BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OIIIiET DUTLDER DTI-CANAION
<br />I hcrchy omrm unds Fnohy ,,1pcrtury lhrt I m .r..{ t h thc (irnracntra LiL.ns lj* fd rlE lrnb*int rc.$n (Ss TOJ| 5
<br />Busin.$ !d P,nfcs\ion C.nc) Any ( iry or (ird! *hih rcquirc\ . Frmir lo $n{nr1. alls, ilqrmvc. &mlth or q).n nny
<br />drur1urc. r, n, nr riud!, iqr Ertxi6 th. {'pli!nr nn rh_h Fmirb nk r lgEn irDrcrni rhd lror \h. ! lk.Rai l0rord
<br />r, rh. Fn,vht,nr ol rh. Conrr{Lxr\ Li.cnsed l!{ l( h(rrcr e. (ommNins wirh Serli,r 7lx)0 of Divtn,n .r of rtu B$in.s ird
<br />thrc(r)nr CdL)orrh{ lror \h. $ dc'q, rtrcffl,n ud ihlt(r for rlt dlL!.r! cfunllr i,. Anyri,l'ri,.olSdhn 7o:ll.5hy rny
<br />lprliunr ror ! Frni' {l,r..t{ lrE cmlEunl rr t.,vil n mht or ft nx,.rh nr.hutr{rcddoll,r(551x))
<br />L Jr o$tr ol il* F)IRnr. (r mt.trq)LlE\ rih s{(s.\ rh.r q,! .or{xn{inn. s'lldr rlr. *rI ml Ur ddrm r n{
<br />i cn!.ldl .roltircd tu { c ls.r r(}'l-1, $uwJs trn,, Prolr\\n,n\ (ixlc lh. A)nta(ttr r L'r.nsc lrr dt)c\ norap0ly ro an u$kr.I
<br />rhr pri)Fd! wh, h{ilil\ or itr{roF\ rh,Gr. ul rho d,!\ luh xl* nnnrcllor hrelr., thrrsh hn or h, o*n.n{'l,t(*.
<br />rorkld, rh.r \r'h in"xurmd\cr DrdLr! (' ofi.rJ lor slt lL lrrrcrd. rh ln'll'ry or mtrrrfrd t qrh *irhm rft tB ,
<br />l.onfhnJn. rlF Osr*r Buikld *'ll hrw rtf, t nt n of rx'vin! rh i hc or \ltr dil ,xn h{ilil or i'ryn,k llr fn,pdr ,(tr rlt IinF,* or
<br />l, tr\owncr ollhc pr)p.ny- r'n crclu\lvcly.onlrocrirt wirh l(ctrrd contrttr
<br />.d tnfts.ixc(xL lh. Conoaloar l-.cn* l-e*d.rr n, lnllyk, !nrf,kr
<br />an,l stx, i'nlmd\ nn {ucn rnolLlr! sith r C.dradm r ) li.cna{ pu^uMt lr) r i$'fl:x;";77',E";y*ffi /!,4c
<br />IlElu&t.Iloli
<br />, hcnby rrfttr,tndcr p.D{lryofliyjur} r'K.ftlr lhl!'snrr delirdlio!\
<br />.-l hnvc !t rrrlroinrrinaCcnilicll.ofConicnrroS.lilnsurc i,tr *urkrs' conrEn{dl(,n. ur Eovnbd lnrbyS(lion l7ix)olrli
<br />liv Od.. tu rh. IEriorllffi. nI rh. Uolt f.r rh.h th. tEm i\ n\et
<br />lh rtrdqill'nri',insnrtrri..trrtf,Dsrnotrin\urtrtr.c.r\'.qtrnrdhySrdionlT0l,ofrhclnlrr(ir[.nrtltponnu.col
<br />rh $, r \ li). *hah rhtr Frmn ,r n\eJ My u ortrf $n{Ensrx,n m\urlr. .nrr rrrl F,l*r" humh.r dr
<br />-l.6rL-
<br />th.r m rhc FnnmNc ol th. rorl (, rh.h rhi\ JE tr,r i\ r'u.-|. I .hall nn.qlt,t rny FR'r in rny mimt
<br />v, $n,h.ttu \ubA.'r t,rh. surke^ coryrh\arion law\nlCnlitnrni!, rtrrl rgR. rhar rr I \houki ttc.ft iubitr I'rtf,
<br />s\l*$\' $nlrtnqri,. lln,vrsnr of Selion l7(ll ot rhc I jtitr c(xtl- I \h:ll. ftf hrirh ()mfly u d h thos pn,vrinr
<br />*ful. .nl !h.ll {hF u dnl,l'}!r lo $r@n Ftuii\ r'
<br />(,v'l ,tr{\ ut r' ,trr l,trn,lrc(l rh,NrnJ tloLlrn r\l(xr.rr[)r. ir ,!ld tr' rL' rlr.o{ ,'r (.rln!n{',!) g.\ r\ pni!tr|(l nn rhc
<br />Se..r; V,76,'lrh lrhrCnL inrcrc(md n,
<br />1t qttfr
<br />t2[ttl&uru]
<br />I h.nhyuflirnruid.rFnrhtofpcr,lryrhar I ! licnrnond.rtR,visionolChnflcr9(.!nnrk-.in!wnhS.lrion7(XXl)oll)ivi\io..]
<br />of rlt a0\ifts\ ! lhrrssi,nr cdlc. [! mt liccne ir in tull lore rt .rriir
<br />I h.ehyaffi n unLr Ftuk
<br />nsu.d (S...l(N7.Crv ( )
<br />!;lrlEral]curNtDlulclriD8ct
<br />y of JE.JUry rhlr rlry. 6 . d,hntu rr,n kdm8 :*.Ny ritr rhc Br(JlmB! of rh. rqk lor tr hr h rhk Fmi! ir
<br />d.ETLIIAILIIECI.AaAION
<br />I hdltry nfm unkr Fnix, of Frjury oh of rrE i(rh*,n8 dNh,nr i.nr
<br />DtdDlirr P.fun sAstrdos Nohic{i( F.d..rl R.gukri,nr rTnk 4J,I'nn6)
<br />Rcq!ftd lx(.r ol *{if.!!r,n
<br />_l cdirtrhtl ln a.d.ral rcsuLl ion\ rrudire ls&\rfi rcnlvil rE ftn opdi{hb b ihn pn'Fr
<br />n
<br />^
<br />ntr'., 'N' Ix[1ri,, rtl)trrhxll{ rvJnLl(.unr)
<br />htrn,h,vc', trcsnrr,.. rIh^Cir, tr,xl a,,urr\ r',r1!,, uF{r,h.
<br />l.! 'r\ rhr I h. r '.,trlrhi.,,n,,"..,.r s'* r *.,1,1
<br />,,.'..,,.,',,'".'',,,,,.,''',,'l'
<br />,rr,,*,*.4"*,.,".,,/*
<br />,*-u. *^" U,n^r/,
<br />- l/1uw ,,.,J l7 /t r
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulatron
<br />Flool Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<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 />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL 6/17-/g Jdasdttt w
<br />Certif icate of Occu pancy
<br />Notes, Remarks, Etc
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