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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS (^v\1:R Bt -trHR trtt.( \ta\'ll1)\
<br />I lFrhy rllno und.r F..!y ,)l lxrll( th, I s .r.n!, lbm rh. (n r&tr' l,{o* t-w f(tr rlE r,,lhah! trsn (S& 70:rl 5
<br />Burnc$ trnt Pft'lestr)n C,xi.) Any (-[y or Counly wh*h rcquFr r lrn( b .on(ru.r. .lr.r, mprJv., d.m'lrsh I q'atr y
<br />nturN.. F,r h r ($e.. rlw' r.1urcl rlE {'I'hanr lttr su.h ttm( r' llk . sartl drcEhr rh, tF or rlE n ltcntd llNmr
<br />(, rlE rr$vFi,n\ ol rlr G,nrrrh'r l-kncJ lrv tch.dd 9. (iDftEr! w h sfrr n ?un ol Drv(Dn .! or E aunE$ .nl
<br />Pn'lctnon\ (ixl.)orrh.r trorrhc uct.m0llh.Rli.6.n! rhcbasit krrlt ill.3c'l c\.nPrsrn Anyrn'LhnolSelnn?0.r1thyany
<br />qThr ntrr|tm rlhFh rh. apr'lk.nr 6 ! r'rrl ltMlry "f Bn frrc rhnn nv. hlnlr.J d.lldr (t:lflr )
<br />-
<br />l, ,( owmr of rh. F)JEny, ,tr my .q'!,yccs wnh wa8rr rt rh.r $L (tmlEnsalo., * l Jo rh. wo* ,rl ltE (Er@ ir ior
<br />d.rkJ or oll.r.J l(tr qk r S( 7(X4, Burtri .d Prrf.(irr CaL: nE ((mralorl L..nc lrw &xt n {t l, b u .wEr or
<br />rh. m,Fny wh! hr lt ,, urln)(r rh.R{- rrn }lI' dr! luh x)* hrn<U u h.Bll o. r6reu3h htr r h., os .i{,br!.t.
<br />,n'vd.'l rhul ruuh imnro@nk ft *n d.nhd oficRl fitr slc ll. hrkE, rhc hoiUD8 or rn{nrEBnr R q'Lt wfir{m F
<br />ot.or{,krr, rh. C}*hr au h*lMEllEhht ofF'lusrhdlrordEJndtlodJqlqBr*drF{hylutlEFiFEoI
<br />-
<br />L * owftr ol th. roFdy, ,m .r.luvv.ly od,rr B3 *rrh l'..n(, (odreror n, (otr{dli r 6ELr rse 7(lr'r. BrFs
<br />.DJ Pnr6lrrCixl lh.Codrf,rorr l-(tn{ I:utldl nn.t4lyt,:ioqmr.f|'oFry *h' hurlJtor nP0kt rh.rd!n.
<br />anJ $ho codh*h n* !u( h F+.lr *rrh r G)nrEdo(, li.n{d N^ud tr rh. (i)nrtr.rt t l-kn$ l:*).
<br />l.n.r.d unGl SrrM
<br />lra8f,l8l.lollfBsArrax
<br />TESJAAIA!
<br />I lr,.hyrlirn,undcrp.hrhrnl Frjuryotrc.lrh.nni'*$3d!.I{rfu'n\:
<br />-lnrk!n*'llEd
<br />r C.nf..l. ofconrd n, S.li.ln<oE nr *rtd. !.n?.ns!r,.r FuviLl t h, S&lpn lTUl o( il:
<br />L.htr C.,j.. tu ihe Frlomtu. ol rh. k,* lor whth lh. !..nir ir s\!.'l
<br />-l
<br />htE.nt Erll md.r wod.-- Lflqtn!:rx'i 6 hnc. 6 r.1!r.J t'y SdrDn 171$ ot rlr titu (irL- lor tli FfIm. J
<br />th. work lttr whrchlhr n mir rt rsodi My *.rk.rs' $mFrsron mruramc rtmr lil IDht numlErE:
<br />K-* cYPrro'= tJar R4 NcE r lruoltJy'
<br />[*r*, ",.*,i('!.'
<br />l..nilyrh3r mrh. pc irtuer ol rh. work Lr whEhr[r lrrmrr F ssu.tl,l sh.llnor cmnloylny Pc^o. r. y mrnEr
<br />r, !\ rr h(om $hidl lo rh. w,fi6i ('d{inirr n L*t ol Cahn,mu. ml ryd rhar I ihtuU tEonr tubFl ro rlt
<br />polt6 rnnFnetinI'nrv6r,nr o, Sdrirn .l7cl of rh. Ijh, clrl.. I {ull nfih*rh !nn{ y w.hrhE nnrliqrr
<br />WARNTNG: Fdrft n, rcm s*cr !.mp.nqr!n d'vcBgc N unhr,ll .rn !h.ll \ur'F(i r dn?hy.t k, rrul FMhr\ .n'l
<br />(Lul ltrr\ rp n, oN htrndrc(l rltuuatrkl n,'llr^ llllx,.(xrr). r rd(liDn n)(o{ ol comFn\rton. dlnu3cr $ Povi.]. ntr lhc
<br />s.di,n !1176 ol rh. bhtr or!.. ur.n{ rnl rt,myi fr!
<br />,., {,vt,/ tat
<br />IECIABAIION
<br />Ihc't$ydlt uklcrFn.hy,trriu.yrhrrIrmltrrn{drnd.rPhv^tr)no,Cluprcr9(.ohmnrh8wnhS..ri'n?(fi)oiIrv't.n1
<br />ol rh. Blntrs {xl lh'lc(k'!\ (iilc. fil mylr.nr tr r lull,,,n.81cllc
<br />X.
<br />X"
<br />qrlflall:I&r}:liuNi-ecErl}
<br />Ih.nhvrrltrn'u cr FnrltydlIrrluryrl rhcrcrr..D(n'(r$nLnlur8!!ctr!yltrrlrtno'rork..llhcworIlrtrwhihrl'rlxnnis
<br />ATSJ.II:ANIDICIABAIIaN
<br />I h.rd'y alrm onlr Firh y .l Frrury oe of ilr li,lt,stn! J.{l2nr Dnr:
<br />t).nin Dn Pcrm(l^\lxtur Nohlurrn r.dcBl R{uLlonr (T(lc 40. P,n6)
<br />-R.quu
<br />ldr.rolt*rfidrr
<br />I ccnrl!.hr lh.lcJcalr.tulai(,nr RlEdmr rlb.n'tr..B)v.llrc B {llr.hk r, rh( l)n)Fr
<br />y
<br />'hr I havc nid thsrpdr.ltr'n{rln!r. r
<br />\ rrl si!r.li*\ rclrrry t' hur!]tri3 ron
<br />.boE Err$r.l pfl,rny fd o.Fr.n
<br />KeeI(ur or
<br />^sdt
<br />slrnorra
<br />)tt-r,-**,rn*,,
<br />hrr rh.fitr. inkmDrtrnr A( trc(r lrSNr).ohtrlyw(hrll(rry, (i)unr!
<br />1k'n. r'rl h.rltsrurk{rc i!'I.crntrr'v.\ ol rh'\ Civ rtr! C.utrtyb cnr.I trF,nrh.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorivent/l nsulation
<br />Boof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL ;l,7lU-l t*,uot,i 22)
<br />Certiticate ol Occupancy ( 'l /
<br />I
<br />Notes, Remarks, Etc
<br />Nun rse l{rg7,crv c )
<br />t nL.r N.m:
<br />Ereclion Pads
<br />Ext./lnt. Lath
<br />Brown Coal
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