BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE COMMENTS OWNER AUILDER DELCANJ{TIOIT
<br />I h.rby imrm undcr Fnrht 0I Fjury lhd I rm cr.nq,' ,n,m lh. Conlrst6 l.i.cnc L.e h. rhe t'llo$h8 m$n ls..70.ll 5.
<br />Businc* rftt hofc$n,n ('ftlc) AnyCiryor Coudy sni.h rcqui,.\ ! rEmir io con(tu.r, rhd. inftuvr. dc'ft,lnh ur Exndtry
<br />(ru.rorq liitrk, n. ir\usflc,.lso rcqxiEr rlf dppla. td rlchFmir h nk, n3md stlr.nEtrr rtut h.orslE is li..n*d ponumr
<br />b rrr F,$n,nr otrtE Conk(r(r r l-iftnql t,r (Chq,rcr 9. (-omrinS rrh Sorbn nxr) or Divnbn.l .rl rlE BusimsJ.d
<br />ProL$rrni (i{r) or
<br />'h,r
<br />rr nr rh. is .r.n!, llEELom {n rh lr$ fo. rlr .lLBcrl dcq{ io.. Any rin.lirn of Sc1r hn 70.r I 5 by .nJ
<br />rppli.ld nn r Fnn ruhF lE lpt lic.nr (, . civil FMhy or n, mrc thr fivc tundrld doll.r I Snx))
<br />l. r! .*n.. of
<br />'hc
<br />pn'Fn y, or my cmpk,'t* wirh *r8.r ar rh.t sL omFnr.l ('n. uill do llE *mk d lh. slfrl@ ir a
<br />idfltcd tr oltcEd for ek ( Sa 7(}r4. Bu\irc( Md Profcsionr C(]c Th. Codrrrrtr r Lkqe Lnw &*r mr {,t'ly r' rn o*mr of
<br />rlE Fofdy wtn hildr or iqmE dE . .nl *tr dci rh k t hin*lf or h.rclf or rlrNlh tir or lE .M cr{'krtt.i.
<br />prcvil.n
<br />'hd
<br />rxh olmrmrr. rc r{ ir.f,Lrl n .iLcl nr sl. lt lnM. rh. toirli.8 r rqFktir t $B rrho m Fa
<br />ofmf?blia rh.olrEr Builtd wil hE E tlrd.rof FovrE rlr hdsrEdil , tlild d inp.nw lrE F{dy fd rhc |nrlrt oI
<br />r\,'str.' dlth. |xrJ rl. '.rcltr!kh(,tr ',,.ri,,3trirhli...ul.ont tr\n,\,tArnrdrhtr)r.rlsc..7(!J ll'N'h\
<br />sd Pmarsrn aodc Th. (-onrelol. t.ic.nk ljw de( n rl rmr ol polrny sho huil,
<br />rBl rh, .onir,*ntr\u.hlio}{(f, irh:Co
<br />! r .\.trU u'rl.r Srlrn!,
<br />D"". \' 70' 2c)
<br />I trrct y rllirhrndcr lf,nalry of FTrrr. oE orrlr n,lh$in8 rk
<br />-l
<br />tltr lnl vill mn ritr ! ( cr,ilra'c ol Consor b S.lalnsuR in sorlcc i'tr{xtrsarn,n. 8 In,!iJ.n r(tr by sd rr ]TID .l th.
<br />Llhn C[lc.lor lh. psnmun(c ofrh€ wo ntr which thc p.nnil i\ i\\ucd.
<br />I h.E lnd will tui.rrin wurl.* oqrnor*,n iNlraft.. r. ftqlrdl h, sft1i,n:17(f,r olrlE bhor (od.- aor rlx Ftxmar of
<br />lh. r\trl n, wh.h rhi! Fnn N &o.d My edr6 6qmd.n i.s'Im cei, rd Flty nun*E E
<br />-tinires:
<br />--l
<br />cc.lily rh.l ir rlE FraormE of rlEsortnr$hthlttF m i! n.u.d.I tull mr.rilh,rnyFqr i. ymnd
<br />$ dft! r(nm $birr t, tlE wt6 onFNr.n !re< of C,li(t!mi!. !d rlr rh.r rf I rbuu lE&r lo5Frt ro itt
<br />$n*or drrlxnertun rnrvnbff olSdi,)n 171[)olthe L!h, (i
<br />rlilh r,rllARNlN(; l.rilurc r, wrtrrr trrrl.^ .otrrtxrNrri,r !or.ri nr'lr {ihrc.r in.n'doy.'
<br />.ivil ln,.\ tr1, r) o'r hui(lrr{l rhou\rnd ,lolhh ^r.lc.nWn\rlrtr'.,[tr
<br />,n,, ,- \. 7c> Zc:
<br />^
<br />Ilrrhiirltrr'rf,lcr t). '
<br />r!,,lttr1rL!r rh,i lnr (l(llLli.' r)l(fntrnrft !s hS.rri, 7lrx,r,'ll)rvr{.tr r
<br />f rh.lltr\itu\r rnd Prinr$()ir C\dc, rn rl lkci{ n nr tullI(n..nndcfl(l
<br />gDI$TlqIlllll.lAD'XG.AIiENJ
<br />I ltEny.nm u.ds F t, or F iry rh.r rhd! i. Nltrurbn Lidins.*.ry tu rrE Ffdlrrr. or0E enl for rhth rht Fnl i!
<br />trkn (se -1097. ci!. c )t nd.r.l.m:-
<br />Lcdcir A,ldr.s:
<br />-atEtlraNlt}:(;L BA.rItr!
<br />I hort!lllhnu ei Fnrlly or FrJUr, ox.lrhr n'lhwins tlc{h,.li'n\:
<br />Dcfrrlni(,n P.rfrxrArb.{.s Norificorion Fd,crul Rcguhrmn{ I Iirlc{0. P0n6r
<br />R.1!iftll trn.r.l M{ili.ri,n
<br />ffi,,,,.:';,:;:
<br />rcSuhrnn\ rulrdm3 rrtrnr(nrnNlrr. to{ amlrft
<br />rN l axrarocnnrplysirhall Cirytrtr (i)utrry
<br />acnrariEr ol rhn ( iry !d Couhryb cnr& uFrn rrr
<br />rlllr Bnri'Nl I'nrlrny r,
<br />.rppli(rnl or .tr.nl SiEr -€ \''\) 2.o
<br />Ar=^&1.
<br />R[
<br />Fr.a\a ta, J
<br />Set Backs
<br />Forms/Steel/Holdowns 7 I
<br />Erection Pads -/t2/4) .
<br />^UFER Ground 1!'L
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Roof Sheathinq 5t /IJ DA"n tzr .kF/ \
<br />Shear Wall 3-z-zc LE is .tte{zD)
<br />Framinq
<br />lnsulation/Energy
<br />Drywall //./7.2a Zc z7
<br />[ex)-G>ratn nl,qlt) t 6-t-e Ae2t-t
<br />L qr t,url <f,t L,/5i1".a.<- /Yf-<A-
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Beq
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil.
<br />I t I 4
<br />FINAL a,tv u ar6 I
<br />Certificate ol Occupancy
<br />Notes., Remarks, Etc
<br />- ttt'g t'l t
<br />I
<br />ID/SIG.
<br />4'W4
<br />nt-
<br />tt.+1r4
<br />lr
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