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BUILDING- INSPECTOR RECORD
<br />SITE-WORK ID/SIG.COMMENTS OWNEN BUTLD}jt DEl-( RATION
<br />I lEEby rm.,n unrLr IEMlly or pdjury lhal I m cr.nfl nnn llE O'nlrtrlor' l-i.nr L,e nn rh. folbemS Elqrn (Sa 7031.5
<br />Bu!iE.\ r.n Prolcssin C.n r Any Ciry or Counry *hth r.1uir r Fnn r, d'nqru.r. .l'6, in{ro\E, d.mlirh or rqEn .ny
<br />{Mrh, Fitr h ik ir\usN, rkl r.qrn6 rlr .pdrad n, rkh Fmd b fik n .i8ml rtrl.m rh.r lE or rlE ir lian(n plNd
<br />n, th€ F'vnhnr ofr,E (tntmktr s l-iccnsd l,q'lchlptd 9. Com'mrciry *irh s.crt,. 7({t) or Dirnhn I ofthc Burin.$ ond
<br />Pn't$rionr Cod.ror rh,r h. tr \& n.r.n{,i rlE..fmnDd r,E tr.ir ror rhc.lLScd.r.nprnn A.y ri.h'hn ol S.<lir Tol l l l'y 'ny{,rnli.nnrr(,rl.mns!hl..krh.0pllrrnrtoacivilp.nrhyorNrm,.rhlnrlvchun'jrcddollais($Jm)
<br />L &s o*B of rlE F Fny, m.r.turnrly snrdint snh lir.cn ftdtrtm ro on{Mr rh.,mj.d (Sd 7(}r.1. au.ir$
<br />!trl P!,a.arir Cd. Tn Ctnrr-kr'i La.n€ lr*.tE ml lpFly lo e o$F o, p.oFdy *t btriLl. or imFtws th.rmn.
<br />rtrd who onrncrl for ruch phJc.k *irh a ('onrmio,1t li..n*l punusnt k, rlE ConlrucM.{ l,iccnE Lle)
<br />I lmcrcmorundd Sftrsn .B &P( forrhFrci<'n
<br />t).1. ().Er
<br />$or(r,llri cof,rPlNsATt(rN
<br />DESI.ASAIIO!
<br />I li rcb! Jtlirnu*Lr lrultlofFrrur) oE ofrh.l,,lk,r tr,g J€lrrirnn\
<br />-l
<br />llr rn erll dirt.o. Ccnifr.rc ofcoo-nr ro S.lr.lnsu f.r srl6s onp.n l'irtr r, revilrn for by Selhn l?m orllE
<br />t hd C.d.. fm 'l. Ffm nlllE tmt tu lnth llr Fm, . irnEn
<br />lfi* ", *, -."a *"rl.F mmFnqrnn n urrE-c. x r{oi'rd hy s6ri,n rTrn orrh. l$o, (.dG. ntr rh. F.a(mK ot
<br />frtrtz*orr r" *tr. t rt p"mr . nnid My ".rr.. mnFn{n r in.umrr cma ua g'lry numtcr n
<br />,,"., frCE A'e,eA.A /
<br />0,,",r",,,,*, ALu z b< 17 o 4 7 L ^,..3lr/co-zo
<br />l..nilyrhar in rh.lxrturmn(of ihc work tu whahrhis l.rnnr n iNucd.l rhullnolcrrrL,y Ury p$$o i^anynrhncr
<br />{' &slo tE.E {hFl r' l,r *0116'oqEnsri)n htr i or C.lir{,ni.. d{arih, itI abuu tttom {bFl rolrE
<br />Htrkci o'mrEMr ion pn,vni' orSs'ionl7lx,ollhc l,kr(inc- I null ndhqirh.r,4ly wnh !h€ pm!trnn1
<br />!{ARNIN(;I FrihE
<br />'o
<br />r.u( *urkc^ $'n .nqri'n Nrsalr ir unhrtul, rnd <h.ll \uhj.!r .n .rpl'yc. t, siniml Ftuhi{ Md
<br />!o om h!fttEd rlnusid dollr lllm.(I}). i. ,r'rnhn rn th. o( of.oqxnqlhn. drm!.! r\ t,o\n.d ht rrE
<br />$ii'i"#ilt#5]
<br />oEct-A taTfir\
<br />LEEb, rfltn uds p.nh, of ,Erttry rhd I r ltinsl !nd.r t,lrki,n .l ChrrE 9 I d'nmEr.3 $nh S.{ion 7fi)) of Dilirrn :l
<br />oa rh Busix$ uDl Pnrtr\iont ( odc. rn my lE.nr t in flll loc r,rl crnr
<br />x .,r., L-Dejl)
<br />U---11+€ 4aA6 Dt;foTiIs t laato *"'**/
<br />IIIIISIBIJLIXIIJ.ENIIIII;-AqEIltrby,imurLr|rslryof,xrru.,rh.rrlEtnrsn{Mb.hdin!.&rytutlEIstolrls.olrll.k*lf',whthrhntmnir
<br />isu.n rsd ()s7. cir cl
<br />l.nJci! \Jm
<br />-
<br />ATILIIANUTIiIIJsAITJT
<br />I hdrtl, llinn und.. ,Enrlry ol Frrury oE ol rlE ldhsnrS d..lsnr nns
<br />D.dr k,n Pdmnr Ash.{or tir rliGr r,n Iid.hl R.8ubr i,n1 r'l irk .1,. Pd6 r
<br />R.qutEd trn.r ot Nd,fmtir
<br />-l.cnrlyrhrl
<br />rh. fd!.rrl rc8rhtions rc8eliry rstt{.! rcm,vrl lrc rcr {nlt,hlc b rhir I)n,Fr
<br />r comply snh lll Cny{nl cl,urry
<br />lhi\ Cny.nd ('.runry (,.nr6 xF,n rlr
<br />,"r. {
<br />[r,.,r, ,n, , n^. -,',r. Jmr,.3,trn.,ar{. r,h. 1y.,n,.,.. -,r,*,rrr1, h.,ri.., ,.,r,*,
<br />El-Jh$.trklsr. ..l,(. rt,,,m ni ru.lJr,F,rr{tu.'x{' .trrr rrn.h\ ru'rr{/c rctrc\1 . rr\,n
<br />+,.. rtrri{rJ nn,Nn! n( 'n\Frlr uF,{.
<br />4r0,,..n, ".,,*-,.,n*u* ]l'U"'.-
<br />V"*,*n,..rp,rn,, uJt^ $,r^cl/,n f atla.*u
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Rool Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil
<br />r.l TI ,/A
<br />FINAL 415Wtu 0UYQI/J 1@/
<br />Certilicate ol Occu pancy I
<br />Notes Remarks, Etc
<br />7
<br />DATE
<br />Subf loor/VenVlnsulation
<br />-,.
<br />.c .*F of rlE pn'Fny. in my.q,hF\ r,llh *!act as lrEt s'k (lltlrner i,.. *ill do rh. wt d r{ulEilml
<br />inrc(L\l nr orh'.d for {lc ( Sk 70,14. Bu\im.s dd ftorcrcions (itl. llE Conrr0dofr l-iNnr llw do$ nor {'!ly ro otr owncr oI
<br />rh. FrFny ulh trild< o. mp.orB rh.Gr rri r h' d- qh uri* hrmr.lf or lE.rlf or ttFuih hn d h. o$i .iik'|.c..
<br />F,vilcd rhtrr \u.h ,nlro@d! E mr n.n&rl n ofi.rd fq qlc l( hiErs, rlI hildin3 or irynNftd ir r,B wihr.ft )Er
<br />uf $rrlJhrin rtE ()qrr Buitl, willllk rlE hnLLn oI roving rhd L or \hc dn dl boi! or ilitn,r rhc pmFiy nf, $. I{rlrc or
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