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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE IDiSIG.COMMENTS OllllFA AUIDEN DELCAR TION
<br />I h.rch) dflnnr und.r Fcidry of p.rJury rh0r I m ck.{it lmm th. G,nrerm Lrmr I tru for lh. lolkrwinS E$n lsd.7ol l 5
<br />Busincs 0d Pmt$ion C.dc): Any Cily or Coxnry wlicn ftqun.s r |Emn ro cotrrlul..lls, i prolc,.Lmlnh 'tr Rtan my
<br />dB1urq trir lo ilr n(uNc. .ho ftr|uirr llE lprlicd tnr suln lt,ml l. filc , rigBl dd.nsr rld h. or slF t litnEd I'urs.
<br />!o rlE Fovirir$ of llr Conh.rfr t l-t.nsn b* ((n.r,r.r 9. ConfttDs *nh sRrl,. 7m ol Divisi,n I of lh. SoriE$ md
<br />Pnrr.si'n! Cod.)d rhrr li o*h. k.x.rit, rh.r.fron{Ll rh. b.r6 for r,E rllqd.rmpru Any vidbr.n or S.<rion 7,.r I 5 by y
<br />{,pli.! ri,r a 0crmir \uhF!r5 rl* dppli.anr r{, r civil p.drrrr or nol mE thrn rivc hurlrcd dolles lt5fi))
<br />l- fi *ftJ of Gc F,Fny, .. nr! .r{'lorr.s rnh vr86 8 rhctr slc Nmtrn\dirn. sll d) llr *dr .,rt rrE rmE i{ d,
<br />inrs'.lxl tr oficE{ lor elc lsa 704,t Bs\ituss dd hotsrift CdLr TIE CmrRlor's Lt6c tir &Er ml {nly lo d o*tur oa
<br />llE F)Fny qho hu <! d rtm6 rllc'^ !d wls dEi sh vit tirrclf d lEEl, d lht[at hn r hd ow..npl.F6.
<br />,mvil.d thar sBh imF'wEds e r{ id.rd.d trofi.rul fttr sh lt lr'k6, rtr ltuillhg ir iqmmd il sU wlhi. itu te
<br />of.oqhrbtr dr Owrcr Boihd will lBw ltE ti!&n of lrcviig thd tl or tlt did er buikl or i'r{m!e x nn'Fny fot lrE llutnEol
<br />l. rio$F otrh.Imllcnr. d.r.rrrnd,co rding rnh [a.sl.o'trrcdoF ro on(nk1 rlE ,reitr (Sd '7Ot4- Arnms
<br />ani hn6rincdL Tt Cont{of s Li(n* h* d6 n .pply lo !. owmr of rrcrsl, *ho t uildr or tmllots rh.rn n.
<br />lnd $h, .ontur lor \kh F,j&1s wrh r Co dons) li{ns.rl irrunr ro trECo, rul{"\ Ltc.\. t!r)
<br />I n.rr Dr unLlfl 5r!r'{'
<br />-" .t'( t9[+t L.,r"r*l
<br />I rtrxt,y rlftNundcr lfnllryot IErJUly utrcolrlE nnhwnrr n*hrd
<br />I hlw ud qillm'nt.in. Ccd irr.k ofc(,rcnr ro S.lr.lnsuE f( uo*s conqnrnaon, N rmvlLd fitr b, Scri,n lrm ordE
<br />t-*u Crn.. rd trE F'fomEm. orl,E wo'lt ro, stah rrr Fml is trEn,
<br />I hit ini sillm'nirn *n .rr ro [rtr\rri{n mtr'r'f,c. n\ rcqut. hySr.ri :]7(xrol thc lrtxt (i"t. nr rhc nc,l,ttu(.o{
<br />rh! \orl,,tr *hi.h rhAltnnlr l\ n\kl My {ork.r( ..nq{r\nri,nr iNtrn rrc(nnicr rrltx,l(y trunrbd xr.
<br />_Ernir.
<br />I c.dili rhar itr rh. FnnnmE..rrh. *ort ror whi.h rhis Frnln ,s i$kd. I shall not.nphyany ttron rn sy mnBr
<br />q' r k, h.(m suhFr t, rh. w6 ..s &ntt.sio. Lw( olcal,fomi!. ud n8E rhd ia I ih{B trrotu $bFr'6 ilE
<br />worta(.rrBEEri)nphyisi'ns.fSd1tr'n.!ruofrh.htnrCodt,Iihrll.fdhsirhdtr{ilt*nhllreJ'nrtirions
<br />WARNINC Friturc b sm url.( .oqE e'hn or.B$ t unl,w6,l. .d rE ll \uhF! d drpbFr b cimiMl FEIiB r,t
<br />cill fir.\ rI) !i oi. huidrud rhau{i dollrn lsl(x).lxt)r. r !dd[(,n lo lh.T"t 'f;1r*"*"*"* ""'",".,'ullgpl
<br />IIDIIIB{IIIA
<br />I h.rcbi rlltnrunbr lrnrliyolIrrju,y lhnr I ! lL$Td ufrls I'lo!tri('nor(.ornnrn.nx with Sali'tr TOOO) oll)h$i(n.l
<br />,,1 rl'.ln\nrc*a.d l)r lc$trnxCo(lc. nrl ry licctr\( \ $ lull h..c dl
<br />SIIiIAU{:II1)NI}JIDIISiAG}NCI
<br />I h.r.iy orm ud$ FEIy or Fdury rhd rrrE ic a .o {Mrhn lc ins !a.ry rd rrE Ffi,ffi rf rlE $rt for *t*h rhr Fni i!
<br />nMd (sN.3097. civ c )
<br />Lc.dcr'r Num
<br />-
<br />ATTII!]ANI.DES.ASAIII]N
<br />ltud'rrlimu j.i Fnulr, otpdlury.B orttf, r(nbrinS d..l0r.lt'n\
<br />Dcmn n,n Pcrmir\ A\l8los N.rincdion lidcrdl RdBUldi'.\ (Tnb,atr Pd6)
<br />-*.quRd td's {l Nd'furiu
<br />l.od'itrhd rhr l(l(rl rulald (,n' n:S&hn8 r\tr{".tcm,ralrrc '!n lppli.fil. r, rhn fn'rLrr.
<br />4tnili rh"r I h"r ."d rhis a])plilrhl std s,r. rhfl th. dh,E inrod ion ,i or.crl. I rga I
<br />onlmn(r !'rl Siar. ttr!\ n'hrine ixl .,n hcEty &uhnrc rcrmc txt!or
<br />dnlc nrnrnrrcd ,,n{.ny nt
<br />Appll.rnt o. AS6l Si,rn6ltrE (
<br />P*rt- -,.,,'ino, X rir o co,rply q(t rll CiyrndC'6ury
<br />rh'(C y.nd coMry r. mrd uF,nrlr
<br />^,.. t4t!(zt
<br />Set Backs
<br />FormsiSteel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roo{ Sheathinq il/6/zt rtD(?4 )
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Beport
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL 6/sl/zt fzr.r( 91
<br />Certificate of Occu anc
<br />Notes, Remarks, Etc
<br />Bev.08-07 2015
<br />Subf loor/VenVlnsulation
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