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BUILDING- INSPECTOR BECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEIT BUII,DER I'ELCANATION
<br />I hrrhy annn uidcr Fnaxy or Frjury rhd I m .x.tr$ fhrn r,r ConrimloF l-trtrE L.w lor lh. folh*hs E s,n lsc.l)ll t
<br />au"rnc$ tr Pnnc$io Cnc): Any Crty or aoutrry *tkh rcquircs ! Fmk r. con{ r, ,lrd, rmFroE dc,n ih EFtr uy
<br />nmrlrc, tri,trt' tr\ i$u4.r.ako rquer rlE npllEd lor $.h Frmit lo fik 0 riSrn ddcmnr rhlr hqnr {t ir liccn<d NtruMi
<br />h rlt II vsbhr ot rlE Conbs.ttr\ Liin*d tlw (Ch.fld 9. G,nnEEi.8 *irh S(rion ](xrl oa Drvirio. .l of th. Bonrs hd
<br />Pnrrc\rr'nr Grlc) d rhd h. or {E N.rcq{ ttEcfro'n.'n llE lEra nn dE .lLs.d .r.n{ri,n Ant vidl io. ols.d.n'/oll t hy ry.
<br />apnlicanr tir a omir iubjslr rt aoplicmr to ! civ'l p.Mny of B,r nNErh liv. hudrcndol{s (S1ll),
<br />l. D\ uwror .fr hc EoFny. or nry cnlloyccs wilh $r8cs 6 ihcn cnc mmFns&ln'n, till d, rrt work urxl lh. sMsu is n
<br />inic'xLtl oroiIcRJ fitrskIsd.7lxil. Buift$.nd Pmfursun\ (lrL lnc Conkrcntr \ l"i..ne tr* &Ei r, Bpply L, un .wnd .t
<br />rh.Im|Eny $hr lloiL* o. itrlr,,Es rtrmtr rnd *ln dirs t^*h *r hnNlf or l*Rlf d rhmuth h$ ti lE ounctrll'l.yc6.
<br />Irovkldrlu \ut inF$m mmr ddrLrl(ollcRn ftn qL ll lI,e\E. ttEt!fitn3 M inlh*m. irsld*ahn(Btd
<br />.tcon{'Lri'tr tlt(^LF 0n'tj.r * lh6E r hnLnof F*ins r|!, ltdrtrdil M trill m irIroE Or fmFy tor llr I'oqft ol
<br />l. tr\uwmr olrhc pmtkrr. J.cxctusivclr.onlrn.rirs silh lic.n$d (onkadon n' dnNrturl rII rn'iNr (s(. 7044. BusB*
<br />ad Pn ia\rn (i{. m( Cont{roas Lrcn* l,a* d€r R, .lTly r, !n o*mr of Dr)Fny rho builJr n mpr.hr rhcrd'n.
<br />and *lr) .otunfr \fth lioFB f, h, (lrdEron.,l.!.<d nuFu h rlE (inrrrrtn.licM l,*,
<br />,^")d);;f;-
<br />DETLIEtrUITN
<br />I lrrr'hy ,tlrr unhr lEnnlly ol F.jury o
<br />l hrlc rnl qillnDinrr r Ccn iaf,alc of Cotrsd h Scll-Itr\urc l,r $ orlic^ co"Fnrdion, a\ Fo!'rL l,rtySRti lr{Xrolrhc
<br />lrtxtrCodc, t,rrlI ptinnuo.cofrh. sork tu which rl[|f,mit i\ i\{Rl
<br />Ih'E. willmi .in *orlc.i or{xNrfi8 iNunrc..r r.quiEd by sdrbn lTrx} ol E Llrtr Otd.. for llE |ErlftIN.of
<br />rlE *o ior shicfi rhis Fn n ir .d My *616a otrFn$ridn insum .nir .,n Flty mmbc. m:
<br />-Erpn.sr
<br />-
<br />t Gnily lhlr in lhc Frford'rc ol llr wod nn *hich lhn Frn a. ir\u.d. I nEll nd .n{'loy .ny Frqrn in any mnF
<br />$ as ro tElrr \uhjd ro rlt Bdkdi oqrn$rir l,*r or c,lirom!..d +c rhd lrl slFuld lEc.m 3'iri{t ro rlr
<br />*o*d\.nnrEMrtun,,tutiri'nrofs.rrnnlnl)olrh.ljlrtrOIlc,lrblLronn*'rh$nq)lyri,hrlr!(tm i6N
<br />WARNINCT frilnc ro eoE *urkc6 con{rnsri.n corcES. rr unhwrul aryl shrll ubjcct an crrhtcr b riminal ,xMlri\,Jrl
<br />civil rinc\ u,) n, otu ho rlru,l rlru\d d lli^ rll(X),([D). s t(nl(trnr I' rhc ro(pcn\rri,{r. Jr L'trc\ r\ f kl(L ktr rlf,
<br />S..rn 1076.l'rlE uh.r (irlc. crcil rftl ifttrrEy
<br />""",lo/zefza
<br />I h.r.hIrrlnn'rftl.rt^-nx rl,,r lt1l'trvrhxr I u,ld ln,v^( "I(-hnBr()le" nmncir8*irhSLrrtruTlXrDol l)'r^o :]
<br />oi rh. Btr\in.is,nd Pnnisnnr\ Corle. r nryl(.tr{ n in tulllnN arl.r&r
<br />r!,,asrau:rrlBlJa[tNgtqNqx
<br />I ltrcby .nnn ndcr Frolry or Frrrry rhd rltE n r omftr.n knl,n8 .Ef,mt rd tlE,,!r,(ll]rEE of rh. u for *na(h rh,r Frnir i(
<br />is0cd rsB. lrfrT- ci,. c r
<br />Lcntl.i\ A,ilr.sr
<br />,TXILICANLl)!(lIf,.}lIl)ii
<br />I lrn{,t.'llnrl rLr |tnnlrl !r JrrJtr,) omol rli nnl'u rSdc.hrrr(nn
<br />Dcnn,lirr,tr l\rntrr\ A\h((o\ N,i li.dkr l.c(lcrnl RrAuhl rrh iI le.1lr. I'rn6)
<br />_ltcqomd t.rrcrnl N, illcdi,,n
<br />I .dily rh, rhc Gdcral aFlLri,nr rcs&lins ,ilE{x rcmul !r. !, !firilr,t k' rri( tmr{i
<br />I !d'l.r rl r I hrvc r rhtr nt),,|(rtidrrrt {rrilrtr nrtrk)n n.on..r Ix!'rcr
<br />r rhortrr rct,rs(nr(lrc(olordtrr{trccl trBl Sirlc lrrs rclr
<br />fi,vc rnrnncdlmpcny n,
<br />Applitmt.r {x6r sisMr('/t ^Jtflf
<br />o co qny *dh rll Ciry rtr,l (i{nny
<br />rhis (-[ynnd (innry t' r i.t !Frrhc
<br />^,. /o1/z/2,
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenUlnsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framing /c -zzat /L.A E?,/
<br />lnsulation/Energy
<br />Drywall la 2'?-U Lc z--7
<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 .
<br />FINAL //-z-za Le ,s*to3 Zry
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc
<br />Rev 0B-07 2015
<br />Erection Pads
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