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BUILDING. INSPECTOR RECORD
<br />SITE.WORK IDiSIG.COMMENTS (r\\ NtaR I .t)t.k t)ut ( \R\t()\
<br />I hocby .mm u.dd Fulry oa pdjury rh.l I m .rnfl 6.m rh. Contrrt6 Li..M l,s lor th. folh*rs r.&n {Ss 701 I 5
<br />Armd .rn Pr.ft*hn (-.d.) An! Cht or C.ud) snkh ..qui6 r Fril lo snrrud. .ls, 'nFor.. d.rtlirh or |tpff tn!
<br />mdue Fhr b ns 6uftc &. r.q!n6llE rpglrer for ruch Fnn lo frL ! 3'std nid6l rhd lE or dE ir li..Bd I{rs!,I
<br />ro ih. F.vni6N oftlE (.nrn toar l-icoed trs tchaFa 9. c.nmacin! sith S.crion 7000 of Divirior I olrhc BBi.dr rnd
<br />PmlsioN ( od.)or rhlr lE or th€ n.r.rpl rh6.6.m ud rh. b.tl! for rh. ilhs.d 6@prion Any li.ldirn of Sd ion 7011 thyuy
<br />q'plrrrtu.FDnshic.rrrhcrrgr(rntro!.irilFllyofmrmr.thrn\.honlr.ddoll6(ltml
<br />l, 6 o*n- ofrhc Fip.ny, oi ny mDloy6 srrh w.e6 a rhqr slc .omFKdion. will (t) ih. wGI trd th. rMlr is r
<br />idoi.d or ofi6.d for sl. (Se.?Ot!. a6ind od Pmft*rioN ( o{. ftc (hdr&lo.! UcGe lrw &,6 rcl tpply h m o$nn ol
<br />llE rroFly qh. UiLLor itt{FrE lrEoc tt rtF dEst r! hiD*lrlrhddr rhmugh hs d hd o*n 6phyG
<br />,rordal thd.u.h imp..\ffie 6' iidrd.d nolk L.ok llit {M.rlEhitlnsmhs.ltllrdireBtrlhinnm}
<br />of.onlpltidtr tlE O*c thld. *in irE rtE hrd.i ofFowE tlii lE or dE di, mr hrild.r nproE tt FiFly nnltE p(rF.of
<br />l. a o$ffi of ilE F.t6r, m.rrl6Nl' codrdi.S $nh lk.E d codtdm ro c.dEd rh. roF (S{ 7Ou, q6dK
<br />ril hlkm ( od. In. ( onrrrioi, t rcc |iw &'6 mr .!!lr- ro e o*nE ol FotErt *ho bnil& or improls
<br />'h6@n.and sho $dnd3 f ch lroj.dr wiih a (ndfr1o(, lirmr.d plRu.d ro ific ('onrEIors Lic6k lts)
<br />I m.rcmr. un& sdk.
<br />D o Ornd
<br />IAA6t&U(An1I!!,llIlIl!lrl:(Id&rllo
<br />I hdch! aflnn undd pcml() ofp.:lu\ on.ofrh. f.lkrsmg &{LnaroB
<br />t hav.,rluillmainrrin a Cslilic.r.olConhr lo s.l!lN!r.lor *!rk6i conpq$rn,n. a In\ nt.d f.rbrs(rbn 1700.1'lhc
<br />l.hor Co&. ntr thc Ff(m. of lh. r.dr fs trnEh lh. Fst i. isu.d
<br />lh .tnJ Nllmi'n. tr sorkds' .otr,tcd.itr,n n\trrint.. N rsur.J h\ S(rk\i i;r(rr
<br />rh( q,11.i htrh,l-aFtrrr'q'.n.rl V\.\.rto\,, n'FNrrtInrL',trn.\,n d itr,lr..
<br />,*',. , /<darto fiu | (ovar./
<br />r,,,r,.!Ntr,hs / ?0,4/ C)tt 7t) r\ptr.\
<br />f'h.t t$r (-odc. tor lh. tErolfuc..r
<br />1'- t-,8
<br />I .dif, rhar in rh. Flolillm. of rh. sorL fd *hth rhi. Fni i. irsu.rl. I 3h.ll ml mplot ur_ Fmn in uy mlllE
<br />$ 6 lo b.etr sbid'
<br />'o
<br />rh. m*6 comFMhn L$! oI ( .liaomb. ud {r lhi 't l nsuB t r.ft tuticl '. rrE
<br />trorld' onl.N.l io. provilioB of Sdon 1700 of lh. Libo. ( odc. I s&ll fodh*nh omdy wirh lrse Foriliom
<br />W RNINC lj,lurc r. k@ *srl6' compadion c.rnrx. 'r u.lawfol. dd lhall subjd M apl$s h on$nol FEIa ed
<br />.nil fi.6 up h on. hund..n rlFushd doll$ (lllxr.ooo),tr addiion n' rh. .os ol..nrFrqrhn. da,na{6 a5 pnriddl lir rhc
<br />sdr-n ro16 nrrh.l,trr(-nL hrdd sd J .,,---
<br />DEOISAIOtr
<br />I ffiy.rm undd Folrt ol Fjr.) rht I m lkdE d onLr Fvirio. ol(tuFa 9 Gonffiinr trnh Salnn TdXl) nf Dnnm:r
<br />or rhc B!.r4 &d P6f*hB Cod., &d nr li.r@a in tull focdd.lf(l
<br />'','''",,,'' r (71
<br />u"," jof 7 , Zotl ,.,,,
<br />0,7517,^/4-
<br />(.ONSTRUCIION I F^IDINC CENC}
<br />Ihmbytm.murd6pcullyorpcJurylhdlhscLr!(oNIrucinnlodins!{frylorrh.Ffom..oflh.*otkftlrqhichrhnFniie
<br />isu.d lS( 1097.Civ ( ,
<br />AITLICANLDECIJTAIP!
<br />I hd6r'lfm und6 p.,.Ir of pcrury o.. or th. tolhq i4 {ktlr.l rN
<br />l)cmolnionPdmnetuberNNoiifir hn F.d6dl R.trlarionrIlirl.40, Pin6)
<br />Rcqun.d l!r6 olMirn.dio,
<br />I cd'rylhll thc t Jsil rcsuhioB l.8ddhd h.slos rmolal dc not 4r'licobk ro rhs p(Jc(r
<br />l.d'f)rh l h^.rdn(hs aml'rnbon exlnd.rhd rh.rh\. 'nli'nndn'n tr.ond lil:lrrocdmll\tr(hall((\and(.onr\
<br />orJ'mft6 and Srd. L.(i r.Ln'+ r. lt'ki'nr c.nqndF( rd h6.ll ruthrur r.F.sr.n\6 ofrhts ( [\ d! ( ount\ k] dr6 ul.n rlE
<br />;;;"";::;::::WZ".o4 -.---- -:-.. or I i. 2,t,7
<br />pmi,en.n.rpnn,): 7u/1l*wL GtLo, 4 .
<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 />lns u lalion/E nergy
<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 />Engineer Final Report
<br />FINAL f1<a ,TJcSft e)
<br />Certifi cate of Occupancy
<br />DATE
<br />I
<br />I l
<br />I
<br />I
<br />Flood Zone Certif .
<br />I
<br />I I
<br />Notes, Remarks, Elc.
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