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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OIINER IIUII,DER t'IX,(-ARATIoN
<br />I hcrcby nfinn tndcr Irmlry .f |].rluy lhd I anr cx.mpr rion rhc Ciftr.ktr l-i.c \c l-rw Inr rhc fnk,strt msr rs'r n)rr I
<br />ro rlrc Oovi\i{nrs ol rhc Cotrkr.rois LiccnscJ Irs (Chnfl$ 9. CoDn mnrg qirh Sc.lin 71Xx) ol I)rvnion.l of rltr nn!i'nr\ xnn
<br />rt,tl(rtrr lar { Nr hir s'hjcctr rhc rmii(nr ro r .iv il l)cnrlry o f mr nrorc rlrn lir. lNndr cd dollrrs ($(n )
<br />l. n\ owtrcr of rhc J)mpcny. o' nry .nDloyccs sith wa8cs as I h.n tub m.iJ)..soriur. will do rhc w.rt i'xt rh. stulurc is nor
<br />i'n.Md] .rafl.rcd for slc rss.70l4. Busincsr and Pmfcs\i,,ns Codc: lhc Co tr.tr'\ L"'cn{c Lrw docs not !rl,]v ro trn ostrcr ol
<br />rhc nmpcn! who builds or inDnlw\ rh.ron..nd wh. des such sork hinscllor hcr\.lfor rhmu8lr hi( o! ho osncmnlov'.s.
<br />F orn[d thar $ch nnForcrrc$ m nor inrcnd.d or oflcNl ntr sb lll hoNc\tr. rhc huil{ling or iry)mvcnrfr i{ sold virhi'r ' rc F
<br />.f.r Dhrhn. lhc Os mr BuiLrd wrll h.!c lhc hudcn of povin! rhrl hc ot shc dil nbuiklor i\arcvc rh. Pmlcn, tor il'4 rurF'$'f
<br />L Nouncrollhc pmFny. m exclusivcly conrrr in8 wnh liccrscd contacttrs h, .otrin'.r rhc Pn'lc.t (Scc ?(!J Bunftr\
<br />and tblcs\i,n Codc: l hc Conkrctn s Liccnsc l,0w.Lc\ not aPplt t) nn o* ncr ol'Pn,lcdy eho huilds or impiov.\ Itur'otr
<br />rnd eho co D.h for sEh pmilrt $irh r contrncio(n ircnscd lursurnr rorhc (nntlcrof\ Liccnsc tj*)
<br />_l urcxdmp( u.dcrSalio
<br />rvaBKE[s]!aruExsAfl()B
<br />DEclANtrUAN
<br />I hcrchyil'ltnru crFnalryof lt!ury.Eolrhcftnk,*irigd..hriri,nN
<br />ill riN.riCcniicrrcolCons..rbScll-ltrrtrcl&{o,kcfco!,Pcnsrri('n r\ lit*ided,nrhtS..ri.n.l7(xrolrhr
<br />rhc ncrfonnrncc.l rh. sork frrshi.hrhc Pcnnir is is\ucd
<br />irairNorlcF rompcisarn,n insurrncc. r\ r.qrncd byScdi.n.lT0Oofrhc trhor Oic tur rhc lY:rbnun" of
<br />i(ltnnt i\ i\{rd M! sor /20//)r'rr ...rficr r E,licy nu $.r r.r
<br />,./'t-,/2.D/-L**..
<br />I ccdililhxr itr rhc lcrntr rtrcc (r rhc {ork ntr*h'.h rhr! I{-^rn]lr n i\\ucd.l rhrl!tror cNnk,t i'rvNrsor nr rnr nk trcr
<br />(, r\n, h.ronr \ublecr blhcv .r(.. rNn\dion hNs olcrlitunrir. rDd rgrcc rl r ill sl'drld hc(rr shrd n'rlt
<br />workr( co,!.nsrrionfro\iriotr\ol S..rion 37(Xloirhc liborGxrc. l $rll. li'nhtrirh rotr Y sirhlho\c pnfnii \
<br />$ARNIN(; I;rilLrD h qcurc trorkcr' c.n,pcnsrri{r.o\crnsc i( Dtrl3*lirl o1d k'.ri'nnrl tdt'lrA rtr(l
<br />civil linc\ up (, om huidrci lhousrnd d.(lr rgcs r\ lniril.(l ln' rh.
<br />Sc.rio.l()76 olrl,. titx, C-dc ifllcrcda rr?5 /Z
<br />I hcrcny rfllrn undc' Ntrrlly olp.rlury rhdr I r liccnwl rh S.!h, r 7rx{r),,11) \ ^r!r I
<br />' rhc tru\incs rJ Pnlc$r'rsC"c.. orJ mi '..1{ r.u lull'"'.. rd.llccr ,
<br />?...--
<br />0I .g
<br />lhcr.hyirltnrnndcrpc.alry.lfcriuylhrrrhcrctr.onstrudionlcndingrSc'RlturhcPcrli,rnr'i..otrh.*1rkn'\hi'hrhhl^-nniri(
<br />i\\'c(llsc. 1007. Cir a )
<br />l-cnJ.i\ Nrnr
<br />ldfJ.i\ ArlLl'r$
<br />AI'PLIC N I' DF(]I,AI{,{'I'I(}N
<br />llar.hyrin runlcrDcnrllyof prrJurto.ol llt16lk,$ingd.clrrrrn,trs
<br />I)cnn,lirior l'cnni\ A\h.nos N.lilicrri,r Fd.r l Rcgnlnrion{ (1illc,1O. Pdn6)
<br />Rrqrtd lr(.ror Nonllc lio,
<br />l..nilirh rhc ,i(lcrrl rcInl.riotrs !tginlilg r\hc{.rr.nx^nldc nolrmlic hlct, rhr F.iccr
<br />lccnil, rhrr ! havc r. d rhis lnnnrltrnr i\.rIc.r l xlkr ro.o rdv *irh xll ('irl nf ,l (ind)
<br />orrlnxN.\ rnl Srrr.l.n\s rehr r {hnrc r.prc\cnrinc\ olrhi\ Cilyrnl(itrtr r_locnr!' ul,otrrhc
<br />r't r.Dri,nrcd I()l}cny r(r
<br />1+? {'/5
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsu lation
<br />Roof Sheathino )/n//,( ,Vturn
<br />Shear Wall L
<br />Framinq
<br />lnsu lation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />l\4aso n ry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Cefiif
<br />FINAL v/zl,?("4r////rfl]-/e-
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc
<br />Erection Pads
<br />Pool Fence
<br />1/4I
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