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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OIT NER BU!I,DER DEI,(-ARA'TIoN
<br />I h.r.t!,.mrnu .r Fslr! or Fju^ rhlr I n.rod an,m'h.(. rd'6 I(dta{ l rh. rqrl,".r+ rR{ lri6.7l)l|5
<br />lrutin6s.ndPmfdioncd.)Anyanror(h,nr)shKtr6tu'6.rrmt,i.iinnnnr.ih6.trnr,'"\..,|1'uli."r.!.i'ey
<br />tltocluc. prior to ir. isuffi.,.tsr.qon6th.{'0li.d&r..uchtFflnihnE..ilnnln.hdrhith..h.i!li.6k{pure4n
<br />lo llE F.rtirB of !h. (-onrau's Li.nF.n rrs ((1sF( 9, (iho$i.! $nh Sdxr 7lx)0 of l)n8irn r ol rh. &Lri6 Dd
<br />r\oa6iont (idr,or lhd lE or th. n.t.nr,'r th6.riom lnd rh.lcis Lr !t. !lk[.J crdnl{i(,n An) \i'hrnrolsditi rrrrlS br.ny
<br />arFli.d ntr r pann .uhtar rh. apFlic.nr ro acnil!.a!hrornot n{. rho fi!. hudd dollaBttilrr)
<br />l, a o\nd oflh. I,op.n). or n\ onfl(,rc \(h \.[6 er rh.tr srLconrF&r*nr. rrll d, rlE\'{l MJ rh. {r'duc r n{
<br />n6dqlo,olT6.dnr$LlS(704,t,llNinsanJl\oia$ni(,.Ih.(.onrtr.rtr'sl.'cdtr.la\.:inrq,tllt)MnsEof
<br />rh.rRlp.nr rlnt lkori,qn\6rhdn(onsL)dEsich\n,lhi,n\clforhdklforrlxd !hhird lK o\tr.nl)lr(\.
<br />I'or idcd rhl *ch imt$tus {. ftn rbridl n.ll6.J lin qk Il hu6c, rl: hnki'ns o irqroldrr 6lfil\ihmokrn
<br />or.orhtkion. rh.(xns Build.r tr'll he\clht hrd.r otForir! lld h.or snc Lld nt [nrd fl t,o\.|h.tr]Fr\ li{ rlkr(rr$Eof
<br />I
<br />l. a otr E of rh.I,oFnr. m.r.lori\.lt.ontrli.a \ irh l'.d$J cDntadouh.odtud rlk F,11 ts( 70r1.lt.,N
<br />.hd Pokli, ( odc I h. Conlriclors l,ic.nsc l-.$ do6 nol irDlvr. in rn6 ofrrolt.l' sh. buith.. irntr r.sthc'$,.
<br />md sh .odd. fu r(h FoF{r rnh. conrait{3) ltda.d puBMi (, rh. (.ont nr ! I adM l-,\ )
<br />I an c\.nr! und.r sdn'n
<br />Irrr.: ().n.r
<br />\ oR,(rRs. (:anr PrNa^:i r(lN
<br />TKIAAAIIAd
<br />I h<.t'r .mrm un'16 FMliv fn rjur_.mofrh. n'lk'$in{ rkalddK\N
<br />lhr\.md$illm,n 0in,(din.ar.oi(onq r,s.lllnntr.ro'so'k6s-(nnr)6rs^rk ,.stnornldiirl,\sdri{(r7()lrolrh.
<br />l.atitr (ltl., in rhc pclirmdr. ofrh. sorl nn \h{h rh. nonnl s ir\i.d
<br />I ha\c.nd trillm.rnrlin *orlds conrEfilrion nr!,rn... i\
<br />'.qtrtr.at
<br />h) s(rk r7(lll lrhe lil\r ( ud.. n! rhcrBli!nw..of
<br />rh. wdrk a.r tr hich lhilEnnil i! is.d My sorka r' .o'rp6'slinr inru, trtrc. .nn io &l rrrli(J- trurntE d .
<br />I c.dit lhil in llr polormincoflh. sorl for \hich thi! ps'ril n irnrn, I rhill ml dnpn'y.n) p($n h rtrr rrrinN
<br />$ r lo h..o!E subr..l t.lh. $dd 6rp6snrn h\3 or( lrifohE. ind.{k rhd ifI rli,ul. tr(uk suti(r i1rlk
<br />$o 6 NnF$rhn F rbh6 oasdi{ r70oof th. kh)r (irl. l rlsll, f.nh$ihomdt \nhrh&Fo\irk'6
<br />WARNINC hilur. lo su. r!116 omrBrn nn trr 6r. ir unhtr fin. and sh.ll sn,rcr1 in .npl,r ( k' $n'i"il twlis dld
<br />ovil fin6 !t ro on. hundrcd lhousnd dollos llllxr,o( ). ir iddilion lo lh. con o[co trnsln$. nrNs.r flr l](nnk{ for lh.
<br />sdti,n 107(, of lhc t,htr ( od., 'r s.r .nd nlorEr 'r tc
<br />_ Anplidnl:_
<br />Lt(lillsf r) (,oN.lttl!(Mt
<br />lr[(lJxilllai!
<br />I lElb) rftr ond6 poahl ol Frur) rhd I dn li.ogtl oto]tr Fr)1kn)n ri(nnBd e GunnHrrnr \dh Sdi,n r(r[]).rl)r\ision l
<br />of rh. Burinsd.d Pnrl*n,6 ( od..r nryltok is in ftrll6rc.od.ll<r
<br />call1lBl(1la[tEllltl.Jl{i[lc!
<br />I hd.b, rm'n unld F.!h! olFjun rhd rha. a..odturb. kfrlmF.rm\ n{ rh. Fn,m.tu.,'lrh. \orl lir (hf,h rnb pd, !
<br />isu.J (s< 1097, Ci! (.)
<br />\r'r'r r( \\ r lrl ( l \k \ llo\
<br />I h(*t lllm und( l.nrh, of FJU, r- oh. trhc r.ln'trr! d(1,arionr
<br />lr.nolilionPqnit].Aitdr8Norificarbn l|Jq.l k.sulirionrtlnlc.lo. l' 161
<br />R.{ui.d l-crrE or M'rif(rx,h
<br />I c.nilt lhd rh. f.J.r.l rcruhrnrB Etlddiu trlEk'sr6r\al r n{ i{Dlxrnk h rhir tFFd
<br />lrdifyrharlha\.r.i,lrhhEtlI)linrit,noxlnarctlx rlEahr.'nnntrn k,,Ncon.rr ,f,!'Nr.con,I\\ihaltir\rn,l(otnry
<br />orJrMn(6 6nJ Srar.lrsi '.liin! k) tr,itnlll .ondnd (,n, rRllE.ltr atrrlrr'7. r.trRTrarn6,'lrnn ( i\ anJ ( otrrr\ ro cnrd utFn rlE
<br />atn\. '6t{,n.J p.ord) ntr insFl'on rarlF6
<br />\Dt,li(rtrl rr \,lirrl Sisnrturc
<br />Set Backs
<br />l/-?-r C f/-fL .a
<br />Erection Pads (
<br />UFER Ground
<br />Subf loorNenUl nsulation
<br />Roof Sheathing
<br />Framing Patr
<br />lnsulation/Energy '
<br />DJyryall
<br />A(rrht. ratn ?46 lit"l.lr,Sfn (y+-\
<br />Bi6frn-coat ti i, tl./L .l)zfA zX&)
<br />Masonry I
<br />Pool Fence
<br />T-Bar
<br />tlandicap Req
<br />D eputy Final Report
<br />Engineer Final Report
<br />--z,flrxtru\r,-
<br />r$s \ J\
<br />FINAL qgP 1r-'\]|
<br />Certificate of Occu pancy .. ,m.5$'8" aU
<br />Notes Remarks, Etc
<br />//-
<br />d ol{ull.rcp
<br />6 )te.
<br />a
<br />Forms/Steel/Holdowns
<br />SLAB Floor
<br />Shear Wall
<br />Flood Zone Certif.
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