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BUILOING- INSPECTOR RECOBD
<br />SITE-WORK DATE ID/SIG.COMMENTS OlvNl:ll BlrII.Dl:L DDI-CAI{ATII)N
<br />I lEEhy.ffro uni.. p.n ry ol tErlry lh:r I m.r.q'r ln,n rlE (nd rm,r.n*l.*forrh.tulloyDSdsntSe?OllJ
<br />t u\in.* ..d ltdlissiotr Cndr): ny Ciry .. Counry *hich (qun.r i ltrmir h .on{Mr, rlr.r. imprnE. d.mlkn dr rcry .cy
<br />nnrruE. t'rq t, ns isuru.. ulo eq!@! rh. lppli.r ntr{r!hn m ro 6k! si3*d{ar.nEnr ihd IrDr fi. ( lEnsal pt6u.trr
<br />rn rh. r.vBioir o h. c.nr*roa, I k.nscd ll* (ctuBcr 9. co'nmncinS vnh s.crnn lrrur ot Divki,tr I or rtE aueiE$ .rd
<br />F\n.sr'rr Cnk r or rh{ lE o. rlE R .r.nB rl*efrim ri rlt h!$r tur rlr k8al.r.n{irn AnyvilhibnolSdi,nT0ll.tbylny
<br />afirhr Io. ! Fm rubFk rlE rppl.rni to I ctr rl p.uty ol mr rrc rhln lirc hu,rlr.J dolld! lls{rD
<br />L r\ .grr.l rlE Fp.dr. ft nr.qlhlrs wnh yU.! rr rlFr eL nrrlflNrr. * l & rh. xrl ri r {dE n d
<br />d6J.J or.lT.rJ rr el. (sa ?lr!. BurBr od Pn,L$rB cdL Tl! Codrrlr'\ l.&nr Ir9 da nd +dy ro ri oeft. ol
<br />rh. lh,tdy lhr toill!ar irynrFr,tnda !d wb LtnB-hw hmrlf or lFkll or rhDngh hn or h.r o*..ry'!,)Ei,
<br />DrordnlIh slch impoEmdr @ mi inGd.d.., LEdI{n$! ll, h.s.wi rh. tuiluB r urIrEE ns!wnhiiorF!.
<br />ofc.tr{,trix! rlEOwrcr Blild.r wrlllsE rlr bunLnofpnrrli rl tr orsh. dil tor hiu or irq,hr tlE pmFry nrr&p!+.*of
<br />-1,
<br />r drE of tlE P.oFdy. M .klsMl, .ld*rry *rh l*rql 6ddrm k, qh{(1 rlE Foj.d I Sd. ,Oa{ BuriB
<br />.rl ha'$r C.rr. TtE Coddd r Lic.n. l:w do.r n, r0rl, ro r orEr ol lioFd, *ho huildr or rpmEr rh-.4
<br />rd Ih mdr&r l sh tn,rdr eih . C.ddd(, li.Md FlBl8 ro rh. C6r$oa. L&r lrr)
<br />I mr.t..rt{ u.d.. Sd$n_, B &PC lrrh6 r.rwnr
<br />utl8f,llN3:OlltlNtall!]!
<br />DTI;I.Af,.tIta!
<br />I h.i.hyrinhund.i F !rufFiunoE olrlE rolt)lm8 d(L6frB
<br />-l
<br />h.E !n srll midrin r cd'fud. orcl'ng b S.r-16ft nr wI6'or$.d!4.! F.vil.d Lr hy Sds !r0O of {r
<br />trlti Cd., d ft Ff(]fu. of rlt *ql irr *nrh rh. IE oir n blad
<br />IhnvcrrlsrllnNrnr!'*olk.^rnr.trrd'onnnrntu.r\Rqrr.Jhys..n.r:17($o,rlrtrbor(i..r!,rh.!.rrumBrEor
<br />rli. q,nl r,{ {lrl,rl'ntr'trfl ^ -,.,1 My*,trk tr\llon Burar.. crE'cr inl [)lry .un$.r ac'
<br />-l
<br />t.drly rlu. rn rtE IEtunrR ol rl. *ork ntr uhrh rhr Frmr 'r xrudl, I rrlllrn cnrkry ry Fr$n h.n, llEE
<br />s x ro tErnm sbJ.ct b rlE $)ddl omIEM nn Lw\ of Crlrfnmtr, ,rl Larc. rhd rf I itnld h...m sub]Cd ro rlr
<br />*vt.i (omIEn.{Dn pDvi:oN of S.lron l7m or rh. blr, ( i,1., I sh!U, fMh*irh .orrly wirfi rllo* pEvubtr\
<br />WARNINC FuiluE k, s.un q,l*ii ()hp.dsrion cov.E3. is unhwtul. and shall xuhr.ar an c,ploylr !, (mhrlFBhis.fll
<br />crvil lnr\ up ro ok hutulr.d rhous,nJ doll s (tlrxr,(xr)).
<br />'n ld,ltrirtr ro rh. coq or.{
<br />Sdr(r :10'76 of ih. L$or (irk, inr.r.r rnn dfty t fc\
<br />I hcrby .rn.m u,rl r IEMlry .f p.rjo.y rh, I .m li€nrd und.' Foviri.n ol Cluprs 9 tco'ndming *irh Sdn^ 7uL) .r Drvili'n 1
<br />o, rht Bu!*s rnd PDLsn,D cl c dl my lr€ns s rtr tull r(tra.rd cfic.r
<br />B ?
<br />s!)lEralclloB.rlurIlclcllt]
<br />I h.Ef y .llro uid FDlry or D.rjury rhlt ttR is r .\rnMr n. krrins ls.tuy lor rh. fEdomL! of rrE h.t fttr l,l]ih rh! Ftrlr ii
<br />nrkdlso 1097, civ. c ).
<br />AIILIIAtrLDECI.TMIO!
<br />I Hr .iim urLr p...lty of p.rjury * !t rh. folbr'n3 rk(l,r:r sht
<br />tlmli.on P.rhia.Arbdtx Ndia,cx &n Fdd.l R.tuLrr,.t (ld1. llj, Pd6)
<br />-R.qun.!
<br />L.ii.rof t{t/icdrion
<br />rl Eria, ihn rlr trlEl ciut lioN qrtus alBror ffi,vd E d q?lirbt t, fii, pmF.r.
<br />-l
<br />cdir, dI I h.t Erl LIit !@l..trs !d dc tta 0l .!oE E lfubr i. ffi. I .rE b orpry van .I Ci'r.d C.dy
<br />dJmlrt rnl SrlE Ln* EhruU b hoiduB .oNE(r ia rn h.r
<br />.tD1! rnr.Rl toFny ld nrFdi,i Frlie. a
<br />er46 or rtus Cny .r, (-.ury ro . d upon rh
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy D)
<br />Drywall o//4?odo Ad,ttbtt K6/
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL zc qd cr.aa vAt/
<br />Certif icate ot Occupancy
<br />tloles, Remarks, ftc.7 I
<br />ort
<br />Hev.08-0/-2015
<br />-,-o*,
<br />?#'.zO
<br />"",.. 6- 2 - 21't
<br />./ ,? ->?1ttft (.? L) ry
<br />a-/8-E
<br />@+) /l?pLtl,td fOY q-4./
<br />PA
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