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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS owNl:i ButLtrER Dl]l,(',An Tt()N
<br />I fid.t'y.Itm undd Frlry oa FiJUD rh,r I6nd t mrh. (i'nG.iod Lr.@litrrorrh.rolLNnrr..$.(S67011.5
<br />Bu3in63 ui Prolsior ('\d.l Any (iry.r Coun'\ which r.quir6 r lmir ro.o6rrud,.lld, improvc. dmolLh or kFt dy
<br />tudo., Fiorb 'r3 isilrK.!L rqir6 rh. lpdEel for tu.fi Fflni r.6kr li8noj r.ffi! rhrlE.rrh.klica!61 poBd
<br />to lh. FovirioB oftlE Co rxlorr Li..Md Uw (( hiFd 9, comnftlng trnh S*r$n 7000 fD,rilrin:r ofth. Bosin* md
<br />Prcfdion! Cod.) or th.r h. or sh. ir dpr thgcfior sd rh. i*L for rh. dl.sdl.tmntnrn Anyliol.rion.tSdrnrn 7011.5 bymy
<br />lrdjcd for . p6ni rubJd, 'h. {llh.e' !. . ot
<br />'
<br />I pcNh\ .l nor mr. the l,r c hurdErj &l16 I t50O)
<br />.7/.D
<br />A:J, e "".6"rth.prnFn).ormycnplorG * hu!86srh.n$LNmp6.rl.n,will!.rh."$*mdrh.nn{lu.nmr
<br />'nldrd.d or offdrd fo. $k ISG 704.1. B8'lB sd Prof6hN ( nd.: I lE Conrd s I rG l.u do6 m! q,Ill) 6 in .rrE of
<br />'n Fn,Ety *hr tnil(B d irqovB rrEb( !d sh dE sh tr n hin..lf or h.*lf or rtu.osh hir or h6 os. mpLr.6.
<br />,tuvid.d rhll su.h inFlvffis s. mt inlodoi or oiI6d lor slc lf. ho$6 6. rhc hildiry or in{hvmdt Lr and \ nhin on. }@
<br />ofotrpkb^ E o*c Bnild. r'ilt hrr th. t@dar of rrcrDs rh, lE o. rh. dn Nl build o, upro\r rh. Flpol) for rlE FrIr* of
<br />-1. 6 orE of rh. FoF y. m.r.laid! &nbkrins snh lr(Bdj .onrr!.loE ro conrrud rlE FrF( (Sr 7Or4- l}unn6.d Pi k@ Co&: Ih. Co.lrrlo.r l-icd* L.*' &6 mr q'tly ro u orn6 of trop.n, who trildtr or imp(n 6 lndsn.
<br />rnd sho co.rads for N.h Foj.d! wiih. Cod6ct6(r) lrnald Dudldt to rh.('ontrNrofs Licdk lrs)
<br />I e.rdd 0nld Sdion . B & P( ror 'hsr@n -"-x4i;';)|l2ru4/ \r oixr is' ('oruPEN sATroN // Dr( I aRATt(rN
<br />y',,, r-a-/7
<br />I hd.byrmnnundrp.nalry.ap6jurloncoarhcnnLNinsd(lin0lions
<br />lh,\.adtrrllminlio!C.n'rE.r.of(oBdi'os.lf-lEur.fo.$orlc-omtHMirn,aiForikntubs(rn,n17t[roarh.
<br />I l&lr ( odc, for I h. tgtonnmcc o f lh. wo* for which rhc Frhir Li i.!u.d
<br />I h.r..nd $rllm3i.6r. *ortd.'.onF slnn i6u.mc. !r Gqun.d b S<r ion r 7(n ol rn. l"b, Cod.. tu rh. Fr{,mfr. of
<br />lh! work for *hkt rhis Fnrir i! btudl. My $ortd &mpout
<br />'on
<br />iBuran.. cd,. dd A)li.y nurnlE u.
<br />PolicyNumha l\pi.6
<br />7.;!-,rr,r'r, .,* p-r.,*c..rrh. qo,L ror uhi.h $i3 Frmir ir !tu.d.I .llmr dnplo)d.r Fsn in.nr Bdk
<br />$- N h hd.m. rubja' !. rh. M d comrEu!'on h*rofcllilomi.. dd+rarn.t ifI.h,!6 tE<omc sbJd ro lh.
<br />sorl6' .ohp.Mrio.J'ovirbdolsdion 1700oltlE |ib (odq I lrull. fonlr fi omply u ilh !lr]s pre\EnN
<br />wAnNlNC: FliluE to se eork6 mmpsEdion .o\'d4. t unb*f,l. and sh,llsohrd mdors b cinin6l rEMni6.,ri
<br />.ivil nnd up lo ofl. huD&.d thound dollu {1100.m0). in .ddnion l. ih. con oa.onp.Mln'n, rLnr86 s lro\id.d for rh.
<br />s..rirn 1076 oflhc t bor Co&, irrdd 8trd dhr* s f6-23-6-/7 tl( t \stD ( (r\tltt( t1)R
<br />Ulgrl&!lll
<br />I h@by tmm undr potllyorpojurylhal I m licsudl unda Folision .f Chaptd e lconrmdcirr* rrh Sdn'n TomroIl)ivision 1
<br />of rh. BBiB dd Pn'IdhB Co&. s'd mr- ltG B in tull (r. nn.fkr
<br />(.ariirBu(rarl.ErDlrcl(it;lcl
<br />I h6cbr 0iltrm unJd Fnallyofpdjorylhal rlE. b a.anstucri,)n lddis asd.t n rh.rrn)nunc.ofrh.so'lt turhl.hrhirtEiir a
<br />isu.d (s( 1047, cn c )
<br />AIIUIAILDECLAAAIIA!
<br />Indrb tJtmuid.r pallly ofFjur' oE ofrlE folhqinB d..lr ion!
<br />l).mol ion P(mirr-tub6ro! Norinc.'ion l,.da.l R.*lliliom i I'll. 40, ltan6)
<br />_Rlq!rcd lnr6 of fidifrdin
<br />I (diayrhd rh. a.ldal r+uhro6 Ets&dins alxl(B rdn.lilsc nol Doplirlblc to lhir flojd
<br />,9t,7rcd'! rh, I ha.. @,j lhs appli(diun rnJ {ar.rhd rh. atlr. 'nfomdn)n B..rdt I nlrrtocomrb *irfi all( 'r) !trd( ounr)
<br />ordinanc6 and Shlc llws r.ldinA ro huildinE .omrtu.rirr. &rt h(cbvaulhoriu.qrMlati!6 orthi! ( ny dd ( qrnlyl{, rntE uF,n lh€
<br />dr\.m6,nn d FrFnr i! 'N!q5r plrp* 11
<br />^pptil *6t stsn.tutu /-/- -2, a .*tVt(, ".,, V-4'l7
<br />,^r,n^. ,,on"u, ,//C f-,. 1! f7a n /.7 /{z
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing 67 '>lz +>,th'au '')'S
<br />Shear Wall r
<br />Framing
<br />ln sulatio n/Energ y
<br />qrywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />.L-v
<br />Pool Fence /, ro'
<br />T-Bar
<br />^rY N
<br />Handicap Req.I".Fl
<br />Deputy Final Report N f'-k
<br />Engineer Final Report /-D ,f
<br />-o! llt' ^ '
<br />$" .i .r)'
<br />_,d-/f
<br />FINAL $.19--r'J -D)tK x
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />Erection Pads
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<br />Masonry I
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<br />Flood Zone Certif.
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