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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.OIM\ir.l BUIII)ER DT,I,CA IATION
<br />I h(.b, r,firm ud.r n Blry.'f tE.ru.y rhd I m.r.ry lmd rrE conrdr^ Lk.n{ tr* ror rlE rolh*ing EE,n (Sn70]1.5
<br />BusirE$ a PrrLnhn CftL): Any Ciry 6r Cohry Bhich rcquiEr r Fnnr ro on(Mr. .lrq. irflroE. &mlnh fl EFn ttry
<br />{nrlw.Firl.its i.iuN..l$ Ertui6 th.,,flar for qh Fnir h fih r rilrri rrdcd rhn lE6r dE k lkrtr<d F {rn
<br />l.lh. F.vi3ions ol trk C.nrfl.rors l-i..*d kw ((]urrcr 9, Conmrinr *irh s(rion 7(tx) ol Divhhn .l otin. Bu\iBr and
<br />PEaclrions C(rj.) q rt l lE tr rlE n.r.n$ rh.rdrcm rnd
<br />'lE
<br />h.sa r., rh€ !lL*.n.r.n!ii!, A., vnLrbn or s.<lb. 70.r 1.5 by my
<br />rl,lhcrnr tor r Fmil $bF{k rhc !t'rli..nl r{, . .iril F..ty ol mr m,E rh.. fivc hudBn {nnhr tlnD)
<br />-1.
<br />.r ow ol rh. ImFnr, rv my .rykiF. *nh f,r!6 r rh.t $b 6qEn!.iir., will d{, rtr w .n rlE r.dE i. d
<br />inr.i'd.n o ofi.Ed for slc ( S{ 7tx.{, Burir$ ud Pioleli,n ('odc TlE ConlM \ !,ar.s tjw .txr ml {ply lo rn os E ol
<br />llE ImFny qts hlildr M iqhB rhar lrr !b &E *h utrI hiDElr or hrslror tlftlsh hii d lEr own..rrlorB,
<br />Fovilcd rhi *h in{nwn. E Bll -r.!d d olIdtd k .h. ll tnlw, rhc hli5nE d inFokr.n n bB sahh d d
<br />of.o,pLri,n, rrE ()srr Bui!.r ,ill hE rlE hd.n ol FnvirS rhd rr o rh. dn n, hil.l or iryn E rh. Fop.ny ror rrr I{.IXE or
<br />Ldi.*turolrhcDnl,lcny,amcrcturnclyrinrrrdintwithli.cnsc.l.odrrlr$ro$n{ru(llh.prlcd(Scc'7r,1-a.Bunnc$
<br />i h'liisir ( nd. th.C.nrrtoir l-K..c l:$&r5 ftn rnntr-t' tnosmr oflloFnv*ln b{ild\ nr itrllr^ti rh.k,n.
<br />rnd rlr (frn.h f(, ru.h I,n,Ft *irh ! ( onrh--t{ s I lr.nrd ,'uirunr io r h. c,)nnod,a { l.tcns L.* )
<br />-l.ncr.ad und.r SNrbn
<br />lrsir (rrm.
<br />lt!)Af,E8s-rr}}t8lssArMr
<br />DEIIA.EAIION
<br />I h.run! rmr.n utrdcr tr xlry ol lEJUrr o r of r hr rd[)\ iry d$h rhoir
<br />-lhavcanlwillmrnrumo(cdifrtrr.ofCnn\cnrn'SclIln\urcfq$ortsrconu.nlltion.,rjrmlidcdluhySari(,nl70llolrhctlhr,lk. r,i rrr FrdftL. nrrrE q rI rin $hihrh.F,nnr ir i\\rJ
<br /><hlKdds'llmarr tr w.A.r' . mFnrdr nn rn\urrnr., ni rcqunc,l by s.d n,n l7(X) or rh. Lrtit C*lc, t n rh. l.rr.rn1ftc of
<br />rlE ( forrhihrhtrrmn ii risrd l\ly 10116' mn{n\.rion mrrrrc lanir IFlt}-NmbcrE:
<br />c,n, r-7-^ AL:- Feta t\
<br />P,r,!t)!d.r A/ h Q1z <- e,r*. ?/rlr/ 2o
<br />-l.drry
<br />rtnr inrrx Frrormftorllr sorl ttrrt.t rhn F,mn ( K.Ed.l $.llBn.r{'hrry rE s. hrnyDnF
<br />s a\ h tEonE luhj.d rd rhc roll6r (,npcn\rttun h*ruf(.ll'nrmi , rtol.BEcrh{ n I ih)ukt ttrom brdri.rh.
<br />srt6 conlltnerir Fsrii,n. of S(rkr, :l)(X) of rh. l:hr (ixk. l dEll. fonh$ h .oinl, *irh rtrr |, n.n.
<br />I4ARNING lililur h rh hrkr' oqxneri'n iNna. ir uobrrul. rnl $all .ubr.r cn{ll'}!r h ainidl Fohs td
<br />civrl 6N\unk,.mhundrc rhourlnd dolhn lsll .l[x)), in lddirnr l,' rhc co( o, conpcn\lti.n. &tuS.r N pn'vidcd,nrlhc
<br />S(r rr l0 16 of rrE lih, C{rL. rtdc{ rnd !tr.mr'\ ,N! I
<br />Del.: Appltunl:
<br />LtcpllsED cot\Ttaaclon
<br />DlirllrSiruaN
<br />nl rh. 8u!N* mtl l,rufc\irtrtrCaL rrl rs lr.n* F
<br />'n
<br />! llnR x'rl rrT{r
<br />,,..,,'.,,,.. C 3-1
<br />"", ?/zt/r 7
<br />/Lo 2264
<br />J--
<br />(.ONSTIUL-TION LnaiDING A(;fltCI'
<br />I h.Eby rrnn u i.r Fmlr! ol FrJ!,y rlur rlre i ! !rn<Mtr'. kq.3.fty ttr tlE FralrtmLr 0t rlE *rd tor {hrfi rhir Fnl ir
<br />i\\md tscc .1097. Civ ( )
<br />lrBLrr N!'E
<br />AIIIIIAIIDACI.Af,AIITN
<br />I hsrry irm undcr rrMlry o, ,'cqury om ol rlx rolhtr
<br />'nB
<br />&.r..ri hn\
<br />l)cmliitrn Pcrmirs A\tEnor Norii ri,)n Fcd.iJl R.8uhrionl tlnlc a1). Pfi6l
<br />Rcquircd l.(s ol &rifr.ir{
<br />_l (dif,
<br />'h!r
<br />$. ldLral r8llrrilnr reddns (h.rkr rmrd n ftn +dt!t k ro rhir tr.Fd
<br />lc.nrlvllrrll$cr. lrhirnt't,li. r($dal{xrrrrrrl^-^rhtr.inl(trn noi ni,tu.r l lktn)mnrfly,1ilrrurkr. rfrl\,rh I J{. F.hr'N r" hu'llnq\,.n{tu!rr!' Jnlrxlrh, r Lar."Iry-ir,"..,.1rhhc t
<br />.,hn( il i,rrJ nn,B"r L{ 'n.F.ri,n rtral{.;;-;il;"''':;r:-? /L h.
<br />r.mi,d. mm. , prinr ': Cz e'tc o- t t .z Ece-9e-/
<br />rnd Counrt b .d6 uF,n rlE
<br />2r< tL2
<br />Set Backs
<br />Erection Pads
<br />UFEB Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Floof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />d
<br />Certificate ot O u a
<br />Notes Rema s, Etc.
<br />d 24
<br />COMMENTS
<br />Forms/Steel/Holdowns
<br />IFINAL q I tr ltl g-t
<br />/rn I
<br />f--
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