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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.. COMMENTS OWNER BUILDEN DEL(ARATII)N
<br />I lrchy .tfrn u.der Forlr, ol FriIry th.l I u .tcrrFr rmm rhc (i, mton l Rnt L! ri, tlE (nb*hs Elhr (sc 70ll a
<br />a$iFr .,i ftor.{iin C.i.r Any Cir, or C.*,r, whin Eituid r Fmi io Nirul. .!d. itr9rnlt. &mlirl' ,!F Dy
<br />$krrc, rirk' ir\ irorm, rko rquiB rh. +rla.nl fo. shFn rofi!.riBtnid.nd rha lEd rlE i lttn.n Puld
<br />ro rlE rrovirioN of rlE Corr..lir'. Licntd hw ((-h.rr.r 9. Comftrcitrs *irh Sdrn,n 7l{x, or DiYitirn I of rhc Buri** od
<br />Prcf.r.l,nr Cod.r r rh'! lE or ill. ir cr.ry,l lt6.fr.m rnd llE hri\ tu rh..lh!d .r.n(,nn Any virhri..orsdb.T0ll J brtn,
<br />.orltrrd tu.,Ermil ruhFlrllE lnr ic.nrroidvjltEBtyof to fr,E rhr fir. hu'ntd &lL^ (l5{Irl
<br />(X/, "**,r,* n."rr.., nr.mph',r.. * h w.8...irhct snlc comrEnqioh. will.fi, or *ntultrr nrric ir m!\-idrcrtd d oflrcd k, rk ( sE 71X4, Burir.r ud Pmfc(i'F Cod. Tn Conrd.l! LicnE trw &8 ml rrdy ro .n owffi oI
<br />rlr Drnrfry *ln bild. m irrFB rlEi rn *rb &B uh wrt hin(lf or h.Elf or rlEtrh fi d lE ow..i{,l,Fi
<br />Fovid.i rfirr trh inqhffir G d -r..'fi c oiard fitr sL li. lnttE, rh lliBitt d nlrG|d ir $U wrfiir rE F,
<br />nforyLrion. tlrO*rcr AniB.r will hrE th. t!,Il.nolpft n8fitrEorttudnd,hildoriqftErlE,,stsryfotr,tFrs.or
<br />I r...".*,nr,r,. p.1*y. m.rctuiiwlyco rxliry *iih lirnsn qdBdo^ !, d nMrlEF)F<rsc 7(x4 aEB.
<br />-.rd hrf.dn Cod. Th. Co.rdtr'r Lk.nr. hw d*\ hr it tly n, in osF or pmFnr rlb h{ild. tr i6PmE. rh.r.on.
<br />und ehn $dh.k rt .u.h ,'(*ds 'irh r (])r Ecr{,nn liensd pu,lunt rortE Conrmr.a. Lk.n$ liwr
<br />I rn'.rcmor unl.' 5.\rknrt;. 6-2f-/a &;#w:,*
<br />DESJAAIII]N
<br />I h.r.hy rmm nnd.r p. iy of Fr,lry om ol lhc folhwirl &<hdbr
<br />-l
<br />hsk dl will nuinrin , Cld ifErt. .a Concnl lo Scll lnrurc fir *nrk.s t,qxn$r ion, !r Pmvdcd ntr h, Sdri)n 17fl) ol rll
<br />L.rrr (irL- tor rlE Ffofur oI rlE * t lo. $hf,h rtE Fnn t irqxn
<br />Ih,rurndsillnu,nrin$orkcriconlr.tr\rr(,nin'urxh..3.rrqtrcrlhySc(rirrTrxlolrhcl,!htrCod.,nrrlkBrlornu,tut.l
<br />rh. w.,k ntr qhrhrhi\ pcnnir ir nsucn My*orlcA .onl^-n\rri(n, nr\rrrR..itN md lx,lay nun$d d.
<br />foli.y Nun,lf,r
<br />-tlrfncs:
<br />--
<br />{Zdaa,E rt t.'* r.,r-rN nlh. },trr lo !h.h rfi,t Fm tr nrEd.I $.rr mi.'r?htrny Fq{ hlny.Mrs$ r{ r,' k\ar luhFr ro rlE k'rt6'smltnqrFn L$ olCrliaomi!. lri rad rh.r itl thru tEsm iutFi ro ih.
<br />workc,!' omn€nsllion thvkirnr .r sdion ]7m of ltu l lhn CflL. I \lEll. fonhwih .on{'ly I ilh rtnE Frvnnrnr
<br />WARNING raihrc h Ku. *(tri.n' .!,qrnrrk n n s{8. is unlsf,rul. !trd sh.ll sul'r{l !, cnpli,r!. ro din ml FDht $d
<br />.ivil liftt lli k, .E huitu rbu{rd d.lls (tlm.fixr- in dd i!. b rh. .o< ol @qEoqrion. drfr8ti I troritn for rlt
<br />';::'i:7rn*:#i"w-
<br />I hcEhy rrirn u.dd F.naltyorp.rjurl lhur I rn lienrn lndcr F,!i\i,n or(n!flc a l(lmmrcins *irh seJbn 70ur I or Divirnn .l
<br />oI rh. l,usircsc &d Pmr.sbnlCor.. rnl my lic.n* n in tull foilr !,n cffrr
<br />r()N[Br,.(JIONl!!IltN1;-d1i!;M;I
<br />iqBl rsc 1097, civ c r.
<br />knd.r'! Nrd:
<br />IItLI(jANLII}:IIIJSAITQd
<br />I d)ystrmund( Ftruhy ol!.rjury orc olrlr followin8 dehr n'nr
<br />Drm,liri), Pdnik Astrrroi Norirk.lio. F*i.l R.3uhlions (Tirk{r. Pd6r
<br />-R.qund
<br />krrdol Ndi,"trr
<br />lurilvrhd ltr lcdc.olrcsubri,ns tsudins rsttdo\ r.'m\,1 xc n a0pltnhk h rht rn,irr
<br />[L -n , rh.r , r,r -.,1thF .mrf,r,nn lnr {.,(,hd rh.!hr. 'nnn'Dii)n ncoiNr I aara h onpl, *dhtllciryrftl(ouhry
<br />lnrinatucr trnd sr . l jsr eLrins n' tru ild ins cotrrlrudiu,. urd hcr$y ,rrkrDc r.t'r.tnl0l iYe\ ,,l rtt Cnt ,nd coun'y b .trr( xr,h rh.
<br />6_:':;H;"W
<br />I P.mr.r d.c ( prtnr r: L /. t//4a /Zdalzz L 7.,61tZ
<br />I
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVlnsulation /
<br />Rool Sheathinq q'/6 //(/ F,'--,fr'/-,/e
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Itrlasonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />F|NAL 1, /1 - /4 I .2I/{, /.,r
<br />Certif icate ol Occupancy
<br />Notes, Remarks, Elc
<br />Set Backs
<br />UFER Ground
<br />T-Bar
<br />Flood Zone Certif .
<br />l-i..na. Nun Er:
<br />I
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