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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BTIII,DIR DEI,('ARATION
<br />I hscb) ifirm undd Frh) .f Fjur! thd I n .(mfl frcm !h. ( odrdo6' I (re l:s lot lh. fnlh{inll ru. (s( ]Orl 5
<br />BGind &d Pbfsio. ao&) Any Cily o. Coudy trhrh r<nun6 a Fmir lo sndtucl. !hs- impr.\i &f,rlth or rqun M!
<br />srflrlu., Frr !o iB ituffic. tl$ rcqune rh. qrra.ar for tu.h Fmn lo fik. r{nd rd.lMr rhd lE or dE n liGs.{ Fnd
<br />io rh. Ft'i.io6 oI llE ('o.lrsloir l.(or.d lrs lch!l,6 r), ( ommnin* niih s..hn rqx) of l)iririon :r of ln. Bur'nB ed
<br />Pn'fsn'n! (iidc)or rhar hcor ihc s.rmfl rhftfrom and rh. hais lor lh. alk*.d smFn'n An, vn,htion(ls.clFn 70.11t b).n)
<br />q'!l(! for . Fnrl $hj<r. rh. rrplidnt ro ! ciII p...ltt .l mt mr.lh& fi\. hundr.n dolbs ll5{ro)
<br />l, I o$m.f rh. F.IElr_. or nr sDlo)B sirh r'46 6 rh.ir *'L LrrFp.eirn, urll d. rtE \dr id rlE inrrr 6 d
<br />irrdriaj o'oIIn d for $L{S(.?rX]. Auli.d ed Prcl*ioN ( od. rh.( onts.lois LN@ l,$ d.6 60! t9t'l! loino$n.rof
<br />rlE FnI6) n ln hnl6 or itFo\< rlEc!tr ,n *h) dE *+ \.* hid.lf .r helr or llIough hi M lEr orn mPhrc.
<br />pRri.Ln lhar soch imFnromB& d indrkl or.fk.n fotsk.l( ho*66. rh. rnildin8 or iml'ovffil ir $Ll tri'hinoncta
<br />olmq,hnn.rh.ose B.llild snllEl.rt h,rldr.fF.u.B lhi lEdcEdil d hliuor lrTmrt lh. Ftrd, for ilE FIFE o,
<br />l. No*notrhcFIEi), m dllBn.lyco rlclnu $irh licd!.n.o.trdo6 io olgrucl ltt Fid (sd ?oll.Ita6r
<br />dr, Erifsin coLL: Th. Conrdctot s l-rco!.lrs d.6 nor.pplt !o i.o\rs olFoFny *ho hlild! or impm\6lhnon
<br />$d trho o'ndl3 lor sh Fnj.<13 hnfi. Cont.xionrl lics!.d l(Bud rorlE aonlrxldi L..B t!tr)
<br />L.rcnrtr un,td Sdrhn
<br />Drr.\\oR\liis'( oilPt Nsal loN
<br />DE(I,!&[lal
<br />I hrr.b rmr rutrddlxiih)rfIEln).ncorrhcnn[\1'n!.l(l 3rn !
<br />Iha\.dd$,ll,namrdma('.nill(ar.olConsdnrS.lflBur.i)r\..16 cotr,tEt(N\ {r Fnd.d lor b}Sdn,nr7(x).lrh.
<br />l.at{r ( (lj.- for rh.Frolr1m. of rh. tr.it tu \htrn rh( Fni 6 sru.d
<br />Iha.,nd{rllm!i.r.r. 10116'comp.Blxrn itu k.,6 r.qor.{ h! S<thn r7mof th.ltthr Co.L. torIrEFfom4..f
<br />rh. so* aor $ hi.h thi! r].mit is ie.d My \or[d conp.Mio. inlu6nc. .arr dd Fnq nnmbr s.
<br />,-.,,,,* , 5-TXiT f/,,,(D
<br />u,,,,., ",,,,,*
<br />- // r (6 I b / o41-9-l
<br />I .di& thd in rlE Flomt. datlE *ort tor \thkh rhlr n rnil ii iN(d. I .tdl ml .nPlol ut p6$n i. Mv meE
<br />$ 6ro tE om.3ubi<1ro rh.$0*6 $nFBri.n l.ryr ofc.ifomit. md t$r thd ifl thould haoft 3ubid lo lh.
<br />u.116 codFE ri6n Fr\ iri,B of S.(.rhn l',ll0 of rtE lr& ( d., l Jull. fonhrith s4i) *nh rhr Fiishd
<br />wARNtNc frilurc to KW sor[6'Nn,ENn n om8. t unhvtul. lkl sh,ll sub..l .r dll6F r. cinini Ftrhi6 !.d
<br />d il lin6 urr lo .E nrn&.d ll'o6&i dolls (t l (ro.(xx)). in ldd irr lo llE .od of con ENnion, d.ms6 6 prorilal tor l,t
<br />SNr .r rr!-6 ofrhc I rhtr (n(k,,nrdsr d.r[!R\ s L6
<br />l/l/'a
<br />lEcLdBArlo!
<br />I t<*y ilfm u.dd FEnr of FJu-a lhr I m liGE d !.dd Ftvilion of Chqiq e loffi'.! $ h Salnn 7(xlo).r l)aailn r
<br />of lh. l\!in6 ud Pn'asi6.3 ft'dc. d my li.tu ir in tull lod dd.ftd
<br />t'.,"r,rtr,r C'3/
<br />,"" .7-z(-/2 7E443
<br />,"",,,,,., Y-> // X'rn-et --^--U1
<br />coNsrRU("r(tN l.ti DlNc CEN( v
<br />I h.rd\ imm undd Fn h._ or FJU,,- rhd rhd. ir . co.drudirn kftinls lsft) lor !h. Ffomffi. oI rh. $ otl Lr \ nth rhE IE ni i
<br />'.n'.d (sr 1097,(i\ ( l
<br />ATTII(bILDECIAAAIIOT
<br />t h.d, !trm undd F!!ht of Fjo, oE ot rlE folh*i.r d.clErl i6nr
<br />Ddmln ion P.fritg ArtEtor Norifi.d i,n F.nftl Rqlh irns ( I n k .r0. Prn6 )
<br />R.rtrncrl Ldrd of I't'lifriion
<br />(sl ify lhi lh. t {d.r r.8!hFB ..srdins .rlElo! .6ls al r. N .+Dlic.bk
<br />'o
<br />rfiar FDi.t
<br />rfr'thd I hsc Ed rhit rpdidio. rn r.r. tha ih. rho\( inf.mirnn i! (md l.*cloond
<br />Mrl srar. I a\s'elalnsnl yb.ri,! ,q'66t{ n 6 of rhis cr'
<br />^ppllonr
<br />or^.6rrk ru( K
<br />Pmr,(..m.rpri,:y\ /,( 4 tO FL liN€
<br />r rnh.ll( ii! md (ilunl)
<br />ysd Co nly lo mlq qnnlhc
<br />,/ - L,/ -1c
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathinq -1 l1 qltl tr14 )C IA lx
<br />Shear Wall ll"
<br />Framing
<br />lns u lation/Enerq y
<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 />FINAL (/2,//1 r4 (ULITL l4 ,v
<br />Certificate of Octupancy
<br />Notes, Remarks"Etc. /,
<br />--t
<br />Forms/Steel/Holdowns
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