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BUILDING. INSPECTOR RECORD
<br />COMMENTSSITE.WORK ID/SIG.oWNER BUILDDR I}!I,CAR TloN
<br />I hrch! lntn rndd tEMky rf Frl!ry lhd I m cicnlor aitrm rh. ( odracx,N l.iTn€ Lr fot rh. lr,llosin8 M$n lsdTollt
<br />UunN\\ rnl lrrof.s.n (.n l Any Cil, or (budy sh(h Btur.. . Fm. k, dlNul, altd, rmProtc- d.'rnrh or r.1,., my
<br />{rudrr.. l,rn n' iis ilrudNc, 0lro Eqltts I h. en/ianr tr, such lrrnn lo fi|. ! ilsmd n,knral lhar hc or rh. s li(.sd ,ur\uur
<br />ro rhc nrolnn,nr ol rtE (ifuku r l-iccncd liw rchaprlr 9. conrnf,Rirls wilh Secin,i TixD ol l)ivnbtr .l ol rhc Burin i a.d
<br />fni.snn\ (',xi. r or rhsr h.or.hc n.rr{,i rlrEfn,mr lrh.ha.irtrrhc1lL3.dcr.r?rr)n Any\i,lrronofser..70!I Ihflnv
<br />Drtli(anr tor rlrmit <uhrcls rlE {pllrinr ro !.ivtlP.n0lryofnn mr. rh.n ll!. hundEd dolla^ lStlI))
<br />l.!solxrollhcrx'Fnt.dnrtr,rl)hF\wilh*!s$8rhcnY,k(smFnqri'tr.*illtt,rrEr,ttdrlllEeul@na
<br />mtorhl rolYsel rtn skisd rillr. Busiml.lnd Piofsrnn\ Cuk rhC. r&1d r tiin* b*llBmlcptilv()mort, ur
<br />lhr Im,Fny !h, hoiid\ or intm\6 rhfr)n, ml sh, dtx rkt wnt tinMlf or h.r(lf or r hnDAh hi or n r own .n{'hrc{
<br />p('v .d rhlr iurh inllnownE s e rn intnltrl or olTcRl tur ek ll, lrr$cvcr rll hillin! r ir{r.EnEnl is bU wirhin .'x Fu'
<br />oforr,l{i,n. rlI Osftr Builld *illh.tt rrE h'dn of F,v!ry rld lE,,{Edil r,l ld.r rlk,E rlE F)IEny fi' rlr FlryE of
<br />I. rr oqE ol rh. nnD!'ny. onr .rrh\iv.ly otrtrdirlR tirh li(cnttl (onta.rn n, .on(rucl rlE Fl+cr ISL{ 7t}44, Buntrcs
<br />r.n Elrt rir (ildc lhc ti,nrE.(tr'{ Licc.{ lif, dm\ n, amlyk, o$mr na nroFn, q lr, l,uildi ur lmprn.s rh.rcon
<br />inJ *h, $nrRrI r(tr \xh lrl,rl\l{ $irh i (i'dr*tln1) lrc.an Pu.\u n, rh G,drd(tr r Licnt ljr)
<br />I r cknr|n unJcr S(lion-
<br />D'1. ()en..
<br />rQaril:&It.Cauuii.r6rluN
<br />D}:g.ABAIII]N
<br />I lki(.hr rf,n
<br />'
<br />utrdcr F Nlt \ ol p(r,ur! om ol rlr r,)ll)tr n{ &tktrrt !itr
<br />*lh c $illnun[] rCcdiftrlr.olC.n\cnrr)s.llltr\urcft,*orkcn.dDP.n{noi.us Fovkl.tlforhvsr.rilrn.lT(oofrh.
<br />l:trn Cnc.li,r rhcFlitrnurc ul rhr qoll 1,, *rrth rlx lrtnrir n n\urd
<br />-l
<br />hr\. nnd * ill nEinrlin $orkcn ..mFn\ rr' 'n{trR c. i5 r.tltrtrr(l h, S(i i,n lTlX) I th. lihn ( ixk n, rh. p(forroN. or
<br />rhr wurk tor whichihil IEfltrii is isqu(l Mys.tkd( (nnt'ctr\(ri.n in\trruftcotrirr dd [xni.ynumhd nc:ll,-' 1^k {^t
<br />l\.*,,*.,-, (t0a S-t-r9
<br />-l.cnrlyrh.t
<br />rn tlE FrfitrR,x. uf rlE sorl fi,$h.hthrlxnn tr triu.d.I5h!ll n cni)loyanvFr{n in uv runtur
<br />v, x\ k' i.i'N suhjd t' ltE s'orts\, conF \rrx,n l.winrC.nfotni!. !ftr ssR{ rhd 'rl \h'uB h<ron subjdr r, rrt
<br />sorkLF.orll.n.!rionpn'!i\ioNnfSc.rionl?(X)ofrhrIrhtrCcl!.Ith.ll,lonheirh.omplyxilhrh'{I'n,vhi
<br />II A|NINC t;flturc n' Km rort c srlrE.erion .:'vc.!3. i. unbqtul. url .h.ll rubFr m dtlllFr ro rnmul FDlrs 4:d
<br />(ivrl lim\ ull h oE hundrrri lhtuqnd dolh^ lil{x,.lxx)1. in dJ In ro th. (nrr o, toryxnerirn. d4ro3.{ !! pRrlnd [ir rh'
<br />>:] it#-"'"" ""' A,i;:29
<br />IIEIIAf,IIIONIt rcby gllno undc. rEMlry ol pcrrury rhrr I rh liin{d undcr Jn,vnnnl otChxtrtr c (.onlmrin8 *irt S(ii,n ,m0) ol l)iri\i'n l
<br />or rrE Burimrl !n Pnr.si'ni cod.. a,n ny lEcre n in tull (oni lrl clTar
<br />[(",...".. _c11
<br />" 2-u-Lt
<br />x""."".,,*, z r
<br />!."-". 1z'{ }^'-
<br />5 ro1
<br />cl]lilirf,ljglurillllllNli-&0Er$r
<br />I h.rcby rfrm ufti.r FMlry ol Frrrry rh, rh.r. F . d,n{Mtbn t ndDS agtr, t(tr tlF lE.lotlr@. ut rlE mrl itr shrn rhl{ Fmi n
<br />n\u.d rscr l(r97 Civ. C i
<br />I.nJci\ NrrE
<br />-
<br />4R r.onrl'ly * irh allCiry rnd (irnry
<br />rrL \ Ln rhtr ( 'rrrtrJCor \tr,.Drntrtinrlr
<br />l*,. ?'L-tr
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq 2-7-tr Y,Y-iL)ru^ GP.T 0/ltt'f
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Cerlif
<br />FINAL u unl,l a (q t-6w #r
<br />Certif icate ot Occupancy
<br />Notes Remarks Etc.
<br />\
<br />DATE
<br />AELTSANLDIIIJ&AfIITN
<br />Ildrt s,Tmr!.ti.r Fnrlry ofperjUry nm ofrh. f(rlo*in8 JdlaBri'n1
<br />lX Dlirion Pcnir\ A\tr{.s Notili( ion Fcdctrl RcSuhriia lT lc r0. Prn6)
<br />_-Reqotrd lr(d ol l({rltltbn
<br />-l
<br />rdrry rh, I hr!. rrul rh6 aFtlrurr,n dJrl {rr
<br />;;:::::JH:::'\t:: "':'i'i'Y t"
<br />". A t
<br />\"-,,*."..,u",,, fniL u.lt
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