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BUILDING. INSPECTOR RECORD
<br />SITE.WOBK DATE ID/SIG.OWNAI BUIL]'EN Df,l,CAI,ITION
<br />I lEEt'y .mrm undd p.ndr! ol Frru.y rhlr I m cicnDr lt]m trt Conrrdon Licnr Ij* for tlE tolh*ing re$n (S€ 701t t
<br />D!.iEss ,n Prof(iin Cd.): An, Cny.r cmd, *hkh Bitlih ! Fimir (' .onnod. .h.r. imtiov.. d.mlnh or Erxn .ny
<br />nME.. Fi, b iri i!!llnr. rls rcnlirr tlE rr{,l-.d for rEh Fmn h nk. sitftd d.ffi' rhd rE or rlE s lk n*d F,{rd
<br />ro rhc tDeirions ot rlr C.ntrErols l-t.nEd tr* (Ch.trd 9. Conmkin8 wirh S(ri)n 7ur ot DivLbn.! of rlr BlriEt. rnd
<br />PNf.sbnr ('elc, d llEr lE o rlE nci.mnr rhE rom!,n rh.tEsit ro, rhr ilh8.n.r.mpnon. Aryvhhrhnofscdhn?0.ll.lhymy
<br />q'plkdn' tu ! Frmn NhF! tlE +Clks' ro r.ivir FDlryol ml mrc thu filc huidrd dolll\ lttoo)
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<br />.*BorrtE FlFn,. in '.y ciPhF.r *irh $d8.r es lher $lc comrEnrurioo- willdo rlE Hd.rd th. {rr@ ir ft
<br />inr.dd or oficEd lir rL ( Sa 101,1. EuriE.r r.d Prnl6rbn CdL Ti. C..rfft r liffi Lr dE. mr .n y ro .. orEr ol
<br />rh. rrDFny wh toikk o. nlln)B,hcNn. rn wb d(Es \Eh N* hnnrclr r h.rclr o. thouah hn .. tu. o*n.rph}tcs.
<br />phriLd rh.r ikh iqn!ffir e d i{ol.n d dftcl lq sL la lFBs. ttE t(illin3 q irymEftt ir sld *ithin .m Fo
<br />orB,'q'Llnn. th. olxE Build.r will h.E l,E trd.n ol F*i.g rrd rE or rlE dit br tliu d irlftE r,F FrEry rd rlr FllII{ or
<br />L a\ .*icr o, rhc pmp.n y- rn .i(lutivc l, ronh.rin3 Dirh lk.n€n rnralE ir' o,Nu1 rlr rmre-l ( Sd ?Or{. Bu.iEa.
<br />atn fii)tsm(ird. Tt Contrc!tr's Lic..* trw il fr +tly b ih om.r ol pn,rEdy sho hrilds or iq)rov.r ttur.on.
<br />and wls codmr ror rkh Fj(h $rh r Co r&ilxln li.{6.d pun@ ro t,E ConrrxtG il-ir.ct $)
<br />l.m.r.npr !'dd Ssri,n_
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<br />Ihdch\ !fln unkr p(Mlrj ol |Irjur! or or rhc rr'll,trtrrg dc.t.trrrNnn
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<br />h$.,nvill mi.!,in. c.nirxrr.orCi,.s ro Scla l.surc nn *orlcr' conlltnlrion. $ rovided ntr hy Sdrirn.u(Ir otr,E
<br />lrh, Crrq r.x rli lE f{m ofll! kni lm shih llE lFmn F $rErl
<br />_l h.E rnd will mnhin wollcB' 6rqE.r.riln inru,r(r
<br />rrr wnrl rhr * hkh rhn Ftu rr B{.d My rnr6' dmF,*- ' \*ak F-n
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<br />iEd fttssrt,nJ7liool rhc l,lxtrCo&, tor rl'. pcrrormftc or
<br />rnft! offi on rbliy nun$.i r.
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<br />in rhc l.rt{trmt. ol rlr wo aor*hthlhnFmn ii ira.n,I !h.U m' .,riloy.ny tEmn in.ny tuE6 r ro lE -r .utF1 lo tlE qrts $.rtEnqriin L*r or Crlrn,m,r, lnd rtEc rhlr f I should h..om subF lo th.
<br />eorl6 NirlEnerhn pmvirionr of Scdi,n 1r0O or rlr bhtr Gl&. I tElL rinhl ith orpl! rnh rlnE ImvnhG
<br />tl'ALi\. li\. (; I a'ltrrc n) aur. corkr^ .r'nFn\rrtrtrr (or r8c tr utrlx*l rrxl shrll \trhj.{r 2n ${'k)r!r ro dim'nil Frulr$ lnl
<br />civil liEr u, io oE rEdEn rh,uq.d &,tln (tl@,fin). in rddilir ol .onlf,n\aii,rn. (l ugc\ rr pRr cd ntr ihc
<br />s!.rtrr llrT6olrlr I-nlrtr (ixlr tr c'({r'klrrnnft.r'\ 1..\--1-
<br />DFCI Alln()rl
<br />I h.Eby rllum udLr lrMlly of Frjury lh, I .m hrnrl unrr F)1irrr trl Cl[fld I (omftfti.g rirh SdiiJ. 7CUl, of Dntirn .l
<br />ol rhc!u rc$.xl Pn'fc$iotr\Cod.. drl nry li..n{ il in tullnRrdl.flrr
<br />L-3 " qzaj/c
<br />_q_-L"'l-/1 f47zt
<br />CIINSIRUCTI(TN LTNNINC ACFITCY
<br />I lrEby rmrhuELr FMlry orFFry rhi lhrc n r o.{ftrnn btdb! rs.By litr rlE Frl ltsr.olllE *,rt lor qntn rhn rmi n
<br />i{u.rl rsd llo97 (iv L,
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<br />rl!{ rtx frri.nl 68rltrbn5 Elodin3 a\t-no\ cm\ rl rrc ftr lppltlhk k' rhRI'tuFr
<br />I I h$cr&lrhn q'plrarx u!lircr rh..hnc 'nntr'fr inr s.otr rr I trlrd r, .otrlllt wirh nll Ciry rnd (l'unty
<br />sr!rc l,$r rbrhx r' h{itjinr.on{r.Ir.Fdd^ti drrhi! Cirr..d Coun'ynr.nrd !rb^ rtr
<br />.'htrr rir(nrJ Ir,ltn! rrtr nr\Frrtrr nrrlxN\q_l+J9\t,t'lirn r or \A. l Si! nlurr
<br />lA- t /r.4t-< z-U"-,r* *..,rn*,, !-
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathin -c,
<br />Shear Wall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Itrlasonry
<br />Pool Fence
<br />H andicap Req.
<br />Deputy Final Beport
<br />Engineer Final Report
<br />FINAL tplrltsl vtrnttdvt 72)
<br />Certilicate ot Occu nc
<br />COMMENTS
<br />Framino
<br />lnsulation/Enerqy
<br />Drywall
<br />T-Bar
<br />Flood Zone Certif .
<br />Notes, Remarks, Etc.
<br />AfIlllAliU)ECLAAiIIIA!
<br />lrmhv dnn n*lcr llcnllry urp.ridry ntu orrlr ftnt,sin8 n(lulrr,n.
<br />lkmriion Pcnnih-As${os Nonli.rrtr'tr l,.dcrrl R.txhrtr,n! rTirlr {). P,nh)
<br />Rcqunrd lxrrur ol N,'rrrurhtr
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