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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCATATION
<br />I rEEtry ifllrm un'lcr rE hy nl pcriury rh'r I d .r.'nfl fn,m rlE O.,nlhclon Lt.nc lr* r(r rlE r.[owin8 E.$n lS.{ 7o.!l 5
<br />Bur'6r ,,n Prol6rbn Co&r Ary C{y or Cd y *hah E1u6 . Fni ro oirtl. ahd. inpmE &mlnh or tFir d,
<br />\rMru.- Irir t, it irsud., rk r.qlEr rlE .{'plrut lni sNh Fmn ro nE r rigftn nd.m rhd lE or {E i lftn<n |{lrd
<br />to lh. In)lhiotrr ol lh. Con|rrchr's Li.c *d llw (choPrcr 9. On,mrcins liln Scclirn 7o0o .r Drvirion :l of rh. Businc$ ind
<br />PFtcsi,ni CeLr or rhlr h. r rrE ir .rcn{'r lh.cfro,n.fll llE tlrn tor trx dL*.d .r.ntri,. Atry vbhri,n or sdlhn 7ol I t hr!n,
<br />.0pl.. for . Fmn sbFs rlr q,plicrnr ro . .ivrl t)cdhy of n, mE rhu av. nudrctt dr)lLrs ( !1x,
<br />-
<br />l. u\ o*ncr ol lhc Foncn y, (, nry cntl,)y.cs wirh w!e.\ !s rh.i v'lc onll).n\arion, *ill do rhc wir unl IIE (nrrm ir fr,
<br />mr6ri.{ or ofic'ci r,tr ek ( S( 7ora. Butircsr ard Pn,lisionr C(xlc Th€ G)nrrcttr\ LitnY l2* &Et n{ arPly h m o*mr ol
<br />rh. FrIfit *h,|tu ft ( rItu\s rt6dr. !d *b (Is rh s,t h'm{ll rr hcr-lfor tlmugh hn or lr o*n.i{ihBr.
<br />pnrvilcd th.r .uh mFmEEd\ e Bn hrcirdt d oncEl f(, eb ll hoErs. rh. toill'n! d inFfrtrBd is sld *ihin m F{
<br />orconlplt|iJn. rh.()*k! Buikld rill hlr lh. hrden of lmvins rnallrnrrh.d n tDild or i'IllJmt llE pn,f'cry ft*
<br />'h( r{4n* l
<br />l. a\ nr Er d rh. rmncn r. o ciclu.n c lr (nt*1'.3 qirh lasnsd &ntNnu I' onrrru.r rh. F,F1 ( S.t 7O{. Iruras
<br />anJ lhitssbi (i,& 'I'h.Conr ror's l-rcn\c ljs do$ mrrtnl,h !nosnd.l nron ny who buildror idrn,v.\ rh.rsn.
<br />and wh' conrrrk lq luch ll.(,ir6 r [h r cbnt4ron I kcnEJ I'!6unl k' rh. co.ta.ht'r Lf,.nc li*]
<br />-l
<br />rmcrcmFr udcr sc1r,n
<br />l,rt. ()Pn.r
<br />rvolr(r'da; cottP]'N\^T(tN
<br />UEI;I.ASAIIQIi
<br />I hcr$y(finnrund.r p.n lryof BrJUry.trc ulrhc l,nI'etrr3 d(hr!ri,'n\
<br />-l
<br />hrE rd*ill mi.hin. Gdifsl. of (onE lo S.lalnle,n *drdr .sf,{Enr.Iion. ( prlirLd fo. bysrrion 17(I) nfrL
<br />L.!n Oxj.. ftr rlr tErmr ol oE ro td$tthllrFnn ir nrud
<br />Ihnv.utrdwillnri nin wor[.rr conrn(n{ulin in\ur!E-.c. Bs r.qu'^'d by Sd i,)n lTlx, oi rhr L3htr Codt, f,t rhc PcrfonMncc ol
<br />rhc {ork lor *hihrhtFrnril ir i$rn Ntysnrksi intp(n{ri,n nu.*c.ntr rnlrnitnumtErdc
<br />P.lkyNutr Er
<br />-lecdrli
<br />th{ m rh. pcrforNft. of rlx u.rl ror *hrh rhis tEnn i( i{su.rl- I\hnllr .nfby .ny Fiw,tr in uy mumr
<br />*, rsrob$.m\uhF.rt rhc$o c6 co rFnsal im I!w! ol Crlibrnd. Md .8N I hd if I sk'lkl hcqrr blc.r t, rlE
<br />corld.onFn{rionpn'vti('nrofSeri'nlTtuolilIlitr{CuL.lrrBll,rod,rwirhcoarplysiihrh*tmv(itnl
<br />WAININC F.rl!rc to EUr. *.,rcn ll,ip.nernn dn.rr!. rr unh*6l lnl \hall suhFl d.i!lr'Fr r. ailrNl FEnr\ lni
<br />cNrl nms un tt oE tundrn rL'ue.d d.llm (!l(Xr,(XD), in lE con or.ontEnqhon-
<br />A.7^
<br />I h.r.hrrl]nnrkl( lxtrilryortrrluryihrr I x'n li.rtrvrl I' t6(r.l ( hq,ror 9r.. trirn.inS $ [ SNrrnr T(rx)r of l)i\i\rn,.l
<br />ol rlE BrliE( rd Eor6.i,nl Co&, .d nr, ltff
<br />o/(,
<br />JrMh, oI fEillry rh.r rtxr iln I'rldU NS.my ror tlE FrlorllEftr ol rlr krl ft, uhth lhtr Fma i!
<br />irrucil rss .l(r7. c'v c )
<br />t rr Nrnr:
<br />-
<br />t .xLi! ddBr
<br />AIII.ICANLDIiSJAAIIIIN
<br />!,rdd,rtrdr td |[Mhy orFFryoF ollh€ tul,*inr &.Ldi,.i:
<br />D.mlirio. Psnik A\tEio\ l*nrfkrri,. d6lRc8uLth.s(T k.10. P,n6r
<br />_R.quinal lr ., orNdilmliln
<br />I d ify rh{r tlE tcd.d rcslLrirr r*dding .ih.{or Emul .rc ml +dE.bL ro lhn FDj.t
<br />l.rnilyrh4 I h.t! r.d rhi{ trt,Ilkari,,nurln crhJrth.lhnt itrLrnuli.tr i\.orNr I ro .o rdy$ithall( iryrndCnrtrrt
<br />ordrNNc\ rn! Stu( lis\rcLiin3('
<br />{trtu mnrhkJ llfi)Fdy ftr
<br />L/t Z-tZti
<br />F'
<br />Sel Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFEB Ground rl
<br />SLAB Floor
<br />Subf loor/VenVlnsu lation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />FINAL z-Lg.P.J ) ot r+dl 'g
<br />Certif icate ol Occupancy
<br />Notes, Remarks, Etc
<br />Ext./lnt. Lath
<br />T-Bar
<br />I
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