BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS OWNER BUTI,DER DEI,CARATloN
<br />I iscby rrtrm unLr F hy ol F.rlry rlur I m cgqn f&n ilE Co'rrd6 l-iia€ l,* ro. rh. rirlhrin! E.sn (S.( 7(rll t
<br />auriftr\ {n Pnrfdrtun C.d.). Any C[y or Coudy rhih Eriun.i r Ftu k, .!Ntu1. .hq. iqrot., d.d,hh or tFr ..!
<br />ndduE,I orlo s issurm., rl$ rquiEs rlE lpllter ror ru.h Fmr ft' fik i rign! srar.Eor rhdi lro.3h. t liNnrd lursMr
<br />k, rhc Frvisi.m or E Conrr.rorr 1.,...!.d l,e (Ch.Fcr 9. ContuminS wirh S.crion 7ux) ol Diviliofl ] or rls Buiinc* md
<br />Ptbr.si'n( Cs,.) Drrhi lBd.,E t.knpt rtfttn,mrid rh. h.Ir [d ih. r]4€n.r.,!qh. AnyvhLri'oors<t 7olllhy.n,
<br />{plicd ntr aFrni! subj.rt tlr rrplaonr lo r civil FMlt y of ml mE rh,n nvc fiundrd doll,i (S5fi,
<br />-1.8
<br />E. of.lE Forny, (r n!.q .Je! rnh *.ad rr rhn sh drsor.lir.. ,illdo rh. sri.!'d ErdEud
<br />inrcid or ofidrd rry sh (Sa 7044, BGhsr ud Ena6riox Co& Th. (tnrd ! ti6- lrw dcr ml qrly ro u o*n or
<br />thc rn'lEny wh h{ihr or iqmB tlEon. lrd *1, dc u-h kfi hiFi.lIor h.rrllor thn,uth hk or h.r .*tr .mPl')ya\,
<br />lmvid.n $d ikh inpr.w r c tur hl.n&d or oltu for {lc. li INEE. rlE tlildrrB o lqifurnr ir $!d wihin oE yw
<br />ofc!,rrLliEtlEotErBuillrtiuhtrlEhld.trofFDi'BddlEGlltdn,hi!di,p.ow'lEFrFiyfrylnFFEor
<br />l..io$Erofrh. Frtdr. rm.rchxiwlyco r&ri.3 wirh lic.$rt odrrroF r(' d,nsrrucr rlt FDF| ls.. Tol4. BusEs
<br />rd h,tsn C.d. Tli. Co.r,.roi! Lk..* h* dr.! br rpply ro 6*E of lroFny *ho huih! q i iproEr rlrm..
<br />rnd wrF 6nrd. to, trh FDFi rnh. Coddo(O lf,.n..d putrunr ro rlr CollEim r l-ib* lrs)
<br />raarEls_roMtlusAlla!
<br />DECIJIAIIiT!
<br />LErhy rfitm und.r FMlry ol Fjury oF or llE a{,llosi.3 dc{Lmrion!:
<br />I tuv. dri eillnEindin r C.nifrur. of Cons h Sclf.lNlr. loi *orlcn c.n{rnsrion. er FUvi.Ld n* by Sslhn llm ol rh.
<br />L.lnr CdL. ,r rlE FrfolrrIIt otrtr srl fc whah rlr Fn a isrkd
<br />-l
<br />hsvc trnd r rll m0rnrain workcs con{xosll bn nnurrncc. u{ rcqlircd by Ser i'n 17fi) .f rlE I itn C.dc. lor ln pqlormrt-. ot
<br />rhc *ort lor *hth rtir Dcmi n itrEd Mr rork(r coqr.sri,i iniurft. cnH .rd lrlf,y numbq sc
<br />I cdify thlr in rlE tElformmc of tlE vork for whah rhis p.rmil r hru.d- I ihlll ml flr{,k, mt Fr$. in.ny lMEr
<br />$.shtNomsuhirttorhc*o.r'(otrIltnsiionl,*s.fculiforni&rnd.*trrhdirlshuldtKor$brdrolhc*olt6 smFnqri'n rmvni,N of Scnb, I7lD of rlr L.hr Gxj.. I {rll rdh*ih mq y rnh lhoc Imvi.bnr
<br />WAtrNlNG Fribc ro rr@ edt6'mrqrndirn 6wna. ii unb*tul. .rd rh.ll st'Fl x olphlt. ro 6nml FEi- itn
<br />rNil lin.\ up kr o'tr.hutrtlrc,l rhou\nfd (lolll\ (I ,. ldd tun r) lhc co{ ol n,n{xtrsrion. drm8.s $ r.vtcd ntr lhc
<br />S..rirr r(rr6o,r,f, l.rhtr(ixl..inrc({
<br />J,OScru-G.n<4.\
<br />I lEEht imrnu kr IEMlryof FIrry rlu nl.r F^ni,n olCtuprd 9 rLonftdrn3 r irh srlhn 7lt)or otDirM,n l
<br />of ttE aurims ,nd Pmf.isntrs Co&. ad 'ry liccos is in tull nrr lrj .tldr
<br />o.r. ll- |
<br />L-V"1
<br />-LNne
<br />Nun'lE -J.8+2 /03 55 Z Z
<br />?tg *6,A^ A++k-. E%*f
<br />IhLtuhfnlln trndrr Fnrhyol !.rlxry rlur d(ri L.rlirt r!(Nr_ htr rrf, li.nn' rnrcolrl[{orklir*lrf,hrhr\tr'rII
<br />irs{n lse.' 1(}17. Ci! C)
<br />APPLIC NT NECL IAI'TON
<br />I hdth, drm u mLr lEnrhy nrFrjury.E orllE ftnhwin8 dNr.rari'ns
<br />Dcmliri,i Pmirt Arlrrh\ N.*afr i l-.iml R.SuLr irns lTnk 40, Pd6r
<br />-Rcqrncd
<br />Lcrrc, o, Norifr,rn'n
<br />,vrl e d glitbh ro rhi FoFrr
<br />. inforflrion B ..r4l I .IrE ro onlply wnn .ll Ciry ind Counly
<br />Et'y irlnri.. EF*diE of thit Cily {d CMl, lo dnd qon tlE
<br />o,*12ali:4
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />SLAB Floor
<br />Subf looriVenVlnsulation
<br />Rool Sheathinq l)-21-,K Y,Wlo)F4ah lF.fl
<br />Shear Wall
<br />Frami ng
<br />ln su lation/E ne rgy
<br />Drywall
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil.
<br />--"--'t\FINAL /4.i9 ]llt.r*<.t-4a-t /
<br />Certilicate of Occupancy .:
<br />Notes, Remarks, Etc.
<br />UFER Ground
<br />Ext./lnt. Lath
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