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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS (,WNER BI'II,I'FI DELC XATION
<br />I hcEhy rmrm undd Fnrhy .r Frlury rhd I m .r.mrr rhd rhc a,ntehn' Lt..s tiq ror $. rolbwi,s rc;n (s6 7r,1r I
<br />Itu\imc. {n Pn'fcsk'n C(ncr A.y Ciry or Counly *hih r.quircs r Fmn ro conrrud. !ll(. imrroE. &mlish or knln .ny
<br />ntuim, ri, io ai\ L{.urd- nh rqnid rlr q'rltrnr tor sut Fmi ri, nk ! {isEd nd.Bnr rhd rE or rlE ir la!red nuE.rr
<br />ro rlE Imyirnnt of rlr C..rr-lm r LirnEn l,* (CbI{d 9. Conmrrs sdh S€rrr TiII of Dirnion 1 of rrE DlnE\l .nd
<br />Pn .si,o! Cod.r or rh,r h. r {r h .rcr"r rh.Elmn nrl rhc h3is for rhc llLs.d .rcqrirn An, vira! b. nt Sdirn t0ll l i hy .ny
<br />lttiic.nl rt, r Frmil lubF.tr rh. rrpli.r.[o !.iv,l pcmh y ol tut m'Erhrn liv. hundEd tloll{n ll5m r.
<br />l, * olEr orilt FtrrEdr. or ny.n{,t F- *irh *.3.r.r ilru w'L cr{tnqii'n. *ill {t' it frtt lrl rh. {Me k tr{
<br />irretd.n n ofi.Bn ln $l (Sa r(,g. aunB..nd Prof6ri.lnr ('dL TlE Coddd'. Lirn€ lrv &Ei ml {'nly ro r o*E ol
<br />rtr FVd, wth |.rldr or i'qhBttErn rrd wlb d(-dh *nl himqlror tsklf or rh!o!*h his h.r.*n.tr!|hF{.
<br />l)n,ra.d rh.t 3Nh imlioEEdr m mr hrcrloj oroffcEn fn,{l lt hoEs. rlE ltriuiry o, iryrftftnr h $B snhin oB Ft
<br />or conFlcrbn, llE ormr aui& uill hlE rlr llnLn of povin8 rhd lE or sh. dn ml hild or ir{mE thc pn IEiy fn rhc pqr,T or
<br />l. rsowFr.rrlt F'pcny. rucrclu!\.ly (odiacnry unh lnnrd roor(urn' on{rui rrr F.Fr (-(: 7($!. Bh'tu-
<br />,rl Itui:r\ir (ix|c Tn (i,nrru.kr's L'ccnr l,r dm\ ippl,t, rio$nd olttuf.dy *h) buildror rmIDErthcrd,n.
<br />nnd *ho (aDrECh f{, \urh pn'J.ch wnh r (i' ru(ong) licrnEd puruld n'rhcA,nr'ckn t l-kmsc Ir*)
<br />_l dd.mpr uid.r Ssrhn _.8 &PC ror tht rc&,n
<br />*ffiffi""
<br />I hcrcny.flirm und.r p.MlryofFJuryoft ol rh. folhsin! d(lxrlrirnr
<br />I hr\., s,llEin'lm. Ccdirrrrc olcl'nsnr b Scll lniur. ru *ork(' Lu'rEdi,n.
<br />lrhlcnd.. ntr rh. ncrfnrmL..l rhc wn ni*hrh'h.FmiFN\Ed
<br />ffi*,, -,,,..,-" - a, k.r' conrEn.rrN'n 'n\u'rr( . '.irued hy \(!r.n l,x' rr
<br />/ OE lrl,l tu *hrh rhn Eror tr hiEn Mt*,rk6r mrFndln rnu..r. crrir {n p.lr
<br />,..J'"h^;'tc h KrrrDil Q4\
<br />n*rn@ tqD/aD
<br />I cnif, rhrr rn rlE Flo.mB! of rlE *o.l nn *hi_h rhr Frmi i nrBl I (nall mr c'r$l,r t.y F,en r ry ntrm
<br />$ r r. tfrrm ruhFr ro rlE krtda 6r{Fndr L$r of (.llfodiL ,rl +R rhd if I fi{H h..om ruhFr ro rlE
<br />euldl .rrnF.srirn ,Nvti,.t ol Sd;,n lTtl) of rhc ljh, (i'd., I dnl. rrnh*lh sq,y with rls* Frvili,ns
<br />WARNIN(; liuilurc r. ccuE qorkcr (,np.nslhtr .okn8. is lnhwrul. 0nd snall ruhrrl m cnlt,loy.. ro lnnin,l lf,dhi\ lnd
<br />.iril finc{ up ro om hundEd rhousnd d.lla (llm.unr. i. ltldnirn k, !h. .osr of c ltion. ianEtc\ a\ F)ril.d l,n rh.\ s-,.. r,;r,,r ,* r.r.,
<br />' ,*..41x41
<br />r (in . n'.r.c .,rl .rr,trE,
<br />$
<br />Dt..( t_\R|I t()\
<br />I h.r.ny aitm udcr Fulry of F.ju, rhlr I am litn{d uflLr Fovtion ol (tuds 9lcomEtins $nh Sdri,n 7lrn) orDilnbn.l
<br />or rlE BuriBlr .nd PDr6ioN Cnd.- di my lil# k i. lurl roR rd .flel
<br />8rrc
<br />CA!,iIB]JI]IrcNIINDI!Ij.A{jI'!.CI
<br />I h.hhy rtlnn r' rr pcnrlrt ol Frurt rhd rhcrc i\ r d'nnru(l ir Ltr in8 ug.Ny li,r rhc pcrlhnumc ol rhr trork f(tr $hi.h rht Frnrir G
<br />a\u.d rs( .1197. ( iv c r
<br />I .tr(l.a\ Addr.\\
<br />ATTLIIANLDEII.ASIII!1!
<br />I H'y lrm url.l Fuhy ol F rr., oE or rlx nnhrirr d.(lrn'bnr:
<br />tto,lirion Pcrnil. Aih.ilo! llorifElrhn f*i!l Rc3uLlh (Tit,r0. Pd6r
<br />Rcor iRl , .rr.r of Nori,i.trri,tr,
<br />,fy rh.r thc f.ndrlEphrhB ftB{drn3 nitEdn\ rBnrlsc r)r apll.lnE e' rhr pnrFl
<br />rh{rI h!v.rcndrhtrrmlk.rrr ml {!r. rhd ttxrhrk nmiinr i1 .nn(r I 33r( hr .on9ly wirh I ll cn, xd counry
<br />!tr(lsfurc lrqsfrl:[n! r,) huildint .oNnr.Loi, ri(|tutu h.n^ r.[rc\c hrirc\.r rlr'rCiryrtrd (i'udyk)cnrcr uti rh.
<br />t(4 furx ^"ela4lfi
<br />Set Backs a ,a
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq
<br />Framing
<br />lnsulation/Ene rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL V,aa ffi
<br />-4
<br />#lrl/rfrn*r6b:
<br />Certilicate of Occupanc v I l- t 1 a__T__-
<br />Notes Remarks, Etc
<br />:;::;irr^ffia
<br />Forms/Steel/Holdowns
<br />Shear Wall
<br />.,.-;
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