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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OI{NER BUILDDN DElI'ANATION
<br />I hq.h rrm udc nqrty., Fjw) rnn t h (cn4i noh rh. (onr-l6 Lt.e te for rh. follor *ren(Sd70ll5
<br />Burndr ud Prol6iion cod.) Any cn, or cour y shich r.qurd r lqni ro coNlod, .ta, inP.oE &iolLh or lq.n ey
<br />3rtudm. Fh. r. it3 isumq ltro r.ql16 rh. {?lter fnr 3u.h Fmn b nl. r rigntt ridornr rh, lE ot C'. b liclE6l Fed
<br />ro ih. Forlbd of rlE Conrrroi3 La.r.d lr* (Ci4G 9. Condci.X {nh s..riin 70m otDivi!6o I ofllE &niE !d
<br />PFfsion! (\'<t , or rh.r h. or !h. ir .rdt, lhE.fton 6d rhc bcai lu rh. !ll.X.d am ion. Any viohlionots.dhn 701I tbtany
<br />dpphcrni for r Fhit rut'jals rh. .pqlic..r io . ciril p6.hy of mr mE lhd 6\. hund,.d t'olle {t5m}
<br />L dr osn6 ofrh.,krFny. or mycmtloyc wrlh waB6 B rhdr en. conpalnlion, willdo tn. "olt &d lh. slulw n d
<br />i orLd ott6.d f., eL(S( 704{. Buinc ud PrefdhE CorL rn (irnriclor'! I ic.e |!tr &d fr,4Dlt !.uo$.doa
<br />th. F,Fir s ho hriki or inBr.\ 6 'lEaa rn tr h. dE kh $.* hrnEtf o. lFell.r
<br />'hml8h
<br />hi or hs .ur aq,hrG.
<br />pror 'dd ih.r n'ch iml'o\ffir &. ft, idriLd ff or6d nr sb lt ho{.(. rh. hildin3 !r imrordmr i sld *iihin on ta
<br />of .6,'pLrioq rh. Oq F tloilrd *ill h!!r ft hr&n ot Is\ins tti h. or ihc dn mt tJru or inq8. $. F Fr,' for fi. FlrF)r oa
<br />l. s owE .lrh. Fopqr!, dn .xckn.! .onlrdiB $ irh li.aB€rl .otu&1oB ro c.nnru.l rlE r!j.c' (S< ?01,1. 86rB
<br />&rl Aolsir( o.t | fi. Conh-hii L(.e Lr* &.r frrr qrl) ro 6osc6llroFn! $lh buil.lor inp6r6rh6ar.
<br />8nd $ho rflM!fff$ctF.jcdsrnhlco iiclo(s) lk.tr*d n Bu.rl krln Co'r,&lM ! l-kG lr* )
<br />I n.\mti u.&r ridion
<br />D.r. ormr
<br />$rrR(tesia()ntPFIIsa tloN
<br />DICIdSAIIAB
<br />I hs.h, aflnm trndd rd.lr, ofFrjuryon.ofrh. nnbsinS ddl,.6rhnr
<br />I h.r..,!d trrll
<br />'nr.m
<br />a ( difkrr. of( .l&.r 16 s.ll-l6ur. ld trorld' .\\mFdir.. 6 I'.r lH for b Sdion !7(r, of rlE
<br />t hrt Codq ror lh. ao f('frec ot rh. { on( for shich lhc psrtril is isru.n
<br />I h.r. r,n $ ill minriin tr..l6 on Esnhn ieffi.. s r.q!ftd b Sclion r7(f,l orlh. l,bor ( o&. for rh. Fr.ll1m. of
<br />lh. svk for wnth thi! p.mil b ir$dl M) $ort6 mnpmdio. insu6nc. .6i6 Dd rElky numlE G
<br />Icditrh if,rh.pdfolmn.coflh.trotlf $nichrhlrFm( r isu.d.l shallDl drl,t,.n, Fsn,n.n) hmk
<br />sr er to b..onr subj€r ro rhc tr 0116 .omlErd if,n lssi o I ( ahlodi!- nd r{r( rhd if I qh.uld h..om. rbj..l lo llk
<br />snlrs] smamerir.rorsirBots.(rn!7(x)ofllE|ih)r(od..IslEll.ionh{irhFmplt$nh!rn*F iii.nr
<br />\+ARNtNc tirlurc b hu. *nr!6' comFdkr .orms. it uih\rful. ..d sh.ll s brd df, mpl.is l. sininolFtrlE a",i'
<br />.ivil fin6 u! t. on. hundr.n rhr$dd d.llm (ll(x).u)o). in rddin,n lo rh. .oi oi.o'npdlsriotr. dm.!6 a prordd rn rhr
<br />lrl i? IJI'? o^-.r B2L
<br />Lt( EnsLD ( Oli IRA(.I()R
<br />Dtct
<br />^n,1
<br />floii
<br />lo I
<br />I hdrby nffixn und6 rE rhy dl r<jury rhlr I d licosd u.dd I'o rkin ol ( h'|]rd q ( commo.ins \dh sdrion 7(Xr{r) o f Dtr Fn,n .r
<br />oa lh. SlsK ed PNI$F ('od..lxi mr l{w G t(lr torc.dd.fi(l
<br />{ A\ >.Vr 7 9*rS
<br />coxsla!(rtoll-LfdDlllirtgEllr
<br />I hcdrr afrrm ondd Fnahy o l'Fju.-v lhd ih6.nr.oN d ion ldding aga.y for ln. psf.mucc ol rhc s o f.r \$i.h r hi tEnir ir
<br />i$u!d ls< 1047.Cn ( l
<br />ASIUCAIfII,CIAAAII(I!
<br />I hsdn lrEn un& Fnrh! ol Fruft .E of rh. irllotr ing &thdionr
<br />D.tolilion Psnils'Aib6lo! Nonl'rc inn F.d6.l R.*uhnrN (TnE 40- Pan6)
<br />R.qun.d L.rr6.tNc,r'fi<rrtn
<br />I r.n,6 rhir rh.Lddalr.!trhrioNr.sodir! trst6u
<br />I !drf\ rh{ llnn.r.rl rh'saflrl'.irun r nrr.l ! (nh rll ( tr\.ndr'nunn
<br />frdM (s.trd sl c la(s,.laxn! h hil.li',r (N
<br />abo\c,mria..J roMr L, iBalhn
<br />nrn,,."., ", n"",r, a""",,,." X
<br />Pmlld rth.lp.irO:
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Exl./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 Certif.
<br />EorvO q0-p,.r htlvv4 l0*t0"let kllt
<br />I
<br />FINAL t0-lc- 11 .h
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />t+{
<br />./r,,
<br />7 \-/
<br />7
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