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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNIJR BUlLDDR DELCARATION
<br />I her.+y lafirr. ufrLr Fuhv ('r Frrry rhlr I M crt'r$ fmm lrE ConrBior' I t.it li$ lor rh. lnlloein3 rcrei 's Tort 5
<br />Eulimrl .d Phfcsb. CrJ.) A6y Cirt or C@d\ uhth .cqum! ' Fnd tr mn{rud. .h6. 'n!rn!.. &n'lFh nr qtn any
<br />{d.rur., prirtr tr irr i(urm.. !l$ rcquirc1ih. +plaMi ft{skh Fnnn nr lilc r ci8E1l lll.mnr rhlr hnr $. ir lic.trai pnr$ad
<br />n, rhc F,vision\ of rh. Cunrh.rtr s Lkcn{d liw ich{ n A. (ilnnrcmi.F trnh S..ti( 7000 ijl l)ivirion .l of rhe auu.$ !.d
<br />Pn,r.$r)n\ C{xic,or rhar hcm \rr ncrmpl rhc.cf!'n n rlE n:!\ |,tr rh. llk8dt c(mnrrxr Anyrx'l,tio.orS(tr)n7(r.ll 5hylny
<br />.fl'lf,. nr.Frm luhF-r!rlE lmlicmi r, s. 'lFnaXvnrfrn nrr.rhrn Ii\( huftlcJ Jollrsl!nx))
<br />l.r\Nxrofrhcrfl,Fny,dnrvcnrtr')rrrirhwt.1,{rtf,i,v,tdnnr'(ie.on.f,illdortrworkrndllt{nr1mi<fti
<br />'.rcnidl {tr .ren'l li{ q!. I sd ,{ll,r. Bu{Fsr a.d rn,t sk n\ Cffk Ttt Qrnoiloi ( l-f,.trc lir &E! ft, ,fdl k, r ormt .l
<br />rlE I,nIEny wh' h{i$ or irq(,F rtFn ud qh lts*h qs* h'mtll.t h.rellor rhfl,uAh tur or tr o\n.ryIlD.c\.
<br />ptuv ud rhnr ruh inth,mxnllmmr hlc lrdoronimlforsk ll, h,sc\s.rh. hrtl!ry or irilnNt'nnr is {,Ll *irhino* ytr.
<br />of$q)Lrhn.dr(hkrBuiltrr*rllharlltlud.nol|Itrngrhdlrorsh.dilrnh{iuo.it\mwrhcrmldyh{rtrNryEor
<br />l. aro*mrofrh.rtuFny,.mcxclusivclyconlraclins qiih liccn\c conra (tsk,cotr{nr(lrlE Inil.d lS( 7(}l,l. Buqnc*
<br />lnl h,,s${ Cnd. lh.Conlru.ntr s Li..nrc l]wd,* nor aPflyt'!nowk' oanR,F y*lxlhuild(.tinDi{'v.rthcr.on.
<br />rftl {h d,.rRl\ f(tr <uh F,Fh f,irh{ ( onrRlo(r) litn(l P^M r,rh.(irdr&ld s I ita{ l,sr
<br />I r r.r.nr!rund., sNrion
<br />IuJSf,rrllltru[Bil,urQliIlEgrI&UlA!
<br />I hcrchy!lln r unrl.r tEmlly,'lFrj'r' o'x or rhc rolkr$'nB d(lrrf,ri, \
<br />I hlr. rrn will mi.trin ! C.niard. nf ( onrnr k, S.lf lni r r(tr *rkda eomFNlnn- 'i F)trrdl tu bySdDn3?(xrofrhc
<br />l,t-r (iik- rir lhc pcrf.mfr.orrh. wI itr r'hih rh.lamir i\ i$ud
<br />I h$. rBl *ill nEn rin Knl.rr rcntf,nsr i,n in\u,rn r. u Rlu'rcd $y SRl x,n .l?(lr nr rhc ljtxt (ixr.. nn lh( Falff'rE[r of
<br />rh. $ork 1,tr *hairhFrEmii rr Ftn My wr*6-d)i{l.Nr'. rFut(m..uar ! ri,lx, nlmhd d.
<br />-l
<br />ccd ily rhar in rh* pcrtonMn( of rh. soll for !h.h rhi\ F nrir t iss!.d I \hrll ..1 ctr oyeny F.i\otr inlny'na.ncr
<br />(, ir!!tk{rnE hFi tr th. r,rl(\, Nnll{nsiion l,r r rr Crli(rnE, tBI a8N rhnr if I \h,oH trinr \ubF r, ttr
<br />sorld(, d'r{rnsr i'n pmvni)N nf Seli,n r 7( of rlE I ihrt (_rxL. I (lEll. (nhr irh (,frt t I nh rhE P.orir$nr
<br />WARNIN(; t:r'lx( k' {.urc *.rkcs' (nrFnettrnr d'vctrrgc i\ unlnsful. shrll {uhtccl an cnlFl'Fr r, sinnrl lletulria lnl
<br />.ivil fin.\ uI io.k hundrd llnrqnd dollurr (Sli[).lxxrr. in s i,,n t rh( (' ( ol ..n[.nsatn,n. d dtcr !r P.ovi]d n, lhf
<br />I hcEbr.lltmud( FMhyolF.Juy!h!r I in lirnG! ud.r of (llllid 9 (onrmNint siih SEri,n 7lll)rof lhrk,..l
<br />o{ rll htri'k.\\ itrl Ir ',tsk,,\ (ixlc rrrl ,v li.c \. '! n rulll,
<br />**/4/ 19 -"-"-A
<br />Ihcrcl\rllirr tr,lr' tr ht,', tr1r,tr\ rh. rl0c ili,,iNrrncri{r Lrling ntrrhc,'erlt{nwrdolrhc{r'k toJshichrh(|Innil i\
<br />r\ucd rS( 1(l)7. (''! (- |
<br />AtPIlTAXLltigJaAro!
<br />I hcE+'y lulnn trnd& r.ndxy.lFrjury om ollh. iollositrB dcchr"'tnn
<br />t)l'mki,n Pcrmih Arh{or NoritEDrirn l(krllR.3!l,rrrnr fli'l(.&r. Pln6,
<br />_R.\Nrcd Gll.r ot lhriff, !!im
<br />I cd,ryrhd rh.lcd.r.lr.Bul.rio.\ Nlrding artr !o\ rcn.hl lrr frr.l'Il.$L h rhh l,n*.r
<br />Ic$rlyrhir llIlrr rul rhN rp|lf,nrxnr rl{dcrhr rh( rhnc 'nl'{t i(t' t.'rrcr l ltktr).,tnlly wirh rll(-'rlrtd (int[)
<br />*::m:lr%ir. Mo r nzv- ^ofir'te
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln su latio n/E nerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />t-tll J ).,!a\a(<9\
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc
<br />';":;,- ;ri[,trM;* ffi ,'( (,{-
<br />.. LIO;III;LruNI&IIAA
<br />t !!t lrdarl:i
<br />Set Backs
<br />Pool Fence
<br />Flood Zone Certif .
<br />FINAL
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