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BUILDING. INSPECTOB BECOBD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER AUIDER DALC MTION
<br />I id$y.nm u,itr Fnrlry or Frrury rhl I m.rnpr fioo rlE C.nrrrim Lj(M Lla fn rti tolb*hg B.i (S<ru11.5.
<br />Blsinc$ !d Prcf.sion C{dc): An, Ciry or Coonl, whth 'q!iE. r Fn'r ro .oBtN.L dd. improrc, d.mlnh or rcFi ey
<br />nnf,lft, Fii16 ir! !:lJ.E..&o tqtriE3 dE rppl-.or for trh Fmril b fi!. strn iffid ln lEdrlEili$r.d pllulr
<br />ro th. FovtioN of tlE Contrrtq\ LtcnEd L!* (Ch{trd 9, Comfti.8 wirh s<rion 7ml of Division I of llE BuiE$ Dd
<br />hD,carionr Cott ) d rh.t lr 6. itE i! q.ilpr rhct iiom {jd
<br />'lE
<br />h.!n ror E .lL8.n .*flBnn. Any virLlb. or Scri{ 70.1I 5 b, .n,
<br />rppu.rnr lor r Fmir rubFlr rh. .pplklnr ro r civil !.mlr, oa mr mE rtu fiv. hu.dcd dour., (a5lD).
<br />-t.
<br />as owtrcr of ttE Fl'Eny. .r nry cnployes wilh vr3cs as th.ir bk cor{rnr.li,i, sill do ih. wdk lrl $. n.ElG is ni
<br />deilqt rofldrJ tur d.lsd-7OlJ, Bu.iftr. rnd Plnfhsb.s Cod. TIE Codrdd.. tirrc t w &6 mr tpply lo e o*E of
<br />rlE pmFiy *h, hil& or ulnks rLrr !d sho d.i h MlI hinrcll or h.Mlr dr rhnruSh hri or h.r oM .nDl.yccs,
<br />Drclrr.d rtur r(h iqFmdi E d -{.o&l r"ofkid f{r q} lf. bw. rlE hutllc\t d qmkrll ir ill wal,D E F.
<br />oto,r{lhlir. rlE ow..r Buiur will hlE rh. toild of pmvin8 rhd h. or dr dA d buik or n {mE lhc rnFiy lm r,F rNrFs ol
<br />-1.
<br />r' owEr of rrE FltEry, m ct.lusiEly codratinl wnh litB.d odrx|m ro orEdl rtl prorqr ls.r 70,u. Aqrirs(d hnFsriu Co{c, T hc Connad.r'r Li...s tie do.r mr ,rply b .. .wn.r of proFny *ho hu,kl! or i,q,mv.r lh(on.
<br />rDd qtn o rEr3nr uh F!i(r enh r Codr-lo,lr) lir6.n Flrunr k rlEcodrsr( 3 LilM Lts)
<br />I m.(mt{ ! 1.r Sdrbfl
<br />D.r.
<br />raaf,ElNramfxsA.uu!
<br />DiOJAAtri,l!
<br />I lr'.b, rlfiro und.r Fhrh, or Fr!ry om nf rh. r(,Ihf,,.8 rld!.m! i)ni
<br />_l h,E.rn will minr.i, r CdifEd. of Coe ro S.lf.lnrm ftr wr6'otr{ltrdhn, $ FDviLd for btsclDn l7m ol E
<br />lihor (odc.lor lhcFlrortuc. ol rhr kJl tor*hrh'hr pcrn ^nru.d.
<br />,h/h!k "id r, rl h!in!,,i -na6 ! nnvEnriaun iMu,mc. .r rcqliEd hr se! ion l70o or rh. L.hor adc, ror rh. pc'i,mrc. or
<br />th. qrl d *hrh rhr Ftur a !$d My sdl6 onFnd.n 'nMr ffi rn pnhy nurbo N
<br />,*, 5lArn < 1-
<br />p"1iy$,nl,.,.bM]/Ue9)j326 o E p..,, 04/o I /+ZozZ
<br />-l
<br />dify lhrl in rlE FrformE of llE *ort fm *hih rhir Frmi, is i!s!cd, I 3hrll hr orpkry.ny F$. in tn, nUE.
<br />$ I r. b.om b,.d ro ttE *nitd otrFKran Lp. of cdirmi& rn !3E lh.r if I should t <om dtrd lo rli
<br />*0116' str{Eosrbr prvlri,N ol S..li.n lTm of E t lrr Cod., l Cdl. fonhEnh or{'ly *nh lho. FDvirion3
<br />WAINING F ihr io Gre vdtqi 6np.ndi,n 6wrg. b unL*tuI. rd nEI obFl e atPl,Fr lo 6inir.l FdB .rd
<br />civil linc. W 16 om hlndrn rh.u{ryt .!'U{. (tl@,(x)o,, i. rddnion tu th. (oc of coqEn{rio'l. d.nr., ! tmvncd fo, rlE
<br />sdiin lo75 of r!. tlhd codc, nllcrn rrn emy s fci
<br />o.n,O6/Z?/z-- t t
<br />^ror-,,,,:f,- -<5tZ-A nyze *4- -IICEMED-CONIIA{:IIII/
<br />I h.Eby anrn !.d.r F.e,ly orp..tu,y,- , *,*n*a ffio4no 9 (c,nmcin8 wirh sdbn ?otn) olDivhbn l
<br />or rh. EBiEs,n Ptrfossiont Cdl.. .rd m, lt.m r ir nrll foE a,n dIEl
<br />c"-*cr,*, B /c | 0 cx.*r.tu*.. lg-13..,6L 7
<br />o"" -oA1L31al cdr.io. o r 4.r.9:l-!L (oqn*V S qlg.-q)
<br />CANsIBI,IqITNJ.ENDNTIAIiEMI
<br />I lEEt',.tfrmu,rt Fndryof lElllryrhn dEr irr odnl,ioi hdfu l8.r, fd dt Pdlo.iffi of tu wr a tnihrhir Fni i.
<br />nsu.n (56 1097. Ci!, C,).
<br />ATTLIIANI.DECASAIA!
<br />I hodryrrmu ld FMIy or F itr, oE ur dE rollorin8 d.<brri'nt
<br />D.mhion Ptrmil:.Ast$los NolifEarion Fcdml RcBUhrh (Tillc lo, Prn6)
<br />-R.Auirn
<br />Ldlcr or Nr{ifradr
<br />-_ljglrly
<br />rh{ 'rr f.dcnl qulatbnr Eardm, $b.iot rcmvd e. d lppli k h rhir nhFd
<br />id/d'r, 'hd
<br />I rrE E d !fii .pplidDn !n rdc thrr rlE .toE inrordaon t ffi. I rlr b @trply rnh .[ ciry rnd coury
<br />'6iin.N, .rn srr. tr*r El.luu ro boildiI3 conllM btr rd lEEb, dhorir. ..F.rnLliEi of thn Cny !i C.unlt lo .nl6 upon tlE
<br />rhn. nrnrnx\l pn'Fnt ,,tr D\Fr
<br />Appli.rnr or AEmr SUuruF
<br />P.tur,e m rDrrnr,: z >5<- Aa q 4zr p,/
<br />u. o6/>J /t I
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVl nsu lation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<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 Certil
<br />FINAL 1 e{.LL WE v
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc.
<br />J
<br />UFER Ground
<br />Ext./lnt. Lath
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