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BUILDING. INSPECTOR RECORD SITE.WORK DATE COMMENTS OWNUR AUlLDI,:R IlEl-( ARA floN I hacb_y rmm u.do Fn.k, oaFD,r. thd I !r .r. fl tmm lh. (tnrrt.1o6' l-i.d. tr* lor rh. follotri4 rffi)n ls( 7011! Busn6 5nd Pro l6i.n ( od.l Any ( itt .r ( ounly u i'(h r<tut6 . Fmi b ..n Irud. .h6. inpror.. d.molish or tqBir d) st .tr.. Fio. r. irs isudc.. lBo i.qut6 lh. rt?lNlnt for ,!.h Fhn k 6k r sisnc! sid.ffir rh8l lE or slE a llc{s.d ,ru6uinr ro rh. Fovsioro of rri Coitkro.t Lr.nkd Ir$ i(-h,prd 9. (inmdcinB \(h SclFn 7000 .l Divsion I ol rh. ItusrnRr ind P6l6ioc ( od.l or rhd lEor sh. s.rdfl lt6.6or.nd lhr tErR tu rhl xiks.d .rmprion Any \iolarFnorsdFnl0!l ! l! ,n) apphcanl lo. s pcm'l subJdl! li. rprltrnnr h, ! $,l po.hy o f n mrcrhofi\.hunil,cddoll6Il!00) I. s Ns oldE F.Fry. or ny mphlc snh 1136 s rtEr vrL co.rFMio.. $il! tb dr s'.rl ald llE rErE 6 ml niaxLd or off6.d tor eL (Sa 70,l.l. AurlB 6d l}.ftsE (-.d. llE Co tslm r lic l^ &,6 or .rO[ ro u.{ffi of rh. FiF\ rhot ils d nF.!\6 !hdu.. !d sh. &s sh wxt fim*ll or h.r*llor fiFuah hie ot lE otrr.r'q,h!â‚¬, ForiLd rh{ N.h mFDtqrdt c d ddn l n ofiq.d tu rl lt ho*6s, rlr hlldi,E 6r issqd i! rld trnhin.E td or(Epkir rlE OsE B{ildd sill hr\t rlE hmta olFMB rhi lE n Jr d{ ml tuld or inqn\. dE FF, f.. E F Fe ot L s.rGorlhcFFn), m.r.lGr.l! $dr&1mr{it l(a(d (onlracloa 6 codtud rll F.F lSfr TolJ.lrusr6 ,d Protsir C.& Th. (nnrrro.t I '.Hk I !tr &,6 ftrr rnpl! 'd ,n o\ n6 .l ForEn r tr h. t{il4e .r 'mpro\ 6 lhd6.. ud qto onrrxl' ltn sch Frrati *nh i (ndEdon.) lr. *n 'lo6M' 'o rh. Codrrlorc t t.e Il*) ,":qiefi- I h6cby altm unds pdally ot Fjury oE ol rh. lolhwins dnldrioB I h.r. ed will mai.r.in r (61itrsr. ot (i,nrdr r. sd ntsur. lor tr ortd' comrddion. s Fovidcd for l') sdio. :! 7m oarhc tjbor Code for lhc pstom c.oflhc$o,t lnwhi(hlh.Fiil aBu.n I hav. and sill mlinr.r worlcn .omFnrrrhn iBuhn!.. .r rcluncd by Sdl ion :t70o oarh. rnbor Cod., for lhc pcloman.c o I 'h. $orl lor *hi.h lhi! rdfril ir i$.d My wort(' comFrullion iEurlnc. cari( dd polic' nunbd a. Cn'd PolicyNumbd ErIn6: I ccnitlh,t in lh. p.rfoM. ot lh. Eorl fo. sh'ch rhB Ftni! i. isu.n.l3h.ll ml oployuy pqen in tn) neE $ B to h@ru $bj6r lo rh.I'orld'cohFMi{ l,s! of ( rlilom4 Md +R lhi if I nbuB b.$E suqd ro ilE u!*6' omFEdion For ilnB ofs.(ion lTm.ftlf li$. ( od., I Jdl, fonhnn 6npry {nh rhot Fovii(rB wARNItc: F.ild. ro sr. smt6l morEMo. .016r*. i! u.l.ufuL et rhall $bjrn m dphtq lo cimiml Fah- ind .nil nn6 trp b oR hondkn rk)Mnd &llui (il(xr.(xx))conD.Mrio.. dam!36 ar rold.d f(tr rh. ::'a:i; f rh. l.lrr(ir!.'nr-d inl )r'r1-1- t ffi) allm un& Full! of FJre lti I M h(!t il unld tm\6Nn.a(lEI{d 9 (comllBmS snh Sdi..700(I of l)n6Fn ! .f rll. Bilri.R rnd PmfRiir6 ( .d. rd nr lrdk . u tull for.. ii.Il(i g,IIIIAIICI TTLIEIDITGACETCT I hsEby anm unds poalrr .t tnjury rhd !hd. G. c.Nrudhtr kndins.socy ror rh. pdfollM.. oarh. trnl for shich lhn Fnn ir isu.d (Sc 1097, Civ c )t6d6 r \m. dul,l(^xt-llllLABAuo! I h@b amm trndd p.flah y oi p-jury on. or rh. tolkJr in! dch, i,'n. D.molirion P.mirs-Asbcsros Notincatbn fdqd RqrulDrr)nr r I nl..l0. Pd6) R.qund kltd ol Nolitu.tion I cdit rhal thc fd6alrcrullrrB r.sE l'n* *hs(B rdo\.1tu. nor qrli.ahL ro lfii.s Foi.\1 I cdif! rhd I ha\. rad rh6 lr'llE.l $n drj lt0l. rl'd lh. .hr . ,nr,'rnln k,n Lr .ond' I .ar ro comrll s ilh .ll Cn) 'nd ('otrnrt ordin.trB .nd srar. l,s: rchilr3 ro hlldios lt^rrrudor en t D. r.F.grdir6 otrhis Cily..d Cou )rodrdutrrnrlF atir. mron<n pn.pd) ntr '6l<l rpptdnr or \8dr shn.?S r.-ir- n... rp;"U, !FE s (eralos q/t/r t Set Backs 'l Forms/Steel/Holdowns / Erection Pads I X1 t.r UFER Ground \(L t4 SLAB Floor J I Subf loor/VenUlnsulation , Roof Sheathing Shear Wall tl {a- tr / 7r'--L-, llt'r'" lnsu lation/Energ y Drpvall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif . FINAL Certificate of 0ccupancy /"/ - /\ J4 Notes, Remarks, Etc tD/stG. Framing I