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BUILDING- INSPECTOR RECORD
<br />SITE-WORK OATE rD/srG.COMMENTS OWNEI BUILDER DEII- XATION
<br />I hs.hrlIImu js Fu]ry ol pdlur_ lhn I dn.rnpl ftum rh. Co! rscloE l,t.e l!* for rh. folh*ing lten(Sc70llt
<br />Il6h6r 6nd ProrBion ('od.). Any C , or Colnl, shtrh r.qun6 , Fni !o (odrud, .ts, in ot <tmlirh or EFn ut
<br />ntu1sq Fs ro ir! Bumc. lEo r.quic rh.4plidr lor 3Bh Fmi ro lik.3'8Ed sldtut thd lE or !h. ir licqB.d p6u!{
<br />b rlE Fr\6ios of tt Contkttr t Ltos.d l,tr (( h!r16 'r. Conmdcin! *nh Sdion 70Cr0 of Diviion I of rh. BcitH dd
<br />Pref.sionr (\)d.) or lhlt hc or th. n cx.Epr rhdcri.n dd rh. heri. for rh. dll.3al qdI'tion Any rhhr.nolsdion ?0115 b.v.n)
<br />.ppl'canr for r Fhn iul'j<rs rh. .p9li.! ro.o\il!. fttof ml mr.lhu fi\. hu.dr.n rhllc tlSlx))
<br />l. s osn6 otrh. FoFny, or fty coplotc snh $rg6 s rh.t $L omFdion, trr! & tli sdt td 0r rnrlm ii ml
<br />fiEl&n or o,I6.d fr eh (s< 7O{,1, B$i6 dd PFlBhE ( o& IIE Conr*ld i tt.e l^ &€ mr sply lo , o$@ of
<br />fi. Frlpqry ulr hoil& d nFor€ rlEut !d *lh &6 kh *!d lirolf or h*lto.lhmush hi or hs om 6Ploy6,
<br />Drorid.J rhar N.h inlnoviffik e mr iddrlal orofid ror$I..l( lr$-6. ft h,ildrg ot 'lr'*-aEr 6 sld *ihj. oE tc
<br />ofcrEpkir rlE 6E Euilda *ill h!v. E h,rt .lF.uBrhrLor!&dndh,illtrinp.or!tt FDFty 6rdEPrF*of
<br />L sosffiofrh.F)F). m cklBn.l, coir&linr $ilh lko&rl coflr.<ro6 h.onrrud rlr p..jd {S€ 7044. BBiId
<br />rn Foki{ Cod.: 11'. ( onlrrd.t. ! l-ic.@ t * do6 .or lpply ro u oqnd o f lrop<dy * ho bund. or inprovB l,I6(n.
<br />.nd who $nrks for rucn lroj<clt *'nh. Co.nncio(.) IEE&j FM b rh.(otudoi! ttG lrs)
<br />I €ionpt und( S(lNn
<br />l)rr. ()nnd
<br />-ularr:8s:c!)nuiilis ItaJDl(Iixau0!
<br />I h(.+r 0fli'nr undd tatulr\ ol pajur! rm oirhc folllNir* dt(lr.lnns
<br />I h.r. &ri s'll@iln@ r ( drirrr.olcoMr trr S.lf-lNuE fo. u tG .onFM6n. a ptuli.ldi fot b, Sdior 17Oo ol rh.
<br />lsh,r CorL. to, rh. Fr!dr.. or rh. worl for ehich th! p6nn ir i$u.n.
<br />I h5\. a.d \ rll m.inrM \ orls codr.nEri,n isur.n.a s rqluiri, 6! sal irn uoo ot lhc lr'or Cod.. lor rh. pdfomMcc o f
<br />rh. sorl for $hi(h lhir n fl.rl E ritu.d My sorld .omnc.$r ion iNtu . .mi6 dd lrliq nunbq m
<br />(',* ' 2:+<'< h
<br />pohcli.unr' . yQC ?qoYq7 oot.l Elrft: ?:49 -f t
<br />l..nirylhll in th. Fto,fucc of rh. {o.k nn whi<h thi! Fmn n isu.d. l ihrll ml dplo} &} Fe. in.ny nuE
<br />F a ro h..om tutrd ro th. so 6'omFudbn hs! of(iiiromil rd tsE$d if I dDuld h..om. st'id lo lh.
<br />*o.Id conpoeriin FNirnrE ofs*lioi l?00 of thc L,t!r Co(le I dull, fodh{ trh comPly with ltrlk prcvnhd
<br />$ARNIN(|] F5ilur. ro sw wo,rn comFdio. ovog. i! unb"tul..d rldlst*tl e dipl6,n ro dimintl IErtE ad
<br />cn'l fic up ro oE hun<lrd ltbur.nl doll,B (llm.fixJ). in lddiir nr lh. .os oa.onI.Nrion, d,n+6 s provid.d fo. lfic
<br />S(li(,n 1076 oflh.ljhn Cod.. intd6r aml dkrft! r 16-,_,f ,V& zcic/
<br />LrcENsLDfoNr RAcloR
<br />Ir.r.: t t D'.)\-tq n
<br />DEOIXAIIO!
<br />I hort arm uDd6 pqulry of Fjur- rh, I m li.dl!.d undd F.l!io. ofCn flE I (c{midc'ns wnh S<lir T@0) ofDirRion.!
<br />ol th. Builld o'd ProfsioN ( odc. dd my li..c B
<br />'n
<br />tull n,(. dd.rTRr
<br />,'"*..n.,' 61 (
<br />-' lQ-?3111
<br />ar 61a_(Lr
<br />( otts'rnu(-noN r E!{Drtc lcl\c\'
<br />I hdrti.mm un&r F..h) of Frrur' rhi lh6. i. colErudhn lExiins,str:,' for rh. Flolruc. of llE sFrl Lr $ticn rhn Fnnir 6
<br />'su.!1S( :1097, ( iv ( l
<br />. AIII.IIAXLDI(IABAIIAX
<br />I hddrt.trm u.dcr F!.lr' olF,ur, oG of rh. aollo$ins d(hr i1.r
<br />lrntulhion Pmnlkh..l.i NnlifiGlion l.dE.l RquLtioN { InL {0- Pe16)
<br />R.qunrn ld'( olNdilkniD
<br />I c6rly rhir lh! f.al6al E*lhrirN r.!rdi.! sh.i8 r.m\ rl r'. n{ qTli.,r+ l(, lhu rmj.Tl
<br />cdit rhd I h,\.r..drni3lDrlic.rion mdslalclhd lh€atnt. inr,,mrdon rc.nd r 4ra h romPl! tr nh lrl ( J ind (i)onh
<br />orlsftd .nd sldr. tr$ r Ehitrr l. hoildin8 comcrior &n hd.lr} iu,lrriz r.trtddn 6 of lht Cnr. r.d (nunry ro orc uPn th.
<br />ilx\.n,6ruEd n(,tElr fo, '6tdNn
<br />,tpplionl or.\rdl Signrnrrc X W tCt b'IJ.r tO -;,3- lg
<br />l'0 rirNn nr(Irtn): Lyn,.r tlq
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu lation/Ene rg y
<br />Drywall Poar 6&"r( to> turt-rs /-Lq-z-.)*,1/ot kL N\t6 &* ?*vu
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar t 2-lz-lc 9r-*to>
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL nt-zo b,* t >
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
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