BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE tD/stG.COMMENTS OWNII aULDt:h DtlLCAltAIlON
<br />I tftb, .lfm ud.r Fmfy ot F'j.y (h, I u.rnDl tD6 rh. c'odra16 l.re l.r lq rlE folloving Es isd.mll.s
<br />BurEs ,t Pr.lNirn Cad.l: Any Ciy or CNdv *ith Eqln r r Fna tn onrru<l, rrlq, i.9r.E. &mlbh o, EP.ir st
<br />nru.ruE. pr!tr h irr L$e., rLso EquB rrE rpplisr lbr luch Fmn to fiL r ri3rd irr.rnr rhlr tr or rh. i! lic.i!.d puoa
<br />ro rh. lmvirioB.f rrE c..r-rr! La.ned I.r (ch.Fd 9. cn,lmrcm! u(h sarhn 7{rI, or Divnbn ].f rl! lruirs rnd
<br />Pnn $reN Cdh ( $.r lt 6 {E E .(tr+ fia.nom.rd rlE bB! for rlE rllt.d .krqn A'yrrLlrnolsdb.70ll.l bydt
<br />.mlf,r lor ! p.mi iubFlr rh. .pplqd ro ! crvil I'.Mly o, mr mc thm 6v. huidEd d.llss (!5&r).
<br />l4/o "**, , ,*
<br />".r"n,.
<br />.r my .orrarF.r *nh v.!.i E ,h.n v!r. c.trrFdh. wi, d' irr *.i*
<br />iffirlal n ofl.rnl f6 .b (S- 7]"1,1, AuiE .rd Prnldlm Cr,. TIE C.dr-u! Lne Uv no6 d ??Jy ro x otr of
<br />tll FoFdy vt! hilk ( ul+.DE tt6{ rn *b lls lldl srt hielaq lsklr or rLDu3h nir d lE om.rpbF-,
<br />!ft\d.d rhd.u.h rpmwedr G d d.r!d.d ofi.r.d Ior sl Il. ho*.E, dE b{iuiryd l4rwrd i! sd sihind F!
<br />df.mphb[lh.OwErB!i&.wiIhr€rrEtuntnolpmyingrhdlEurnEdiln hilll o. in{mw E prtrFr,lorrtr purF,eof
<br />-1.
<br />d o*B olrh. prq.ny. D.khrnrly o du, ,nh l*ttrcl ond6 ro @de th. p.trF lsd 70aa. Euws
<br />!d Prtrsir Cod. Th. Conrnctor'! Lic.nr. Llw diE! mr .t rly to !n owEr of prcIEny *ho huildr o. ihFoEs rh.rotr
<br />.nd wth ..dtds tu $.h FiFB *tlh . Codaonn lirMd ,!r!@ h llE Codredr Li.@ L.,)
<br />lv!!tsli!&t1-(llllrfrtaltlrf,DElLll.rUo!
<br />I lEi.hy aflirn !.d.r Fdh, ol Fjury oE ol rlt fo['*iry &rl&r,6
<br />-l
<br />loE ut *rll Ni rr . Cdrf..r. otcrrMd h S.MnsuE ntr u$lcL omIEMD.. .! IrDviJ.d ,or hy Sdi'i l7m of tlE
<br />lnu Co&. fd ilE Ffdlffi. ol rM *dt td qhih rlE F6ii u i\rcd
<br />_l hlE ,rl will mmtlin k'*.R' .ufEB.rhi iiahr.. .s r.q!r!d hy S(r $n 1700 of rlr Lrhor Con , lq rn. ,'dfl)iriEr. o,
<br />rk worl fttr th'u[ rhi! p.rtur n is$.d My rorldC tun{Etu.rx'n ,h}urmc .dr., dld lDlry .un$d r.'
<br />ly'f*r, ,- . ,t *o"* or rl. wort rd ,hrh rhi, p.rnn i! i..Ed. I .h.lr d .rpby m, pqD. r &y nl.lF
<br />- & ro lE<or ruliq b rlr wt6 onird hh of C.lr,om. &d tr rh, ir l druld lt6r {rF b dr
<br />NAa' LuqFNrspturirDBof SnrDilTmofrh.I-.to.Gr&, I trll. (dhviheiply*thtlDrFDvEbG,
<br />WAnNING FriloE ro ru qork ^'&n+.tuxi,^ cowa!. !! uLwtul. r.d .htll 3ubj.d m anploF lo simjml F hi5..d
<br />cril liftr !p io oE hudr.d rlbur.ri d.ll6 (tlm.ur). in ldd{bn ro rlE co, or @qEMrion. d.mis a p@ud.d ror rlt
<br />IBCIASAD{X!
<br />I lmby.lfrn utd.r Frly.t Fjrry !d I m licEd utds FDyri.D oI Crrprd I lffi(in, tth Sdih 7m) olDNnh.3
<br />ot rlE Brllmr rn PEt .ioB Co&, rn my lit* ! , tull foE rn .fft.t a
<br />cogallclrc .LIllIdclcf,lcr
<br />I h.E6, .rfm urdd FDry of Firy r,l, rhar i! r odMrn Ldll! r!! y r., rlEFf(,l:m of rh. $rt for rlEh fi! Fni !
<br />r'Ed(se 109?, civ c ).
<br />-l
<br />!6ify rh, rh. f.d.. E3nLrbB Baldu! !i.no! l!m[l rE d +dsbL ro rhir FoF.
<br />My'.d y th.' t h.w ud iu, lppli.ario. r,n nlG $'r rtE !tov. in.omrion i! !o@r.I rE ro.lmply q h dllc y!'rl cou ,
<br />Dnlrurud and Si!r. ljqr ELi!U to ho
<br />.l.*. ,di,En FoF.y lr iNFdi,
<br />K r{
<br />EF.s,rliiv.s of ihir Ciry rri
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Shealhino ry27-2a L (z'7
<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 />FINAL /o-L-la lL c(a N c.rbS - 2.1,
<br />Certificate ol Occupancv
<br />Notes, Remarks, Etc.Z
<br />?
<br />Rev.08'07-2015
<br />D.t.- cod .or,-
<br />AITIICAIIDICId8AIIIIE
<br />I h.!b, rfm ull.r F ny ol F.jlry oE ofdE folb*m8 ddlrr.ri,B:
<br />D.ml'r.n P..mrlAsh.ru' NdfErrn f.d...l RquLriotr! lTrL l0, Pu6)
<br />R.qoiEd lJn.r 6f Ndifi..rion
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