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BUILDING- INSPECTOR RECORD
<br />SITE-WORK ID/SIG.COMMENTS olrk-auildo r}(bilion
<br />, hd.b).mrm u.dd Fuhy of Fru,vllEr I rm d.npr flr n ih. conrrcroB Lr.Mr,* fo, rn.follo*'ns ra$nt* 70]l.J &rin6
<br />ird Profssion Cod.)r Any Cny or Coun'y ehi.t..quii6 r pdmi lo @Gtruc1, lltcr, improv.. d.molnt or Eprt &y stru.re. D.,or ro iis
<br />isuft.. rh. r.{oird lh. .prli.rd tu $.h pnmn lo nL . lisRd 3t.tmt thr h. or rh. i liccMd pu6rr ro rh. po nio6 o, rlE
<br />Contrdor'3 LE G.d l.* (Clupr? 9, (-omMErng w{h Sd bn '7lXD oI Dr..n 1 ol rh. Bu,6i rnd P'oI6DE (.&) or r}.t t or
<br />rh. n .rdpl lltr.f.ofr .nd ll! b.rn for tlE dl.t.n .rdF hn Any \ hhion or S..tb. 70.1, 5 t, o! .pplt.m ror I p.mn $!j6 h.
<br />rprli{nirot.iyilp.n.hr.rnor moE ihM fivc hundEd doll.a (t500).
<br />l. u osF of rlE rmp.n). or nr.npbrG r nh sli- ! rh.ir Dk conp.Nr5n, e l do rlr qolt rd rh. ntum s mr inr.rd.d
<br />or 6lt r.d fo. {r. ( Se 7sr- Aun6r md Pror6rretu Cod. TlE Contr.cror'r LE.M bw .roa mr rppl} to rn oga of rh. pop.ny
<br />*ho buikr, or nrplovd rh..Nn. rnd *ho do6 i$h *orl himrlfo, h@.lrorthiouah hir ortff own.oployft!, pmvd.d lhit $ch
<br />inrrovci.nr! !r. tur inrdd.d or ofid.d aor nl. llhov.rd, rh.b{ildi.r or impro!.m.h i.kld eirhi. 6n. ro or.onplaion. lh.()rG. a{iBd c ill h.\. rh. trd.. of Droriq ih.t lE or rh. Fl boild or isprov. f.r lh. plrFr of !k)
<br />r.Iowndoi!h.prnpdy,rn.r.lu.ivclyco rrclin3 w iri li..Bd contrrclo. ro consrud rh. Foj6t ( Sa ?044. Buif,B. rd
<br />Pmfsi.n (od! TIE Contrcror! l.'..nr. trw d6 mr l'plv ro.r ownd of proldy *ho b!'ld! o. 'nprcv4 rhad., rnd *to
<br />contrrt tor luch FoF! *rh r (-o.r.dq(, l'.oki punu rorh.(.nrrdo.'r l-...r bq )
<br />lm.\.mpr!ndc, s..rkr.
<br />ii oR l(l:Rs ( (,1\lrrtisA l toi\ Df,(-t,l\R fl()N
<br />IlE.ht irlir undd l.mIy rrp.irtrr on. olrl'. tulk)s Lnr J.(lirarnnN
<br />, lI!. rd r ill mid.in r Cd'r(.r. orcoodi ro S.lf- l6ur. aor Erl6 comp.Er{., .! Fovrd fo, b, Sd.n ]7oo o, rh.
<br />lrt rCod., 16r rh. Froo,ft. ol rh. sort foi whirh rh. p.mi! i irlud.
<br />I h.v. rnd yllflro'n mll(.r' omp.NrDn mtur.r.,.. r.qur.d l', Sd.n ,roo of rh. lrbo. Cod., for rlE Ffo.Eft. ol rh.
<br />sorr for *hrn rhsFrmn 'r Bu.d My hrtd' 6mD..rrb. 'Burmr ffir.,i Flky.!mbn a:
<br />Polrt Nunb.t lrptrB
<br />(ltrsdionrccdnolb<cohpld.diflh.D.mir rfor(h.hundrcdd.ll,n l$1001 o.r$s)
<br />I c.n ifr thll
<br />'n
<br />lh. Ffo,Nxc of rh. q o ny$hxhrhs D.mi! i! i.$.d.1rh.lld mpkrr rD, pm)n in inJ- mnn($ aro
<br />l{.h.ruh|(rtorh.ErIdr'@mn.er..hqrolC.l'lo,nrtndtsrErhr!,flr3houldh(.T.lvbrdrorlp*o,I.1
<br />(nFntrrni. F.LB'cnr ors(rrn 11'Q ntrh. I rh{ cod.. I sh.ll. fonl*rh.omDl\ q (h rhsbm\ 6'onrr,,. ^nn,,..., K Klrn w1#?
<br />wAR N I N(; f.
<br />'
<br />lurc !o .nur. workdr comFngton cor",.r" o ,rr*rr,. nrd .*,, rrbJ.cl r. .n,ploy.r ro oninal p. ll6.ndcrvrl
<br />n.d up lo ot hu.di.d lhoqnd doulRlSloo.Ux)).in rddnior lo llE con ofcomD.nuion. drfls.3 s proril.d lor rh. s(!ion !076 or
<br />rh. lrbor C.dr.'ntr6r rnd.dorEr'r 16
<br />LICf NSED CONTRACTORS Df, CLAR,ITION
<br />I h.r.b, rflirf, undd pcMhy orp.rjury rhrr lrm lic.B.d und6 pmvkion olCn prd 9(.om.ncins wirh s.clbn ?ofii) oroili.ion I or
<br />rlr adils rnd P6a-:nB cod.- $d mv nc.M t in tull forcc ud.lTd
<br />"(CI+1 Venhw;;
<br />COI\STRUCTION L'I\DING ACENCY
<br />I rrr.b' imm udd p. hyoaFjw) rhrr ilxEnrcodtudhn L.dht .aft, lor lh. p6[olmm. olrrE eort f6r*hihrhi! Fin B
<br />ih.d ts( Ip7, cir c )
<br />AIELI:AELAIS.ASAUqd
<br />l).mohion P.miB-tubdld Nolin.dio. F.d.rl Rqtul.rio.3 (Ink 40. P.n 6)t quiEd laraorndin..rio.
<br />l..nifr rhi h. acdorlrqul rons r.3lrdinr .sb6ros r.iu.l rr. nor lppli.rhl. h rht fn,l..r
<br />I..fliry lh.l I h.r. E d lhi.rrlkd6D rn tdcih.l rh..b.\r i,to u|b.i!.o..( I .3d to .o"9ly Inh .ll Cny .,!d Cou.ly
<br />.rd'uk6 rnil stn. Llrr rchhr t^ burldrs coBrMrlh,tftb, tu'hdiz r.lr.surn ?r of rhi! cn, .nd Cold t ro 6td up.n rn
<br />.hor. ncnrion.d nrnpcn\ rd insn.(rnv_
<br />Sel Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenVlnsul.
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />FINAL r \,
<br />Certificate of Occupancy a / vv
<br />Notes, Remarks, Etc.
<br />MlwP51\P.rdl-lnsp.c0d Fom\Aurlong,lnsp.clon R.cord doc 03 31 06
<br />DATE
<br />Brown Coat
<br />4 n/hbd
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