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BUILDING. INSPECTOR RECOBD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNFI BUILDI:R DEI,CARATIoN
<br />I rrEhy rflinn u,rL, JEElrt ,rr Frtry thd I rn crcrfl tu,m rh. Cl'drdo,s L$nr l^ ftn !t folto*ins E $n (S( 70.I 5
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<br />h, rh. rultionr .f rlt Conh.kr'r l-i.cnd L.B (Chdp.r 9, (hnmNins *ilh S..rion 7(xx) or r)ivi\ion .t ol rl* lrurin.$ ,rd
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<br />-1.
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<br />inr.{rlci ororlrcd for slctSr-' 70+r. Busirrs rtrd l,rufcsirns C(ilc: TtcG,nr!.kr'\ I ienr l,*drx! rlul]ptyk,rnouMor
<br />rh. nn{rdy sh, hoilk dr intn'v6 rlrr$4 tun *hr &B q.h urrl himr.lror h.rrlror rhruush hn m tE (Bncqrkr!c.!,
<br />pr itd rh{t su-h imF)Eftnh m rn ir .dral .r ofiRl n, qt la h,RE . rtr horkh8 or m{tuv.nrn! n q'B wihn nN
<br />'larol.on{krrn rh. Owmr ltuiltr will h.w lh. honi.n st Forinll rtu tr or {r.dil n hiu o. itrtntr! ttE l,DFny f.r rlt porF)E of
<br />_1, a(osffiolrh. pn,IEny. rncrclu$tlr.odrs1m3 unh li${il codrhlorrr' oneMr rrr FrFl (sr 7ott, Bu!r(
<br />$n PrDlir.i.n C(rlc Thc Contrdq s l.kcnsc ti* doc\ rt {r,lyr' atr''wn$ 'n nmfl.ny*ho buiU\or inrtrovc\ rt,c,Eon,
<br />!trtl who (n nrr! kr \!ch prnr.r ,irh r ( onrrlchn o tacnkt NFM| r. rh. Codr oiit.t.n<lrs|
<br />I xnrr! rl trnn.r s.(r ,tr'.1, ,! l'( r,r rh^ rer!tr'
<br />Irrr. (hn.r
<br />ltt lRl( ! R\; (.( llt Ptlsal'Ioii
<br />DI(LASIIII]IIlrr.htnrrtrrtr or ncmlryot trrurr oR otrtr f.lk,* s (t.rtrrrrntrtr
<br />_l h2rt en *' ll roinr!'n ! Ccnrff,.r. .t C(r*nr r, Setf lnlurc f(n rorkda co lEow 0n. !s tyovdc nrh,Sc.ri( :t7flrnfttk
<br />Itrhtr Qrl.. f[ ih.IErformNc of lh. *o.L lq shtn lh. FnI t nlkd
<br />-l
<br />h{v. !ft, w rll msinn'i. so*c^i ..trlJf, nr(irn in{&Ru. !s EqlrL\t hy Sccr i(n .t7lr) oi rh. lrho. (id., ntr rh. tirfornEB! ntrk r.rl l.{ rhk.hrha n 'mir '1F{!t M} rrrt6 tMyrnsrrmsurrncLan rnd F,tf,} nunlt{, ft
<br />c.,rs tTao.^r<,'\<r^s
<br />n*, n -a-l-t 6
<br />I c.nily rhar rn rh.Ix.lornumcoltht work ktr whf,h rhi
<br />w N ro t\qoir shF..'' r' rh. utdd< $r{fa{rirn l!tr I .r l
<br />tro ch (,n{Fn\ bn pr,ri\irn\ .f Sd kn .Uo(, ot rrf, Lah
<br />WARNIN(; lirilrc t, <.uft sorkcn .onlEn{dirr e,vcr
<br />rn'r fin.1 un rn.,8 hu ncd rh,usnr J.tt \ 'Jtrrr.rrr,,.
<br />\ n!irn r! i{{r.rl.l \hrll nor c'hpk,y rny n rv,0 in {nyDdnrcr(iliftnni. rnlrlNih,i iilUoukt tErnr !!hFr r,rtr
<br />d (irlr,I rhrll. n)n hrrh onDly wirh th,s nRJrtn,ns
<br />lfc i\ utrhwlul. rnd !h.ll \!hFr nn rn+lllrtr to ri.iMl IENlr.r lnJ
<br />aJdix,n h rlE co{ ol.on{rh\rron. dnrm8c( !s rorilcd k, rh(
<br />Sr.r(r.1076ol rtu l]htr (ixir. drrrn rDnrt
<br />Du,.:1 r{-}t3 ,\pp U\"{s(
<br />DIiIIASAIIQX
<br />I h.Nby!fiinundcr pcnallyofFqu!,rhrr I n tietrrd unrrcr pmr^r orCh,rrcrgrmnrrrr.Aq hS(rr,.7U](,nrDiltirnl
<br />.f rhc Auttr$ rnr Pmrcsnnt ('od. dil m! tr.nc r u ru t.,-.,n "fi- r'
<br />Lk.n€clz.r 'b-J<
<br />D.,. '-q-5-16
<br />coNsntu( Tl{rN Lr\nlNC a(:FNta
<br />I hctby afii,r uRrd rrnrlry or Fryury rhri ihd t ! osrrudiob hnd i.s lscn(y for rlE p.nnnEn.. or rh. *brt for wti(h rht Fymit ir
<br />irsudl lss llD7, Civ. c )
<br />APPLICA -T DT(] A&AT'(T}
<br />I lh+y rninn undcr l]tn0lly ur Fr,n.y o'E olth. nrk'win8 deLrottrn\
<br />Dcmnilirn l,$miri A\ttnol Norrillinr Fcrtral Rc8nl,r b.( I fdlr.,{r. Pd6,
<br />_Rcqun.J kld utNdi,.{,ri,n
<br />l.rn'l:-rl'Jr rhelL.ddrlrcsuhrtrrn\ rr3flliIt r\h.{!^rrn(]!rlJr tr,{ rnlr(iht (r rhtr rrr!$r
<br />_l .cIlly rl l hr\. '.rl rlN rpDt
<br />,i'In.'rc\JnlsrJr. L,tr\ rt i'Ar,
<br />.t',".,'n,,r..r pr1.r1 r', ..1f, rI
<br />tDplhunr or \!mr \lEMtrF -
<br />n. rrn*n.'onnu,7
<br />nrr.rhi r,r!hr. trn,r nr \ rotu.r l r8rr k
<br />ron(turi,r. Jrr, h(,.ht rorhtr'/. rclrc{.nrdnri.l
<br />r.onDly rirh.ll( irIi d Cooniy
<br />rhtr ( irr rM C-0uhry h.ntrr uF'nrtr
<br />,",. t{-'-lEe-A-Q-.o,(
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathi no
<br />Shear Wall
<br />3 -g -ro"\\e9\. (r{
<br />J-l-'t -r% .i)clAr,[,tJ
<br />D wall 3-t't - ts.I) p-tot m
<br />Ext./lnt. Lath
<br />Brown Coat
<br />IMasonr
<br />T-Bar t,to-tD Dq\"\6 (
<br />De Ut Final Re rt
<br />En ineer Final Re rt
<br />Flood Zone Certif
<br />,t7-8.J)- Saf,
<br />Certif icate oI Occupancv
<br />t,,...,,,,", b3rc 69
<br />.",,*-.*94gt*..-t*rC@-q-!(
<br />Set Backs
<br />Framino
<br />lnsu latio n/E nerqy
<br />Pool Fence
<br />t)
<br />Handicap Req.
<br />FINAL t-,{i)
<br />Notes, Remarks, Etc.
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