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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMITENT:}O\f, NEN BIIILDER DDTI'AN",\TION
<br />I h@ta ailtrn u.d( rE$hy or Frur! rhlr I m .rdri n[m rh. C.ntrd.r' LkN l.s f.r th. Iollolhs n&r (56 70rl 5
<br />Burin6s dd Prorqrion Codc) Any ( y or Counl, whi(h r.qut6 r Fn( lo o.rod, !xd, imtrove &moltsh "r r+8n ,n)
<br />srtu.ru( Fior ro iis is:oecc, ako r<un6lh. applicd for such Frmir b fil.s sis..d 3t.lmdl lhsl h€ordt u ltd*d PuEusl
<br />ro rh. I'lyisnrN otrh. ( o.rdoir l-i.nkd t * ((h.pr6 e. Comnmrns s'lh Ser6n 7mo Dl Dnision I ofrh< Busin<r Md
<br />PsfsioN co&l.r rhd lE or slE i! crmrl lhEctom r.d lh. t66 aor rh( rlh.d.roFlirn Anr_ virldion ors.dnn 70rl 5 b!.ni
<br />.rplic.,r for d rEn sot!.(li lh. rml'.dr ro r.n il,.Mh! oI mr m.. rh.. fi r. h! t.d &,lla (t5m)
<br />l. a1 o$rd ofln. rmp<ny, or n, ontloyB *irh uttls ( ih.n sk (omrft ion. silldo lh. $$t ei rh.sf,(1'ft is nol
<br />riod.d or orncd ror Ek ( sd 7044, Borin6 dd Prof6lnrB Code llc ( onrrrclois Licd* l,w &6 nol fl|Ply k) an osnd of
<br />rh. I,.rdy *l$ trilA.r inDro\€ rlxror rd sho &E uh *!n hitu.lror h.r*lfor throuBh hir or h6 o*n dlplot.6.
<br />pro\ .d rh,r $ch 'rym\dffik @ d id.itdi or olrad n'r sL lf. lFu.-. rrE tuiHin$ d inq$ffr b $|l qnhh on. !@
<br />oaconpl.tnq rll(hF lt{ilrkr $rll h,!. rlE h,&i.fFn$t rh, rE or lrE 'jd mr h,'ld or rl[\. rt FDFq frtr
<br />'lE I!'FE or
<br />L d o$nd olrhc Fn1,dly. dn .r(hEiEly conllacl ms s rlh li.oL:d .onks.(ru k, .odrucr I h. Inid (56 7(x l. IIB Rr
<br />.trj Atrksion ( od. lhcConlrack r L'c.ns.l-.* dot ndr qlrlvro Mound ofprop.ntrho buildsorimrro\* rhd(n.
<br />nnd rho..dsl!rrtrru.hFojalr{nhr(onrmro(s)|i..@dplBdk,lh.Conhd.islI.Gbs)
<br />I mclmDr undd sclio.
<br />D.re ()sn.r
<br />woR(FRS; aOllrPrrNSAl lON
<br />llrg,6aalr0x
<br />I h.r.6r aftuf, undd tEnrlrr oiFj!,) oncolth. folhsnu dNlrrFB
<br />I ha,cr'ds'llmrtri.acdifrr.of (olE6l to S.ll.ler. for Htrld soF$db.. s Ftil(n for br Sdnn !700 ofrh.
<br />lrbor Cod.. for rlE pcfotuc of rh. *ort tor *hth $c Fin 6 isu.n
<br />I h!( rnd { ill n.rhrai. *0116 (omrftltior iNUEnc., s r.qun.d by S<ri.n :r 700 olr h. llh.r Codc. lo, rh. pdlime. of
<br />rh. *o.t aor *hi.h rhi! Fnir ir ilaEj. My $ort6 mmFrsion iBUrB. cmi d policy nlmbd tc,*, .M"G,-"J l*,,.- G^a.-
<br />",.,.,,-*-.416( 8t+23r,. / ,..{- sf t llr
<br />l.dit lhn in lh. psfomlNc of lhc wort for *hi(h lhi! Fail it i$u.d.l $.ll not mploy lny F$n in et nMnG
<br />$ s ro bdom. $Ural to th. Nn6 onFMion L$r of (ni6mia ud i8G thn ilt lrbuk t<ooc sbid' ro lh.
<br />sort6 otr{Esdbr FDrniod oltsr io. 1700 of rE r,trE Code I dEll. tdh{ nh otnp[ tr nh rlbr F.ririoB
<br />tl lRNlNC [ilu'. h ed. tru\6 comr.Gtion Rn m*. 6 uhn tul. Dd bF 6rplor6 ro rnm'dl FEi6 tnd
<br />.'r,l n.6 up t, ok hundr.d rhonund dollds (tlo(,(xx)). in addtrlrn 'o
<br />rh. corr mrmdnrn. d,nlar6 !r n o\i.d ao. rh.
<br />t?t
<br />I hnor- allm uiJd F{n) oapdj!ry rhd I m lr.nEj un& Fortior ot(tlpls 9lonffirnl $nh sdF. r()(Jo) of DtrBEi r
<br />ol lh. Burd dd ProfdioN Co&, mi m, li.tr n m full aorc 6d cfitrl
<br />.fu 7ae3U;:'7
<br />corsr.EiJ(Ila.tlrElDltti-dc[ltY
<br />I h66,,\ rIIm undc Fnah, of pdjory lh,l lhd. n. con$ rud ion k dins ari., litr rh. pdfom c.oith.rotk (Y $hilhrhisltnni b
<br />sr!.d lsd !097.(iv ( )
<br />AITII(AILDECIIa^IIA!
<br />Ih.S) dlin r.&r p6!lry olFr- r,. oE of !h. folLwht d(Lr.rrns
<br />l).nohiotr PcI r'Alt6ros NoriarrrFi F.<kril R.rulahnr iIdL 40. Pd6)
<br />R.quncd I c ( ol Nor&dion
<br />D
<br />l.difyrhd rh. f.d.ralEsuhrnr$ rs&jins ash6rGro$.1tr. tror qtln'cahL ro rhis p('rdl
<br />I c.lr$ rhd I h.\. r..d r ha rppl$r nn ,rl srd. rh, rh. 8hr .F. it cor6l I aara ro 6mpl) sih .[ ( nt tnd (ouniv
<br />o,J'nf,N6 and Srd.l,nsEldrlu I h..u. rqf,.dii\ 6 olrhlr cn!.nd ('.!d,'ro arq qrn tlE
<br />rhn.ffitrcn.aFopdy nn
<br />u)C
<br /><7
<br />d,t a
<br />,,,' tf>sf,7
<br />Set Backs
<br />Forms/Sleel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathinq
<br />Shear Wall I
<br />Framing -t?/6/t7 /&rtl
<br />ln sulatio n/E ne rg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />t
<br />FINAL Blultf .t&/11
<br />Certificate of Occupancy I
<br />Notes Remarks Etc
<br />?)
<br />ll {r C 8 z,cr<
<br />t{^,o&sf /t
<br />L'4
<br />n
<br />I I t
<br />Ls+\,.
<br />L (Aa^r rm 1-
<br />,r ,- >) n oo-,\t$)
<br />O
<br />74
<br />/6
<br />/?.do1d
<br />Flood Zone Certif.
<br />c6
<br />a
<br />I
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