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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OTA'NER AUI LDEI' DEI-(-ANATloN
<br />I h6.b .ltirm und6l,6!ll, of pcrrury lh.l I m crdnpr from !n. ('ontEloB l i.o* l,$ for lh. follouiI3 Eein (s<.'7011 5
<br />B*i.6s dftl Protdnrn ('od.): Any ( iy or Counlt uhich r.qun6 . Fnil to onnrud. .h6. imFovi d.'mlirh o. rq€a .ny
<br />rrudu., FFr r. irs rsutrc. fto rcquuc rhc 4pltdr ,u s(h Fm'r r0 fiL . r!3Ed lriffir rhd lE or tE i lrdn d rrMr
<br />ro rh. rm\a6B or r|r (.nrdm J t.rasj l.tr i(-hqnd 9. (irmntrins $in Sdhn 7Om o, Dni.ion ! .t rh. BusiB ;d
<br />PsfakrN (id.) or rhi! h..r 3hc n.rmB rhdctom lnd rh. b.ts t( rh. rlks.d crdr(in An) \6l.ri..ofsdi..70ll5 tr..r
<br />lgplicdnl ln a pmil luhjors rh. oppli(.nr lo a civ il p.nalr, o f n.r mor. rhM liv. ntrn&cd dolldr ( l5o0)
<br />l.6o{Eofrh.FFnr.ornraqrkrtGtrnh\.*6ath.;skcodpcGinn.sixd'rrE{d-dllErdEitd
<br />itrai.j o,tml ac sL (SE 7or4, BBiB ad ftlrdi.B Cdt In CoMoir Ltffi t!\ &6 mr !r,l! ro r o{E of
<br />rh.rroltn) *h6 hiildr Dr lqror6 ilEo(,i $lh &6r'.h*uL hifrklror hdiror rrmu3,l h$ ls o$n mrloyc,
<br />prorij.d rhd[uch imFov@r3 &c tur inrEd.d or oEsqi nn sb ll hr\66. rh. ttrild'B o, iqrcvd6n i5 $ld sih. o.. ,a
<br />ofcon{,l6ion, rh. o$'ns Aoil&r willtu\.lh.hd.n ofFolinr. tlu h.or dE dn ml hild or isFov.6. FrF y aor EllrFeof
<br />l. $.trncolrh.Forrn\, er .\cl'!tr.1\ .onrillns \ h h.lml ..trr3dJ6 hi .onrrud rlF F.J(1 i s( 7(Ill.lltr'n65
<br />and r\)INrD (.d. ll'c(onlraclorsl'..ns.lardo6tr.ramlrr,m.\ns.lnn)td)trhoho'l&orimpro\6rhna,i.
<br />.nd slxr (rr.di nn such ptujc.k$irh. (nnnr.rr(1) I'rfrs(lptrrrunnr brlk( f.r'adois Li(nr.l.N)
<br />I dn.r6pt und.r s<i..
<br />Drre ()ind:
<br />$trRl(tiRsi ( ont P! Nsa'rl(rN
<br />lIf,(lt<lgti
<br />I hs(h\ lln'n und( tnrk\ ofFlun....frh. f(,ll,nunt d(lir.t!$
<br />l h.\c rn $ ill m.inrm ! Cdir(.l. of (irMr h s.ll-lGorc htr ro.lc mnrE son, a Ir i.H lor br Sdnn rT00ofrh.
<br />Labor (nJ., forrh. !6nhnM.. ofth. \ * forwhi.hrh.Fmir aq i$uil
<br />I hlE.nd q ill mint.in trorlC coflImtlhn i6u.NG. 6 rqff.d tD S.clhn !'t(x) of rlE L,h.r (ii.. lor rh. Ff(fu. of
<br />E *!* ld shat lhB Fnn I is.d Mr \ort6 mnp.rEr6n ierm. dEir in pliy numh- r.'
<br />'ncLlt O,\o. /
<br />r.l, "* '/- / 'Lo'a <)atl qqloz3
<br />l.(n'a\rh in rh.p.rtuMcotlhc trork ro.\nf,h rhlsrEm tr EnEd.l rh.llfr! @ph\ !n\ Frr rn rnr m.n6
<br />e6nrh.lonEsubjsrr,,!h.\.lk6(fmFsri)nlN!ol(rl'lomm,.nd.!Erhd,lrrhould^*om.s'bjdbltE
<br />Le.rtdl .omlEerion pnnhhB olsdion:r7L{ olrltr lltsr ( otl..l dtsll, fonh\irh c.,npl, $nh rhrE provisnrnt
<br />\r RNtN(; [ailu. ro surc sork6'co'DFslsln]n $\sis. k unh\f!1. and all rubl(l an otloE ro 6imin.lFsti. ind
<br />.nil lin6 up r. orc huNlr.d lhoNnd Joll6 ttl(xr,(xx)). rn ad,.j(Ni r. rh. co( ot.onp.re!,on. drn 16 a Fo\id.d ,or rh.
<br />sdin r07a of rh. | "br (irk, inr6.r '.d dblE'3 fc
<br />? npp zt-/
<br />t. t( tNstt)( rr\IR\( t()R
<br />lrL( L.\R\ I t()\
<br />I @ .mm ur& FEh' of FJtr) lhi I h lisBi u'!& Flr iion oact.ptc 9 (erffiin* unh S<.lion 7otx)l,if Dn irirn r
<br />.a th. ItuiB ud PmfBirE c.&. nd my li<.g s n tull fir. ni.lId
<br />,rrr...,rr. c9a
<br />,,,,,6-2O-/C
<br />I !ccns. \un,1-
<br />,"r,.".,.r*A
<br />'1 00 (
<br />coliru(IroNtllollc-a(r,!(I
<br />I h6.l') rlrm undcr Fulrt.f Fjur' rhd rhsr it! o'drucr-r L.dins lstr) fn rh. Ffolrre. ofrh. $ork tu unkhrtt p6Bir 6
<br />t$.d ts( rq)7.(-i\ ('t
<br />A.tfll( .Nl!l:gr$Atl!)l
<br />I hrcil amnn undq lEllll ofp6jur\.t.frh. nnl){rn$ d(l iln,ns
<br />Detu,hnn P6n'ils-AilBnxNorific.rtr)n ltddnl R.xtrlilions(lirl.l0. Prn()
<br />R.!t0n.d I nla o, Mx,f{dir
<br />I.difr rhd rh. aqld.l..e,ldhB r.Xedi.g att.'o! rftorale. a{.pa,lkrhk h rhi prcrd
<br />9d,("-r,,r,, ,*,.,*,,"s alpli.xrion i srar.rhir rh..hr.
<br />'nn)nnnx)n
<br />is.of,d I trrr€t,(.mprr rirharl( 'r\ lBl( 6unr\
<br />o.diffis.,n Sr.r. t^. EldilB ro h'i!lrn8 codMha rn hd+'] idlt!D. r.s.ddn6.tlhn ( n! rnd Counrr ro ora uFn rtr
<br />!bor. nmrsn ri For<dt nn mrF.tu. F,p.c
<br />\ppli$nr or,tE0r Stntrrtrrc
<br />r,...ir.*n.u'.rp'ino, )a-
<br />* dz-
<br />lZut H -E*zc' -{f
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing 77.,a1/1 F/ //€4/( /i ,r/
<br />Shear Wall I
<br />Framing
<br />lns u lation/Energ y
<br />Drywall
<br />Ext./lnt. Lath
<br />Ma sonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL 1/ro/ts D6na /o,
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />Brown Coal
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