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BUILDING- INSPECTOR RECOBD
<br />SITE-WORK ID/SIG.COMMENTS OlIN[T BUII.I'ET DEI,('ARATION
<br />I h.r.lA litn unds rxExy {,r Frlor} th{ I m cr.nl)r lnrm rh. Co rrh l-i..t Ij* fot ttr f,'ll's'n8 rt'5n ls.L Tlrl 5
<br />Burift\s adl l\otc\\n,n C.d.r Any C y r Coudy *tich rcqunc\ : Fni k, $nirucr. llrcr. irll1nrvc. &'ft,|(h or rqDtr .ny
<br />{ru(rurs, t rtrro rrs i\.u!rc. .lq, ,cq!i c\ rhc apnltuir r., iurh ttnnir k' lib o \i8n.d sllrcunr rhd h.ot $. i li.cnd puruonl
<br />x, rh. F)!n.nr ofrlr (imt*!i, r Li<rnrJ L.* r(h.ptcr 9. (irmmN'ng eirh S.clion ,(rL of Diriii,n .l of rlE Bunk( 0.d
<br />Prlf.nk,nr (ixLror thlr lr or rhc ir.(nqn rLrctot.lnd !h. ttrs for rlE .lh8cd .r.mPri,r Any \in'ri,nofSelbn?l).115 ht tny
<br />!nIlic!nrntr!nrmir\uhj..krh(trpnli.rnrk'0ci!rlD.n.llyorft'tmorclh!nfivchtrnddd ollds($tfi))
<br />l. ( o*ftr ul rh. FrFn), or my.q,t'y({ r'iri rlEcr !\ rh.n $L $tqrn{rx)n. nilld' rlx rr rnih.{uiE6tr{
<br />i crhn o. oltrrcd ntr sh i 56 7l}14, Busitus\ and Pn,f.$nrn. ( ixlc 1l[ (inrtlckn ! l-iccn!. I iw do.r nol lnPly k' on o*nd or
<br />rh. mr$ry trh| toiklr or nlIh,s rlErmtr,,rl *h! (If,\ skh *r[t hif,r.lanr hctrllo, rfinr3h his or lt..*n.DPk]y.c!.
<br />pmrd.n rhlr ruh iqn,Erdi ft n id.n d ff oflsld ld elc ll lx,rsd, rlE horldiq n, lrIiNrd t sll $ilhin,ft ,(s
<br />.rroq,kri{r, rh.otr Er Buildcr *illhaE rlt t{rdcn ol l'ovin! r)!, lr or Jf, tlal mr t'o,tt or in{'nrt rh. ln)Fn, for rlE ltorF)$ of
<br />-l.
<br />rso{mr olr}r lxtrFny. rn cr.tunrclt.onr&rmF trth ic wl co'nrKk)F n, .o.(ur thc |r,Frr ( SN 7ilr.l, aueh.
<br />r lh'f6ran('odc:Ih.(-nnrrkrtr\Lic.n\.|-swd(f,\no!ntnlyror sns ol pn'nenyNh,, huildrur m|nivc\ lhcrcon
<br />and *ho dn @B lir sr.h pn,r.h s hr (hnrh(tr'n, li.n€i pu^uld n,rh.(ir[tj.nt'\ l-icnt lr*)
<br />1,tr,'.(rt,r un,l.r Sclrtrnl
<br />Ihl. ()*m.
<br />N(lR(n RS COl\lFFIISAT(ll\
<br />IIE;I.AMITA!
<br />I lr,.6y rn tr utrlcr Ii rlr) ol ndjury oN ol tlt n)lk,tr iry dR'hrxri,rn\
<br />Ihlrt!ftl*illmirrrnr(in'rtrsrcof(itrRrrr!S.lrln\ur!r,nqort.6'.un|iraton.n\J'ornkdfitrt]so.rx,n.17rIolrh(
<br />Iitrtr Ci{c. nrlh.p.rl.rnuuc.ol ih. *ork kn whirhrht n rnrir ir rqrd
<br />lhz\cant *'lltrrinrrn r ork.r\' c.mfltnir nn inlur.Ne. m krruird hfSriri{ l'rlXrol rh lilx, (i .. (n rh. Fti(trnufrc ol
<br />rhc wort fitrsh'rhrhn tf,rnrr is nikd My $otkcK.onpcn\!li,,n rnstr,'{c.,rkr n Fni(ynunrtcl xrc
<br />f.li(y Nunh(r
<br />-
<br />-
<br />lirlncs
<br />-
<br />I crnify rh.r in rlE p.rlnrm*. of rh. *o& ro. *hrh rhr Pcrm i rruc!. I rhrll , cmlr,y rny llcrq'n in lnt nbnftr
<br />\o !\ ki hccom objccl k' rhc sorr.B comF.nsarion luq\ olC.linniD, r'!l lPm rhit ii I shrukl hc.om hjc.! r,rlr
<br />r.rlsr co.r{Enerlm ,n'vti,nr olSdir lrmol llE Littr (ixlc- I sh.ll. ndhrnh coml'ly *irhlbt rrnviri,nr
<br />WARNING hrtur L, rm *rtr16' ori'f'cnsrDn (rrs8c ,r unbstul, ,rn rh.ll rultFr i. cn+ktF h lnmnd lEEti.und
<br />civil fin.s ut k, oft hundrcd rhouscd drlltfi (Sl(Xr.(X)0,- in ddirn k, rh..on ofcompen*rn,n. d' E8.< .\ rrrovidcd tu rlE
<br />.J lr= I
<br />(i'dc. nerc{ rnn r .rrt.)
<br />-.tt->19.
<br />DEIIIEAIIIIB
<br />, hcn't'y alfirm uidcr lrtuli,ol liiruy rh.r I m litnsl uti.. nn,vishtr nl(1ufl6I(mmnrrina {irrl Sdirn 7(,[) of Dir6i]r 1
<br />or rhc aurift{(and Pn'lcssiotrr ( olc. dl nryli.dn\r i{ in {ull l,tr.c.dcll(r
<br />,.-*r^,'AffiV,
<br />,,.,. 't /r+ilq,
<br />I h.rch, aanm udLr FnihyofF.Jurt rhrt
<br />Cu.cti,,**"
<br />..",*,*x
<br />510(2tqtl I
<br />toNira!c[0!1,!!l1l!!-arir!(r
<br />rkr.n.'!rtr{ru.rrrL'rlm!aErrt&rh(r.rrd u't.of rlkrorln, *hrhrhrFrm{ a
<br />axfllgxlllll;LASarllxi
<br />I rFd\ rltinnu'khr Ii.nrlrv of n rlor\ ork "nh!'lnlkN tr,8 d1.lr'.iIn\
<br />Dcn!,1(i,nr Idnrit\ \h({o\ Nor','. rxnr l'.(lcrrl ReItrhr!n\ ( I l.llr. l',trr6r
<br />RcqtrtrFl lrner nt t{r'furnn
<br />I rc'r',r rl'rrrl{ li1l.',,lrc{ulirr,tr\ rulinlitra r(rio\ r.,rtrrlrr. r{ ()di.nhlt' t, rhis I'1,r.(r
<br />Jh{r tnri4rJ rfin,'r i,{ in.*
<br />x I),Apln.nnr or A*enr siEtr{luE
<br />'f o r'tSEPEH(z!BtN 't l,lLg
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Sublloor/VenVlnsulatiqn
<br />€oorsheathinq 08L(YW11\
<br />Shear Wall v)/
<br />Framing x.t+ru
<br />lnsulation/Energy ,//'\\
<br />+ryrta+- taPuf tl'r-Y;+l'1"24',lt hwm
<br />Ext./lnt. Lath !ECt<-"X.rttXl\
<br />Brown Coal
<br />l\4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />tr l\
<br />ts'+-Y W,LO')
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc
<br />I DATE
<br />I
<br />UFER Ground
<br />1-tr"t{
<br />'l-zt lK
<br />4- ld-ty
<br />Flood Zone Certil.
<br />FINAL
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