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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE rD/srG.COMMENTS O\A'NTR BLII LDER ]'EI,('ARATION
<br />I ls.t^ .mrm und.r Do.hy oI pqla lhd I D .r.m,l frem th. Q'ntdoR' Lt.M t w {or lh. follosinr r.&,n (s< r0rl J
<br />lnsinds r.d Pror6'on (.d.) Any Cn, or c.r t {hr(h r.qun6 . Fni lo .oldrud, !hq, imF.ra .l.ml6h or rqln s}
<br />ituds.. Ftr ro ns ismc, &o r.qlln6 rlE q'9lEsl foi e.h Ff,n ro 6h, sisndl rraMl llln lE or 3hc b l'.c6.d
<br />')uBdrlo rh. tn.vrnoN oflh. co.krclr'r l.icmr.d l,w ((-hrfl6 g. (omnd(ms w h sc.rior 7fin oa Divi.ion I ofrhc lttrrinBr lrn
<br />Pmf*ionr Co{h)or rhlr lE or {E B o(qi rh6.fiod dd rh. hd( for rh..lLs.n .rmpr bn An! riolll6rofs*ti.n 70t15 b.nt
<br />.rpli.et for . Fmn sbJRr3llr qipl(rnr ro r civ il pcMlry of n mor. thr nv. hundr.d dollB (1t00)
<br />l. s o{c ofrh. Fopatr_, d ny mpk'}c wnh w!a6 G th.n sk uhFlni.n. "i[.I] fi. srrt dd {E r,ur@ a n,l
<br />imo,:kd or ofa.d fo slc (S{ 70.1,4. Burin< od Pbl<FG ( o<lc TIE ( odrdor! La.e ls dE ml tpqly lo m o$n of
<br />rh. FI$dry $tn hiil&or op.66rlE@,n uh &Eu[N hi.Mlao, hF*ltor rthusn hir.rh.r orn mrl.ts.
<br />providql rhlr luch inl'irEEnr E nor ;rqd.d o' ofrs.d to' sk ll ts$w, rlE butldq d imFbffi i! eld *nhh ft )n
<br />ofsrpldr[ llE OrE Buldt *il] h,!t rlE hrdd of Fo\rts tlu lE d slk dd d boi! d itrp.oE ,E FoFry ft' Itt Fn'[r of
<br />l. soqEolth.Flrqry, mcr.luiivrlt..ntkrinr sith lir6s.d conr&losro co(drucl rrE pml<t (s( lo14.lrunnN
<br />.nl l,lDlssrh (irL: TIE ( o.r&toir L'c@sc l.!s'dc mt 4'p\ lo e oI6 olFl,Fnt $h. burlds.t mp.ord 'hFon,lnd trlxt.o.rBltloriu.hFid3r'ih.ft kro(r) ricaa.d pu6ut kt lh. Co ricfirlidqtr*)
<br />I m?rmr, undd S*rbn
<br />lrrr. o'trF
<br />\\ oRKaRS', COnt PE\SA I ldN
<br />DISAAAITO!
<br />I hd.$y.m,m und6 p.naltv oi rEjury on. ofrh. foll(,srn3 ddlddi,,ns
<br />I h,r. &ld will rei.rain r ( .niatrrl. of (-oMl h S.lf-lnsur. t$ qodss coipnsa'x'n. a Ford.d for by Sdrn'n 17(ro o f rh.
<br />l,ator CGl., ror rh. Ffolrra. oarh. *$.t fd trtr*h $. Fmn i isu.d
<br />I h!v. lnd *'ll nrimain $o 6 .omp.Nrion irolEE.. s r.quiEn qq Salnn r70o of rh. Lrs. Cod.. for llE Flolrrec ol
<br />rh. tr$rt for trtkh rna D..itrit i] isrd. My worl6 mmrEEdion iMr&c. Gha .rd Frli.y numhs r.
<br />I cdr,& rh,r in itE Flolmm. olrh. $orl ld $hkh rh! F.mir is irsu.d. I sh.ll ml opk'r m) Fs. in in, nuK
<br />s ito tFm. iut <l to th.wort6 comp.ru.lion hu'r of ClhfoniE &d tBd thd ifI rh.uk tEom. $bjd lo lh.
<br />eolt6 .onFMrhn pmrilioE of Sdirn l70O orrh. l.bor ( odc I {.11. lonhenh ond! ( nl rbe FovLpE
<br />WARNINCT ftilur. ro Ku. *trl6 !'np.E!ltr\. (rr@*. E lhl,trful. and.h.llsuhjal e dphtq lo riminll p. hE.nd
<br />ciil lir6 up to on. hundrdl rhoNnd dlllls {ll(x).ooo), ,n rddnKn ro th. con .tcory!.dnn. &nss6 a Forij.d nr thc
<br />SrrFn :1076 orrh. libor Cdl. inr€61.nd,hnEy 3 fd
<br />Ihtr_ Arpldrt_
<br />LICENSED CONTN.A(TOR
<br />DE(IA8AIIA!
<br />I hrby rrm und6 ,ctrihy oa pajury Lhd I m licds.l un&r F.vnion ol(1Epl6 9 (cooM.mg sih s.clion 7(D0) orInrni.&r
<br />ol rh. tr$io6 rnd Prcf6ir6 Co&, !d 6y lr.e a d tull foE. r'd.,td
<br />coNsTnu(rloN LENDINc acErl(1'
<br />I hq6y .lim udls Fuhr.f Fjury lhr fid. i! ! odtudirn lsdin8.stry for lhc Ffofru.. of th. *ort for which lhn Foil it
<br />B!!.d (S( !097, Civ (.1.
<br />AIIII(ANLDISAEAIIO!
<br />I h6dy .trm u& p6rh) oa FjuD oE ol rh. lolhr i.r dchrdi'6
<br />Danohirn fmils-Asbdlos Notifi( io. !_.d6!l R.suhl6 {Tnl.40. Pd6)
<br />R.q0iEr.l lnt6 of lrdiftr.lix
<br />I cdlitu rha thc lai.ril r.rul,rir6 r+eJrnE sn6hs rm\rl s. mr ardicrbl. ro
<br />'his
<br />ptuii
<br />I .dr6_ ih, I L\. 'al tni 4pla!ri,. r'd rtot. llld lh. arnr. 'nfotui\. t .old I lsr lo c.nply trrih .U cir! .td ( ounit
<br />odim..6 md shr. k{ Eldins to hildin* .oNrru.rior ed nrcby turhrn. r.F*lndir6 oflhis Ch} od ( ourt ro drd otrn rlE
<br />.b.rr trEnpftd FFnt nE NFdion F,Fs
<br />.tpplicrnl or,lrol sisnrn,r.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenVl nsulation
<br />Roof Sheathing l,glt+,Kl2'
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
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<br />FINAL l
<br />Certificate of Occupancy I I
<br />Notes, Remarks, Etc
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<br />IFlood Zone Certif.
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<br />tot5 w
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