'l
<br />BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS O\'NER BIIILDEN DEII'ANATION
<br />I hd.bt !,Im uldi pq!n, or Fjury rhd I o .rmF fioh llE Coil.i(loB I-tcE t s ror $. lonowos i!&i 6d 1l 1 .5 .
<br />8uin6r lrd ProaBio. Co&): An, Cily or Cou , uhich rq!i6 ! Ffln ro odrud. .116, ihFort {bDlbh or tqor t:', rrhdu.. Fi, to hr islld.. &o Equi6 th. rppliul lor $ch Fon !. nt r igEl rldoml lh, lt o, JE i! liclE d P{88
<br />ro rh. pmvirbB of di Conr*lq! Lic@!.d rrw ICluFq 9, Coffiint $nh S.(1F. 7000 of Divirio. 1 of lh. Ba'nB &d
<br />hot s$d Cor,.) or th.r lE @ rlE t aaB lhalfios !d llE hGn fo, l& .lL*.d a Ftn A.y vhLlbn olsdlb. ?01 I t br" M)
<br />+plicer for . Fnn $bjd rlE rpplic.n lo.oul p.Mx) olmr mi. thr fivG hu.dEd dolur! (1t00)
<br />l, 6 0{6 olrlE FFdy, or my dph}6 Ent tr.s6 B th.n DL NtrrpcBa.n. s & tlE ral td llE sd*rE 6 6r
<br />iddrdGl c ofiqol fri rl. (Sa ?04a, BciB ed Pr.f6.i,6 ('dL T1r (tdr-m ! Lit@ ljv <rG iol qd! to d o"E oa
<br />rlE FFr! * tD hrill d iq!\s tlE@ sd u'ho dE $n usrl huElr d lExlf or ilm!3h hn m hd onr drplo)6.
<br />Fov'dcl rhd st iEForuEG ft @t id4H q otrgd 6r !.j. l( lbre. rlE hJdirB d in+wdEr a $ld *nnh oE
<br />'wof$trpkiotr r,E (xE Auiua *i[ lEE llE hltln olFous dr lE o. JE dd d hiE or n9.oE dE poFry br dE F,FE oa
<br />l. ! 0$16ofrh. prnpdry. m.r.lcir.ly cotu(in8 *ilh licdE d codr&-loE lo Nn!tud tlE Fojd (Sa 7cr4,l. &!iE
<br />.,i Prolsir (-od. Tn. Conrrrois Licm. Law &6 r'l rrply ro d o*nn or pmFnt *'ho blild. or inprov6 rh6on,
<br />dnd $tF codEcis fn such Foj<l3 *nh a C.di&ro(, lic.N.d txRM lo lh. ( onrr!.1oi3 t-t.e l!w)
<br />I m.r.nrd und6 S*lion-
<br />D.Ie Oin.r:\485!BU!A!ltIlr rAX
<br />DT(IAts1I.IIITI
<br />I h6.[r rfito und.r rEn.lry ol pqur] onc oalb. r{lnnv'nx d(lrdrtr\N
<br />I hlE Jn will roinrrin . cEtifrolc of CoMr lo S.lt'lGur. lU *.rl6s $nrFehn, c Frvij.d tor by S.clion 171x) o I rh.
<br />lrhn ( dL. tor rhc Ffollilm. of th. *o* fs *t'ih lh. Fnn ! iu<d
<br />I h!r. .nd will nlinrlh *ortd' .oEF!!'lion Bulm.. B rcqunol hy tid io. 17(D of lh. ljbor Co&. ror th. pdfollMc. o,
<br />sort6' omFMFn iBuie. (aE arl rFlty nomts t.:
<br />iL)F*Q /t ro ,y!,s 3 i-tg
<br />l.d'tllh.t h E Ffolrr@. olrlt *o.t am $nFh rhb Fni it s!.d, I ndlml qltplo, oy p.M. in uy mll:F
<br />r 6 rd b.6E $bd ro rh. $ort6 onpasbn lar: .l Cllifomrr. td {rG rh, ill tl$uld bdoE $bd b llt
<br />ea,rtd @mFqrion FlttioE of Sdion l70Oof rn l:&tr Co.le I iEll. f(trlh*nh @mply $nh 'hor F!\ itioE
<br />WAINING t'!ilu.lo su. *!.t6' onqEBnin ovots. a utrL$tul .d ndl rubr.( e dpLlf ro diniEl FEhi. !.d
<br />(iril lin6 !p lo on. hu,xlrcd lhnuend dou6 (llm.({)o). i. *ljn kr th. ..e of .omFulion, d,nec6 a Foyidcd fot rn
<br />56rnn 1076olrn. L.b.r Cdl er6.d rnd atrolr- 's fG
<br />?-Zct-?
<br />I ho.h, nmnn trndd tmrhy o i pdjtrry r hal I n lrc,s.d unda
<br />'strtr'
<br />rl ( hnt)rd i) (!otrnnorir! \rilh S.{lnn 7000) olDtr Airtri 1
<br />or rhc l!!ri.6ed PmrBioru(odc, & mylilmsc is in lull nftcmd cll6'
<br />,,*.*at* P
<br />,,,, 8'3o,^/z
<br />/ 0a?4 cq
<br />coNrraucllotr-Lraulcaclltr
<br />I hqlr,y dfm ldq Frly of Fjury thn $q. t . @rdtud bn ladlU .eft, for t,E FfoM. of lh. slrt b. x'iih fiit Fni !
<br />sr.<l(Sa 109'r. Civ. C )
<br />ATTII(ANLDE(IJSAI&!
<br />I hod, .trtu unds Fuhy ol Fj',y oft of dr followiq .,..lr.rhB
<br />t,.tmlirnn FqnireAttdo! Ndincnio. Fcddrl R.8oLr iod ( rnL a0. Pd6)
<br />Ad|und l.rrdof Ndi6din
<br />I .drify rhd rh. Ld6al r.8ohrio6 r.gedins astBkrr iorf,rval e. nor !I'|,lRahk h rhn rojel
<br />{P'kiill*lr*,,, i**
<br />ionrnJsarerlhth.i[\.nr,n rn's(trrdl l ur(r o comtly*nh oll Cilyand Counly
<br />rhis ( ny&d Counry ro 6rd upon rh.
<br />o,n fo=ro't '/
<br />nn, mLl lLr.h) urhori/c
<br />'
<br />ctr.ioi rrivs ol
<br />\pl'liutrr or \!dr si!tr{ru'.
<br />W*n
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Eneroy
<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 />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
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