BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS I h.cl,y .fm urr.. FMxy r,l Frify lhr I d .En!, iin llE Qnrrll6 titu try fot rL foll,?,[ Re,n (S.(.n ] 1 5
<br />Bur6r rd Prufssn CcLr: /{., Cn, o, Cd,ry wh.h Equd . Fn. ro (urtur. .lrd (pirE d.mllh o. ..lu -v
<br />!rd1e. Fu b lB rw..r$ Bnl6 tlE rp?[.xl lor run Fnu b rrk. n rJ lr.tmt lrd tl n dr ! Linr.rl r 'db ltE Fuvnm of 0. cMrBtd'r LsD-n L.* (cbtid 9 coltftBm, * h sal$ 70@ of Drvspn I of ih' BNijBr Dd
<br />Pnn (r,n Cot ) d rh.l lr or ilE N .rq* tid.ftorn .,n dE b8! nn r& rlL8al .rml'lDn. An, vELrrr ol Sarin 70] I 5 bv -v
<br />rmlsr.t for . Fmir tubFrr rlE .t'tlErnl lo . civil Fulr, of & m!rc rh- fiY. huulErl {toU,,r (51{I))
<br />-,.
<br />as .wrcr ot rhc ptr,Fdy, (* ny.nlllk,yer * h sa8.s al (h.tr !)h .omp.nrrr on. w do ttF utrI ad rlf itulw tr nn
<br />tr(.nL! oro[.r.J rd {lc I Se 7l)44. l]u3trcs ,n,l Pnn $tunrCrn It Conk (tr's l-t.nE l-a* dr*r nol lllFlv lo !n o*Nr or
<br />rhclx,Fdy wlx)h{ild!or h{r,v6 rtFNr. arn vlrl &.s skh krt hm\.ll.r h.rcll or rhmulh hr or hcrown.rfhy..r'
<br />pn,vd.J rhrr iuch inFlvcnrnk e ni dcftLrl orofl.r.n f(, sL l!. h,Rw, rk ho'lro3.. urymkmnr F I'U eihrrE Ftr
<br />Dl cDn{ .!r'n. rhc OwE BtrJ&r rdl h.t lh. hor&n of Fovul! rhi lr or rhc drt dn htu l ot urInE rlE Ffdr litr rlE rtqrE ol
<br />l. .tohrol rh rotdr, .n.kb{wly6fldr8 w{h lEnGj.od,rr6 ii, s"lrBl llt F j.u (Sc ?(xa ABi6
<br />!n Plt,asmColcr TIE Co drq'i Lt..r Lrr do.! ml .ppl, kr m owE o, FDFry sho bu'[! or dllbtt 'trm..nl who @nE&r! rd sh FF1. * h.Cddrfin b.qcl Fltur hrlrCofrl- !l-ljm brr.
<br />l.mcrcmtr uBlr s(ti
<br />]toBtrE8g.g)lrtlN$r{t!
<br />DECI ^n TION
<br />I rLRby alTrm un'l.r Fnally dl lNjury n. .l th. rollt'*q d.(hrlnotr\
<br />I h.vc id will Emrto r (td ,tll. ol Con*nr L, &lf_lnruE !t{ snk6' s,ri{'mqrxr. s FrvrLJ for hv s(lt'. 1?oO oa rh'
<br />L.trtr Crb. tf, rlr Frf(M .! rh. ufi rtx i'fixh rh. Fm( ! n$.J
<br />r Ert!,.rj 5y Sar nn lnn or dE tihn Cnl., ft* rlE F.(M of_l h:K . vrll moru 10rl.6' ont n!.lr)n n{r.
<br />rlr k t f Bhih lh! Im.r .i Nrbl My qtrl6 .i n rnrudc.rs m]F,l.y nurlE {.
<br />x(:i rv rh,i n rl'. It'nrtrr.'tr(( 'r rlx'\n'r I whtrh rh6 Frn r trsk\l. l \hrll ntr cq1l,,y lny ltBon '
<br />rtry rtrmr
<br />n l.wr ol Cdrlnrn'r. !iJ uFc rh.r rll \lx,uld h.(.nr Qhi.ar I'rh.i lrsn,r nrhl(I r, rl'. $o'lr'\ (o ,tr:n\,ini
<br />vnl6 ur.{Ens.ttun nDy&'n! ol S.rrk,. 1700 .1 lh. L.trtr Grl., l drll nfihw h .r'mnly wirh tl$s Pmvr$nr
<br />WARNINC: ll.rluE b tlr e,,t. cohFnrnion or.htc r( lnll*rul. . rhru ruhj.lr u.ri{'lov.r h oiiu.l Ffllrs ln
<br />rs fimr up ro oa nr htl rh,uqrn J.Ur (Sl(
<br />Selrr 10?6 of rh. tjh, Crt , hr.r.( !d (fty
<br />of .otrgENrpn, drn8.r rt Frvrl.,l lor rlE
<br />I h.nhy .frrn unl.r rrEhy o( FUury th.r I rm limsl unLr F,vrsn .i (1ufl6 9 (dnffiinr *nh Sar.n ,(g)) or Dryiri'n l
<br />o{ rlEBurR.,nPFtr N CuL. !n my lE.ns s h nrU tu* llr.lldl.
<br />Z
<br />72
<br />I hEt'y rlim trLt r FElry o! Frrur,r rh:r rttft F rdn{ru(rhn LDinS rt.Ny id rlE I'crfiM. oi ih. *d n, rtrh rhtr Fd s
<br />(rEJ ise. 1097. C'! C r
<br />trnLr'! N.m:
<br />-
<br />ATTLISANLII&CT/AMIT9A
<br />IlrBt'yadimun!.rpcnrxy tt'.riuryoEol rhctulk'win8d(l.nlor:
<br />I)dm,lnDn P.rn r^sh.nosN.ol,dlk,n[.d.ral R.Sohri(,.rlTnlc'r0. 0.n6J
<br />Rcquac.l lrldof Mrir.r,n
<br />I .d,ty !h. h. t ic.d Eltld -nr ElnJh3 $lB(x rcm,vrl d ni {tlr.hk ro ih6 FoFr
<br />!ry rha I lEk E.r
<br />'h!
<br />.irlr.ri'n lil {rr.hnmi,n r c!)lRr I rEE ro .,r9l, *rh .ll C'ly .ul G'unry
<br />nlrrE-..\ rn! Srlr.lrw\ EUut n,tUU'nE.on{h.r.6v.orlrtrr. rclr.Brr.rrr* orrtu! C y .fij Counrt b 6id !lh.llE
<br />rh'vc mnr$EJ poFny ft{.o 6
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVlnsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framino
<br />lnsulalion/Enerqy
<br />Drywall I
<br />Ext./lnt. Lath </u /zoz , , *t8,,)
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil
<br />FINAL /1221 ,a-zO *7 f)
<br />Certilicate oI Occu nc
<br />Notes, Remarks, Etc.
<br />Uzv/zs -.Lb1il)
<br />SLAB Floor
<br />,^r,, ,;t )O1l Z O
<br />I
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