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BUILDING- INSPECTOR RECORD
<br />SITE-WORK IDiSIG.COMMENTS OWNFI AUIDET DELCAR TIoN
<br />I h.'.t, amrh unrkr Fn.hyof Frrlry lhd I m.r.nq'r tomlllC. 8106 litnc L.r for rlE,ollo*in8 Err,n (s.t 70rl5
<br />Bu{in$r (n Pmf.$ion Cod.): Any Cily or Colnry whin r.{un r 6 Fnnil lo onNlMr. slr.t, if,Prov., &mlnt or rcFn loy
<br />iiMrm, Irff ro hi kru.E. rl$ Equa6 rL r0,r. r fi, skh Fmil lo liL. r'rEn \rrlccm rl[' lE or rlE t littFd F,$4
<br />r{' rhc F.fiionr .r rlt Conh.rtr s Lt.nrd t q l ClEFl.r 9, Comfrrii* wnh S{rhn 7(lD or Divn ion I of ltE BusiNs lnd
<br />Pftrt l.iof,. codc) or rhrr h.o,shc ncuq rhcchon'rd rlE hdsn tullE rlL8.n.e,q,li'n Any vi,brt'n of sdir ?Ol I Jby!n,
<br />qrli(! fir . Fmii ldbFr\ rll iptla.nt ro . civil FMty ol mr nE ih.n livt h!.nEi dolh. ( lJlD,
<br />-1.
<br />ai owE of rh florEny. q ny.npkiFr! *nh *ra6 r rlEir nI. oqEn<dbn. eill do rlE w* rrn dE rnrrF ar d
<br />i .nd.n 6 ollcEn rm qk lse.7{x,{, BuriEs rd Prnf6rn.. Cod.' T,. Glntd '( Lirnt L!* &6 rr {l9ly ro s ow ol '
<br />rh. tmFny wlr t!il,! tr impmB ilEGs dl *ho d(B uh $,t himr.lf or h.Blf or ltNolh hh o, h.r own cmployc...
<br />pmrit d rhd *h iqfr\tcd! E d n...Ld dotu nr qL lt lnffi, rlt hildirB d hp.Nld ir rX *iihillE F!
<br />of c,ItIlLri.r rlI O*F BuiEd silt lIE itr hn!.n.l Fovin8 rhd lEornEdrd d l ld d invmE dE In{Er, tc rE F,FEor
<br />l. r. o*ft. oI rlx ixop.ny, um .rclusiv.ly connetnS sirh licn*d codft.k)r ro con{rucl rlt PFF1 (Sft 7044. BuriEs
<br />h.{rrir Cdlc 'l'hr (-onrftttr r Li..n€ t e d(rs n rmlr r. !n o$.cr or t"oFny qrh huihr or iq'mE. rh.r$..
<br />*lr' oddr fm .xh F,rdt *irh r C6rrr-bll n li.n<n p{ls.r t' rlE (.('drdr'r t,ien* lr*)
<br />ltl:tljl&ulaI
<br />Iho(hyrfi trn,l.r NNlryor n(',trrvoi.orrhc n)l[N r (lc.l rrri(r\
<br />Pol(y Nurlbcr
<br />-
<br />_l*nilyrh,r inrlEFn ffi ol'lEsrtln,hth'ht
<br />$ n b tE<or ot'r<r ro rll. rqi6 @nFrdb. L*.of(
<br />i.iu.n. I .h.ll mr .qloy uy lls i. e, Imffi
<br />.Jn rsr rhd if I .lbuld bdor sqi.ll b rlt
<br />wrrkcc' fl,mnenqarion pmrilionr 6f Sftr i.n .17(n or rh. Irhtr Codc. I nDll. n'nhwirh $mDl, *ith rhqmvtiodi
<br />ITARNIN(; FlituE ri' Gu. krrkd{ mqEnsniln oErt. ir uibsrDl. nrl (h.ll .utirr D 6r9k Fr h ainiul lrEln !,'d
<br />.ivrl fi..s !f ro oE hulini rtnuud dolls (ll(Il,(Xnr, in addnrr h rh. on ot or{tNrh.. drm8c. !r plofij.d f rt-
<br />\krtr,. 1(,16 nlrh. l4nr (idc inr.rd
<br />D.,.1 tl tI,t
<br />Lrl'.r\!!\!tL\
<br />I lEEb, rrrn rnd.r FMxyorFrjoryrh.! I !m lian*n unl.r FDtnirn or(-h.fl6 9tmmmNing *irh Sdri,n 7fiIr) ofDivnhn.!
<br />of tlE Bu\imrs !n PNf.(bti Ax!, &n m! k.nc n n' full foe !n .!lGr
<br />(aNirBucrl0NtllDlNtilliE!(r
<br />I h.rcl,y,8nhunLr Ftulr) l tEUurv rhlr lh6. i{ tr $ndur i'n Llrimg rScmy lor lh. pc'f.rnuRr ur rh. $t* rhr *hth rhn lrnir ii
<br />ntu.d (S.. .1097. ( 'r C I
<br />ATTIICAILDIUJSAIIIXi
<br />I H'y afltm und.r l.h.lr, ol pcrjury oE or rhc nnh*ins ddl, i(mr
<br />D(mlirirn Pcrmil\ AstBror NorrK,!ion f.d..al R.8uhli'n( rTiik 4)- Pd6r
<br />I ccniry lnd rl. fcr|rr I Bsx tlr r,.r ESrdinF lrtrnni rcm,valrrt Nr aldilhh ro rhir nn,F.r
<br />I Ldrlrth.r I lrrc Eld lhi! qrlrrrnn ul {d.rhdrh.rh*. rnltrdnn n.iimr I 'gc h,d{l
<br />od'nlr.\ !h'l St!t.lr*t Ehrn8 tt t{'ld'na,on{dc!trh. lnd hcrch}.utlF,'r,.F.rcnrthr.r ol rhh 4ir
<br />.tnr m.ri,ftn rn,Fny lor in(p<lhi plqrltr
<br />Lt/^<_
<br />l4&]diLll*1r/A.\^prU,T
<br />nr AHd \lrduF,/,
<br />y wnh !I Cny ln Cdunr,
<br />y r.d Co6'y
<br />'o
<br />d'd uFln llE
<br />1(rq!1 -
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL xl2blUi V*rtZ ?>)
<br />Certilicate ot Occupancy I o\
<br />Notes, Remarks, Etc
<br />DATE
<br />I rm.r.nd uftlrr Sdri'n;. qLc(-q -
<br />I h.$ arl will mi.r.i . C.nifr.t. ol Cornr b Scla ln\u( ni f,rt6' Nr{EN,lhn, !t Fotd.d fo, hy Scri,n l7(n o, rri
<br />Lnhn C.d., l rh. nrt rNk ollh. m.t for shth rhe tsn i\ i\rkd
<br />-l
<br />h.k !d will mint.in *ork$ .or?.n.rr io. inr!mm.. !t EluEn by Sarion l7m or rrE bttr codc, f{r lh. Ftrolffi ol
<br />llE *ork t'or whi(h rhis Frmir ir iiEn M, w.r*da on{Entlhn ifl{utm..!rid drd lrlky nun E c:
<br />Pool Fence
<br />Flood Zone Certif .
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