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BUILDING. INSPECTOB RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS (rwNER BrliaD!:R tEl-a^ -
<br />Ruu.\\ nnJ Pn,l.sion CoJ.):
<br />^tr,
<br />Cny or Cotrnry !hi.[ rcquE\ r li.rnnr k) conidcr. ]lrcr inrpolc. dcnn,ltl, or mt rny
<br />rtDlo$l Lrrp.rnri $rbj(rrlr rmlritrrtordv'I|xnrlrvoln.r trtr.rlri I'vc hrndr.d doltds (S5m)
<br />I. r\ owmr ol rhc pn,Fn ),. or n! cmpl,'y.c\ w n wrSs !s il[tr n'lc .onFn\rri(in. ( l do !h. qod( rhcntuhNnor
<br />tr c,rt.J or .l]ry.J lnr \alc (S( 7(}1-1, Ruin.ss MJ Pnn.$r,n\ C(ilcr t h. C.nkrttrt Licn€ tlw d! $ n.r {ltlly r) nn owncr ol
<br />rlElh)pcny ulx) huilJ\ n n{r )vc\ rlrR\r. rxl wtx, ,l(f,\ \i.h Mr* hnnscll or hcn llorrhtuughhirorncro*n.n!,loycc\,
<br />pnvi'lcJ rhrr su(h in,lnortmnh u. mr u cR]cJ rollcRl hr q-L ll. ho[cv.r, rfu huluq8 or inVrorcmnr n n,Ll qirhm onc kr
<br />ofdn!,hn.tr, rlE()wncr Burtlcr silllLN rlE turdo o,nl \$! (lur lrorshcdil n.r trikl or im0r)vc dr pn,Eny tl'rllE ntrry){ol
<br />._,. arowkrolrh. l)l,p.ny. rm.r.lulvcly(onrrr.rnrS wih l,ccn{cd c.nrnrrN r,,!{'ndru.r rhc pnUc.i (Sc.. ?0.13. Bu\nf,$
<br />rRl PNtassDtr Codc Thc(ont.(nr'(l-kc i.l-aw(ld\ norapflyb rn owkr ot |r,lf,dy who hu,ld\or inrpro\s rh.rco.,
<br />ann sho conrmrrs lbr su.h pn,rlk prrl . Conrra.b(n lNn{cd ,,usu riorhcCin racrois Liccnsc l.!*).
<br />-l
<br />am.r.n,pr tBlcr Sc.rinr-,ll. & P.C. torrhn rc.tr,n
<br />.u)45!&s-qau!E!s II.()N
<br />l1&(.!4-8dr!o!
<br />I hcr6t illn'n nnn.r |ilhlry ol lxriryotr. oltu r(nhwr! tl..h'rrions:
<br />lhrvcrD'lwillnuinrrin!C.niliu.rcol(inrsctrrloScllrNurctitrworkcnrompcnsrri,,r.asF)vnlolturhySctrtr.u(noirhc
<br />l.$,r (1,rc. r, rh. Nr,{rn{n(c Il. tr,.*'ir whnh rl.. Rrnnr . r{'c-/
<br />,_l h: vr r",l $ill'hrinrrnr w'trkc^ u'nrFn. i,n'i'Itr','tr!c.!srcq!trcJhyScrrnnl700olrh.L$ora'Gj.,lnrrhcF.rl.rtunccnl
<br />rh. wolk Ltrwh'rhrhrs Fchnn rs a\srd My work.h' co.I.n\xr(r, irs$r cc cnftcr dfx'licynurhcre
<br />,...,.,",,. hwlL(l C-OIA ZWt /;t- w- siJatuoli I I
<br />-lccdilyrharinrh.!.rfornrur.ortuworkntr!h'.hrhnt{ra,ir
<br />r\ tsu.J. I \hrll hor cmpk,, rny p.Eon r rny n ntur
<br />s) 6k)hcNntr suhtd h rltr wolkcF' conrt)cNI n'n hw( olCrt'lirrnd, md.!N. rhxrrfl sh\rki ix.onE suhjcct n) rh
<br />workcs' .onD.trs.rion tkrvN)ns fs..ron 17(xlotrhc l-rhrc(r]c., null,l')nhqirh(omply q[hrli,* pnrvri('n\.
<br />IIARNINC l.3'turc n, Ertrrc k crs'co ,I].nsrri,'n !1,v.ru3. r\ unhwlnl nl \h3ll sut'j.r! an.mpl,'ycr t'.rimi'rl Fmlr.s 3n'l
<br />Sccrnrn 10?6 otrh. Uhr Cd., dr.n atro,my\ ri.\.* V-atrtla t{Jo/la'
<br />t-tt t:lsttr rrrlitr,rt-'t'ot I
<br />!.1!r! &!rc!
<br />Ih.Ehyaf&munJcr llcuh y ol tcrJury rhnr I lnr li.lnlrl u c. I1tr)vNon ofChrt'rc! t) (.r'mmncins wirh Scdnrn'7($0) oil)ivnion.l
<br />ot rhc Busnc$ rtui Pdasions Cdl.. drl ntv lic.n{ i\ m tull ntrcc nl .lfc.r
<br />o q*v<v
<br />'r ll.l .r-dl-o Ir-I-
<br />( oNsTRUCt()N |-ENDIN(; A(iilN( l
<br />nn'cJ (Sc. .104r. Civ. (.).
<br />l; 1rN, n"
<br />k ., \ \lLl.*:
<br />AIILLCANLIDCIASAI,EA
<br />I llrhy llllm nn,lcr p.nrllyoitrrjuyonc ol llr n,['winr lccl.nrnnrs:
<br />Dcmolili,,. PcflnirvAst sos Noriliuali,'n F.d$nlRCFU|&on( arirh 40, PM6)
<br />Rtqui.d trrrcrol N.nllarnn
<br />I rcnirir[I rh.tcncralrc.uhrons rcsr.,]in! rdEn.skan"ul!rc norrpflrrhlc ro r[i\I]n+.r
<br />r I rlE ro confly wirh rllciry ini counry
<br />mrovcs ofrhis Cnr rnd Cuunrynr Lnrd nrxln rh.o rkcs$JSrdlr l-rw\rlxrri! k, htrrU r!
<br />ih,k ntnhn.J p'oFny tnr ir\tr.rtrr
<br />Alpli(ul o. Aff trl Sirn{ur€
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Rool Sheathinq
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL 2tlx? )7k-(\t{1 8al
<br />Certif icate ot Occupancy I
<br />Notes, Remarks, Etc.
<br />-+
<br />UFER Ground
<br />Subf loor/VenUl nsulation
<br />Shear Wall
<br />"","-tlqlur2-o
<br />,,^,"vt l.tlasz-o
<br />----+---
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