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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDSN DEL(-ATATION
<br />I h.rchy .llrm ud.r FrNy ol FrIi._" rhr I h .lrqrr fiom rlE ct'.r*16 1x..€ Lw lo. rh. tull*n8 Ea$n (S..701, 5
<br />Blnfts rnj P.or.srEn Gi.r Ary Cnv or Cd , *h{h rnu!.t r Fd b r$nrel, rlt€. uqnrw. tl.mn.h or tF{ u,
<br />iur@, tn,h nr ru., rls' B{ur.r rlE.p?l.d f (uh Frtu h nt. rl3Bl rtdcIBi rh,liq dr ! lr ni.J Fr!\d
<br />h rlE rr*6,,0\ ol rh. Con(rxkr\ l.r.nhl lr* (Chzrrcr 9. Conftro! * h Se'.n ?ml 01 D'vr.n I ol tlE BuriEs rd
<br />Pn,l.sx,n\ Cd.) or rh.r h. or tlE n .r.nl?r rh.Ffnrn ,rl tlr h{{r (tr rlr rlLScd .kmf'lhn. Any vioLrir of Scrt,. 70.1 I 5 by rny
<br />.pnlrrnr ntr . F.mr <uiJ.ch lhc .[plE. n, ..rv'l Fnalty.r fr,r frtr.ltM lrv. huftlr.J Jolh! lll{$)
<br />_1, * .wn.rollh. F Flly.,n my cntkry..! wxh *r!cs ar lh.tr $k dmFnqli)n, will d' rlr *nk ul rl* nei@ ir mr
<br />ur.d!:l { oittEJ ,nr $t (Sa.7(N,1. Bu\ms sd Pnn'esnns (rt.r 'l h. Cifindoi r Li.nF L* Jd! fr{ .aJ y k, u owkr of
<br />tlr rh,|Ed! rh' ltrtlr d o{n'Er rtrGfl. nl ph' dia *h s)* hm*li o. lrrcla or rlmu3h ntr d h.r oen.mttk,r.6.
<br />nroqln, rhrr ruh dlx,wtrdr e (i d.nldl d ofiddl fttr !h ll. hrEw. rh. trlulB d lqBNld ! 1 l *rhE (tr F,
<br />ol $ry*rin rrr OwE, Bu'Ll' rrll h.F rlr tul.n d I'.E{ rnn ltd nr Jn d h. l M trrlnE dE FIEr, nrllr FrFEol
<br />_ l, r! owEr oa rtr F.Fdr. a.rrbnv.l, (drLriry wrh L!.n<t rod*rtr b o.rBr rlE tmFd (Sd. 7(14,1. Burrs
<br />!n EIls( Co&: Th. Conlr&l r l,trcnrc L.* &E! ml .p[ly ro u o*F ol FoFn, *lxr ltu d! or 'mpn,Y.! rhdon.
<br />rnd *hr $dtu1s frr !!(h Fr.d r wnh l cohrtui.n, LorJ pu lrdkr'rEco rsroir litnr u*)
<br />lmrc\.mpt utuicr 56-.l
<br />vaSas8s:roa,IENlalloNDEgtf,ara!
<br />I &rhy .11 um unrhr p.Mly ol F.,rr.v oB or llE ('llo*u8 d.!l&r,rt
<br />-l
<br />h.w rn *'ll Nlu . C.nif.J. ol Conrnr ro S.lGl"te 16 urtsr odFndie. a Frvrr.l Id tty SclDn l?00 of llE
<br />L.tr* c''rlc, l* tlE Flm! of llE srl fr {ih.h rlE Ffrl ! !rE!.
<br />I h,t! iBl wrll mai zin *ork.rr .onl'.n\rr nn m\uraEc. rr nqu,R{ 6} S(r k,n :l7t$ Df rh. I:txtr ( 'll., I'tr lh( p.dnmNc ol
<br />rh. work l,tr whichrhBFm 'r tr\tctl M,wo cr'.r,hpcnlrrx,n m\ur (c .M'.r ,tt F)hy numh.! e:
<br />h,lf,yNxtri'..-
<br />\ (cn,lyrhrr
<br />'n
<br />rr* Fd,,lmL.nrrrr *ur* r,r *hf,h rhr Fm{ 6 riEJ,l rhll mr.mpbr.n, FBrn D&rnsE
<br />$ rihh(loEshFrrorlrsxrr r trFs{lr L*r orcdJ,ru. nl+R thd I ilsuU b.rnm rul'r(r r.rlr
<br />k t6' onFtrdion FovabN or sdrhn l7@ of 'lr tih, Grk, I rldl ndhwlh 6q y lilt lbr rmvni,nr.
<br />wARNn{C: Frilur b su. wt.n' liritEnsrFn dvmr. ! unL*f!l. .d il l rubirr o 6r0r'F t. l:rmd FEli.r !n
<br />('vrl ri.cs un lo om huurrcJ rr$uqnal doll. ($l(x).1r00J. rn lnr)n n, rh..on or coqE k'n, dm3.. rrovrl.d n ihc
<br />S..rtr'n l(,?6olrh. lrlrn(irl.,nr.ft{rnJrrn'nry'\lc.!
<br />DEllAf,AIIq!
<br />I lrrchy rltu6unLr Fn.lryol lEr]l]rt rhd I an L(nGl unLr Frvr$'n ol (]j.i.r g l.ohmF03 wdh Sc( ,n 7mr) ol Orvni,n l
<br />ol rh. Bnrm$.nJ Pn,r.-x F (irl.. lrl hrlrcn{ 6 nfuu n{(.rrn.ltcd
<br />*uea- / -4f,r.. *n" *L,4 3aay'I L I v /2Vr-r-/--'1
<br />(.ONSTRUCIION LI]NhING AGT'NCY
<br />I lNrhy rl,nm trdcr lrmhy olt^-rrtrry rhlr rh.rc B a.on{turrk'n kiJ,n8 ss.fry ntr rlt'ttrtnruNc ol rhc $o ntr rhkhrhtlfrm( s
<br />R\u.d (sc( l(,97. crv c J
<br />AfILICATLIIECIdEAIIA!
<br />IH'yr,limu .rp.nrhydf trr,lryokoirh.foltr*68&(hhrDnr:
<br />Dcmrl(r,n P.rn +AsrEdot Noxlf,2rrD t d.r.l R+ulirioo! (T'rl.40, Pd6)
<br />-R.quRd
<br />Lctrcr ol Ndlid!'n
<br />I ecdnlrh.r rh. r.dcdl ESuhri,nr r8rJmt r+.(osrem,v.l{c rn.pdr$l k, rhi! I'Uj&r
<br />-l.cnlly
<br />rhr IllEE.drh!{,plrnDn.,nn crhrtrlE.k)krhldnnsoRr.I.8reto$,qy*rh.llCd,rdlCod,odroB- n 9.rc L.*r Ebrlu nr ho lnr.onn rrr atl n ,.6, rurh,u( r.tRnr.hEs ol rhrt Cr y .d Ctody ro .dd rgn rlr
<br />.lr,k m rrd p!'Fny t, n(Fd
<br />Appli.mr or AE.nr Sigmtu s lfl r?
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenUl nsulalion
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq W.,bteMila\l.UaW
<br />I nsulation/Energy
<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 />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL dl '/tE -.,&*z-t )
<br />Certiticate ol Occu pancy L-.
<br />Notes, Remarks, Etc
<br />u.,,.9/z/t7
<br />lrnL.t Artt $
<br />Set Backs
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