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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS OWNET BUILDEN DELCATATION
<br />I hrt, rrltm unlcr Fulry {{ p.rNr, rhll I m .!ctr{'r ln,m rlE a'flhkm' lr.or tr* tu r}. fdb*rS rrw'n (S& I)U.5
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<br />ntud@- rrtrt, r! 5{n.. r' rrlnu- r,r {tdr! nn lkh Fmr b nk r r{EJ i.r.mnr lhd rEdr rlE s l(.n{rl Frsd
<br />to rhc pmv$x)ns or rh. Contrcl(tr'r I-kn*.J ti* (Chapr.r ,, Commturn3 qith ScLrion 7fixr ol Drvsn'n .1 of rh. Busms .nd
<br />Prn$inr. cid.) { rh.r h.r ft !t.rcq'r lhdElio .,n rh. lEin Id ih it8.J .r.qii,n Any !tr,Lrr. oa Sdi'n 7t,l I thr.n,
<br />rrrlk. ntr.F.fl sbFls rh. .pplr:nl i, r uul p.Elt y ffr frE rh.n iiy. huftrr.n dollrs (aJm)
<br />l. rs ovE. olrlE FtrFny, or ny cmploF.i lirt r.36 8llEs ,L LlqEnr.rion. *!I & rlr urt,rl0i rn dr s nr
<br />DrcnJal or of.r.d rd el ( SN.7044. BusEs .nd Pnrf.srn'N C(rL TlE Conrrf,lq r LEE€ L.w trB fr rpolr ro o owr, ol
<br />rhclt,Fny *llt t{'Llior mF'h rt-str 8rl qh' lllEs u*tsnt hmr.lf nr h.mli rhNl8h hir rtr h.r ovn.r+liy..s.
<br />n ovrLd rhrr Bl !r{rv.rr.rr! n n{ rrfrJal q.ltGl tr eE ll, Lew- E lxrtrlB q lqnMiEd i! r*! rrhn ft )cr
<br />otNmpltin,ltE ()*Rr Borllq *il hrE tlr tonLn or Fovlt8 lhd h.,r shc drl8,1hr l or rfNE !E FrIEiy iin ltE InrFl- or
<br />_l,,so*'x'of(h. pn,Fny. rm.rthr'vcly.ontr.tn! wnh l'.enrcJ cont!! rm h rondfl.r rt l'nF_r lS.c.7(x4. BuirEsr
<br />.nl th'k\\rr Cdi.: Th. (nnii*(r'. Lrcc.* Ilp J,6 ni.ttly id rn ownd ol lu'rEny !h) hu,lJr or mln)Es rhcron,
<br />rnrl vh, !.nr.d r t{tr $(h 0NFk p[h r Chnrn(n'n n llcf,{J I'U^ud n) rh. Cihrxlr,\ lr.n{ lrw )
<br />_l DcrDpl unre Sdbn_, B. & P.C. lq lnn ll&r
<br />D.l.: O,E
<br />lar5EttcourrNiiAloi!p!;ltaSauq!
<br />I hcrchy!lltrmundcrpcnllry Ipcrluryorcollhctul!'*in!Jc(lrBrr)ns:
<br />I hlc rll will mh'.h r Cd i.l. o, Con*nr li sclt lnruE ror Bf,tgr . BF.sthn. .! FtrvrLlj tn b, Sidr[n l7(tr or rlE
<br />Lrhtr Colc, lor lh. FrforDR. or lhc wrl tor whih lhc Frnil ir s!u.!.
<br />l hivc r..l wr ll N tr rr *.rlcrr ( mp.xru.n hn.rn... is r.qtr{.J hy Jj.rltr lTlrl or rh. trtntr (lxl.. ntr rh. F rrorturt c ol
<br />rft uork 1,, trhrh rh'r r^-nni '\ NUrtl My workcr' ronpcn\rr(nr m{traR. urd lrl F)lxy trun$.r d.9+4\t C.^ \
<br />q"Lv 13c|O ^2n )Y-z'l
<br />l d,ly rh.r n rhc Fnnrmhc ,'f rh. po nr rhrh rh$ Jrrmt !r Lliu.!, t sh.ll un cnpt y &y Fr$n i. .ny EnEr
<br />s, .! rr h.r.r bFi ro rh. k).16 lrrrENhn LB.lcrtflrlfu. ri{r rh.r,f I sh,u! baom suhFr LrlE
<br />volkdr .oqE.surn'n F'vr$ns .t S.ctdn 1700 .1 lhc tlhtr Cod., , shr[. ntrlha h .r'mply * h rhr 0o!n0B
<br />W/ltNlNC: l.ih,. kr src Pryl6 .o.r{Ensll'tr .rEnE n unb*tu1. r, slull !bF! u s,'ttr'F b tund FoIB ur
<br />cnrl ftrcs un
<br />'o
<br />dm hu rcn lbu{ &nl6 (tlul.(x)0). h.rl'irm ro rlE (xr or drhltnqr{,n. Jma.i { trl,vrLJ it 'rxSrdr,, 10T6olrhe lihtr (1r1.. x .r.{ r ''*On/aa-
<br />LI(:ENSED CONTR,dCTOR
<br />DECIdEAIIOX
<br />I h.rh, st ltm unal( Fuxy ol F,Jor, rhar I rn !..D<n u*kr l(,!u(,n oI (lutrd e l$.mtu rne * h Sdl !n nxxD .r Drv$lnr .l
<br />ol rhc Bu\trs]rl I'n,Lsx'n! C,*lc a n,v lr.na N D fulln*..ur1.fi(r
<br />lOte z-o'6 (
<br />.*,-.,,".6 cq- E{n-l f a
<br />IOBSISJ.LqUONIEIPAG.EGEMf,
<br />I h.Eh, !l rsB uuLr Fnrlr, ol rE,jory $!r rlE c s . lr'ns!turir LLlrB ts.By for rlt lErollm. or rlr krt n wh*h thir Fmn a
<br />nrkJ (se. |o9?, c!v. c )
<br />t nJ.rs AUlrc.{
<br />AELISANIIECIAEAIIq!
<br />I nc,.{,y lllim unncr F".hyolpcrjlry o"c or rhc n,[,),xrs,]crLEr!xrs:
<br />D.n)li$n Pdmtl^sb.eor l*r,frl.n FdLdl R.3!Lrirnr lTirki{1, Pd6)
<br />R.quuc! brr.r o, Noli,irliu
<br />I ccnrlrrh.l rhc lcJcrrl r+!l.r!,nx NEaJn!.rb.do\ r.m)t.lrc ft rPf[.hk n, rh6 rxDFr
<br />I r!n,,yrhrr Ihr\crcrdr rttlrdirin {.rcrh.t rh..h)y. r ,rg(n).on{lyw hrllC yrBlCounr,
<br />orJmrR-rs,nJ Srrrc tf,ws rc|.ln8 b htr'!.ItrU (on{fl!furl lBl h.rcl'yrurhtru.!ctrc\.nr.irvc\otrhi\Cn,atul Co nryhctrrd ulrtortr
<br />rh,v( mnrnft{ f'n{rny,.,
<br />,\Dplnn l or ,\!.nl Si! rlu
<br />"'iIzZ-oqr $rr- 1 -2
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing zlql? L bt4*4
<br />Shear Wall
<br />Framino
<br />ln su lal ion/ Energy
<br />Drywall
<br />Ext./lnt. Lalh
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL LIzt/2,,/+4 fZ o
<br />Certif icate of Occupancy r
<br />Notes, Remarks, Etc
<br />Forms/Steel/Holdowns
<br />Flood Zone Certif .
<br />6.,.. \r--1 -2c)
<br />,-,,.,,'"a,,.' C-i 1
<br />t,"," il --1 -'LO
<br />{r4/-
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