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BUILDING. INSPECTOB RECORD
<br />SITE-WORK DATE COMMENTS OWNER BUII,DER DEI,CARATION
<br />I hcr.hy rtftn un,l.r Fnalry in pcrjury lhdt I inr crcnrfl fnrm rh Conr&r'F' I-n{nr l-rw li). rhc ttllr*inf Fav)n tscc.701t.5
<br />Bu{ncss ind Pnncsqon Ciilc)r Any C y or (irnrv *lr(h r.rtur.s i llnn( k, coh{nkr. rlr.i iry)tuv.. dc ,llh or rcI]lir lny
<br />nrurrur.. pritrb is n\uitr.c. aho rcqutrcr rh. affrl(anr li)r su.h pcrnrir r,,il. a sl3md d(lcnEnr rlDth.rr slrc s lrcnkd Nr{knr
<br />r) rhc lrn,vi!.tr\ ol rhc contrac(tr\ I-ic.n\cJ ljv (chrpr.! 9. (i)mnrcn.f8 rxh sc.rtrn Tuxl uf t)rvrrrn .l ot rh. Bu!rcs and
<br />Prtn.s\onl Co'lc) or dur lEorslE s.xcq)r ih6cl'ohrJ rhc h$t Inrr[c rlLSeJ.rcnB(,n AnyvolrtirlotS.cr$n70:ll5hyrny
<br />lpalicrnr nrr n rh \u$j..1\rhc app[.!nr r,,..rvrl!.nxlr]o, nor nn. rhtur I'vc hunJrc'lJoll{s (55tXJ).
<br />-Lrs
<br />owncrolrhcl$Fny,ornrycnrtl,)tcc\*nhwxscs!\lhctsnc(onr|Ens on. pillrL rrr wu.k dri rrf,(nf,trr tr rk{
<br />dcndcd orollircd i,trsrlc(Sr.'71)44. Bux0r.$rnd Pnra\\onsGxlc: Ihc(bnirrktrr Li{nsel,a*doc\ndlpnlybM $ncrol
<br />rhc pn)pcny wlDF^ d( ! tr ifrFn'r( r,rny,n. rrl wlyr J,Es arh wr* hrnrc ll Ihcsclforrhftnr3hh6 r h.r own.nDbyc.r.
<br />pNvdc'l lhr! nrh 'npn,vctunkm nor id.rlcd oro,t B! lltr srlc Il.lr)R.v$. r^ huil,ins or in{'n'ktunr r\q)u* [inmc Fr
<br />ol . trDkton. !h. Own.r Br[tcr w l h,vc ihc tnnLn ol BJvug rh{ lf, or nr Jil n hu l or itrqn'k rhc p 'pdy br rh. lrlrlrr{ ot
<br />I n\owD.rolrlkln)r.ny.rm.x.htrivclyco r nrS wih lkn{J (rirrcrtr\r).on{nr.r rhc t'nt.i ts! 7l!.r. Bu! rs
<br />il Ph,k$ (i c lh.C,nnri(l'tr s Li.cn(.I-nwdr\ nor Jpnly b rnown.rol pn'prnywho t'trild\or rnrpnrv.s (hcrc tr.
<br />rnd trt!'.ontN\t)rsu.[n"t.r\whJ('otrrr!.n)(\rlrcnnalptrsuMrn'rlr(irnrNtr\t-i(cn\cliw)
<br />I amcxcmF und.r scrnon_. tt. & P C. Ltr rhls rcrn,r
<br />I)Fl( ()
<br />11()R(ltRs (.()MPENS^il()N
<br />uE.Llnxdllo!
<br />I lrr.hyrlr'rtr,1.' I[nrht,nIdprlon.orrh.r,n[)qtr]rtr.!t.trr!{r
<br />lilxtr (irlc. ntrrhc nslornrn.. ofrhc rork ntr whrh rhc l(rtrtu a '(u.J
<br />-.1hrvc rn'l wilLm!flir *.rkcn' (.nlf'(n\d t)n 'n\uriD(c. rr r.qur.,lhvS!{rk)n|_lx) l rhc l,160r(nd..l,trhc ncrl.rmJt. l
<br />th. trork nn *h'rhrlns p.rm[ 1s r\ucd My wu kcr' (on{r tr\ar[n n,{tunc.(anrr tfrl A,!icy nun,hcr rr:
<br />I.cn,lyrfurmrh.r--rlonnrn(,rrhcworkntr*h(hrhnBrnrLri\n{rJ.I\lkllnorrrtl(ivrnyr-rnnlnrnynNncr
<br />v, I t) h!...trr subJl..r k, rhc workcr\,(o 'Nn\iirr hN \ ol crlili).nLr. rtul13tt rhr Lll drn'ld tr(.nf {hjc.r h rhc
<br />sork.r (otrIxn\ir on norNof ol S&( Dr l7(xr nl rltr l -rhtr ( 'rl!'. l rlflll. l,)n h* h (onlnly s irh rh(N. nmvisi,'n\
<br />ovil lincs up l!' trc htrnlr.d rhou:xnrl dollrr\ l1 , rh. (.{ 'n (ofrlr.Nrrn. dxrnr!.\ r\ f'o\',1 ntr rhr
<br />Ih.L-hyrllnmunJcrp.nrlryolF-rjury(hlrIrml'(.n{dtrnJ.rI]n,rN[nol(hrptTr)(roNNNmS]ihS(ri(tr?(Xxr)rll)Lvr0nI
<br />ol rh.llu{trcs rtrd Pl l.\{o,N(-r)d.. inkl my h(cnrc r in ltrllnrc nn,tclli.r.
<br />c (rt 9o3€o >
<br />I h.'.1,! rlltrn,trnJ.r Nnrlry,,1F-'j yrlrxr rlr,. r\[: nig
<br />^gcn.y
<br />litr rhc f.rlu rnc. ol ihc work ktruhi(h rhn Fmni L\
<br />n{r'l (S.r l0rr'. (iv. (.)
<br />ATTLIIANLITECIASAIIO!
<br />I lrR$, ljllm unJcr Fnr lr y ol Frju y onc ol rhc nnl('w rg d.rhar Rrn\:
<br />DcBnnii,n Pclmns^sh.(os Norilkdrsnr Fcddtul Rqrldir)ns ilrlc 4(r. Pnnfi)
<br />-Rcqut
<br />d lrrrcrolN,nirn.l$n
<br />I (.nLly rhrr rlr lrlcrilr.!trli[,n\ r.!rlltris x\lrn!^ '.mn,tlrr. nor r])fl'!.'hl. n) rln\ p'ol..r
<br />rml'(rrtrn,r,riixr.rlrtlx,'l! l.rgi!\.n)nll,vsrl,rlL(rvrn,l(inny
<br />hurl'10! oi{torrx,n. mt h.r.hyrn(htrtrc rcpcnnrrrN!\ olrhil(irr J(i[nryr).nrcrnt,nlhc
<br />ar$rc nEnnoNd ln,rny
<br />Alrli.nnr or AE.trl si( artr
<br />,.vf+
<br />Set Backs
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/Vent/l nsulation
<br />Shear Wall
<br />Frami ng
<br />lnsulation/Ene
<br />D all
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />IM asonry
<br />Pool Fence
<br />T-Bar
<br />Handica
<br />De u Final Re rt
<br />Engineer Final Report
<br />Flood Zone Certil
<br />FINAL 8/ eltq WsE /o\
<br />Certilicate oI Occupancy
<br />Notes, Remarks EtC
<br />ID/SIG.
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />Rool Sheathino
<br />Req.
<br />7'i
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