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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS iJWNER BUII,DER DEI,('ARATION
<br />I tEEtr llfro ud.r FMhy.f Fri!ry lhd I m crcq,r Inm !h. o'drdon l-a.n* t,s ntr dE folt,*hg m'r,.ts..70J15
<br />B{r,ftr\ md Prnr.rson (.d.} Any Ci!, or coudy sh.h rstuiB r Fni i! (,.<dr. it6- irri,os. tbmlirh E?.n u,
<br />nruduE. Fhr r,, ih isurkc, als r.qliEs llE lr'Iliur [tr o.h rrff !, lih. tisftn ddcftnt rhar lt m rlE i lirn(d l'uNrd '
<br />l.lh. nfl,vhionr of rlE ConrrN r l.t.n{d liw (Ch!Fl$ 9. Commn.in8 wilt Sccrion 7(rn ot Divilion I orrh' aNim( 'nd
<br />Ptr'a.sri'nr Cod.) d rhlt lE rtr rlE is.rcni{ rtE tbh..d rlE tr.is fot rtx rlLsrn.r.n{ra. Any\ioLririofsdbnloil S byr,
<br />sppluni f.r 0 Fm suhFl! lL .firli.rnr ro . citrl P.mrry ol ml m,. rh:n fi\t hudEd tlollu ( l5{I,
<br />-1.rsosrerolrrrFoFny,ormycll)hy.!\eirhw4.rbirh.i.s'bcotrYtneri('i,willd.th.f,ntrdllt{rrlEnmrincrl.n d 6n rn rd El. lS( 1)r!. Bori6 rnd P,.f6.s.1(-d. 'llx CodRJd'r Litn- 1,{ &s d +plr ro x o$tr ol
<br />rlE li.Fny rtnl t&ornqhrstltGn.tnslFdButs him<lf h.r{I, ot rho!8h hn n hc. orn.i{,hF!
<br />Dn'vid.d rh.r u.h iqre!ftnkdn{ inEd.n or dftrsl nn $k li h,kw. rh. hoillin! or iqrtftnr i. {ld wiitin ort Fd
<br />ofanriLria th. Of,d Boilb *illhlt rh. bd.nolForin3lhal ,t nr slr dn mt hiH or itrf'n*t rtt FttEly for rlt Plrln* ol
<br />I. dr orftr or rhc F,n ny, ah.x.luriv.ly conklr1in8 *irh li(n\.d .onrdon r. onsrrcr rlr fhlrt ( Sd ,O14 Btrrir(
<br />!,rl lbtsi,n( od. Th. (bnlEl.r r Li.cnc. t:* &Er ft dlIly ro M or Er or Pn,Fdy who huildr ot iml,Nw! rh.ron.
<br />!ft, r'ho d,dEir rrr luh FFi( snh I C.dd.n{,l..nyrl t 'iunt r. tlE CodGid\ linc l,s)
<br />I ntrrcrcnrpr trn,tr s..ri,trr
<br />l)rr. (hn.r
<br />lloRxFIL\' ( r lrlPl'Nsrr noi
<br />DD(IAXAUI.N
<br />I lr(.hrr n'undcrI.,hroltxrjuvoNolrh.r,n!)ri',s,lc.ln.dintr
<br />-r
<br />hun lrl BiU Binrd,n r c.nirf,.t. or C.nrd ro S.lr ltrrtF rn *odsr' oqxnqi ic,.. !r ,ioviLd ,ot l', sdr n
<br />trtxtr Codc. tu rh. FnnmB c of rtF wolk tor whi(h lhc Frnrir ir irsucil
<br />-l
<br />hlt.nd rill tui.r.in uod.r' comlEn€rirn hiuor., $ hursj 6y S€rr. 17(t) of th. L.lnr Cir&. ro. rlE IErfIilrIN ol
<br />,h. *o,t rn' chr\rhii Fm r\ nr,.$ M) r'rr!6a mnl..vrr!. in\u,'ftT ( .. dn FIK) numho r
<br />,-", 'lwytoh'Zurtlh,",,.,^,-*&So46013,,.;*,, ll-ol-lcl
<br />l.dify th.r io rh. p.rf.rtuh!,,rrk *ork n, nhth rhn Frmir r ire\d. I dull rn mrt'y mI F sJ. i. r.v mnmr
<br />qr d t' fid.r obirr nr rh f,..t6' LrtrlEn{! atr brr ol (-.hfomir 8! ,gft rhd if I rh.uB rE{or rlhFr h llE
<br />sort.r' oqrnst nn pnlvirions ol Se_rirn l?u) or rrx Llhtr ( odc. I i&ll, rodhwirh $rI,ly wirh rhE ,hrvtionr
<br />WARNINC t-rilurc ro ecurc eork.r( NmlEnqliotr olcr!3. ir u.lu{lnl. snd ihtrll rubF.r un mrDlortt x, din nll JEmllia lnd
<br />(rrl lnr\ !n r' orc hufrl'.d I
<br />::,47i;7ttl
<br />q or.o4r.qrion. drD!.{ ri ,rov!.H in lt
<br />l]l(Lla.\tu:
<br />I h.Ehy alItrF !.n.r Ftuny ur FrPry lh{l I am li.lnrn udd t,svtion .r (tuI 6 9 (co.ffirrns *ilh S*rhn 7ux, or DiYitl'' l
<br />or rlx BusiE(ad Pn,fc(ionr Oit ,.rd m! ltcne t in fllltom{ clrirl.
<br />,tr.tr\r.ri$ ' C lD
<br />,,.,, -4/lo/11
<br />q137 9<4'rCI]IUBICIIUN'AI}TN CI!!I
<br />I h.rhv drtrn uflr.r Fuhyoallcrruy rh,i rt6. r. on{rudi)n Lndins rP.fty tu rh( Frfortumc ol rhc wl for {hi(h ihri Fni A
<br />tird rsd lu)7. civ c r
<br />t .d.rs N!m:
<br />-
<br />AfILIIAILDEII.A8AIIO!
<br />I hotlly drm !d.r Fnrh y ol Frr,} ot of rh. firlb[in3 &. ![riInr
<br />D.d,lirr. P.rnritrAsE{.r Ndiff,rrii F.d.rilR.!!LrFr (l ik !1r, P 6r
<br />-Rqut.i
<br />t.lter ol Ndirtlti,n
<br />-l
<br />.qiif, rh't rh. f.n d E3lhiiod ESrrli4 a\rEior ffiril &. mr l9plhrltk h thk FoF
<br />-l
<br />cnify rhd I lnE Erd rhlr {!la.l hn .,n nr. rtrl rlt rtsh infomdhn k cd<r I rge ro d rnlply *irh rll crrr- !d coutrr]
<br />!Cir!' Cou.ttt! cnrs qim rlty.tthnt rFEn'diEr.lrhi
<br />,'4 le.latda
<br />?//a//7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />FINAL
<br />Certilicate ol Occupancv
<br />Notes, Remarks, Elc
<br />T-Bar
<br />_.B &r'( f.rrl \rcnvm
<br />tt0ld ( A&t.*
<br />-
<br />ordiMft'cc ind Stic l,f,r rU..8
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