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BUILDING- INSPECTOB BECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEN BUILDgR DEI,CARATION
<br />I lEr.lry rrrn u,rtr Feh, ot Firy th.l I n cr.q, fhE rh c{,ntrarm liitr€ t,* ror rlE follo*ins Et$n (S.( Tolt 5
<br />8$in.s !,rl Prof6rirn c-.d.) Any Cir, or Cou,ry $tah r.rtui,6 . Fmit ri oNrud. rh6. in{row. rhm,lirh 6r rFir .ny
<br />sruduE. pridrr ih is\omc,ohoEqutcrrhcsprlirlnrr.r{o.hpernirlofiLrriscn(!l.n.r lhdtlornrnlketrEd nurornrt, itE rrnvni'n of tlr Co.r&.rri. Liinrd t-* tclqn( 9. (bttmNins *irh Sarion,(xDof D'vni.n l.r ih auriEs &d
<br />Ptur.rrbn\ (ii.) s lhll h.n.lt t cr.np' rh.r.rin r,n llt ttsi\ ror tlE llt.rd.r.rtii'n AryvnhthnolS.<ibnr0ll5byiny
<br />!!tlic{ n,up.mn $bjdkrh. +pliclrr b!civiln.mlryornor nrr.rh.n liv. hundGd doll.n (S5tr).
<br />l. I dBr of lh. FrFny. i ny.nthFi *irh *lg6 ar rlEir $k on?.tuitn. *iU &, rlE 6t rrn ft ltslde ir fi,
<br />n colcd or ofrcEd ftr sk {Sd.7(xa, BuiiBr ed P,Dfi$ioN Cqj.: TIF ftntEcroll LirnB ljs dmr .or Trly ro M osw of
<br />rlE pmllny who hil& d iitmE rlErm !d wtD .lB *$ Hrt hinElr.r h.Elr or lhush his or lEr orn.,ipl,yr..,
<br />foeir.n thrr lEh LqFftilr G [n id.lrH d otu ft, Eh ll lrrw, dr l[iBin* d inlmEftd n -U wrhin @ For(n!'bion. r,E 6xm. Auirk sllhMdEhldoroftFirSrlElLmslEdndllildniqmEtlEF)F6rytrtuFIFEol
<br />_1.,\.r'ftrnf rhc lnl|rnt, 2m.rh\i!.ly.onrrr.r 13 r h l(..r\d .d.ir&1rn rr llrNrud rh. I'ltFl rSe.7(nr. B6ms
<br />trM lhfsrnr ('odc 'l hc C-onrricttr s l-i.cnrc Lnw rl'$ n.r lJ'fly ti an o*n.r ol Jll.|.dy *ho h ild\ o' irnpoki rhcr.nn,
<br />!trd wio (onrrdrr(,rkhFu,c$trihrArdnnn(srlic(nsdnununlrorh.(inhktr'!I-t.n$t.*,
<br />I dmcicnrpr u lcr s(rx'n
<br />il0l(ERri' c(ruPENsaTI()N
<br />DEII.ASAIA!
<br />I h.r.hy rfllrnundd f.nDhyoIn rj.ry o* ofrhc t'.lLr*rnS dc.trrirrnr
<br />I hat rn s ill tuiirih r ('.n iltlrc ol (i'red r. S.lf.l nrur l{r*orkG. drlE.s,K,n, ni Foril.{ iitr hy lnrirn.17([ ofrh.
<br />lihtr Codc, ,,, lh. n ritrmftT of lh. $ork for whirh rh. Frmn k irrucd
<br />Ih.rcrnlr'lly4dnn* l!1 r.ltuRrr h, sdir rTlx) ol rh. ljhn (-dh, ftr rh. Frrormn c or
<br />':
<br />_":,"''"' rut\&' --m' -['$"'n'[ J'd F (v num'i{' !"
<br />o,,,,r"","*,, fi1(anl.?aY t.o"* ll-l-lf
<br />_l (cnrfy rh.r inrh. Frformr..f rh. eod ltr rhrirht rBnn t F(udl.l $rll mr cnohy.nJ.rEarn in rny mnE,
<br />g' Nro h.oa. shirr t, thc rl,rlc omn trqrid l,ss ur (il'lornis. trtrd sgtu rtur il I slx'old lrrom \ubirr i0 rrr
<br />wo rn conlllnsrion pnvkhnr nf S(r kr ]7U) of rh. lrhr (ixlc. l ltlll, ftdheirh .oryrly e
<br />uohlrul. atn $.ll ebFl kr\rr ro diniDl FE|B.nl
<br />.iril lirc! un h or hundrcd rho!$nd dolls (llll).i[x ;t;'";;";ir^--
<br />l:.r,",-);;'rf ye
<br />Lrr fNsI.t) ( r)N t &r( IIrR
<br />l2[!LItjl&]
<br />I h.nby 'tIrh udcr Fnrly ol F rrry rlu I .n liB<d un&r FDl i<ni ol ClEprd o (o'ftNing * iri Sdi'n Im) ol l)irarhn :l
<br />or !h. BlrNslnd Pmf.sionr Codr,,,rl my lit.n* n in allltv(r ncfi&!
<br />,,,,,,,,-rr,,, cul C(b
<br />*," q->3-/7 "'"U;v,3,J'fft",-
<br />CONIIXTIj,1OIJ.EIDIXG.AG.ENCI
<br />I h.Eby iffrd udl.l Frolty ol Frtury rhi rlE. ir . .\,dMi,n Hint .8.my for rlE Frft,mre ot rlF ffir [, rh rht lstrr, it
<br />n.ud (sr lr)cr. civ c I
<br />L.nJci( Nam
<br />Attllt;Aur.DliclJSa.ua!
<br />I hod'y .trm !.rdd FEXy ot Ftrry oE of rh. folbsin8 d..lrriinr
<br />lhnrlirhn ftrmir!Asb.dos Norin dion |:.rj.6l R.sukrion{ (Iitlc.{1. P!6rj)
<br />-R.qund
<br />Idrcr nl t{xifEI{
<br />I ecdiry rlrr rhc fun.rrl rcSLIr(h
<br />l.difrihn I n r.r.drhis t'.rtr{'ly s hrll( irylnd(iunry
<br />trhir Cirynnd Counrt k,.nr$ uF)n rh.onlrtrk.\xndsr..lr\\,
<br />rv4 )qre<)
<br />7a3-/7
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />En ineer Final Re rt
<br />FINAL
<br />Certilicate of Occu ncy
<br />Forms/Steel/Holdowns
<br />Subf loor/VenVlnsulalion
<br />Framino
<br />lnsulation/Enerqv
<br />Masonry
<br />Flood Zone Certil.
<br />Notes, Remarks, Etc.
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