BUILDING. INSPECTOR RECORD
<br />SITE-WOBK DATE IDiSIG.CqMMENTS (rltNt:L lrlrll.lrl:l{ Dl.L( ARAlr()N
<br />I lErhy alt_m und.r Fhrh, .r p.rjury rhrl I h ci.n{tr ln,h rh. Cirnrrl.r' tr.Ek l:w Id. rh. tallo*inl aasn (St 70rl I
<br />Bunftsr .d Proldsrn c(rj.): Any C y or (i nry wh.h rcquFr . Fmr b co.stut. .lld. impErc- J.fr)lish .r EFr sv
<br />sdduc, I,rtr6 rri trr e., dqr FqlRr rh. +J'lr t lq rxhFmr ro nh r {3mJ rrrclmr rh2r lror !h. E lt.nrJ ,'nmd
<br />ro rlE lrDvnNtr of ltE ConrBk''r l-(n!.rl tre (CtuFr.r 9. (i'mtrRm3 r h SerDn 70U) ol D,vsbn I oI llr ButE( rntl
<br />PDfcsori C,iL) fflnr h or (rr B ct.nFr rlErciom rd rl* hlnt ftr ttr iLs.n.r.mFd. A.y vblxion ol S<rrn '70r I 5 hvrv
<br />.fi'ltrurntr.Fmr r!hj&l!th. ipt'lE.nr tu..r! FMlryornn frrc rh.n ivc tnett..l doll,r. (S5m,.
<br />-L
<br />as owEr ol tlE tn)Fny. d o, rn{l'Fl *dh uFr . trr $L .loFdbn, ldl (I) dt ktt rtl E stfu n nr
<br />urdrlal c ofid.J fq st (5d ru4, Burm$ &J PioldrFN Cdr.: TrE Colrtlr'i Latr t:r rlo.s trot .Cdv ro { o*t. or
<br />rlE F{En, wt h{lllr d lllroE rrr6a ! ?lb .I- ch qrt hr'ell or lEmlf or rtNlh hir q Lr om.!qltF..
<br />Fovrl.rl th{ *fi org'NEmd. e rr ri<r!.{ orofi.Gl fd.l Il. htw, E talllnt d n!.oErn E 5ll *lhi c F.
<br />ol@ipLrElr- tlt O,rr aolrr s l h.w lh h,LLt ofln)vr! rhi lr d.lE Lltl d h!! ( n!.oE tlr FoFr, fd E FrFEoa
<br />-1.
<br />.ro*Er ol rh FDFny, M.klulEly.odslhs *rh lrrn€d ...rr-nE ro ot{ar rlE tmirr (s& 704'r, BalK
<br />rnl Phft3rm Cu&: Ttk Colrrrq'r Lf,..k l^ &f,r mr {?ly lo ! owBr ol FrFny rho l'!'Ur or impbE lkNr
<br />.,rl who @,rEr' f* kh F,r.lt r h. (.dBro(n lrin6l Frru.,r r.rlEcotu&1f'r Lier t *).
<br />_l ah.1.n, rndo Se(ti
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<br />!]!_!.1-8 ! 11^
<br />I hcrcby altirm unrlcr p.nalry ol Frjry o* dl rh. nnhwnr3 dellrrrinr
<br />I h.vc lixl w,llnurnram rC.n'r{rr. l(-,nr{nr l,' Scll.lnruk l,trstrkrtr'u nI.nsrB'n rs lovrlcd rr, bvScrrnn.lT(x)orrlr
<br />Iltrtr Cd., nr rh. lcrl rmkcolth.wo* ktrwhrhrltr|tnni tr ^{ur
<br />rhc w l,n*h'.hrhtrltrnnr'\A{kti My*orl.r\ r,nNnrirrtrAr'rtr(..r'tr.rlFn'rytrrtr$crtut
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<br />&n,tyrh, r rh. p.rhrnBE. ol rk *orl nr ehrh rhG lrtm d FruJ.l rhru ft{ cnlLy..,Frvrn rnyn Fr
<br />{ I h tE$m suhj.lr b rl* qitd lon{tnqlr,n Ler or C.laon!. lrt isr rh.r l, I s,$u! tEom sut .tl lo rtr
<br />k,l*6' drrrEnsrEn rm,ttrrr.r I Sdt'n:l7ulol ltx l:h,((r!.,I \hnll. ildhrih drrl|'ly *nh rlbk I'rcvni,nr
<br />WARNINC: Failur. b cu. wt.i! .ooFn{rx'n (tn3. s lnLwltl ril \hrll ruhrcl u .nPt,ytr ro lml Ffltn.nl
<br />cql amr ut b om hudr.d lh.tr$l,10ll,6 (!lu),Unl. r ,ldrDn b rli cor of Jrfutcr .( F'r!.tl i,tr rh.
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<br />!.t!!t! ! r!\
<br />I lrEby.frm u j.r lEn.ly.l Frrur!I d lrtn<ll unLr Frv.nn or (]BFd 9 (.utrEE-.r8 *rh S.{nn nm) ol Divtr.. :l
<br />or rlr BosEs ,rt Pfrrdrkrtrt CdL. .rj m,l..nc F o luu ritre .t cllN!
<br />clllllalgul,DilErulN!,i-ecgN.La
<br />,lEEhy {iimu c. Fhax, or Frjury I h.l rhcrnr$nnfldrn Lndtr8 rs.ruy tutlI Frrolli]e! {t rlE mrL ror E,lt h ttus tmd !
<br />6su.d (sa. r$?,crv. c )
<br />t BL,'\ Nrm
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<br />If,nJ(.s AJdr.$
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<br />AflLuaNllrE.tjl48allll!
<br />I h.rcty.fiimuml.rp.n'lryol txrtrydn.ol lhc I',11,'*m3 J.rlnr nnr
<br />D.frll n'n Pcrm l^\hcdo\ Nnt'ltrafur F.d...lR(!trhrtrn (I l! 4,, P.n6)
<br />R.quucJ lxricrol N,r'li!h,n
<br />-I
<br />ccdify thd ilE tclcr.l Elrhrxnt N8.rJh! ..tErnx En,ul & n !ll0h.nt b rhi! poFlt
<br />,n 'rn {ri. rhtr rh. .lrtw rnli,mqr$n s (r&!. I rlr lo .tr{|ly * h rll Cxy .rn Cohr,
<br />rllDt.onnru\rin, et h.rchy.!rnnr. tli.tnrtrY$ |rh\C y,rl
<br />dt
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsu lation
<br />Rool Sheathino
<br />Shear Wall
<br />Framinq 5 \B\ ror A ,,AA(\ ,
<br />ln s u lation/Energ 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 />Enoineer Final Report
<br />Flood Zone Certif.
<br />FINAL 1/J,s ,t Hb\
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc.
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<br />Crn'rr:-
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<br />( orrrld
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