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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS Or^lNEf, BUITI'ER DETTARATION
<br />I h6ct-ry ,ftm !n&r IErh, of Fri-."- lht I m amF 6om lh. Conrsios Lt.M lrs for dE follo\irB re. (S< Tol l !
<br />86'nd ,n Profaion (d.): Any Ciy or C@n) s'hEh r.r|!G . Fnl to strrrud. rl!q. irprove ddmlirh or t4.n D)
<br />rnrlE( F, b ils islec. rlo r.$!i6 llE eplt, ht .(h Fn h nL ! rbi.d tlidGn $. lE or rlE i! li.6&d piElr
<br />ro rh. FovilhN ol rlE (.ninm t Lic.tE d Ijs (Cliqia 9. Coffifting wnh Sdhn t(J(x) of lrvbnn I ot rn BBind ed
<br />PFldioE Co&) d rh.r hc or.h. i! ddF inq.6om id rh. t6i! aor rh..lks.d crdFion A.r vrhio.ofselion?0ll1hy..y
<br />.pplic..! aor a p6trn lubjels lh. lFrlic l to acivilp.uhy.fiol nrr. rho fiv.h!nd!.ddollMr(t500)
<br />LaownBoflhcfotlny.ffmtddotc"ilhw.$6u!h.n$1.smposdion-{ill&.lh.(€laldth.nrur@itul
<br />i.r6d.d or olr6.d f.r rL tS6 ?o44, 6Nind dd Pr.f6hB ( ort : ln. Conr*lort lIck l,w tirs ml .pply lo u otrE of
<br />rh. rFrEry *tn t!il& m iqrovE rrE6r td *lb dc nci trr* hinklf o. hGlror llmush hir d hG d*. aiph!6.
<br />FodLd rh.r $ch inp.nrdErr E d lrqd.d tr ollqd fo rL tf. h$66. th. t ildi.B in$.$r€Ei a.ld$nhinftE
<br />oldrqkirdEO^G&iBa$illEEllrhrrls!ofFhir{ir.lEordtddmthtd,qmvctlEF.Ft}trrtEFrFE.l
<br />l, 6 o$ffi of rlE prtrt'.n', m c$lurtr.lt. co'n,!.rn* nnn l'.d*d.odGrc to codrud tlt lroi.rl (sd 7{x4, f}a!K
<br />.rd htrkih Cod.: Th.Conrkroi! Lktu t.$ dG..t.tnl) r. oown6ofr,op.ny$ho buildtor inpror6lh6<8
<br />!.d sho 6mni! for ru.h Fojcds s'nh r Co. Dcio(r) licd!.d purtud io ih. conr.crorr l-ic.M tsl
<br />l r.\crn urld s(rtrr,
<br />D.l. Oi.d
<br />r,toRxgEs ( oniPlnilTloi\
<br />DT(IJI^IIOI
<br />I h6cb .flim und.r ndul'! rr F ND ok .f rh. aollo\ in! d.(rttrilB
<br />I h!r. sn \ ill minrri, . Cdrir<,r. ol colsr r. s.rl- lMr. f.r $nrt6 (tr'rEEd e.. s Fn\ iln for b Sdh. l70o o(
<br />'lEl,t co&. for rh. Fr(fu. o f rh. qilr for *irh rh! Fmi ir so.n
<br />lhAcrnd{illnroinr.in \rorl(r'comp.Natnrn insurinc.. ur rq"n.!6}sdrion:17(xr.frhclilhr(odc.torrh.ldfomnn.col
<br />rh. s l nr shi.h rhi! pnnit is iis!.n Myrvortgr (mlsNl'on insu'atrccridid MdPli.tntrnrhs {c
<br />,^",_, 4cE
<br />,,,,,,1\\u,bs - utR c-b56 ! i3e2 ,,,",,-- f/aoa-o
<br />l.dii rh{ in ilE Ffolrrffi. orrh. $o* fd $hihlhirpnin n isucl.l slEll m' mth) ry FeninuymoKs B ro b<om subar to rh. s*6 omFdion h$!.4( .lifomi( .Id lsr rnd 'al dbuld tt om $bj.n h llE
<br />I!*6' omFE rior Fr ahB ol s..tion 17m of rh. l.lrr ( o&, I rhllt. ft)nhsnh c.mtl, $nh rbr pro\ itbB.
<br />WARNINC: F.ilur. ro sur. {.116' snpo!.lhl sros. it onhsful, tnd sh.ll tubj.rl & dphF ro 6ihi.nl lEuii!.nd
<br />.nn fi..r op b o.. hln&cd lboutud dolt6 ($lOO,Ooo). in rddnion lo lhc cor olcodFerion, d.n.e- s providcd fot lh.
<br />S.rri{r 1076olrhcIalrnIi\1..'nlo6randan nty sfrcs
<br />\prlioor:1
<br />DI4;IJSAIIO!
<br />I hsrl, irm u..16 p.dy .a Fpry lh, I m licqt d !.dn Fnr i.nn .t (1416 I (snlmrB $ nh sdbn 70m) .a l)n iri.n !
<br />of rE E6iB !i It f6io6 ( o&. rd mylt6e i! n!,ullrorcrn.rd
<br />. c-t A
<br />a-)E-/7
<br />13 a3 G
<br /><"r*"*X
<br />corsrBl(lloltllNulcaclN(I
<br />I h6.ltr rmrm und6 rE sh\ otFjuIJ- lhd rhft is t.odtudhn Lrdiry +tr! foi lh. Flo.r@.. nf rh. $t.L ftr *tahihii Fn( i
<br />Bi.d Isr 1097,(-i\ ( l
<br />l<nda'r Nm.
<br />AITLTTANI.DIS.ASAIIAN
<br />IH,y.flimundopcn.lryolFdjurr.n..lrn. lollosif,r delsarionr
<br />l).molirion Prmirs-AstEsror Norificir ion FcddalR.suhrnr.r I lirrc40. Pan6)
<br />R.qun.d klr6 ol MrilKdir.
<br />I cdli$ lnn dr fqh.l reuldis r.srdnB ElEsIc rmr !l i. mr iPli$l. b rhir FoJ.d
<br />Xqrit ,t, t t-. ,oa ,u q,pldt b. dn rd. rhd fi. .tnl! i.r.ldi'n is cqrd I tsG ro snpb $nht[ cny!d cotd,
<br />odmmcd lnd Slsl. tr\rGldntio hjr*li.! odruclion. dn .uth,nz. rqr.s.ddtr6 ol r (-iI and Counr! b 6ra uFJn rh.
<br />ili^. hdrii n.d lrroFn! L! n\trn.
<br />^nt
<br />kiir 6r^s.nr sisnir,,rc f
<br />r",n,rr* n.." 1p.l.rr,f,
<br />0r>
<br />/.rl>.v OA 7a(e z-
<br />b-t3-t9
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywa ll
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />/lt
<br />FINAL g-q-t1 )) ll r*)
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />Il & P( fixrhk '..$n
<br />o".,. L- tX'/2
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