BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS O\INI]R BUILDI:R DEL('AR TION
<br />I h6.t1 an'm unds rFEhy o r Fjur, $al I d .r.ofl f6in rh. Cont.d.E Li.dr. t-!s ao. th. nnhwi4 re$n (sr 7(rr l 5
<br />llBi.d,rlProf*x,naod.):a.tCiror(budy$hihr.rton6.tErnrocoMrud,.lts.imFo\.,&mrbhorrqrtrdt.
<br />hdr.. FMro tu sllft...Lo r.quic rh. {,Pli.d for r!.h rEnn lo 6L. risn d {ndcl lhn lE or st!. ir lt(E d ndtud
<br />xr rh. I'!!6roE otrh. ( onri&rort l-'co!.d lrw ((r'al,q 9. (i,md.'nr snt Sdion 7(x)0 of DrnFn I ofln. BlsinRr lnd
<br />PoLsiN (ld.)or rhdr tE or sh. n fl.mpt rhd.nom sd lh. t$ir lor rnc rll.scd croprbn Any vnn,rbn oaseli'n 70ll J ny any
<br />ip?ltant lu a p6nn ehjdt lh. rrtl(er r. . .iII Fuhy or hl tu'. rhe n!. nundr.n & 6 (l5lD)
<br />l. a otr6 of lh. FyEnt, or m, mphrG *itb w+6 6 rh.ir $1. mnFEdnrn. wll & r,. wi t'd [E nerE 6 Rt
<br />i o.ldl orotr6.d aor slc (Sa 704,1, Eueind ud ttofdsioN (irde Tnc (in rdor'r l.i.ft. ll*.106 ml lrply lo & oNG ot
<br />rh. pmlEry who b .b or improt€llEor sd qno d.6$h s! himrclf or h@lfo, thbuAh hn or hd o$n .n!!.tc6-
<br />proy& rl'r $ch hForqi.d! ft d nd'd.d n ofii,al ft, 5t. l( ,r$6s. E hiui,{ or inFoEEr . $H *rhir oE !d
<br />olmiDLira llE O{ F l\il& rrI h.rt 0E hrdn or Fuin* lh. lt or th. dd mt hi! n iqm\t UE ,NF-w t r tr. FnF* nr
<br />l. ao\Eofrh.rmpdry, m *.luri!.ly.o ndi,8snhn.denco rdo6lo codrucl rlE FoFl (sd 701,1, Bdtr6
<br />rn Pt.ftsih CdL TlE Co.trroir Lic.G bu'{t6 mr rr'el! ro u osE of Forgty $ h. tnildr or inpro\6 th6on-
<br />ud tr h. ontdl! lor kt F)F. sirh r Co'fir.io(s) liq!.n F srdn b rh. Codr&lo.3 Lktr kq l.
<br />I ncr.'nfl und6 s(xon
<br />D.r. o.id
<br />\,t oRrciis' ao-tPf^tsa trof
<br />IIi(IAAAIIO!lh6.tr rinrnund6 FBhy of pqrurl oE oflhc nnhsm3 d€(l{etirN
<br />I h$. dn wlt mi.rd ! Cdifkd. of Col$r h S.lf-|N.. ([ qrrl6 co,'Fltirtr a Fovrlql fur b} sdirn lrm.l rh.
<br />tlur ( od.. for rh. Flollle. of rh. $ on aor *hrh th. Fni b isu.n
<br />I hl\. ..d sill mrim.in $ ork6 comFslirn rBur.ft.. s Gqun.d b.v S.(1 nn 1700 of th. r,h.r ( od.. aor rlE Ffotrrffi. o f
<br />rh. $Gt 6r *hth fia pdsn i is-l My f,nt6 omFdirn iEsffi..tE td Dolkt numb.r r.'
<br />.*- T'/rrVzl t.rs (rc- fi cr f)
<br />",r,.,.*,t", Ull 4(i t-tc:3 I L3
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<br />Erptr.\
<br />ec.\P"".)
<br />'12,'l+*
<br />Au"eyt(0.
<br />Lo'l'J
<br />I.cnrf, !h!t hrh. Florrmc..lrh. so (tr u hnh lhr Fmn is i*udl, I sh,ll frn 6ploy rn! Fertr rn uy nmnE
<br />$ 6 ro hdo@ subrar r(' rh. *o{d' domFier ion law! o I ( 6liaomia Md dgE lhsl il I shruld bc(od. 3ubj<r l(' the
<br />$0116.onpqErnrnFnBioNolsdionlrur.fih.tibrcod..IslDll.lunh$nnmmnlyrnhlhrF)rieion3
<br />\rARNIl(; F.ilu. b su. r.rls onFsnFn c.\s+. s unlaulul. lnd rhall thJel e dn Lrq ro .m&l FEIIE trJ
<br />c^il nn6 up ro oR hu.tlr.d lhou.J dolls It100.000). r ldd ion lo rh. coi ol conF&rn,n. rhm.86 {. p(nrl.d for th.
<br />Serion 1076 of th. li$ (ode inldtn lnd rxody s fs* IQAIIA SARNB
<br />r r _!_\\r r, ' , )\ rrl \( lo11
<br />I heby 0mrn und6 lqEkyofpdjurylhll I m li.6s.d u.d( I,ovisio. of( hdprd 9 (.onxtrdcin8 sith S41ior 70lx))ofDivhid r
<br />of rh. I]*hd ed Pi.fsioN ( Gj.. {rl my lt6r k in lull nr. dld cflar
<br />,-*.*.a**' fL
<br />-,.1 l ec-:2+17
<br />\r,\\6 Z2
<br />DAA EZ Er^.org1 snNlic^s
<br />co.NjiraucuotLEtDlNl; c!!(I
<br />I h6.b, sllom und6 F. r of p..jury rh.l Ih6. ir i consrucr i'n Lndins axd.y aor rh. pdnnnm. o I ln. $orl itr * hth rhn Fnir i!
<br />isu.lltsd :1097. crY c)
<br />AITUCAXUES.AMITA}
<br />LEdl}.IImurds lorhy orpdJu'r. n( of$.lollo$ins d.rlf io.s
<br />D.moliiion l6'nnr-A!b6los Nolincilio. Fcdsal R*ulations (Tnlc 40. Pan6)
<br />Rdt!!.d tdtd of f&rifEin
<br />I cd iry lhd lh. lojdal r*uhl ioN ,.sedins ahdos r@ov.l Ec n.I at pliccbL lo thn r.jal.
<br />V1l.d'6rhiIh.r.radrhi.rDltrKnrdsd.rhdLIE!h'E'nfonnrrn!.orr<r I ilta 16 .omply snh dl ( n, r Counrv
<br />orJil1m6 $d str.Ir$3 Eltn$ ro h'lCingcodruLln^ ed fid.t'' lull[D! r.!.eidn6 of rhn(-i'y dCou )loal6uF,nrll
<br />dlxrcnFrnn d pnpdt ror ituF{xr
<br />^prlic.nr
<br />o.,tgot Slrn trr. f
<br />r...ir* n... I p.i,O, ,(r?ftHA SFtRAfl
<br />6-ze. 2c,17
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />It
<br />FINAL /,lUl lfl /l ry+u )
<br />Certificate of Occu anc
<br />Notes, Remarks, Etc
<br />-)
<br />SLAB Floor
<br />I
<br />Ext./lnt. Lath
<br />Flood Zone Certif.
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