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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS ()wNl:R EtrIl,Dt:!a Di:l,c,tlt 'l l{)N
<br />, hrr.hy rlkn, unJ.r !.n!|ry ol p.rjury thri I d.t.nrpr ftun, rlE (.odturo6' lr.ns. I+w nn rlE foud*ng aMn lsn'0.r1 5
<br />llunncs rid fnnt*oi Cilc) Any Cny o. (bunry *hrh Eq(r$ , F..rmi b ..n{r!cr, rlkr. ,mprovc. d. hh .r rn1tr rny
<br />Nsurr... .Ln) ftqn6 rlE !p u( ntr {rJ, Fmd !, hk ! iSEJ id.nrnr ihi lE or {k r !'u.n€d Nrsrnr
<br />ro rh rov\nrhs oI rh. C.ntrrtor's l.rccns.d lN rchnfls {). ( om'mrinl {trh SErnn 7r(lo {rf lnr(ir. I nr rrE ltr\irq ind
<br />Prn.srn* C,d.rurrlur lEoJ $c aexcmpi rtur.ln,fl url rlI ha\ir fu' rlrrlh.d.r.n{r!nr tryv!'l!li orsari.n701I5 byiny
<br />rppncrnr l,n r Fnni $hj.crs rll alpl'llnr t. r .'vil Fnnhy of mr rmr. rhrn li v. hondrcd d.lln ( t5lD).
<br />-1.
<br />!\ own.r lrllroFny.ormy.nfhltc:*irhurct,rrh.n!r((rnF(8&.n,*illd.rltwd{irh.nM@\d
<br />!tr.'rlal or dT.rsl f(r ek (So r0rr. B!(Ers lnd I\rtf.!$n. Coi.: nE (i,ntrttr ! Lf,cn* li} &a\ n.rllPPly ro.n owror
<br />rlr F,r.dy wll, h{Jd\ o' nIf,oB tlEK,r ui rho d(6 \eh nx( hinNll o, l ill o. nFuBh htr or hd nsn .nplo)E\.
<br />pr.\dcdrfidsuch rr{hEfti(dd d.dhdlrn'ri ir $1. lr,hr$.*ir h'ildi{.r irr{,nvem neBunhinorcx-
<br />.fr.r!th!\ rh. ()*'Er Bu rtd *ill h,E rlE tlnlcn oI pnr'ry rlu lE or Jr drl rn b(trLl r inf E rrE I'DIrny t(tr th. plqne of
<br />_1. r\ ouE, ol rh. F,{Eny, !n.r(tuiv.l) ronrer
<br />'nS
<br />s ih h(n<n .onkdro^ i. (!.{Mr rtE tn'rrr rS.. ?0,r. Buin.s
<br />d Prrdsrr(l)d. 1h.Contr(tr'!l-rcnr.Lrs ,)rsn,rlnnly!'rro*.Eroipr,IEdywh'hlildr nryo!.s ns<,o
<br />m{l wh) (o,r.htd{'.hFo|..6wnh.ci)nra.nd|)li.rqlpu.trMrrorttQJor&@\l-tcN.Llw)
<br />-l
<br />rn'.1d.' trtr,1.r Secrtr,n
<br />DT(I,ISAI]III
<br />I h.r.hy rxndun(l.r |r.nrhr or p.rjry!nc,'lrhc l,'lL,*int.1. Lrdnn'
<br />-l
<br />hav. ol rrll ,E,i,in r Gniftnr. or CbMd b S.l,rlBurc r,i $ a6r {nFn\J,r,n, x F,v'Jal ntr hy td n 'n ]7m of rlI
<br />I jhtr G\i1..l.r rhc ac'|,{nu..lrnc * ll(f }hrh,E!n rn sb\(,1
<br />I lrv. lrl *rU nDrnrln wod.E' .onrFNtrr bn D\urrh-... a1 auftJ bvS(rrnl]mo, rh. tjhtr Cqi., n,ih.tt formN. ot
<br />rlE snrli,tr whrlrhh |Ern[ ! r$trld. My*.rk(h r.mtf,.rlrr'n rNUrrE.(rtrN 4lFnq nlmtrt rr
<br />Crir:-
<br />Poli.t NN$.r:-trpw.
<br />-_!..nrlyrllr m rnc,x orroe rl ih. wor l I{r elrrh i his ltroir ! r$rl, I s,rll frn .n$loy !n, p.Fon r aoy ronNr
<br />s r\ r. l!$nr suhjd roOr *ird{6np..snon las5 ofcnnronM.,nd r8r rh{ rfI sh.uld bc.oB h]cct rorlE
<br />*or(.^ rcnrrEn\urion pmli\ioN ol S.(r pn lT0O ot rlr Lrlbr { ixl.. l rhll. fonhpiih rorply wirh rlDr 0Dvsnnt
<br />WARNiI{G lailur t' s.uE q.rl|d coqxNlrhr ewns. tr u.lartul. !.d slull sut'r.c' M rn'rk,t{ b cffirl FMIB al
<br />c,vil liE: ut' ro oB hu l..d rhou$d doll s (ilm.urlr. in rilron ro rh. co{ of cong.net'on. drE3.s 6 provit d lor rtt
<br />sr.rrn rl176,,lrh. t-Jhtr (i{lc.
<br />'nr.rc{ n'!.1rLr.,
<br />LIIIIIED.(aNISA{T.I8
<br />DECIJAAI!,N
<br />I h.rhy .nn und., ocMhy ol n rrury th.r I dr liaR:, u.d.r Fnvirion oi Cbnrd r, (.omftft!.9 rfi Scdai ?l)oo) .t Dirkhr l
<br />ul ri. lllsiics dd PoiL.sio l Codc. drl nty lt.n* ir in tull fo(. rrn .fiAt
<br />caxlllllclu.lg.Lrll)uc-6c[Ncv
<br />I lrEh, dftrnunl.r FNhyof Fri.ynd rrEc irr odturi,n LrnnsJ3.(y [r rlk ItrfGmE..f rh. $ fo, qh{fi rlsFmrr E
<br />iriucirse. llrr7,crr C )
<br />TPPLICANT DECT {RATION
<br />I hdrtv rfm u.d.. rEn.lry of Frju.y oE oarh. follou'nr &rlu.{ ionr
<br />D.mlirion P.rnit.Ash.{o! Ndifr{i,n lrLhl R.*!brl,ns lTrL .lO. PM6)
<br />-i.quircJ
<br />lJtr.t of lloif.ri,
<br />-l.dnyr,
<br />rh. f.,lcfllr.s l, idr EtJn,'nr a\h.ioi Etri,lil rF ,ri ,{'rrl'q'hl. t, rlr l[)r.r
<br />5L-l t.n '[ rh"r I luE E.J rh'\ rl]r.Lnn dtrl rr. rL{ rh. ii,v? trrormho. n .md I lsG to .onpu v itll trrl Ciry ,nd cdunry
<br />[.rJuu(.1xnJS!,rGljr\r.b,n'sr,h"l tr'B tun{tod trtrL u] IEFI'y lhrtr.(fr.*trkriv.sofrltrrCnyundCouorrh.nrduF,nrtr
<br />dr^c nrnrr)ftdfn,n nvLtr iNn cro. tuFBr
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Shealhinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Nrasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL
<br />Certificale ol Occupancy
<br />Notes, Remarks, Etc.
<br />trdc'-
<br />I
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