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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OT4ii{F.R AUILOI:I DEI.CARATIoII
<br />I rErcl,y r nm u ld Fdh} rn IErJUrv ihd I m.r.i{i rr,n rh crndktri' l.ftn- liq lor rtE f.lhriry E.w'n lS€ 7lr.tl J
<br />Bu\incs In Pnrlrlnn Cnj.) Any (iry or Counry shih rcqun.. r Fymn ro ..n{Ml. ,116. imprtrr. &m,li\h or mp{tr aiy
<br />{rucrur.. ttrirt, ir\ tr\uaNc, dl$ rqx(: rhclpplicanr I'n \u(h lrmir t, riLd {i8ndl ntrrrtunr rhf,r hcor $. N li..nrcd pursuotrr
<br />t) rhc povnn'n\ of ltu Conlrsln \ l.i.cnrd L]lw lchaFlcr e, (onnErcin8 silh Sc.rt'n ?(xx) oi Divi\ii,n.r ofrhr Blsincs\ and
<br />l'ron$ion\(-{ crijrrhor lEor\hc ner.ry'r rtcdromond rh. hl\i\ turhc llLsl{.rcnuinr Anyvi,hrnrnolS6.'rb.70.1I5byany
<br />applican! (, r lrmir suhFcl! rlE .r!flli..nr r,' s civil r,.Mlry or tur mrc rh.n filc hu,rlrql &'l16 I lttx,
<br />l.rolNr,'frlrrn{rn!.ornrycnlllt)r$rs hqae.rx.rtbrq,kr,nFn{ri)n.* ld,rh.sn*.nlrlE{ME6mr
<br />mlc n nr [rrc! l(tr elc(Sa 7l] . Bu{E( rrd Prolclvrn\ ( (rk fh. (n.r nn 1I.cn( Lrs&E\rn q'plyt,rnocErol
<br />rh rr,Fny rbt ikknr mtx)B rh.h)n. n wh' irf,\ {rh qorl h,m\.lf or h.rslf or rh(,oEh ht .r tkr ow6 tmlkJycrs.
<br />|n,v dlrhrr turh i'nl,trwnrnrq m frf inrmldl orotlir ntr {h lt i.rc!s. rh\ h,ilinng or i,q,mwnnr i\ s,U sinin m tar
<br />nlcorylclitrr.ltr ownn Builds sillluE rlE hurd.tr.fnn,vin8 rhlr tE or rhc dn ri txild or irqnort lhc IrD(ny rnr rhc ru,F{ or'
<br />_1. 'r o*Lr or rlx FrIEdy. 2h .r.tuiNlv .od.ei in8 { h lt!o!{ cndr&bn r, .on{ui rh. ImFr {S( 7i X.l. l]unhs
<br />rnl Ptlfcr\rn(ixk Th.C..rki{r'r l.r.n\.1$ d(x frn !mly k, osM of tlnrFdt slh builds rr mtn{.. rh.rmn.
<br />lnd Nho d,nrru.n ror \uch F,,Lti wirh ! C{nlrdrod { r lf,cnql purunl lo rhc (i',rnEktr'r l-iuc t!* r
<br />I xm.1.n,fl trn{l.r Srcrion .ll ,1! l'( hr rl,i\ r.r!n'
<br />trl)xf,l:BlIauu,lLta.llll!
<br />DIg.AXAIIAI
<br />I hr$y n!lnfl!nJ1i Ftuht of JEtlry !r nl rlr_ (rlk,r'n! ddbrrrih
<br />_l hak 'rn will nrinrain r Ceaitfu'c ot Concnr ro srla ln{E ntr $ollsa !1rn'pen\ar i{'n. a\ 0Flidcd aor hy sNr hn .r7(n ot rhe
<br />lilx F{rlt- litr rh. IlrlormNc ol rh. *nrt ru shich lhc n nnn $ nrucd.
<br />>lu-*., - ',' *-,* *n*c^' (nmn" ,rrnn ,n.um*.c. r, ,rnuRd by s€rH'n :r?rx) or rh. btto, c{xk. htr rh. r'sro'nuruc or
<br />/ rh. rl{l fttr c hr{ rhr. Fmr F ,*'bl Mr r,rra' n'nvtnsrk'n 'n\uh*r drH u, F,lry numbcr s(/ ,-", 'Y/ " '/ , /u)1/ (?
<br />,..,,,,.".,{ l,oL-5q-3y- At'da ,,.,,,,, / )'3/'/f
<br />.l..dil_rrhrnrrh(trrlamJnr.olrh.ulrkld*[](hrlr\fert[rr^{'.,1.l\hrlltor.t1|]l,ryrnvIlr{rn,xnytrnNr
<br />{! J\h h(ronr {,h}\ ( t,(hc trorkc'\ \rnI(n\Jii{r !r{\ ol( rll,trn'x ,nd +n.rlrr il I \lrrokl hc.otrr {rh}..rr)rltr
<br />so'k$ .onrtf,D\rrrrfft)rtrioD\ols..rxn,.l'rrxrof rh. I rhtr (iil.. I ll. rnnhtri[.onrt,lr qnh rhrr !r)r^trr\orgh}! t, rul FEbix rd
<br />hn, drD8cs .i I'n,dlcd lu rrt.iyil 6m! uD !, om huBtcd rl$uud di,llr{ lsllf,)-Ul)r. 6,
<br />SN,nn.11176.r rh( ljhtr(.dc. ide,.{ rkli ormv. te',,.,",)'6' fr
<br />I h.Ehy alirtrt udn Fislryol pcrlury rhr I rN liena{ un,.r |iorri ('hrl'tr e linnnrminr *irh SR_ri,n ?(xx)r.aDi!ni('n.l
<br />of rlx'Bulmii lBl Pnrr.ssns calc. rn mf lr.nr r in tullr{nir rri.lTNt
<br />.,Ca
<br />.v4/,
<br />Y*0
<br />2{5/d4{
<br />I lEEbi-..firm u*l( FNxlofFrrrryrh.ltlE t.mnsturirn hndin!aecrc! f{tr ',E DdhrmE ofrhcrul rq *h.hrhrFtu t
<br />nrkd (S$ .rl97,Cir C )
<br />ATTLICABLIIEII,AAAITOX
<br />I tHrt'! .fm unhr Fnrk y ol FrIrr' o.E nr th. follor in8 .Lrl,hkrnr
<br />Dcmliri.n P.rnn!Arh.{.i f({ifKdrrn tnLE, R.8ubrrn\ (l irk i{, Pd6r
<br />-R.1uir.d
<br />lrrr.r of f*{ifEarin
<br />\;,,
<br />ibrhrl rh.lcd.r.lEBuhri,,'\rus{tlins!rhc\lo\r(dk,ul arc nor applk l. h, rhttn,jc.r
<br />fomulhn h.{rNl I 'EN rooilJlly $irh lll ( iy,nd Count,rh,' I halc nndrhnq'pliaii,n
<br />.nhmrcsrftl Srrt lrr\rcldiry x)tUU .h)rdhtr'/.r.t.{nritrc\n{rhr\C f! l (i{rn} kJ.fln uJntr rh.
<br />rhnr nEnri)e\l tnrlEdr- for iNFali
<br />.\p0li(!nr r,\*0rsitn,finb
<br />.1 .,/l ./6
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/Vent/l nsu lation I I
<br />Roof Shealhinq '\\b\ri+\w2L-
<br />Framrng
<br />lnsu lation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Itrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />I
<br />FINAL 3lLq h8 -J-pz-.-
<br />Certif icate of Occupancy
<br />Notes, Remarks , Etc
<br />SLAB Floor
<br />Shear Wall
<br />lxnlcis All,lrcx\
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