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BUILDING- INSPECTOR RECORO
<br />SITE-WORK DATE tD/stG.COMMENTS r)\\Ntt{ llr I t,t.R r,r r( \k \ llr)N
<br />I h.Eby.rlirn unJ.r n nnltr ,,l F4uty rh, I6.r.mPl ri h thc c('nk&bn' l-&nc tre i, rhc trL,vh8 rc.$. (St70115
<br />BurRir rn! Pnn \q,n CdL): A.y Ciry o. C@dy whrh r.qrG! r Frtu h connto.r. rxd rproE. dcmrlh ot FFr 4v
<br />ntur@, F" ro nr FiuBr. tLw' rcqumr tll lrplx2nr litr rkh Fml ro lik r !!'hr nd.nfir rh! rr or rlt ir h..trl FN.d
<br />b rhc pnrvBnnr or rh. Conra tr ! LEcnrcd lj* (Chrprd 9, CommNhs q h S.cri,n 7m, or DlYrr. I or rh' Btrnm* rd
<br />Pmt.(r'ni Cod.) .r thri lE q r,I tr .r.tpr rh.r€rrum nl llE b.rn nr rh. ik8.tt tkmll sn. Any !b!,ri{ .l S..lrrn 'r0 r I 5 hv rn,
<br />.t't'll.t.i lnr r Fm rorlFkrh..{'!l'trrn'..'vilFBllyof r mE rha livc hu'Jrqj,lolla' (l5u))
<br />I. * rwn.r ol lhc nn,rEn y, or oy .hpk,y.ts wilh wt3c{ !s (h.tr qrL coryxn\.r (rn. w l rnr llE *o* !d rlE (tur@ x nn
<br />d.DLi or oflar.J it uk ( lEq 704a, AutR( !d Psrtsi'nr CiiL 'I hc G)drs.nri Lf,lnr lrw &Er B'l .p y b o nvmr ur
<br />tlE r.{rdy wh) I'u . ,r rtnr6 rh.F)r .rn *h. *- uh xxt hmclf u h.r.ll or rhruulh hE or lrr .wn .8tbr.d,
<br />Fvr.at rh, (Eh lig'lrNrnlr & d dcd.n { oiL..J nn rb ll. h'Nw. !h. ll0lllq q lqnKmd ! $Ll rrhu '* Fd
<br />ofu,tr{,lcrrn dr (}*n.. Bui!.r w h.E rlE hunl.to,Frvu{ rh, tE dr rh.'.!n tfut!orr{nE0EF'FlyforrlrFFEol
<br />-I.
<br />r\ o*rcr dl th. JF IEny. d ctlutkly ldad D3 r.h lrlnti .odr&ro6 b o.rruli rh. Frj.ar ( S.t ?(x4. Burma\
<br />ul tllr.rlrx CtxL: 'I hc Contrrntr r Licctrrc tr*Jmr n rp?|, k' rn .wrcr o! rl)p.n y sh' hurur or mpmkr rh.rni..
<br />.nd who .onla.lr lq su.h In rF(k wnh r (i'nrr*nr 9 l(.nrJ punud h rh. conraul'tr s I (cn* l.rwr
<br />_lo.knF unld Ser
<br />I ltrny rrrn udr.. Fut, ol Frrur, oE ol rll 1010*68 tL{|,.r' $nt:
<br />-l
<br />h,h .il ull Md.o r C.nif.d. oI Con! .o S.lt-ltr uE ntr Hrrts @nl|tnsrJn, I Fovilal i'or bv <ion .1700 of rh.
<br />t hor Grt . ld'lr FrrdlllBr of l& Elt fd *nil rh F mir !.qFrl.
<br />-I h3vc rkl will m.rnra m w.rl.r' romtcn r tr,n $rtntu.. rs rqurc'l hy SRr 0n l70O.l rlE I ibor Q,J., n rh. Pc.,oll'l,q--c ol
<br />rh. *o ntrwh.hrhi! ncrmir it i*d. Mye rk.s' .omlEnralhn lrrrrec ff.r {rl F,lEynumb.rd:
<br />-I
<br />(n,ryihrr h rtE Frfor Ec.lrt**orlturFhrhrhrFrmn n tr\D.J.I rnlll nn ctrlJlby.ny FFln s rv lME
<br />$ rs t' h.1$E subFr r, r,E k)rlca $nFnqrDn h*s or Ctlifomu. !,rr.!R rh, 'l I th'uB IE(oft rohjcr lo rlr
<br />work. comll.trrrrrr poriri'nrnl setNn.!?([.ilh. Llhror].,I r]!ll nfh* h dDll, wdhrhot Pn)vrn'ns
<br />WAXNING: Fa ur. (, c.w ktrk 6 $n{xn\rixm $!.n!. r unlrwrul- .rl rh suhj(l u d{,bF r' .riMl Fdlir .rl
<br />.N liF\ up t' .r hundrd th q Jolbr rl,ftl,(Ill), m ald{ir ft) rlE !r'r of coqEn{tr. d.nrFr a FrvrkJ for rh.
<br />S..rx,n l(176 of rh. I rh{ Cdl.. !rr.rc( inJ rdo
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<br />I h.Ehy fftrm unJcr p.nrlry ol p.lJury rhd I rm lMn$j ud.r afuttx)n of (.lEplcr 9 (.-nrErnS w h S.(r Dn 7(ll,) .1 Drv,'rn .!
<br />of rh. Burmsr .r, Pn,fcsriori CsL, dri m, lE.n{ ( h full loE! ali .if&r
<br />(.ONSTRI]('TION I T'N DIN(; AC I.:NT'Y
<br />Ih.drtrllnhuBl.rFnrtydIF'juryrhiih.r.(tonnrucrrrL r!i3cmtntrrh.lcrl nuLeolih(wo ,n.*hrhrhllFrmi F
<br />lsn (sc 1D7. C'v C.l
<br />L.D.lr't N.ft:
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<br />L.dcrr AJ&.ii:
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<br />APPLIC Nr DTCLARATION
<br />Ih.mhylllmu crIrnalyorp.rirtryo.colrh.toll,wrs J(l,3rx,ns:
<br />D.frn!r'n a.rh rArtxno\ Nddf,dDn rrJ.r.lRc3ul,rxrnt i'I'rk4). Pd6,
<br />RcquEl Lxrr.r o, Nd'fdDn
<br />I rd 'ly rhi th. t J.El r.!!lri rni E3!nr! .\tE{oi Efrr{l F ,n tpPlt.hL rr ih[! pnF!
<br />-l..n
<br />ylhr I hsw B&l rhl\ rmlr.rbn .,n i rr. rh.r rlE rhrv.,nhtfrrDn tr.oBl It8ehdtrlPlvt hruCi,r,nC@rrv
<br />onlimtu.s rnd Srrrc t,wr Elr ins b hu linS.on(rucl n. rd t cb, turhrB EpEqnrrriwr .r thr C(v rtJ Counrv h .nl.r uFon rlt
<br />rtrrv.mnix, dlnrf.nyLr
<br />Appli.snr o..\s.nr Shu
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorivenVlnsulation
<br />Rool Sheathino
<br />Shear Wall
<br />Framinq
<br />lns u latio n/ En erg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL t- 3d- ll I\.VlU\
<br />Certificate ol Occupancy \J
<br />Notes, Remarks, Etc
<br />Formsi Steel/Holdowns
<br />T-Bar
<br />Lic.n!. Ch$:-Liccn{ NumlEr:
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<br />D.b'- Colhclor
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<br />,"," n {- 1r- /4'
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