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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE COMMENTS owNER ltrll-Dllx DELCAn {rtoN
<br />I tschy .rrn un d rEDlr, {'r Flory rh, I m .r.mpl fNm th. Co,i,f,rm' Li!re lru (tr rh. followir* t..l,r lS.. tull J
<br />Burikr .Jn Pror.snn ('uL, Any Cny or Codt rhth rcqln.r .tFmit ro mnilul. .ts. i4r.v.. &ml!h or rJIn Uy
<br />{tulm. Fi, h nr $uN. rtw' ,.quift3 th. .fl)li,nr frtr rk h Fmjr to liL. rrSEd .rd.tmr rhd lE or dE ir lit,rcrl Nr{.d
<br />b rh. In,rtb.! ofrh. Conk&xr'r LirtrEn ll* (Ctuprs 9, CrnmrirS eirh Sslion 7Un of Divi.ion I oflrt Blims r.d
<br />Pn'lcs$nsCod.) or rh.r lEor nr ir.rcrpr thcrlrf,mlnd rhc h.rii In rhe llksed.r.r$tn Anyvhlllion{aSdhnToll! bvonv
<br />rrrplicu.r rorr Fmii rubJ(k rh. lndicsnl roacivilpcnrlryoltu!.nr.rhln fivc hudrd {lollei I sr(x))
<br />-1.
<br />Lr o*rcr of
<br />'h. rh,Fdy. or my cir{,loyas wiln v!8cr ar rhcn y,h ro.r{xndf n. willdo rtu *rt dnd rtl irEnr i! n
<br />id.fltn orofl.rd rtr {l (Sd 7044. Buir$ Md PiDf.(i.,N Crik. T1r Conrrrloir l.irnc Lrs &E ml ryPly lo r. oeftr .l
<br />rh. |'nldy ylh hrildi d tr\ftB rh.@ aln *'h *B uh srl him*lr o lEr*lf .. rlF,uai ht r lB 6rn ..rl,b]t.t.
<br />Fovd.d 4sxh lrrFErlrr c rbr ir.idcddolk llr {l ll lrEE rlEt i5in8 r nqmEmnr i\ 5ld whhinr4 Fr
<br />ol olq:bir ,E ol"d AuiE r *ill bE llE h,&n of Fotus thd l! or lrE dn d boild d lttEk
<br />'rE FDFty fd dE tn'FE oa
<br />L s!osmrorrh. tn,Fny. mcxclu{ilrlrconrdinr wnh h.n<rl.ttrtrlo^ ro.on(tuc! rh. FF (Se. ro4'l- Bulos
<br />rd lhr6rir Cixi.:1h. (i,ntrrk . Liccns ti* dGs n, $Ily k, $ os.d or F,P.n y wh() hu ildr trr inpmv.s rh.roo.
<br />dhd wh. onrtrrt itr ru.h F,j.rk *irh r conrm(ril r larn{d Ni{unl ro rhc conhcn, r l-tc.€ llq).
<br />Irrr\.nr urle. \e(rk[
<br />Drr. o*n.r
<br />r}0.8lil:&r:(aufElsa.Il0!lllg.AMrrl,li
<br />I h..chl rlfinn un'ld Fmlr\ nlFrnrt o'r ofrh lnlk,r'nr (L{b.di'nr
<br />I h3vc arn u,llnurnrrh r (.nni,rc ofCon<m tu S.ll lnrtrr t,{ trotlsr drnFnqrx , !1 Frilcl1,, btSNrxIn lrti) , rrE
<br />llhn C{Jc, nrrh( JkdormNcol'thc sod Lr*hth rh. pdnnr n n\kd
<br />,lhrvcand $illnminruin work.^ .rnr.nsrirun i,rur r.c.r\.cqumdhyS&1(,n17(ri)"lrl(li$or(id..forrh.Fri)nrwrrol
<br />rhD *ork fitr*hichrhi! n rr it ir hntd Myworkcr .otr,Fn\xri,n, n\rratuc.atrEr kl|r'lry numh(r nrc
<br />l .dfy rhrt in rhc p.rnnmr of rlt *ort rir rhih lhir Frnrir r t.xd. I dEll ft{ .nPk'y t.y Fen in , tunw
<br />v, r\ ro b.{.m rlhj.rr io ilE Bnt6! d'rqEn\l]pn L*\ ol ('thlonn. ,nd .ar lhd it I3h)ou t!.om {bFr to rlt
<br />so*n on{E.{rir pnrvnioNofsdrion l7mnf rhc l,htr cd..I drll. aonh*irh mr$ry sirh
<br />'hoE Imvi\ion\
<br />WARNINC: Failurc k' B1E *fk i! srpcnsol[n coKror. i{ u.hsrut..nd shrll rubr{l an.tr9loy.r
<br />'o
<br />dimiul lEuhts lnd
<br />civil fincs up ro orc hu.nicd lhuus{t dolles (51m.(XX)). ir dirion b rh. co{ ofconrPcn\lri{n,, dsnr8.s !r [ovid.d f rh.
<br />Scctn,n :t076 of rh. litrtr C.xl., inlcrc.t {nd 0norEy r f.cs;-; ;"r;; -^;;
<br />^
<br />// s a6/L,t
<br />u(Erlriu-c0dlxatlQ8 rz
<br />DSgllIAEIl!
<br />I l!(5y .trm unrd F xy ol Frjur, lh.l I u lirnrcd trftLt ,ht.b. of Chtl'16 9 iorn1,lfrin8 rirfi S.clnl 70m) "r I)^ 15' l
<br />ol rh. Bu\iEss tnd Pht iiN Crl.. .!n my li.nE i. h flll toRt nl cfier
<br />I u1x. Ntrtrfirr
<br />tc-z-1""/-_x *
<br />COISI8I]IIONJ,BDING.AGEI(I
<br />I lmhy .mrm uRlc. FMh, or Frrury rh.r rlft ir r oNM$n LitiIs .s.*y tor tll FrrorIrN t,t rlE wt tor ltth rhn Frmi i.
<br />irrxn rs€ lt097.civ (',
<br />APPI iC NTDl Cl AtlT!(|N
<br />I ffiy atrmund.. Fnalry of Fuury om of lhc follo*in! d.{hr!riinr
<br />D.nrririrn P.rmiNArh.r!,r flolifi.lrbn tu ,J R.Buhrimr Irnk.$. P!d6,
<br />Requn.d t.lrs ol l']lrirE.li'o
<br />-l
<br />rsr'ft rhat rlr r.rhnlEsuhrrn Ea.rdiry.{Edor n'mrrl!F mr.{'Fl..hk ro rlii. I'IF1
<br />I d rty rh.r I h.vc r..d ltir {rlltltim lld n.t $d rlE .hov. inlbrNri.n ir c.mal I reG h .n.! y *hh lll Cir y cnt (ounrv
<br />orili,.tr.s dn 9al. Lrwr Fhluls k, btrildin8 onsdhtr lrl h.Eby.ulho@ rcF.c ariv.roIltnC y 8d counry lo cnrs qnn rlE
<br />dbv. ftnrioxd pmFny fitr irrrF.dbtr DUrIxEs
<br />^p,rcmr
<br />or As.Dr sr.mrud: Y\ P A 4Lal4 o", lo'''l5
<br />0
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loori VenVlnsu lation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq t -7 -13 J)J4 ,@
<br />lnsulation/Energy
<br />Drywall 'o-j-/O J )zt.-h @
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Ceiit
<br />FINAL /o9-rB ,l/e{o1z''@
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc.
<br />ID/SIG.
<br />Polky Nunb.r:-
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