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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE IDiSIG.COMMENTS
<br />-1.
<br />as owRy of lhc I'mFcny. .r my .mtlorrer sirh *!A$ N lll(n eh coiFnr.t on. eill do llE f, r* trn rlE rtulw i n'l
<br />,nrmt d or.llftd ri, qk (Sd 70&, AunE.r rnd Pin $r,B ( alc Tlr (lfi \ l-rdr f.*'dB ml .r" y h rn.*mr of
<br />rlr Fr{Eny $tn hoilk I nrrF6 iEmr ,n *L, dE q h rut himcla or h.r{ll'or rtFDph hir or rrr oqn .rployN(.
<br />!ir'!id.d rher \Nh i'q,n,kfti6 m fr hrcnd.n or oitrcd rn {b la hos6, tlr hitlih3.r irllR*rmd r r,U *ihm oN }w
<br />ofcoq,Lri'n. rlr O*rc.lluildc lillhrE rtE h'd.n oa FDviry rhr lE or dE dit n triu r iriF,E rtE FId, ftr rhc |[rF{ o,
<br />y1 asowmr ollhc troFty. .n.rcluiiwly c. rdin8 wirh lk..srl mdr&1oE ro Nnnruc! rlr I'ord ts.r 7o{.{. B!ri61
<br />Msth G!dc: Th. ConrE-lor\ l-kcn< Li* &.r ffn {t'ly ro aosF of ,'hJf,n! *lb h{ild. o. improw\ lt .Nn.
<br />who .rn'kr\ II, ruh,n,rclt wirh r ConnKklns) liccncd punr ,, rhr ( ,r I (nr \ I k.tr\. l.'{ r
<br />I rn.r.d m&r Srrbn
<br />D"t. l'21 .zoz c !1
<br />I hcrrh,rllnrutrtur trtrrlrrolF-rJUJroNo, rhcn'lhs'ntll!\l,trar()n\
<br />I h21c ml s ill nN'nrain r (td
<br />'l-*sr. of Coi{nr ro Scll Innk tu uorkch .DtrD.n\{ tr{. rc |h)r cd lor$ySsi,otr:lrln lrh.
<br />uhn ftxlc, itr rhc rrlornumc ofrh. *ork for whkh lhc lxnn n nru.J
<br />,l h$! .nJ tr ill nBint.in so*cr' .or{Etrqlion inrurrh c. r rcqun trS irn :Uli, o, ilE I itxtr Coilc, f rh. P.rfoirrs,kc ol
<br />lhc *ork for rhi.hlhi\ Flmil is rscual Mywtrtdi crnF.ns.rnn insur(R-..cunrcr n,i'lrt nunh.r r.
<br />-.:!1f ccnily ihsr in th. pcrfo'nutuc ofrh. *ork fir *hrh rhis rr.rn,ir n isskd. I \hull ior.tr1plo, trny p.iion m any m.nK
<br />s a b h.{onr iuhFr t, rh. f,lit.h' drrrFnr.' kr h*s or crl.romE. i.d rBN rh.. ia I fi,uld tsoft luhFr ro rtE
<br />*orld(,oiiFnqf..F,rtr.nr.fsd{nlnrrlfrlrtftw('od..l\lfll.fnr$*hn'n{,lvsirhrhEIrU!nion\
<br />WARNINC [rilu.. t] E!'c *nrk.A coqrnsri{{.ovcru!. '\ unL$rul,y'ln \tull (uhF(r an cnrDhFr t, arhinrl rEnahi\ od
<br />civil fim\ u, !o otr. hxndicd rh,un'nd dulh^ r!lllr.(xlr), r iltJ im r.A (o{ .f oq{r{ron. drml(! rr ForiLd t{r rli
<br />sNrln mr^!f rlFl'h criL. inr.E{ !.d.n(ft}'r liy\ /
<br />D.r.: t:Ll LLzl) ^rrrr-,rl l1tfrl&rrsFr tr -rfttc ron
<br />DEgdAIlrN
<br />I h.Eby rr0rf, udcr p.ndlry orFrjury thll I trm ltrrnr'J und.r Imvhi,n ofChspls 9 (n'.ftkrn8 wirh sd$n rfiI)l orl)ittbn.!
<br />of rh. Bu{itus E d Pmf.si(,.r C&1.. !n my la.n* k in tull f.ra rrn .l[ar
<br />C0NSTIUCTTON I F'!nlN(: l(iFN(Y
<br />I hcahy llrrm undq lEulry oI FrJu.y ttu! rltr. n r .rltr(uJb. knd'nS rlctry to, rlE FrfmnEK of rlr s,t fot rhah rhi\ Fnir ir
<br />is.kn(s€ luir7. (iv ( )
<br />APPLIIAII.DIII/IAAIION
<br />Ih.r.r'yEnhr! crncnllryoIFrJoryomorrhcn,llo*intJcrlarlrion!
<br />O.nFlitior Pcflnil\ Aslt(.i Norifi.,ri'n Fql(rtrl R.tuldxrnl l1'rlr!1r. P.dt)
<br />-RqluicJ
<br />lrrr.r of Nori,i.arhn
<br />-l
<br />cdrry rh! rlr f.rlcr.l Es! hr i..3 Esrdins rdEstx E mrrlft N rrirla.hL lo thn Imj.ir
<br />:4cnrfyrhsIh crc{t!rhFrlnlr(mnrd{dd![lrlk'h'v.inrormrionFLffit.rrEro6mplywnhtllCny. Counly
<br />,dme$ rnd s'.t. llw! Fhtird r" h"ildiry -d.r[-.. !d &rn, rurhtriz Etrc-,rtl n6 .a rhi3 Cny ]n Counl, ro cnra ul[n tlE
<br />rh.r ftnri'rn F.Fny ln mFnhn nurFry'l
<br />F.mr,FEN,prrnr,: f\roll,t 9*qtri
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />Subf loor/VenVlnsulation
<br />Roof Sheathin s
<br />Shear Wall
<br />Framing
<br />lnsu lation/Enerqy
<br />Drywall
<br />Brown Coat
<br />Itrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />a\lr\
<br />FINAL l-N -z\L.lit-,ril
<br />Certiticate ol Occu anc
<br />Noles, Remarks, Etc
<br />UFER Ground
<br />SLAB Floor
<br />Ext./lnt. Lath
<br />OWNER BUILDER DELCARATI('N
<br />I lrah, .finm und( Fnrhy {,r Frury th:r I d .rcdpr fmh rh. Co turo^ Lr.n( uw rd rlr nrh*in8 E!r,n lsc..n).ll l!
<br />Sunkr rd Prot6ri,i ('.d.) AiyCn,or Cddy whrh Fquiri r Fmi r' o).rlrucl. dl(. i r?mE- .tmliih or ,rFn M, .
<br />nM'w, |rin ro it iriurm. .tq! r.qlirc\ rlE lonlad tu \uch lrmir ro fiL ! lhrcd {ar.ftnr rhd h. or rh. n liRned lurscnrr.ltr F'visi<,ns orrlE Cont..nn's l-iccncd lju (Chlprcr 9. Conftrcin3 * n Sccriotr 70(Ir or Dirnion I or rlx Bu{m(.Rl
<br />Phf.siont Codcror rhlr L or \h. k rknpr rlE.fft,m lrld ri. h.tis L, tlE rlL8dl.krt{b. Any vi'LrbnofS..lbn70lll5 h}rt
<br />iml.d ror . Fmn rubFtl rrr .flii..nr lo . civil FMhy of n mrc
<br />'h.n
<br />fin iuda"d (t)ll{r (ltm)
<br />,B &PC
<br />I
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