnrd.cl !ri('n1
<br />Dcm'lirn,n Prmx6 \h.(n\ Nolrlillion Fcd.rrl R+rhr[n\ (Tirl. {r. P.n6)
<br />R.nuftd kn.r ul f*afE,ri'n
<br />I\(r,r\rh.ith.n.,j rlr.$hrtrttr\r(0nloIi.h-n^,.nr^]lr'.ri,,tInkJlinrirh^f','tnr
<br />rl\tr. '.nrnI |n!t,.,t\ l!r i',\tn\ru, pu'tr\.\kru'lii,nt "' \Efd \itrtrduF /\
<br />Forms/Steel/Holdowns )
<br />Erection Pads I \b
<br />UFER Ground )rlw
<br />9'
<br />Subf loor/VenVl nsu lation ,]
<br />Roof Sheathino r-21 Y,h,,t/60
<br />Shear Wall Sttd -tt
<br />Framing -\
<br />ln su latio n/E ne roy I 7-1-tO t)/4 J44
<br />Lrvwa[-------V
<br />Gxil(nt)ratn 7 - 1 -,t ).odql rc-+- tk
<br />B-rowi-Coat a/
<br />*4as6-nTF lqtpdc+r hYad)
<br />Pool Fence
<br />Handicap Req.
<br />Deputy Finai Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL t,-6-t Y.WdI
<br />Certilicate of Occu an
<br />Notes, Bemarks Etc
<br />-5-?
<br />COMMENTS
<br />Set Backs
<br />l) 1'
<br />SLAB Floor
<br />U ,w,M
<br />4\a-.1ft9
<br />gTIIY
<br />T-Bar
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