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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS 0\\\r.Rrt ll r,r R rl r( \k\l
<br />t lEchy .lfrs ud.r FM,ty.'r Frid rhc I a .r.qi li.n rh. cldr&t,,F' lr.nsc l]s ntr rh. rolkrso3 rc&,n (S.t 70!l 5
<br />Bu!ft$ rnl PhL(r)n Ctic) Any C y or cl'u , *hf,h rc!!ftr r Fmr k, cdnndcr, .lrd, !n{'mt. tLelsh or EFr .nv
<br />{urE. rrirro (s tiue!. rlr' rGtDn ! lh. {Dlrul itr su(h n rm b lik . .BmJ n.t.ml rh.r lEot lrE E ltorn Frslr
<br />t, rlE F,vcr ( of ltr Conrrklorr l.itn*J tlw (Ch1ll6 9, c!'nmftrg * h SNrx,n 7fi) ol DrvrE. .l of rlt BU(EK rtl
<br />Pnrisrun! C*ic) or thrt h. ur rh. ( .knpt lhs€fn,n.n! rh. t'.nr lor rh. dk!.J.tqro. Ary v!l,tb.otSdnn?0115 hrq
<br />lplll(rnr ,,r r Fmr subj.lB rh. lpl Ea.r h r .,vn F.ir, ol $r mE rh.r I rv. hutlrcJ Jdl-! tl$or'
<br />-1.
<br />rt {wrol rh F,lrdt. (thrcmPl'F.r rrt *iS.s ri llru e'L r.n{E.slNn, Bdl,lo th. worl.Jrl rh. smlr. n,
<br />ur.*rl d olftr..l fd sl. I Se 7tx.t, Buiirn dJ Pr.li(krnl CGL l hc (irnrrc.rr'\ L(.ne tie J*{ ftll qt y io o*Fol
<br />rrr F'Fny wh,tD r! or lqn,Esth.btr lrn who t ttshh*' h6!.ll or h.rqlf or ! hNu3i nN q lEr om.nployer.
<br />nn'vrlcd ih, $rh mFlEm r e fti rr.Eldl o, ofi.nJ nn sk ll, L,kE. lh. h!0lur! ( lttEtftd B r'll wlltu w ,e
<br />I LmilrD.. th. Owffi BurU.. -il h,E rlt lErlfl ol lr,w! rhi lr d st tLl n, hrdl u inYmrc dE FDFny rd rtr IUIFE ol
<br />l. r( owEr ol rh. pn'I'cny. rncrrlutiv.lyc.dllLrh! wnh lt.n<n lo,rradod tt urrtui rlE FlAr (S.(. 7tr4l, BuiE$
<br />ul Pi,r6srn C,xl.: Th. Co.k-ttr't Lr.nr. li, do.\ rr rfi'ly ro owM .! pi,lln, who h!,11. ot tmPmws lll.r.oh.
<br />rtul *ho codBlr ntr tBh Ir)F*h ! h r cid*ion n l.cnBl p!6d r, rh. ci,dn rtstr.ncllr)
<br />-l
<br />rn.r.n$ unJ.r Sdlx
<br />IVORXI' lLS' COM PENSATION
<br />DECLANATION
<br />I h.r.hv !lltr n undcr n(n.lryolFriu'voN.r rh- knbw'n! J..l!rdintr
<br />1l h.w a,n wrll Md.o . a:.nfr:r. ot Cron-d ro s<lr-ln.uE d qf,t.r' .amp.ne rn, * thrvrL'i tu I'y S.rrr,i l70o ol rrE
<br />l,bi, Grl., td rll FroI'lIE--. oi r& *,1 ld rti{h rh. Fmr s 6!!.d.
<br />-l
<br />h.w rnJ *ill dinrdr wo*.6' coq'.nr{in mntrrN.. r.ttuuln 6y Set i,. l7m or rlE t ttor CdL. 1,, rlt FrlillErt ot
<br />thc *otk ntr wh,rh lhr p.m'r r! sinl. My eo*6' L.rytndm '.Nrut (d.r.,n Fl.y nuoi.r d:
<br />c*",,
<br />^)
<br />o (auLrol I ,, 9rtr .dr't !<c_,2
<br />t,r",N" ",, N-l n-l /' qA37U q e'n*., /o- lzl
<br />I c.nilyrhlt rn rlE lErlorNh-'. rrrlr so.t rd *hrhihn tErmn tr isrktl I thlllft .n{'k,v.ny p.roo m{y mM*r
<br />$ rs n, I^Lom rubFr (, rlr wdts lr,n{Eneii,n l2*a ol C.hnnnu. Md.3^r lhnr il I sh)oU tx(om lubx t,rlI
<br />*od(6 .o'{rnqr n l)nrvN$ni ol S(rrrr lTln .l rhc ljhtr C'x,., l .hrll. n,(h* h $q)lr w h rllrc f ,rrr}nl
<br />TVARNIN(; l'Iltrrc t' \'(urc rorl(.n r.n{itrs,rrn .o\rrr[. s u.litrlul. trrt|mrlolr, t' dnon r.dlis .rl
<br />b.. !!4.! I polrl.ri nn lh.(lvd lln.1 uJr tr) on. hunt r! rlruunn Jdll6 l! l().o(x)), r nui.n n, r
<br />S..ion 1076 otlh. lrtrtr CirL. u{dcr lnt nft,my i ler
<br />oa*, t-+-bt-14
<br />DECIIIAITO!
<br />I h.rchy.lrrm uBr.r lEulyot F+ry ihrr I rm lEn€rl utrL. FrvBnn ol Ch{icr 9lonrmnchl rnh Scdln 7un).1D'rit-n l
<br />ol .rr gorftn r.d P^,f.ssnr Cqj.. .rn nt U..trr B in flu lo^. .rn clt.1
<br />qolll8lclloN"LlNlllBc GENla
<br />I h.Eby,lttn ufti.r Fndryol |Erluty !h{ ttrrc it.$nnruLri'n Lnlfr rS.n(y ttr lh. p.rlorll&. otrh. wfi in *'hlh rha' Fmr !
<br />nru.n r se. .ro9?. civ. c )
<br />trnLas Nam:
<br />-
<br />t ndcas AddFllr
<br />-
<br />ATTLIIANLIIECIAEAIIA!
<br />I tmt drim rnkr lxuuy ol Frrlr-v E ol rlE ,ollo*m3 J(l,r:Lonil
<br />t(m,lir,n Pcrmi!As&no. tli 'lrltxrh lid.r.l Rctuui ion! ( l irk ll1), Pf6l
<br />R.quu.d lrrr.ro, Nd'tudrr
<br />I (d y rh.t rtE ldLnl ErlLrDn\ ns,rln! ..hcnni rcmrv.l c , q'llr.hb lo lhl! nruid
<br />_l..nnyrhr l h:rt Fid rhr {0lrtrk'null d0r. rharr (r ! jolN-..r. l.sN n, $npry rdh.ll Cr, r,rl Coldy
<br />onnnrk.\ukl Srrr.uq\Flxirtr8t'hulldu!Lon(rurr nrrtr6 ol itur Cry.rn Counryh.nrd lFr ltE
<br />fi,v. nrnrRn'.'l pn,lxny ntr h\Fnr)n p(F)e'u- 0t- tq
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVlnsu lation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino illultrt fit,t/Lt*/n---
<br />lns u lation/ En ero y t-l-lb)i,-aai-/6'.-'
<br />Drywall </rLr"A4ldr?'/to--
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />il.
<br />FINAL / /.,n /./r.,2,X*-)
<br />Certilicate of Occupancy " / / f lU'
<br />Notes, Remarks, Etc
<br />a"** "r*, F
<br />^", tJ -Ol- t4.
<br />Appli[d or A$nI liltEluE
<br />UFER Ground
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