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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII,DER DEI,CARATIoN
<br />I lErclry dlrm urLr rEDly ( |rrjury rh, I r.knu rft,n rlE (idrr16 Litne lr,,orltE rolbrin! E!$n (sL 7(,.115
<br />Buti6r .nl Pn,fcsnn Gxlc) Any Cit, or CN y vhah (aun.i . Fitrri li, drnod. rhd. inproB d.mnnh EFn uy
<br />ntu.turc, r$ to irt irsurB., lho r.quirct lh. q'pliconr t su(h Fntir b fi|. , riSncd ndcm rhat lr or rhc n ltcn*d punuad
<br />k, rtE Frvirii,B ofuh. Contmrd 3 Litn*d t u (Ch.pt.r e. CommFii8 wirh s..rl,n TI|D of Drvnhn .! nr rlE BEiEs and
<br />PiDf.ss..r C.xLr.r rhd lEd rlE i.r.rpr llE tnm.rn rh. hNi! for rl* .lk!.d .r€m!r bn A.yvinLrionofSdirnl0tl5by!n,
<br />lpplkanrforrpcrdir:lbixkrrE.pphc.nrlo.civil,Enrlryor(rBtr rhrn l_rec t!.dr.d doll&s ( i5mr
<br />-1.
<br />.r ovE of rlE FoDcny, q ny .rpbFr *irh *+6 ri rlEn sl. o.rFndbn. *ill &' rlE eqt arl
<br />'lE
<br />rrtu ir ml
<br />i.rdi,.d d ot r.n Id ek I 5(.7044. Buriffis .nd hra.rshN Codr TIE Comr.r4\ LitG trw &r! m' {'!ly l. u o}t, .a
<br />lh. pmfrny eb h{ildr or irqma [Edn. {d *lh dcr *h k* hinklr or h.rklr or ltn,uSn tis or tcr oqn .nPloy.cs.
<br />l'oviLd rh.r *h $Focr.dr e d id6e, r otrrEd ft, .L. ll. l$Eq.lh. tuildi4 ( in+NtEd b $rd Pahin oE )srororptti4lh OwE Bliti.r *iU h.t iE rrhh of rmvi8 iM rE d.h did m' t! d a iqmE Iti thFty rd E FIFEor
<br />l. as ouE of rlr F,Idr. !m crclunr.l, .onusr mA * h lNn€J n 'drrloF b con{tu1 rlt Foi\1 rSa 7(}rl. llNms
<br />rd PDt\$hC.dc fhcContrNtx rl-k.nse ti* (krcr to{ rfi'lIb rno$n.iol p,oI{nyrlx) huild\or mpii'vcrrh(drn.
<br />lnd shu conk&r\fnsu.h pn)Fct wilh s (otrlrtr k,d9li..n\cd puntonr (, rlk ConkNnr'\ Li..nB l.d*)
<br />_I m .rcnpr uftkr Sdii,n
<br />tilraa!&r:(l)!lfj8sa.u0!
<br />OIIAAAIITN
<br />I h.rby dlltnutulcr fn.llyol tatury om olrhc nnL'*ing dcchruri,n\
<br />-l
<br />h,E rn sill Minrrb r (.nifr.rc of ftN.l !, S.ltln{E for suts oqEMbn..r Fovij.i for b, Sdi'n l7(r) otih.
<br />Iihq Gnc, for trE Ff()tffi or rh k,* ror rhth rh. Faul i! ilsu.i
<br />I h.E . will minr.in *0lt6 on{Enerion in$le., t! ftluinJ hy S6rir .!700 of llE lrw Cod.. fot rh. Frflnlffi oa
<br />rrE *o.r rG *nth rht lEmii '\ N*{ f,ly *mldr .qrbn inruhB! ffir ud Frliy Nnltr rc
<br />I c.nify rhrr inrlE F ionEftrofrh.*ork , shah llln lErmil is iirucd,I thtll mt ..rthy tn, Fmn inrnr'Mftr
<br />$ as rn h.(om ahFl lo rh. *ql6 oqf,ndbn Lrr ofc,lif.mi.. .'l r3r rhd ifl sn,uu h..om ru6Fr t' rlE
<br />wod{6t .o.{Ensrrn pmenii,ns o, scdion ,1700 or rh. t h* (irL. I {ull. fonhrirh Ntrq y }nh !h( I'()vni{'nr
<br />wAnNN(: Failur. k, su. worl.B (nqEnsrn,nFw,lx( i{ unltrwrul, ,nd \h!ll subJQr !fl cnl,]loylr b si inrl FDltir and
<br />.ivil 6mr !t 16 otu hudGl
<br />'l$urnd
<br />dollr u)0)- in rddirir ro rh..o{ ofd'nr|Enqri{,n. d.m8.r !r rordd rd th.
<br />s6.'rk n :1076 0f rlE I:h, cd., mrcE{ !d arlr
<br />lO/ l, s
<br />LI!j:})IIL(IJJ&}1.IAB
<br />l)Ir1JJ&Ill0!
<br />I hcrcby lrfirmuB.Lr lEmll, olI'crjuy lhxr l4li$nql und( r.rirt,n !lahaPrcr 9 (crmtE-'in8 Pirh s.crkn r(xxrrotDivnion l
<br />or lh. aurifts .nd Profs{i'n. Cod.. lrn ny ltc,c t in tu[ arnc !n cfier
<br />rkrtrsc Nun,rr 1al "i/o/t4t&
<br />cLllNrarl.r!)u.tEdllldc-&GElicr
<br />I h.r.5y .onm und( IEuliy of Frrury rht tEr. n r cdMi'. hdi.s .s.my ln rh. Fnuffi. ol llE *Gt for rhah rni' Fmn ir
<br />nsucd (SN. :1097.Civ. C.)
<br />l.ftLr rNrm: _
<br />A.EILIIAULDECIASAIIJD
<br />I hod', lrmn ondcr FnlhyotFrjury om orlh. ftrltrwing dc.llr.ln,nr
<br />Dcmlirion Psmils ArlE\ro\ Nolifurhn tu.nl R.Suhri,nr (TnhL(l.lrn6)
<br />-RcqriEd
<br />L.tr.r ot Nd'f..fin
<br />I dift rhd rlE i.ncd rXULthn E3.rdio8 !{Esro{ rcmri d B{ rJ,J,Ii.!nk h thn F,F1
<br />l.enity rh!rI tuvc rcod lhr\npplicari,,nnlnur.rhnr rh.3h'vc r.lbiiD Dtr n.o((r lr3rNk,.unlFlywirhrll('irlrnd(in,nry
<br />onlrMmcr rnn Sral.ljsr Ehri.3 h h{ilili4 con{tuiir. lil h.rchy.urhtrirc rclrrEodn.\ orrhri ( ir} und Counly ro cnkr uF)n rh.
<br />!h*! mnri,rrl l,n{Fny lM
<br />\ ,licn r or,\Icnr SirNlu .rr bil r -;7-
<br />7 o/zz,/t*
<br />Set Backs
<br />UFEB Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Boof Sheathing
<br />Shear Wall A
<br />Framing ,Lr{ad
<br />lnsu latio n/E ne rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />/\
<br />FINAL I -zL-ts !.)r-)d
<br />Certif icate ol Occupancy v
<br />Notes, Remarks, Etc
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />:"/
<br />Flood Zone Certif .
<br />.ErpiEs:
<br />-
<br />lxndcf\ Addrc$
<br />I
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