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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWllEl ltrlLDEI DEITCAIATION
<br />t hd.br.rrm u[l.r Fn !y of Fr,,, tlEl I m.Erfl nod rCont.rq\'Liuc lrr tor r rol},m! r$n (Sd.?oll.J
<br />B6iEs! un Prcf6li,n C.dc): Ar, Cn, or Coorry *hih EauiB r Fmi to 6md. .16, i,p.oE d.mlirh a EFn o',
<br />tur@Fi'birr (w..l$
<br />'q'riEs th. +!lt. lor rsn Fnn io 6!.. ri8i.d d&.E! rL&d.rEi!lirn.d F,rd
<br />ro rlE FovnioN ol rll Co.rrdol! Li.n*n Lr* (Ch.rra 9, ContJrrog aan krir. ,m) of DirilEn 3 of rrE BuliEri rn
<br />P$fc$ions C6d., ot rhr h. o, rlE ir crclti rlE ltuo.rxl E buir for llE.lL8.d crctrflhn Ary vioLii,n 6ls.ilbn 70ll tbym,
<br />li'plicld ror ! tdmir obj€r! rlE .t?li.ut !o !.iril l'.uhy df nd mE fie fi v. hutnEd dolLn (15@)
<br />-1,
<br />* owmr 6f rtE ,rrFny. r nry .mploFs wnh wlgs I llEn $k onFns.li'n. ,ill <h dE &d ..d irr srtc i Er
<br />i.rd'd.d G ofiGrcd fu rk (5€.70{4, BailB rnd Prof.iioa Cor,.: TIE Crftdd'r Li.6r b* 6.r rcl @1, ro u o*E or
<br />rlr l'.Fny *tn hilt r hpiE rttlqE rrn wb dB uh k rt hilelr d lE*lf d rhEu8ll hn d h.. oq.iploy6,
<br />Flvir.d rhr sEh ir+r@d! e d n.ii,.d qoft,ld nx sl lf. tb9tG. rEt UtrE d if,FEr.n n $U,lhn'(E,w
<br />oldntplrbtr dr O*E Auillq *i! hE dE hrt ofFD,uS tL lEddE dil.El t it d iFE dE Fqor, tt. t FlFnot
<br />-1.
<br />$ n*E olrlE lrorEry. u.r.n iirly cqrndins *ith li.!tr d.dd6 b odrud llE rmixl (56 7O!r. BaiEr
<br />!d ftr,ftsnnCod. Th. C.ntrtr'r Liensc L.* dcr ml.rplr ro s ovEr ofpmFn, sho t'uildr ot inprorcs lllcrc,n.
<br />rnd who onrr..r!tuschlri.(lswithuContB:roir)litnrcdpuRdioilECodd.r'rLtcMLru)
<br />-l.mcx.npr
<br />!d., Serbn-.3. & P.C. fttrlhb EMn
<br />D.r. Offi:worxraia( rE{-s-aroi
<br />IEII.ASAIIO!
<br />I lErhy rarm u'n r Fndry .t t-r!,y oe or 0i k'[o*i,U .r.cLrih6:
<br />I hrE !n vill Ninr.r r CdifE.l. olc,Nnl to S.lf.lniE fti s.l6 d,nrrtr\.io...r FDviLrl lor by Sdbn lrm ol llE
<br />l,htr Cdd.. aor rlr Ff ffi of'tE vort rd *hah rrE Fmir n nru.d.t h.w lnd will mlinlrir worlcB compcnsrlnrn insuruNc. r\ EqoindhySe.(iinl?u)urrhclihotGdqforthcpc ornrmc ol
<br />wo forehi.hlhn F.mit h hsucd. My workcs' con{rnsli,n i'nur.tc cntr dJn flrli.y nunhd E:
<br />roJ\o n ct
<br />att t-t-zl
<br />-l
<br />anifr rlsr in rh. Fn{rtuN olrll mrt rd *hih rhir Fmi t isE( I nE[ r,a.dplord, Ii,d in ey mG
<br />s 6robEm bl.< to rlE q,td NnFtrsiln L$r of clliaodn, ii Ngd thd ir I rhrrd b.<.r rubFl Io llE
<br />*irt6{ @n!f,trsrion pollrioa or S.dion ]mo or
<br />'rE
<br />tru c'd}. I tru, fdhwnh otrviy *nh rbs ,rEviri,r.
<br />WIRNING Faihr lo KW urkcB' conp.nslion orosc Lr u.hetul, arld sh.ll sbl..l i mlhFr lo oiniNl F ltt tnd
<br />.ivil fincs uI) lo orc hundrcd rhrusMd dollm ($l0o.m0). r rdd mn ro
<br />'tE
<br />.on nr rMtEtrqli.n. dlm3ca $ nR,vid.i ror 'h:.:;z;Zio*ffi,"8 l-l-'
<br />UIEUSED.CITNISA.qAA[gcll8arl(N
<br />I lEEby.fiim ui&r FdX, or Frpry Or I m li.aBcd ur& FDvtior of Olplq 9 (ffirl8 srh Sdlbn 70), ot Davi.itn l
<br />ol E AusiB .,rd lrDfs.m Cod.. !n my lile ir h tull loc ,id.i&.t
<br />,'*^". * (j1 r.Nn\cNuftr too 78tt 5ffi,,.*74/zo Ktl trtct o 9 i<c
<br />col6lauqlQB.r.EDAclclagI
<br />I h.rb, rfrm ulhr Frtrlr, or,E rrry rhr rhdE i! r mdrErion bdhg qrry ls llE Ffui*. of lrt mrt fot *nih lhir Fni L
<br />i{Erl {sd 1097. ci! c.)
<br />AEI.ITJINLIECIJBS.IION
<br />I horlry arm un&r pcn.lry or ncrjlry o* of llt foll,*irt d.(bdrionr
<br />D.nDlirbn Pcrmils.ArlError N(rifi..ri{,n Fc(E l R.sublhn! ('rirk.{r, Pd6)
<br />-lt.quird
<br />L,{r6 ol fidifrdir
<br />-l
<br />diry lh.l llE f.d.El EsubriI\ Esrdins r*r!6 rm,t.l c d .Fla.bL lo rhn FnF
<br />_l .dify tMr I h*r rc.d rhs qDli.lri,n .rd rdc rh.t rh. .nrE rl or.r,bo n or*r I .sr ro oitly wirh .ll Cty .na Cour,
<br />.dhriz Er,.ddiE ofrhircn,..dC.u y to dt6 uFn rlEffi**:il*ffi
<br />P^t-dtutp,tnn,6?-llMl
<br />?4.:4
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />Subf loor/VenUl nsulation Al- /ci
<br />Roof Sheathino I tf. ;a/u plx,il'u"vJA o,)
<br />Shear Wall
<br />Framing
<br />lnsulationi 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 />1
<br />FINAL //r'.9!2b ALvrtfu<CW
<br />Certilicate of Occupancy
<br />Notes, Re,mart6s, Etc. .
<br />Z.1l/0: V^t /c0l ',{au WlnA
<br />(ll
<br />Rev 08 07 2015
<br />UFER Ground
<br />SLAB Floor
<br />hafran
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