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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OI!NF]R BU II,DI]R ['EI,(JARATION
<br />I hrftby ,lltr'n oiddr Fnrlry,n frlury rhir I m c\cmtr tu'm rhc Gr r&iE t.i.cns lnw li,r rhc n}llowin! (rem (5\...7011 I
<br />DGni$s dd Prrna$nr Celc): Any Cily or C,,utrly whrh rcqurcs i lcm n' uon(d.r. ,lrc'. rmtruv.. d.nxrNh or mFrtr ,ny
<br />nn'.lur(. pdrlo ns hn'ancc, aho.cqanc\ ilt appl'.rnr ir{'c[ p..mi n, rilc r \i!tr.d nxr.rmnr rh.r h..r dr. is lrccnaal nusurnt
<br />1,, rlr t$vreo s ot llr Conlrncitr s l,rcn{d Law ((lhlprcr g. ConrmcEing *irh S.citr)n 7(l)() of Di!'sn,n .l of rhc Bu!tr.\\ rn,l
<br />fn,lc$nn, \ Co'le) or rhrr lr or lhc s .rnrfl rhcr.ln,h rn'l rhc h t ntr rhc rlklcd .(nwon Anyv{l nnrolsc.ri,r70.ll5 hy.w
<br />rpllunrlnfu pciinir sublc.hlhc lppli(rnrl,,a.rvrlncnillyolnolnnnclhrnnrchunJrcddollrrs(S5U))
<br />__1. r\ .{i.r or rhc pn,Fdy. (r my c !royc.\ wih qr[cs r\ rh.r sld rmp.trqhon. *i11 ,]o r lf, sort .,xl rhc (Br@ t nor
<br />mlcnlcJ or ollcrcd l'tr sllc ( S&.?(}44. annncsr and Pnnisons (-,ilc llr (intrttr ! l-n_cxc l-iw docs nor apflt (, dr oqn.r nl
<br />rh. pn,Fny sti) htrild\ or hF)vcs drc,lr ,r Rk,d)cr{'chtr,*hinrscll.rh.rscl,orrhln,ahhrorlrrowncnfk'yc.\.
<br />povdcJ Ihr $.h impovcmnr\ ar Rn int'rt'l or orlbrcJ lnr srk I f, hoec\tr. rh. ho'Uir! .r in{ovcmnr s n'ld *irhi! o.c y.r
<br />.l cdnlrklr[ rlf, Own.r aurllcr wnl h.vc llE hurJc, ol tn,vmr rlrlr hc or lhc nd trn lrilt or iryrrovc rh. nn,Ircny lnr rh. lJrln{ ol
<br />_1. rs nsmr ol rhc lln'pcdy, in c\.lo\ iv.lt conrlrrmF w h hccn\.d rcnkNr{ r) consrru.r rh. nnj..t (se ?o&. Bunn s
<br />rl ftlLasrnr CoJcr ThcCorrn(rtr \ Li..trsc Lr*rlocs n rapnly(,rtrowncrolp'olt y wh) hurld\ or rmlrRnc\ rhcrcon,
<br />lnJ wl$ contach lnr {rh pn,jc.h w hrc(, r,(k4n licci{d t'nntr bihcConlncntr ( l.iucnsc Las).
<br />I iD.(.nrruDnc!S.cr!)o .B &l'C turrh'\'.r',,
<br />rvoR(Em
<br />oscla! roN
<br />I h.r.ht alltn nn,l.r lrndlrrofp.rjuryonc oflhc blk)w!{ dcclmlrcns:
<br />_l lhvc :hi srll nuinun a Ccd ilicar. lcdnknr h Scllln\urc lor workcn' .onrFnsarDn, rs F)vind hr bySc(rioo.l7O0 otrhc
<br />LJtx (i\rc.l,{ llcr.ai,mJfr'c n l. {.rI rr *h(hrl-r rmnrF t\uRt
<br />{, n"* *u . r, *.*." *, '*cr' q,nnctr\.r k,n trAtrrunc., .s r.quncd hy sc( nn I7(xr ol rhc I ibor cod.. lor rh. ,.r,omnc. ol
<br />rh. work tu which rht I'cm is nsrt' My *orkcF omr.nslron insuakc.adcr ar E)licy ntmb.r d:
<br />/...,",",, I N 5, co. oF Th e uoes-r-
<br />/-r,,rrcy runr,*?rr o"1 tloa ,\.,",ta -,zoze
<br />Iccnilyrl r,n lltr lcrnnnhtucollhc work n, whrchthi\ F_flnil n F{'cd.I dull nor cmphy any lrnon in any m i.r
<br />$ i\ n, lx..om suhjcur r, rh. wnl.r' ronlp.n\ari(r hw\ ol Cal'ronH. rftl d!rc. rl'ir ,r I shull b.qnft $hj.ct lo rl'c
<br />work.^ r.'nFn\rr('ntR'eirtr,tr\ dfS.crtr)n 170{}.Irhc l-ahtrCulc,l dhll bnhq h (nnlPly wllh rh]sc [tn)visDn\.
<br />1VAIrNIN(; l'riluc l,) s.rc Mtrkc!( c.nDcn\rridr.o\cD!. r\ utrhwhrl inl (Nll {hj&r r.mok)ycr h dimidl 0tnxhbs aiJ
<br />Sc.non 10?6 ollhc l- rtr Cotir. int.r.( Md.rtormy'\ fei nl (crY. ,*",A:B=2.9&.X ^o,,,
<br />, ,?r/.\.4r ! <:-a c,i A,l-t/
<br />ucElsEugDr&tqr9alEq4!!u(l|lIhrfthyalftnrnJcrFnalryorFduryth,rl,mlMi\.duJ.ipbvst'n.rchrflcr9(.onrnf,ncnrsvilhSeli)n70(x))oIDivis.l
<br />o, rhc Bunn.s rtrd l\olisiuNCo,l.- ! my licen{ h in tull t,N *l crlc.r
<br />c-za X.*,***,*. 1aLq61 z-)<,.,"
<br />Cu"r"-;czc
<br />",,*",,,.
<br />q-rF u e/3 t-/ tr'Ac
<br />cslsrB.uero!_tENulNc
<br />I lrcEhyrfinnu d.rFtd(yolp]luryrhnr rhcrc i\,(nnntcrion L h!itcncytrhcp.rnnnunucollhcworkit*h hrhi\lcrmi is
<br />r{i.J (S.r .1097. Civ C.)
<br />AIIL&AXLIIECLA&dIION
<br />I lrNby rlllmr tr .r lf,nrlry of Fr.JUry onc.l lhc ft rbwnrg'l\.'lmrn,n\l
<br />I)cmolirior P.rnik' \hcd.\ Noril'cain'n F.Jcnl Rcluhrn'n\ ll ih,10, Pf 6)
<br />_R.qu .d ti crol Ntnfirar$n
<br />l.cn !lhdl r l.dcril rcstr L(r i,,ns rc3{nliry lsrEdo\ rcn[vrl irc n.r Nprrluhk b rhN p(+cr
<br />Btsriry rhd I hrvc r!,1rhh ,ulicarbn ril d,r. ih.r rh. rtxrr rni,trturtun ncotur. I rsrc b.omdy wnh.ll c(y atut c.ndy
<br />ord rnrcs 'lSrrr.liw!rtl,ringbbu,l'i,F(nnmcri( ..*llNchtrurh.trtrcr.t.{nrdirrsolrhNCiryaklCoutrl}rocnrcru0,nllE
<br />rhorc rRnrk,NJ nn,tEnylnr insl.dk)n purF)sc\
<br />l(o\,\nnlicnnr or !cnl Sirnahrm
<br />L c r d
<br />? -?,-zo'z.c
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Rool Sheathinq
<br />Shear Wall I lr lA
<br />Framing t',,AN Ihati&.U .N..i
<br />lnsulation/Energy
<br />Drywall
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />t ..2
<br />JINAL zll '2<)Aa//Ap W
<br />Certiticate ol Occupancy
<br />Notes, Bemarks, Etc
<br />\.\II /-7,
<br />w/-C.
<br />!
<br />UFER Ground
<br />Ext./lnt. Lath
<br />Brown Coat
<br />x $r tCrcttf'c;, .AroX>.
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