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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS I owNEx Bull,t FI DEL( t-ATxrN
<br />I I hcthy.rftm unld n(Mltynf FrJUry rh.r I m.kn!'i rbm rh ConrxloF l-k.n* t w ror t,r ftrlowing EK,i (sd'70:!15
<br />I Burir.s .nl Prorc*ion ('.n r Any c y or C,rnty which r.qun.s r F,nil lo con(ruct, rlld. in{rovc. {tmlhh or rqEn ony
<br />I dturk. ritr r' irs nruoN. .L$ Equn r
<br />'h. +Ftri.r ro u(h rEmi ro lik i rirEd slll.ftnl rn l h. or dr i litnrd pldu!
<br />I h rlE F*nin ol rt con'krd'( LRnrd L,* rclupr( e. ConBEin! *irh Srcrbn ,un ol Division I or rh. Bu(iE( rild
<br />I Pnr.sn Cnd., or rh.r lE d rlE r.k,rnlh.r.rn,m !d ilt r$i.,or lL .lLs.n .rctrFion Any fnLti,nofs<d,[ 70ll t6yuy
<br />l.pflillnrLrsrrmi'luhFj3rlEryrlr.nrhrcrvrlFMnynrmrturrh.rltr.hudr.d&,lbrrtlm,
<br />I ---rr l
<br />![7d. ^ ""*',,r,r'" p-1"ny. nr my.nrk,ycc\ tr h]asrrrrrh.tr$hompco{urio..wirdorh.*n,tedur Erdirmr
<br />| fitnLd or',n Ed fin ehrse.7n4,1. Bu!tr(.nrl Pmlc(irns Cirk: Th. (t nrmi(n ! lj.cn* u*ltud rorly16!now6ol
<br />l,L|r"rdy*lDhddr'{lrtn'Brha6nrrlsln&nuh*qthm€lforls-lrorlhmuahhrdh.ro$.nY'hrer.
<br />l rmvdd rh.r lLh urF'ffired irGrl.dtroff.td r sb lf. lsEE. rh. l!ll|tr|8 G lrra,Eld ir $l, r.hr d )€r
<br />l olonllhrra rltowr, Buil&r *il llw r t!r*n nrtmvl8 rrd trr.Irdd n{ hoiu or i,Fa r,E F.Fry lor r F!F.or
<br />_1. !{owmrolltr lniFny, dmcrclulivcly c.nrrerins *irh li.cnkn lonrrxB x' d'n< cr ltr FrFr (Sd. 1044. Bunm(rnl A$tsim Cd. Tn ('onrrftlor s l-K.nc tr* &r. dn rmry ro m o*tur or ImFn t *L' t uildt or ir{'hEr ih(s.-
<br />lnd *h, ddd\ i, rch FnFr $nr. Co.'rf,rGli l..n(n J|{lgn' h rh. c('ddr\ l.iss bs,
<br />I ! .\.n,pr undcr S..rLr,
<br />-
<br />,',.? - /Z -Jc\f,^*,
<br />' IIEI;IIIAIII'A
<br />I lEEl'y rmrm uftrcr FEhy of FFry or of rrE tolh$h! &(LrrbN.
<br />I lrtcn'rl sillnut xn r( rn'rlcrtor(irtctlrr scll INr'r trt t rkrh (nrFt\rnot. r\ rolkl(lI(rbtsrri t]li)olrha
<br />lnhr (h,h. nn (hc p.'l,trnrne..flhc *orl n, whi.h rlk l{nn nniucd
<br />Policy Numts
<br />-l:rdrcs
<br />_
<br />#4d'ry rhd in trr F forltlN nrrh. surl r(r rhrh rhr Frmi ir (su.n. I itEll hr sr+r,, rny F$ i. rny lMdv $ r h ksc rutirr t! rtE h,rdr'o,ltuhn L*r ol C.l'loni( !d .ar th.t il I dru! tE$r sbFd r. tlE*tltsi .a'nqEnElion Imrni,.s of Sdri(,n lTlD or rh. trrr (inc.InElL ronh,nhsr{ y *iri t,bc rrDririonr
<br />WARNINC Faillrc ro scue so c( srqHsrion cohrug. ir uilr*tu|, Nnd rh,U ubj..r .n or!',oltr ro oininrl Ftulriix md
<br />civil ri.c! !t ro oE h!trdEd th.uslnd (ll,lhF (lloo,ul]). in rddnio. ro rh. .on of .o'quqrnrn. d.ns*cr r! thlir.d for rhc
<br />Sd1x,n 10'16 ofltr bktr(irl. in,.r.{ r ,nonr! r re\
<br />Hnn *"4,""rr,7 - / b* JoIT^*,-",
<br />-^**+
<br />( (lnNTAlr-n{rlt I raDtJt(; acENct
<br />I h.Eby .r8m !nd.r Fmlry of Fiury rhd rh.t ir r @(nkiirn lcidirr lt*y fft tlE Frfmrc ot tlE wt ,or "tah ttk Frnn i.
<br />isEd (sft .1097. civ c ),
<br />AIIL,IIIINLTI(I,A&uIOJ
<br />I lrthy!nntrrundcr Btrnlr! oI Irrjury onln rh. nn,,tr,nS,l..ldrri,rN
<br />odunii(rr I)cnni\ A\hr(o\Norili.Jrirnr l.lllrrl RcSuhri,trNi lirh.rr). I,i ar
<br />Rr(t0trrd l.iicrol Mi'r,.. no
<br />-l
<br />(d fy th.t rlE fcd.rrl rc$1.!io6 E8.rdina !rh$k,r Bm'ri !r. rer qrltatlc ro thn Inrirt
<br />r?.{:rrrr\rhrr Ihx\r'c.tr1rhNrt,tli.rri(r,uxi{.i.(flrrtuLhnf rnkr r iM n c.rd1 I a8m n' r'mf ly snh rll C rrndCounr,
<br />rtc Er,* lriws orrhir aiy dn Coutrrr rr'..16 uFn rlr:c\.nl Sr.r.brr rLrinsio buillin3 $n{rullion. rri h.r.h
<br />ior. tunr nrn pmFnv ro. iniFrrk .
<br />,",,9-/ 6 aolT,tppli.rnl or,\s.trt SisDrm
<br />A 7ov1cL )<0 K",lno 4 Jo:
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />?-r?ae @t /ot
<br />Shear Wall
<br />Framing
<br />lnsulation/Ener
<br />D wall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handi Req
<br />Qeputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />)
<br />FINAL /ah<//zt -,Hgt -,
<br />Certilacate of Occupancy 7
<br />Notes Remarks Etc.
<br />_l h.w iid qill minrrin *.116 onlrhqrion inqrtr.. tr E{uiEd hy Sdrirn J7(D of rtr lrtrtr Cd.. for rlr Fllrlm of
<br />rrE wl fm whth lh! Fmir i. is.d My *0rt6 onFNh. iNrffi orir dn rnlt, rumlrr c
<br />I hcrchyrrnrrutrdcr lBnrlry rFrrury rh{ l,m lisnrn ondcr pmvhbn or Chnpic q (conmEi.t wirhSdhn7(Do)of Divkionl
<br />of !h. Au{m* $d Pn,f6rion\ Cnd.. ud nry ta.ns ir in autt fitrN lrn cfid1 a
<br />Erection Pads
<br />Rool Sheathino
<br />Ext.i lnt. Lath
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