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BUILDING- INSPECTOR HECOBD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILD'I D[I('AI TloN
<br />I h.rchy lflirm undq rnalry of FJlryth.r I m.r.t{ rbm rlE conrudoF l,tcok l* ln $. rdk,wm! E.s,n (SE 71,:ll:!
<br />Bulift( .Bl l'tulcslx,n Codcr Any Ciry or Coudy vhi(n rquik\ . lEmn r, $n{ru{r. alrd. in?nt. &nrirh or EFn ey
<br />{urur. rrt, ir\ iso.n.. rls EquiB !h. qlnla.nr r,r.xh Fiirir r) tiL. \i3ftri {d.mr rhd tEor dE i< licnGi iuN.n
<br />r' rrE nn'vsiuN ofrh. ConrBroa\ l-ienr.rr ljw (C h,rr.r 9. c"nrmncnr8 *irh Sccrii,n ?(xD ot Divirhn 1.r rhc Burin.s und
<br />I'rDrc\ri)n\ CnL) or ih2i lr or \lE t.rcq, lh.rcfnn.nd rh. tr{t tu rlf, iL8.rl crc.lri.n Any ek,lrh. o, S.\ri,n 70.1I 5 r'y ay
<br />lltli.dtrr r(traFmn ruhj(l\lhc apnlicrnlx' 0.ivilpcnalryornor nhrcrhnn fiv. h!ftjrcd dolldr($5(I))
<br />-_1.asow,orih.FoFnt.ormy.rFbFdwilhwre6,rlh.tq,Lotrqt.dx,n.PilrdollEwt!,nllrirdEkn,,nr.l.L{ .. olId.d for eL ( 56 70,t 1, Eusielr lnd ,,rof.shn! Cd.: Th. Conlrsxtr.s Li.cne l,w dx. ft tfl,ly b rn iurer ol .ilr ImFny *tn hildr d intn'B ilr64 rn *b dB uh qrl himcll or tlmlf or rhn !!h hn n lE oq.r{,hr.<.
<br />In,vi,.d rhcr $ch imlrlrEmnr\ E rn inl.ul:d o. ottqol lir st ll t$s.w. rhc hoildi4 or irymwmil ir s]U snhr om Fu
<br />olorplri4 $. CrqE, Bui!.r wi! h.E llE hd.. ofFolird rtd hor nt di! rn t ild hlmr [. F,Fr, r(x r,i FIFEur
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<br />.\ o*'F.rr,E FoFny. rmdrLrnrlt cod,{mg sdh ldNd co klor nr (rrn{tud ih. F r (Sa 7{}{r. EurilK
<br />lnd Pn,rf,,\ir c(dc: Th.Conrtrloir L-kcnrc Lls d€s nol lnllyh, uuwftr ofrttuPcnyqh. builds or rmpovcrrh.rcon.
<br />and sln q'dEt{ tu sch roj.t. *irh r (bddonn litned tursunl lo lhc (tnlr..loi. Ltltr{ L,*)
<br />Itrf'r(.trrt) , rl- \L.ri,nr , B & P.C l(rrhir rcrq,
<br />llr(e ()*r..
<br />llll8[li&l-.llDlfENLllXnil2}](].lf,lllali
<br />I h.nhy rfilrnr rn,ld |*nrkyol,rttrry.nc olihc i,,li'$int J..krr(ntr
<br />I har. rnl ! rll tuinrri. . (tnrf.it. ol Concnr r,, Sclf INUE nn *ork$r ro'nltnurn. !\ Ft'rird lin by S{trirn :l7ll) iif rlE
<br />l,hn Gilc- rq rhr pdln.,*-..frhc mrt Lr !hi.h rh. !.rnr n n\Ed
<br />I hrvr rtrd wrll mainr.r *o .rr.o Dcnsrri.,n 'n\uram.. r! r.qtrtr.dhySaltun17tuolrheInt r Cod.. for rhc P.rti,rmN(.f
<br />th. *o,k for whahrhnn mir i{ i\sEl My ro.kdr' Llqrnd$n rnrurE. . ir {nI,liynunftre:
<br />-l
<br />(n'ly rhrr m rlr Ffortutuc ulrlE ro.k f.. trhrh thF rrcrnnr ,r k1Kl.I rhlll ft, .nlcb' lny F$n in lnt tunrr
<br />v, rs t, h{om rubjr\r lo lhc w. cl\,comPcnqrn,n hwsol('trlir(mil Md i{rc rhd iII ih'uld t{rom rubj.Yr k'rhc
<br />uo.kc^' oqlrqr n! pnriri('n\ of S.(i'n .r'r l ol rlr lrtrn Cci. I \hll. lon htr h otr{ y enh rE,t pn,rrnni
<br />WAnNNC Fn,hr io ru. *ork.h' dnnac.srin ov.hEc it u h*ful. md \h,ll ruhFr m .mPhF to nmitul F,!ii\ .nd
<br />n, o'f, htr lr.,l ihou{nd doll \ (11(r).(r[,r. r J(lLlikr ti nstion- dlnus$ !5 Pmvil.d tu tlr
<br />!f rlE bhr clr.l. inrcrcc.nd drftv
<br />lsl tY
<br />^pgla,
<br />'L
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<br />DE|j!IAA.IIO!
<br />I lErcb, .rm u,i.. Fuhy ot F.pry rh, I rn litnGl unLt Fovirbn o, Ct rr( 9 lonmmin8 Eih Sa-ii'n 7{rD) or Diiri)n l
<br />ol th. UuriR$,nd Pmf.sionr Cod.. lrn my ltcnr n i. tull to,e dil clli{1.
<br />I r.nE ('h( , I trc
<br />-* 1o]3/8 . ...*..,.. X
<br />l:oiluauql]tlt.l};dDlN(i-acEacr
<br />LEEhy .rrn !d.r Fh.x, or Frrury rhd rtn. n r .t,f,s*1hn lndins .scmy rDr rlE Frfomn. of llt wk fttr whah lhi lEni ir
<br />lriEd(ss .1,{)9r, civ c )
<br />l(ndca! Nstu
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<br />APPLICANT NF('I {nlTI(IN
<br />I l\l!r', lnm uBhr F.rlry orF.jurt or rtrlE nn[,unrs.lc.l,nli'n!
<br />l x nrl ln acmrnr A\lEnor f&n ifrd mn Fdl(rl R.8! hri,n\ ( I ir k ,l0- I' la,
<br />-Rlrtuicl
<br />kllcr of f*iitudin
<br />I (rl ifr rh.r lh. l.icrrl rcBuliri,ni E3urnB Alinor Ffr,rrl !E fr +Pl-at ch rhr pNj.{r
<br />r&lmr$ 0.d Sror.tj*rEhri* ro hiuing
<br />J[tr. nf,trr(,nrJ t,ritt \ kn tf,.rtr] r,,trr
<br />,\ppli(x.r or 1B$r SigMlnF :"."i;EI"ii*"*
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />ltrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certil.
<br />FINAL '!tq/t->n->eh-i )
<br />Certif icate ol Occupancy
<br />Notes, Remarks, Etc.
<br />Forms/Steel/Holdowns
<br />Brown Coat
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