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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS Olf NIR B!II,DBR t'F:I,('ARATloN
<br />I hacby lmfln und.r Fn.hy of Fjllv lhn I !n .rmfl rn.m l& co rdra' I ..E k{ li{ rlr lolh{ irB '.en tsc 70l r J
<br />llutrn$ ! Pr.f*nn Cnd!, An) Cir d (',{d\ {hrh r.qutrF . tffi rn crnsrnkl. nh6. rnl!'n\.. d.nnl6h ^r Fpff m,
<br />rtudu(, Fd r. nr ir$M., .E r.qun6 rh. +plk.d f.r $ch rmn b fik ! s{n d rdo6! rhr h. or tE 6 li.s!.d FNd
<br />k, rnc FrB{6 otrrE (ir r!clor'! Lr6r.d Ir* (('hrfld 9. (omn.n.ing wilfi Sdio. TiIx) ot Divtion I olrhc Ediid ed
<br />P$lshns (ix!, or fid lE or ilE k crmp{ rlE.fr.n.d rh. tari for lh..lkrd <dtrF. Ar! \.hiotrof Sdm 7o1l.J t', m)
<br />.ppliG for.Fmi slbjdrrh. iPrli..nr lo icrilp.nsltyofnolmor.rhd fiv. hundi.J dollu!(lllD)
<br />t, $ orE ofthr FoFr),.rhy drlot6 $ith srs6 ar rhrn $1..ompor.li.n, will & tn q'orl &d lh. nBiK i! dr
<br />iddr&l oiolI6.d aorsh(S( 7Or.|, Bui6 Dd ProI6F6Cin lkcotud. Lk@ lrsd(Ed q',\ 6uo*GoI
<br />rh. prqEr, sh. hilrb M nrm!6 rfi.aq dd * ho <h6 wch srl hmr.lf or h.*lf or lln'ugn nis or hd ow. mplo'.4
<br />provid.n rtu $cn im!6ffi m rx iddrLd(otu for i]. lt hr6u.rlrlx'ldir in!.nlld ir$ld winh w rG
<br />otonpLrin. rlE (nc lll d6 witt hdr tlr hdd.n ofFlrins ha h. or dr dij ml hrild or itrF$. th. pr.rEry for lh. pu4re ol
<br />L d o*G of fi. Fotdy. m R.lGn.ry.oflrralq $nh lica(n conRloD ro stu [t F.it (s< ?0.1{, lllB
<br />.,rl EltsinCod. 'l'h. Co rrroi! l-icds lt* dod 6r r!?lyro trns.. oalr.priysho buil& or imrro!6 rh6on.
<br />!.d ( h6 co trt! lu kh F.l..rr wnh t C.lrkqs) ltEE d ,{Mt lo rh. Con *1d 3 l.i<@ rr$ )
<br />I ri.nrpl und( Sf ioi
<br />Drr€ Ornff
<br />ir onrir Rs; aoil Pi\sAi ()N
<br />pl:cldaaMN
<br />I h(.i\ im n undd D.uh! of rsrlr] on..arh. nrlbtrnr ddlsinoB
<br />I h!\ ( rn tr ill 'urr6n ! Cst ifr.r. of Co@l ro s.MBU,. tu tr A6 .omFM ion. s Ftn id<d tor l'' Sdxrn !7fl1 of lh.
<br />I itrr (ir&. ntr lh. I)qfoflre. of th. $ o* Ior whrch th. pqmil b i(u.d
<br />I h!v. and *ill mrinrain workd' comp.nllrirn iNuin... B r.{trt.d hy S(r ion I7Ol) of th. l.hor (t d.. fo, llE Ffolll@. of
<br />rt $$rl to( r'hth rhir Ff,i n iqd Mt q t6 onFei6. iBuffi. .ri, trd F lty .uitid G:
<br />(,,,,i. EV €fzzra' /V4r1 c,, e-/
<br />,,,,,., *^,",&1 P o o 1 41,)ozf,/'",
<br />I c.diry rh.l in rt Ffolrr@c of rh. $orl fd $hih ihn Fmn t irs.{ I $!ll Rx ophr .n} rd$t o ey 6.IF
<br />s E ro tE<oG ebFr rc rh. s$I6 Nml,cns.rron hM of (-.lif.hi!. dd l{.r rhar ,t I 3lould b.iom. lobjcl lo tlE
<br />s6rld cof,r.Mrion F(rrtioB oalEdbn :r7(I).f rh. l,tu ( od.. I {ull. f htrnhFftdr $nh rho- ForirhB$ \lr\r\(, r! r( r, a. L. ",, L(r. 1d!\xi rubjd u dpn,E lo dim,6al Ftrna! dnd
<br />cn,l fin.s ut h or hunir.d rholl$d 6lld ('f .onlierior d!E*6 B Fo\ilAl for rh.
<br />SNrnn ri)76 ofrh.ljirr(irL, d6d.nd !t
<br />I ndcby !flim !nd6 pnully of Fjury lhd I @ liclt d u.dd Forni'n of (-h!prs q (.anIffiins tr nh s..lbn 70m) of Dn ilion I
<br />ol rhi BBiftg.nd PmfisioB Cod.. $d ny li(c@ i!
<br />'n
<br />lu ruc. td ctt<l.
<br />GT Cb 5 {
<br />I holty rttm undn Fuly oa FoJury rh.r rh@ t . codtucl$n k dinr r8dy fo, I
<br />Ls.d (Sc !097.Cn C )
<br />dfrh.$orl aor trhictlhi{ Fnn i!
<br />ATTLI(ANIIESJ&IIIA!
<br />I lstb rninundd Fnrhr oaFJor,\ orc ofrh. foll(N 'nr.k(luarn,ns
<br />D.molirion P6'nii Arl6l(tr Norifiratun r..nd6l R.ru larioB ( ltlc lo. Pd(l
<br />R.qtr d I drrrrlNorli!N(rr
<br />I cd r ly fiar th. iejaal r.suh bm r.asdiry 6h6xx rool !l e n.r ,flrli.tl'k ro rhs pror.d t
<br />l.d1'ryrl l I'r1c'.rtlrh's.I1l11'$ti,i.ndn rhd d. iho!. i.aotuhn n cotr.cl l.Brr i6 oflrly u hh rll ('ny.nd Counr!
<br />rdmN6 .nd S'rr. lj\r Etxi* r..dtniz...r.s dn6 of Ihn (
<br />.tx\ . nEnr (nrd fl opdv for
<br />.\nplirrtri or Aqdrl Sipnrltr
<br />"'^if'/;'"'
<br />Set Backs t l,q
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />l0l to t' \EiArt,o {
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing //-e -Lc ,*/d>
<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 />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL //4 -/9 W/tt
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />.) (,-
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