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BUILDING. INSPECTOR RECORD <br />SITE.WORK oIVNDR B!II,DF,R DEI,('AR ']ION <br />I hdctl afim unds pdahy ol p.rjury rh8l I m.t.mpl nonltu(odr. 'n ljcmr.li\v for lh.folb*l,t3 r.ds,n (st 1rl5 <br />BBinBq and Poa*i6. C.dc): A.y Ciry or ( ,,unr v \rh ich r.qun6 ! Frhn lo consrnd. ih6. imfo1 .. &noli!l' r ,(I.ir u\ <br />stndu... rior ro ils iBu.n... ils Equn(thcarrli.i nn su.h Fnnit h fil.. rirnRl nalodt lhal rEor tr\. ! I'rdsal lr:uanr <br />Io lh. FouisioB of ih. ( onta.lor's Lkosd l..s (ch.fl6 s, (.mm.Nrnr rsirh Sarih Tlxx) .r l)rririon I orrh. l\'!in.( ind <br />Pn'G*nrN Codc)or lhat iE or sfi. is .!6pl thscfr.m Md rh. tr!i! tu rh. tll.8.J .rd{nn\. A.! \n,hhn olsdi,n Torl 5 b liv <br />amlicm lor a Fi'r subjda rh. dmli.rnr ro a ci\ rl p.ndh) ol nor mor. rhM fi\ c hundr.rl dolld ! I tsl)o) <br />l.6osEofrlEFop.nr,ormydnphrcrirh{as66rh.irqrkco'trp.nsrFn.\ilr&'lrEutrl&rlrlErturE.i!mr <br />Il'lsd.d orn1l6.d to.sk(s< 7014. B6iB ed Pmf*n!6 ( qL rh.(inrrad.r'.l.tdcla$lt'6.drqI'lyro.no$ndof <br />ih. Ftrp.n, who hil& or mrror6 rh@r ad \ ls &E $(h "rrl hiro.lf .r h.*lf or lh^'uh iir or ha .\ n dpk,r.6. <br />frovil.d rhar sh inFryffiB e br dqNlql or Dfli'd ftr sk lf, lxN66, rh.lrikli!* or trqn.ld n $lj nnim orc ra <br />olomddio( iE (\ffi Buil&r eill h.rE llE hrddr oat'llilB $t lE or C'. dil ml tu'U or int Fr! lh. F!rE! aor rlE F,Ft or <br />I. aouE ofrlE prorEry. M .rcluil.li. .onr*lins sirn licssd coirr.crod ro.odtud rh rojqr (se 7l}4l,ltlllls <br />!d PrDisi[Cod.:'Ih. ( oddo.r Lkd. tr* &6 mr ipll! ro .n oin6 oiroFdt "h. hilds or inprerd lhd6r. <br />.nd Eh. o ffr5 for $ch Foj.cl] *nh !Conreronr) ltded FlElar lo rL( o'nr&rd'.l-r.B ls) <br />I fl.rmpt uod.r Sdhn <br />l).r. ()i..r <br />l!!a,Ll:a!:(ailtli!nula!tlgrlaAU.( <br />I hd.6l amnn und6 p6Bir of Fru^ oft orrh.lt,ll\l'n! &rlarnrkmr <br />t hlrc rn q ill minr!6 ! Cdift.t. otconsr ro S.lf-ln$E ror trolB' c.mFdF., 6 F.rd.d tu b Sdn. r7cf,i or"E <br />L.b.r Cod.- ad l,r. Ffolrll4. orlh. uort tor sttt th. rEnn ir (xEd <br />I hn. rrd s ill m.rdrin $ortd 6mD.Mii. ilM!m.. s r.{us.n b S<liln 17m orllE lrnrr (id.. tor rli FfM. dl <br />th. "orl ad shin lht Firn ir ir.d Mr_ $dI6 onFdit. iur&. cFir .n Flav nrhhd ,. <br />"'"" A[htr't'n JwrtL'' <br />n,,,,.,.,,.* vwc So?da I ?il/otlrfl <br />I osli8 rhd in lh. FIolmN of ll! \orl for trtth rh,r Fmn ir EqE{. 1 tlulr n @rLv.n! F$. in ..t M <br />$ E 16 ta!ru $qd h rh. $1116' mmFMb. lnt: of (-iifomr. dd +E rhd if I {ruld t<otr rulrel ro <br />'lrso 6 o,rFMrir.F tioBofsdion]?molllEt hor (ird..I Jull, fdnlnfi6nr runhrho.F,raiod <br />WARNINCT FrilE to m q$rt6'mnFErion o\a!s. ! unhr'tuL !d rhrll shr.< e ophrs h dim l Fsri: ul <br />cnil fin6 up lo orc nun&cd <br />'houBd <br />rLllm (ll(x).()(n)rlE co{ ot cohFsro.. tllmtd s trorildi lor rlE <br />( od€. inld.sl and dlotrx] <br />6 <br />Lt( t,\sH) ( i)\ l.\( l(,R <br />!]Ltl.!B.!r&] <br />I hdr$l,,Im undd Frk) oaFjxryrhd I m li.nrn undfr l'or iri,,n or(.ll!prd 9 (N,,N(ra snh sd1.n 7(x{l.fOiri.ir. 1 <br />of rh. au.ind and Ptuf66B coJ., rd mvn.tu ! lull lor.. drl.ftdr <br />lr.tr\.(l3s\: CiO <br />,,,,"9 /ze //1 <br />cl13-7 f < <br />Vtvrnl 5o/q r <br />tallrBucra[rfdDltti JMI <br />I hqcby dmm unds pcoahy ot psjlD- lhd lh6. n d conntuclhn l-din! .sdcr lM rh. pdri,mec. ofrhcsork ror snich lti! ItDi n <br />isu.d (S( 109r. Civ C.) <br />ATTLI(ANLI)IIJ/BAIIa! <br />I hq.lryaffi'mund6 poahvof pojuryonc.llh. f(nk,srn! d(larnrtrnA <br />D.u,lirtr,n Pcnn'rs AslE!(r Norificarn,n F.ns.l Rc!ulirtrnN ( l lc 1lr, Iinal <br />R.qtrncd Ldrd of Notifi orion <br />I c6l ii lhd th. lcdo.l Esulalios Esaldins sb6lc rdor.l er. .ol rptli.l'h $ rhir pmjBr <br />I cdi6 rha I har. rdd rllB aitltrrion eld 3l'r. rhd rh. lbvc i.rom ion i! .otu I ur* l. $mdy {nh lll Cil y and Counrt <br />or.l'nancs 3nd Srat li\rs rrldin!arl hd.by !ith.ri,. ..FM'dr iv6 of lhir ( ny &d ( ounly k, ord uFn rh. <br />atrr c ndl ion.d I)rop.ny fo. <br /> r,,licrnt or '\gmr signrrur€ <br />DATE ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUl nsulation <br />Roof Sheathinq <br />Shear Wall <br />Framing <br />lnsulation/Energy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif I lt h, <br />Yhlldzt7tl15Iq t0(w <br />I /)-^ ..4, <br />FINAL /1 ,t567 <br />Certificate of occupancy IT <br />Notes, Remarks, Etc <br />Pdmi,en,m.(prin,): E1t4k/ < n &., <br />glzc//q <br />Laryk