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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS or*Nt:R BtrlLrrER DUr,( AR,ATTON
<br />I hftby rrm undd po.lrt ol Fdjo.y rhd Im.rmrr num rh. (irnrndou l.icN li* for rh. Lllo$in!ra)nlS(70rI5
<br />B!sin63 sd ProfNon Codc) Any (
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<br />b fi. Fori.hB ofrh. (ir.rktors l,i(m*d l.$ ((tut d 9. Conn.rcrns s''lh s.dion 7000 .aDnision I ofth. BurinN lnd
<br />Prof6ioE (.od.) or lhll lEor$. i!.rmpr lhscnom md lh. t!t6 Lr rh..l4.n.\dpio. An} riolliion ofs.di,n 7011 5 b) lnt
<br />,p9l'csrfoDFDnlubj(h'h..pFl(.nrro..nnparhtof ft{morcrheiir.hu.d.ddolle($m)
<br />l.6 o$E otlh. p.oFnr. m i! snrh!6 r h tr{.d 6lh.ir r'k.o.rrdF.. rill&rlE$attnllElndd!nc
<br />iidiLd ( olI6d fs dl {Sa 70,!,!, BailB md Prnl6sG ( dL T1r ( on.do.s l-aoE L.tr (i,6 tul qrly b o$ffi of
<br />ilE FbFiy Flb hi d d qss\6 rlEotr sn q b dE sh tr..! h'lElr or lE*lt or rltousn his or lE oun mplolc-
<br />p.!rii.d rh.i 3wh mForsEr! c d dad.d n,I6!d ft, rl. la, lb{6q. llE hlillhe m inslEEr 6 rB eihin aR !6
<br />of @trpt ia rlE OqE Buil,s siu h!\r rti hlr|.n orFrlt rhi lt d rn. dn d hild or unF.orr dE FoFry rw tu F,FEof
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<br />ed P6lsi, Cod., Thc C6.raoa! l-16.. l-.* d€ fr{ glplv to x otr n6 .t Fo!.n} r lE t{ild! o' inPror 6 rhcmn.
<br />r sho o dr,tr iuch Fojai' s h!(odBlo(r)li(6!61p(Rierrork(n rd.as Lt.e L.tr)
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<br />I h6.!y ailm und6 p6r.lry of FluR on. oflh. n,ln,s'n! d(lararn,n.
<br />I hav. dd will maintoin o C<lilirar. ot ( oomr ro srlr-torur. ror $orkd' .Drnpdsar ion. s Forid.d for by Sd ion r 7(x) f, I rh.
<br />bb.r code lu rh. tsaoroc. of lh. qod nn $hi(h lh. porir t iaru.d
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<br />th. {rk for $nich lhn p.rmil ii su.d My *1rk6s' cohrheh.n incurM.. carid and Flicy numbs c:
<br />PolicyN!mbd
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<br />'hd
<br />if I 3hould b(or sb<l io rlE
<br />*o,t6 Fmp.6.rior poyiliod ol s.dirn 1700 of th. t,hor ( oda I tull. fonN nh o.,q,ly u n[ lhos FoybioN
<br />WARNINC FdloE b KE. srrt6 ..np.rEni,n (\6{rc c u.hsnrl .,tl 3h,ll rbJd M aplo}E
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<br />ainiDl FB|B dd
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<br />Iidmn 1016.ffi. Lltri (ii€. ml6.! d
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<br />of th. BlsilB.rd Pr.fsioB Co&, rxl ht l(.a i! n tull f.r( an dfd
<br />Orr, \ / /O /'?
<br />I h6cby arm urd6 Fndlr .f FjuD- lhn rhd. ! ! cadr ruc! itrn lcndinE t!o., fM !h. pqfomm. of Ihc *orl ror $ni$ I hir Fmir it
<br />i$u.n (se.1097, cir c )
<br />tmd('s Nd.
<br />aftu(6tfDr(I.alAllQ!
<br />I batht aFm undd l,6.hy ofpdjury onc otlhc nnhRin* 'jakationt
<br />D.nolnion Pmns A!b6ro!N.ri6.dion l'.d6rl R.gulalionr(Iirl. 10. Pan6)
<br />R.qurd Idrd of Nolrn.dbn
<br />I cdiay thd rh. a.dd.l r.!!hlbN n*{d'ns .rtEflx .m\ e. rur 4r,l$bk trr rhb poFd
<br />lh. rhr!. in,orM'o. n $trd I.grdro.omtl! *nhdllCilt. corntr
<br />tr -d IEGID !dtl,ri,. r.ti.sdn6 of rhis Cny rd County l. dl< !ri.n rh.
<br />T /,'4^/ rL<
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<br />_,, il/rz
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing 7/it Irl.I tL;V b )5
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drylvall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Repo(
<br />Engineer Final Report
<br />Flood Zone Certif
<br />I
<br />FINAL 1 A\1 I //t, (ht
<br />Certificate of Occupancy I
<br />Notes, Remarks, Etc
<br />*--z.,:
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<br />I
<br />I
<br />I
<br />Pool Fence
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