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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS OWNM IUIDER DET-CINAN(}N <br />I h.tcny uflnn undcr p.nllry iir n 1ury lhol I .fl .xcmpt {mm lh. o'ilrrci,'F t-i(.n* tr* ln rlr rolbwh8 rcasn ls.c Toll 5 <br />8lriftrr rrr Prof.r\bn c.,&) Any Cny or Cru y rhtli ,.aui6 . Fd ro o.!Bl. .h(. i'r+mE. &mlilt or E1Ii, {v <br />ndcri., J,rior n' ns ir !mc. !l\o EqliEs rh. ipnlhr rrtrsu.hFrn lo fiha lisftd {arcftnr rhd lE or $h. it lia.tcd Pumrd <br />ro rh. FfiiiB ot rh. conrBt.ii Lilnxn lls rc|j!fls 9. collmri.s wilh sdbn ?m) of Di!iri,. I of llr BBit$ rd <br />hirf.s\ionc Codc) or rhlr tE d rlE n .r.rr hdrkom .nd rlE l!ri. fin lhc llks.d .r.n{rion Any violarion ors<rh.70ll J h} an, <br />rmlicdi tor r Fmii ruhjftt ltr ndianr lo . civil Fuhy or d B,E <br />'h.n <br />fivc hundr.d d.lbr I l5@) <br />-1, <br />er o*mr ol rhc lftrrEny. or ny rr{k,rRs uirh wrtc< .s rh.i st oq*ndiitn, silldrr&s(rtonllE{rsmn mi <br />iddrj.J or .lLEd td {k (SG.7O4I, BuriFs .rd PFf..ti'B ('i)d. Th. c(dr-r t Li.n( l$ d*i mr {t'ly to x o{E oa <br />rhc rrltny wb trild\ or ii(rl,kr rh.mn. dld wh' dcr iuh q.rl hnnrclfor h.k,ror rhn,uSh hr or lEr own.opk,y..r, <br />Fo|ii.rl th.r skh inlftErnr - d n id.d i, ofiEtr! for qt lthrkE.dEt iiE or i'lmwrE ilsB*ihinmF, <br />ot$tr{,hrhn. ft (nrk, Buirrd sll h.w lrE trrrk. oI rmrins rhd h. or {r dil b' hoilt or ntmw tlE polEny tt rtE pxlrNor <br />-r. <br />as orftr ol rlE FDGnr. sfr crcluriv.l, $nrr(rir8 *irh li(cncd conrrrdrn t, codnrud rtE Fn)jcl (Sa 7{x.r' Bu.im$ <br />lrl Piilisin (id. 'rhc c('.rsu r Li.nr. l,* dc! Dr rmly h d oeffi ol ln{En} r'ln lDikl] or inlpmEi tlE o. <br />rn(l *h. .. rrx.(l,n \u.hror(r\snhi(tn h.trr t li(tr\.d nu' ! nrr'rh. <br />D*t@ <br />lllllltrr!\ <br />I h(r.hfrlrn r n,lcr|t ilryoltEr|1nyo nrih! lrll,,*tr,!nc.hrrdtrN <br />-l <br />h.E 'd sill minr.r . ( .nifrotc of (hnml lo S.lf lnror am rdk6. conP.,ttl hr .r lInrild fot b, Sdlhn llTm ofuL <br />lrhn Gt . atr ll! Frlblrrsc orth. *od lor whkh llE psnlil ir itucd <br />l hr!. nnd s 'll irdrn srr kcrr (nr!n n\nrio, i'NUrxNc. r\ r.q!ft hy5(rtr[ 7(xror rhc lahortixtc. L h. Fnnnumcol <br />rh. rork kr uhf,hrhh lxfln i\ is\(n Nly f,.rlc^'.o {f,f,{rkn surff..rrg x'rl F)liY nuiirr t . <br />l..n,lr rhdr rn rh. FrformE. olrllc *ork fnr ehich tnk Frmn n u(kJ.I shall ,r .nIloy ..y p..iln in .ny lMrr <br />$ sh tE$m tubr(r t, ilE *dt6 .lnFn{tirn L*. oacllitumi.. md lrft rh,r irl {nuld lEcor or'Fr ro rtr <br />rk,(iJ. I rlEll. lonhrnh intm s(, or{Enerion rn$i,.s ors.dbn.l7fir.alhc I <br />$ARNIN(; l'n,lurc ri {.uc *.'1.'\ .ontu\, r ,.,an c yl.)s to ri.iNl |rdhi\ $d <br />tNl rr ur' r,,,,r. I'yil'rl,h,id.. hl <br />r l, r,J" i, .4{**,-e(z 4. <br />@'rFnsrion. &m8.! .r pflrvi.l.d ft, th. <br />DICUAAIII'd <br />I h.rchy rlfirm undclFnohy olFrjdry rh,r I m licn*rl undcr r.visinn of(lrprs 9 (onrtr*in8 wilh S.crb.7fin, o(Divni0n 3 <br />ol rlF 8uti6r rd Ptf61$m Cd.. .,n my licns n in tulr t{trd .,rl cfid <br />C!J!IiIA!]IJIAIi,E!III G.ACEICT <br />I h.nby 0llirnurhr lcnally ol Frrurv rhlr rhdr n r snirudhn kndiq ag.nry for rh. rErlurNk-'c of rh. worr tu whi(h rhi\ Frnrir i' <br />ATIIIIAILDI:CLAAAII!}N <br />I hortr .nim uftj.r Fnrli, or FJory om or rlr nnbx in8 d.cl,.rr ionr <br />D.rn ntr,n Pcnnih.A{h$kN Norinclrn,n r.n r.l R.BUlrrFns (T[1.4]. P!n6) <br />Rcluircd tr d ol I'Liirr_nir. <br />ihd rlE f.rLnl rcSuhlbnr E8rdin8.{Ho. Rn'r n, al|''li..bL k' rhir FFI <br />I cdrryrhd I h.E Ed rhir rlrli E infnrmrio. n sBt I +R ro or?ry *nh.ll Ciry 8d C.unty <br />oi(l#nc.\r'xl Srrir tri\ rcl nP a h.r6yrtrrhtrp. rcprcsnhritrr ofth^ C y!,xlC.unrytr <br />,h)r mnri'md nmF iy for rrpetrn 4.--A ,rrr,q 1<t5,t <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Sublloor/VenVlnsulation <br />Roof Sheathinq <br />Shear Wall <br />Framing <br />lnsulation/Energy <br />Drywall <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Enqineer Final Report <br />Flood Zone Certif . <br />I <br />FINAL ,Y/26//,o-->*/E/ / <br />Certalicate of Occupancy (-/ <br />Notes, Remarks, Etc. <br />Ext./lnt. Lath [.7^I <br />Lrnd.l! Addrc$ <br />f-------T------ <br />t-