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BUILDING- INSPECTOR RECORD
<br />OlT NER BTIII,DEF DEL('ARATION
<br />I hdrb' 5iTm und6 16!l) o( psJu+ lhn I d .(drr iioE lh! Co dlo6' Lf,.@ l^ aor rh. folhsinr '.d,tr tsd 7r)! l I
<br />IrNns lrl Profdirn ( nd.) Anr Cnt or cond:_ \h.h r.qur6 t Fni ro oNtud..n(. inprore &ml(h or iqitr,Mr
<br />niud6.. Fio. ro i'3 63ue.,.h.(q!n6rn 4,rlitd r sx(h F nr to frk ! 3lsn d {door rhd h.6r 3h. B lrm€d pu'$d
<br />ro rh. F)vilioN ofiF (i\.t&ro.i l-i.tu d L.s ((r!.fnr 9. Comnfting tr'irh S..rion 7000 of l)'rsion r 6frh. au$a rad
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<br />ip,licdnr forapon enhiar!rl)c aFph..fl ro acivilpcndhyorior mor. rhe fi\c htrn&.d dollan ($t00)
<br />Lsosndoarh.ln)tE1r.orn!dployG{irh$0t6srh.nebomp<sdion.trill&rh.$!dandlh.$nrlEi!n{
<br />ll .r:t d or o,Ia.d for $1. ( s6 7orl. !t$ir6 ud ltof6soB (iyi. llE Cotrt r.rt l].e Ir$ &16 m! drpl!. k, u .\ 6 or
<br />rh. I'rt6! $ ho hrl&.r inBh\ 6 !1E6.. ,i u hl d6 u h {nn hins.l, or lEr*la or rhnru*h h'r or hd o*n mplor 6.
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<br />l. a\ o\n6 o f rh. F)pd!, m .rrlBn.lt cont..! 'n! * h h.o\.il cn.tdou ro Nnnd rh. FoFl (S6 70.11. Btrnnfir
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<br />l).r. (hnd
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<br />.(d., f.r rh. r8nnrni(. o I rh. "ort for $h{h rh.Idfr 6 rsual
<br />*ill nrahtanr $o,kds conrpcnsation n$uriNe. N r.qtrtrcd bySdl(r lTlrl)ol rh.lrh(tr(ird.,lor ih.f(nnnnnc.dn
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<br />nii., inrdd rnd ill.,n.t
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<br />s. ds'.onp.nsriohp(\6onrors(1rnlTuror!h.Irlr,(deIs\all.ronhnhtumdr*irhthrrpo\isioN
<br />$AiNINC Fa'lur. n, B'u'. *.rlm .omFlerion tu\di!. is unl.*iul. and shall rtrbja1 m oploy( b mEdFrlrR ^.d
<br />I hsrty rmm uB:,6 noht nrFiury lhn I d licqrr.d lnis lior6i,n.fch.Fc 9 G!,nnlftan* qnh Sdiri 7(xxD.llr\Bn)i r
<br />.a rh. BGilB ..d PnrlsnB (i,&. d n! lic@ 6
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<br />CONSTRU(TION LENDIN(; AGf, N('I'
<br />I h.r.6 .lIm lndd Fnrhv.r Fjlrr lhr lh6c i3. cotrrru.1hn ladi.s 8sd) for rh. Ffotlffi. olrh. $od fr'r ntth rhir Fni 6
<br />irsu.i {S< 1097, (-ir C }
<br />l.nds'! \D.
<br />ATIII(bNLDES.AAAIIA!
<br />lh6*ry,rmundn n6.hy oipoj'rft on. olrhc lollorinr dale io.s
<br />Ikf,olnion P6hirr-Alli6i(r Norili.dhn F.d.r!l iquldio.. lr ilk 10. Pan6)
<br />R.quiEi Lard of Ndifrrr'n
<br />I (dii rt, rh. a.Jd al r.*ohrFB ..s6d!n! 6lEsnvm\!lr. tror 4'pli,bk t\ rhls flor(r
<br />iryrhn I h!( r.!d rhs amli..ix,n di sar. rhd ih.,h^. mlomrtn is.oner l .lla l.r (mdy $ilh lll C r a.d(irunr,
<br />dd Sr.r.ln\i r.litn! ro htr'ld'i!..6troknr. rRl hrt.r.r.stdn6 of rh6 Ory ond Counir r. dt6 uF,n rh.
<br />,,,," 4lt\{t"
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln s ula tio n/E nerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar (
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL T/tq Itt q'thiL tlt#{
<br />Certificate of Occupancy '
<br />Notes, Remarks, Etc
<br />Erection Pads
<br />Pool Fence
<br />Flood Zone Certif.
<br />I lHandicap Req.
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