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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS owNt.L BUlt-l,l:R t[:t.c r-A r()N
<br />i ltEty rfam' unJ.r pcnllr, ol p.4'rr-y thd I m.kn+ tun rh. (o E-]6 LirM bs for tft. tullo*ul8 Er$n is...7oll.t
<br />Irorftrs .rd P.ora$r'r Cdl.l: 4., Cn!.r C.lnrr rhrh ,cqxft\ ! Fimr !r (..{Bt, nlr.., ii{,r.v.. &mrlirh o' EI'u ry
<br />,o.rE. pflr r' ,s trsrlBr. rl$ EqUG h.dtlnknfl fo. $$ Fmr k, til. ! sl3Md $d.E nd l. or tE ! lEEal pur$d
<br />h rh. pmvirioft .rlh. Or&rroir l-iccn{d Ii} (ChrF..t), ( d.rrcEing *ih Ssri)n 7(tl) in lrvnhn I .l rh. Buiifts.n!
<br />P.ol.$Ens (fxi.) or rlrr lE or rh( ts .r.m rhrctomlil rll hn$s nr rh. Lg.tl.krlP.rn AnyrhhrDnofStri,nT0ll.tby.ny
<br />soplicMr fin , l!.mir suhJ.rt rnc l'pplicrnr roa.ivilp€ntrlry.l nor,m'.rhm fiv. hundEd dollo^ (l5lIr).
<br />_1. .s .qncr.lrh. fnl.ny, nr dtcmthy.es sirh wd8.s rs rh.n vnc .n'.{rdrarion. willd. rh. wk i,al Ih. nME i\ mr
<br />ndrlal u' orT.r.J r,r {k rS(. 7Or4, Boiirs lnd Prnt si(ft C,xl. Ir G'nrno.r\ Lf,.ns la* r{ N! n?rly h .n owr or
<br />rh. I,trIdy a hoiuii{ inlmki dEotr !,d wlr) d(K rrh$rnl himt.l, o, trrellor rh'outh htr or l.r uwn.nplo}tli
<br />I'r.rded lhd suct itr{wEm sEmrid.nddlor.lle.dL{$l ll, hNcw. ilE l{ildul3 or i,Fotdd n $ld *nhtr.r r4
<br />{lconltlri4 ro*E nuus wrllhntr rlrhun}.ofoNvll3 rlu lEu {E tlil fti tlill.. inrrcE EFldyforrlEFnptEot
<br />_1. a3o*Erolrlr Foltnr. d.r.lwndy o'Idi.f *nh l(ctri!.o Eraro ornMt dE pdFd lsa. nxa. BuliEs
<br />.'n E!&isbo Cdl. Thc ConiEtr\ Lr.ns L* dE! d .ml, h D owk of l,oFny 9h, burldr o. n{lmv.s rh.rdr
<br />.Dd }hl ..dd$ rd leh pftrr.k lirh. co aro(s) lr.^*d t'o^l@ tu rh. codrdolr Lr.M bv).
<br />I an.xcn,fl und{ S(noi ,U rtP( irrha..rv,,
<br />ylrBIiEE AllIf,lXAnAI
<br />DELAEAIIIJ!
<br />I h.r.bvrllnmutul{nci yolrtriurv.n.olrhcnnl,errd.tl.mrtr,nt
<br />I h.r.,n wrrl mi"lrn!. Cd'ltub olcoEd roS.l NuE nr srlda snqEdion. .r Fovi!.d for by Serior ,7m of E
<br />lalq co&. r.r rll tqld.a. ol r,r krt rd *ni.i
<br />'tE F.nn 6 nd8l
<br />I hrE .nd w l roinr.r wl.R .oql.Mrir. iN6r., !r ,.{oiEd by Sdr.n llm ol 0r f.n, Co&. lor r F lolm. of
<br />rh. *olt lor ehrh rhr tEmn N iiMl. My qrl6 d,rttGdan rNure! (rtr rnl F,l.y N.nlEr {.:
<br />I c.nrfy rhir rn rlE ,xiornutr. ,n rhc wo* fn rhi.h rhil Frnir ir brucd. I nlller.n]l)loy uy p.($n in !n, mMkr
<br />s Abh.mm hF.' lo rh. *o.t6 compcNnon h*\ ol Crl'lomu, rtr,l !sr. rhd ir I srsuld h.com sbj.d r. rh.
<br />*onis\' &nq,.n!rton pDvtrsnr o, Sd6n l7m ofrt Ljl'or Ciil.. I Ju[. fonh*(h otr{Jly *irh tlrs PbvBrn'
<br />lvAltNlNC Flilur( n) r$. *.ltsl on{Etrdr,. oErus. s u.h}lul. {d sna[ uhj.{' {.q'!,}r. to (rmnlr FMi6 dd
<br />.Nal fiEr un t. oB hunJ(d tlncdld dollnd (llllr,lrrrr. D llld(rr r. ti. .oa nf con{Enslrion. d!tu8.r .s proud.d ror rlt
<br />liir.n 1076 df rh. I jtr{ ( o!.. ihrft{ rnd drlmy ' fd\
<br />aDdior-
<br />LICENITILCITNIEAIfUS
<br />IEIIJXAIIO!lh.Eby. lrmuntu. JrMlry.tp.rju.y rhd I !r lic.nrd !dl.r pDvaD.or cluprcr , (coFtuxi.g virh s.crh^ 7lx$).lDiylirn I
<br />ol rhc Eum.s &dd ,'nn.$i,'tu Cod.. url my lic.n* k in hll n,nr rnl !,Lcr.
<br />lr.r. _ Cmhdo. _
<br />corcrEuc[ll!.ltltll!{ilcBct
<br />I l@b, aiTm udq rt ht ot Friry rh, rlE! u a oNtu1rn ttrlq !S.ft, Ior rt. Ffolmr. ol rlE wr 6r *tEh lhi3 Fmn i!
<br />nru.J {S(. :lrr7, Cn C.)
<br />arluclNl.t}:q,dl4llo!
<br />ItE:hyrllhrrnJd n nllryotn rlu) oi. ofrlE follown8 d(lfinutr\:
<br />D..x,lirion P.rnlr!A\h.{o\ Nd.f(ar$n r.d.Bl R4u hr sr! lT[1. .10. P!n6)
<br />-R.qun
<br />d k(do{Nd'rrdrn
<br />I .dir, rld rlr Cd.hl r?Alhro,s E8dnma th. or Enilll !E nr !ppl.!hL b rhs pDFr
<br />-t
<br />.drty rhd I h!v. rad lh^ {n la.rio. d {ar. rll.l r .hov. rnll)mrion t c.]Bl I +c io lonply vnt rll Ch, rn Cou y
<br />$tliE'tr.srnlSrLr.LrrrEtuiry!'tullin8coNrNdrtrutltfthyiurttrEr.Irled,rikrufrri!Ciry.!dCo!,ro.niaupnrlE
<br />rh,v. Ed omJ ptuFny lir 6iI.crhn ,uFkr
<br />r\pDli.nnr or ,\Edt Sitnnr
<br />Prnnlle Em. rprlnl,r-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Rool Shealhing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<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 />Ir
<br />FINAL (/2/ A 0(w4 ztVU
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc.
<br />Rev. 0a'0 /-2015
<br />Li.cnleclisr l,Ntrf Ntrnrhcr _
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