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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER AUILDSN Df, I(J{IATION
<br />I rEEl'y .llim u,ljcr FrIy or p.riq rhrt t e .!.qi ttud rlr G' rd.h' tro€ L.v for rlE lollo*nl Erh (sfr:'m], 5
<br />BurEir rnl PtDL.!i[ Cuk) Any Cny or C-d y shEh r.qu&! . Fr, h @n<nd, rXd. !qmE. &mluh M r.ru uy
<br />.R1w. tnx ro rr !ur. !h. Eqo6 rlE rDPlEur tn q.h ttmr tu liL r !'EEl {r.ml ihrl lr ir ir n l..nrJ F,rrr
<br />rd rlr FDvsrn ofur Ci'nrmlr r LEnen L.r (Ch.I{d 9. Cl]lrwBu! rnh Sdrbn 1@o ot D'}s&. I ol ll. Aurm( .,xl
<br />PDt srDr Cirl.) d rh, rE q rh. B .rnB rlE!from nl rlE 6.r! lm rlr rlk!.rl .!.flprrrn. tuy vnL(n of S-rM m] M, rn,
<br />atPl*.nr for r Frmi rubFk rlt {dud ro . {'v FEhy or n mft rhrn [iE hudld noll]t (S5@J
<br />_1,a! owftr .l rh. F,Fny, ,, my cnlPk'ys *! h w4.{ tr\ rrru e,L .n,I.net $n. q l do ilr u* ml th. {rrE tr ai
<br />ideft}tr] o. olj.r.J tu qk (SN 7U14, Buims dJ thnc(r'nr C(xlc: 'I h. Conr.(l,ri L.rnE li* Llxt Rn {t ly b M n*mr ot
<br />rhc F)Irdy wlr] hr ,l{.r rrs)q llrF n, u{ *lxl Llf{ lxh u,,t h'nN.llor h.r*lfo.rhntuShhnorh.r.wn.nnlotrc\.
<br />trov cJ rlur .uch mphwmnh m fr{ nrctrk{ r trll.R{ ttr srL. Il. h,KE, rrr tUUinS or iryn,wrnr s *'Ir wnhtrt .rE F,
<br />ol c.mp,cri4 rh. ()*Er Br L, , l hrE th. burd.n oi I$vin8 rhd h. or {r drl mr hudl q itr{rok rh. ln,trny lnr rh. l{iFM .l
<br />-L
<br />!s owrcr ol rh. FlFnr, m crclunycly eo.rrurins u t lrcnkl.onLrbF ro L$.ntur E tmjd (Se ?04r, BurE*
<br />ui hltsM Ccr.: 'I h. Contrktr'r I-16* br d6 nn rfilly b d osF ol p.DrEn y *h, blillr or 'nnnrrc hcBr,
<br />sd pho udtuc fr q i FrFh *rrh r GldRi( n lr.nhl liond h rlr c. da.sLsELwr
<br />_I ncr.mlr ud{ s&rr
<br />!!.o4f,885:r:aufrBstlrta!pEgd8allIl!
<br />I h.rehy ill(n utu,cr trnrlryol rEillry ox ofrhc folk'*bs Jdlaruinn!
<br />-l
<br />hav. ail w'll nn nlha C.rrlic.lcolC ncnr h Sclllnsurc ntr* rk.6' .onpcnqrRr, ,\ lhrvdal hn hySc.non lT0oolrhc
<br />litxr C,rlc, l(tr rh. p.rtumHnr. rlrhr woll ntrwhrhrh. t'.,nnr F A\ucd
<br />Ihlvcand*rllmriJr*trk.rr.ompcnsrlonffurrn(c.r\r.qurc'lhvs(itr:r?l[.fIh.Irho.(ii]c.ntrrlf,FnanMft.nl
<br />c-.. naJ
<br />rh! n(m' ! nru.1j My e,rt
<br />t cflaa4 [
<br />cs'r.mpcn\rri,n mnnJft.(nrr !r t'liy numt!.r r.
<br />7fq C i4 )nz 1/,\
<br />)(1lid'ryrh.r hrlr F.rurrl.ol rh. *ort fo, *hihrhBFmr B n{Erl.l !h.lldr.flq,b, ey Iflm rr.ylME
<br />ar l\. bd r \uhFr t, rlr *,d6'6r{Endir L*s ol (.|,n,ru. r,rl rlr rhi I{uUkrumtuhnrft,rll
<br />wod.6 dq${nn prrvm'nt dr Seri,n l?@ oi ilE Lrhtr OrL. I nr[ tnhw h Lrtq y eirh llrtc F,vlDtrr
<br />WARNINC: F.lluE b B@ *olt.F .r,mrttrerxh $Fn8. N uhLqfril, .nd rrul iuhFr u drgloFr b llnml FE[6 .,tl
<br />cfll lu.! uI n, oE hudrJ rhlur.tl ilolL^ (51m,u)0), r rlt[kln lt' lh. .$l ol uomFn{rnrn. Je!.! .. povn.! l rh.
<br />Sc.tr n .\l)?6.1 rl* l rrrtr (iilc. tr .r.( rnt rntrL-y 1
<br />,t2,--z- (al
<br />LICENSTI! CONTRA'T(}R
<br />IECI.AEATqN
<br />I lf,Eby!,tnmu*Lr Fnrlly l Friurylh.r I m Uzny,l uBlr pn'vr(,n ol Chrfld 9 ( NrmmNi4 *irhSe..rln TOtX)) ol DvFk'd]
<br />o( th. Bu5m$ rnJ Pn,l.$rm C( c, !n my l..nc R n iuu nE.. Ji cll(r
<br />c_9 //
<br />{.1 |toc+dq5
<br />CONSTRUCTI(IN LF{DIIIG A(iENCY
<br />I hcFby illtm unJ.r Fn.lirof Fruiy rh.r rlE- 6..onnd.r$r l.lnhS.S.Ny tn rh. Ffolrmc.f rh. urk ntr *h.h rhn Fn! !
<br />isruel (Se.'. .llYr?, Crv. C.)
<br />A@.ICAII.IETIJIAITO
<br />I lEd'ynrmlnt r Fnrx, ol Flrry o* of lrE loltrsBr .kllttlMr
<br />t).mlror PcmrlAtlBkn Nd'f(r'.r F.rLr.l R.8uLlMr(TnL 40. P.n6)
<br />R.quKJ l.(., ol Mi'lirrln
<br />-I
<br />.!n'8 lh.l tlE ro,!.rd EllLroN ErtJu! ah6'or ,m!d e n{ .I'l r.l . ro lhr Fri\r.
<br />9d.*i, ,", ,"*.r,* rlprMrbn In shl. rhr! rlE.tnE inn'turih ! corer I.8r ro L$,rery,nh. crrr. l coury
<br />onj@8.! rll Sr,r.l r*t ELrdS h' hu,U'n8 (onnrudr,r.rn h.rch, .urhru. ,.rrrnur,El ul rhr C
<br />rh.r mnri,rJ nn,n ny itr n,*r""H'* t_)
<br />Appllenl orAr.nlslrdluEL thl.
<br />yr C.trnrtn'.ni.ruFrnrll
<br />*2- (
<br />3i4
<br />Set Backs a
<br />Forms/Steel/Holdowns NI
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation I
<br />Roof Sheathinq / vtijt/q fr'L,,rL//{
<br />Shear Wall
<br />Framino
<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 />Enqineer Final Report
<br />Flood Zone Certif
<br />IF|NAL /Z/q//7 rL //Lt i6t'
<br />Certif icate of Occupancy
<br />Notes, Remarks, Etc
<br />?n-./v
<br />-,,.t2- 2' t at
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