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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE IDiSIG.O*c-Build6 Dc.Ldion
<br />I ns.ty .fird und6 r.Mty of pt,uy l,El I m qopl form llE Co'rndo6 l,enr t r aor $. follo*'ns ra$n(s ?0!1., tlililg
<br />.,n Prcldi,n Co.lc) Ary Cny or Cod, *hkh Gquirg r Fmn ro .rdM, .ltr. inpmtr, dtutirh or aFn ry ,MG, Fbr ro il!
<br />nruB.. .bo cquiE lh. .p?ltd lor r(h FDn ro ,ilc r .ig..d rrri@d rh.t rE or rlr i li.ed p6uln ro rlr Fo\ u.6 ofth. I
<br />Conln.loar L'eG.d l.* ICh.pl. o, ( mmm'.3 rnn Sdbn Toooo,OrB.n, o,rl. A6rBr..n PrcadaN Cod.) o, rht h. -
<br />3h. it Gxmpl llEEfrom.!a llE n i! for llE tlka.n .rdpriotr .Any virldl,n ofsdbn 7011 J br xy.rprk lor. Fnnk $bj..i ttE
<br />.p?li.ur ro . civil p.Mhy or mr mE &a fiv. nunrlr.rl dollB ( l5@)
<br />l. B o*nd of rh. prop.ny. or my .nptry.6 w irh w.36 B th.ir $k cohp.nllr hn. * rll do th. *ork lrd rh. ,tudu. i nor mr.id.d
<br />or olIs.d for $1. ( SF 7o.r4. Buu6. .nd Prol63'on. (.d. Tlu Contrrcror i l- 'c.u I.* do6 not .p0ly ro rn o*u of rh. pmr.n,
<br />*ho blildi o, inpovd rh6@n...d wlkl d@! luh lork hiB.lror h6.lf or rhrouxh hB or h.r o$..mp16y.6, prcvidcd rh iu.h
<br />improv.n.n( r.nd im.nd.d or ollncd for$lc.Il ho$.v.r. rh. buildint or improv.m.nr itroldwirhinon y..rolcomplaion.rh.
<br />()wns-Builddnillh!r.lh.burd.iofprovinyrhrh.or!n rcl build orimprov. for rt purpo!.of!!,c)
<br />L a owBorth. prop.ny. .m .rclurikly.ontrdiry wih lkft.d.otrt.croE to cdNl'ud rh. projdi ( Sd. 7Or4. B8inst ud
<br />Pof*rn Cod. TlI.Contrdoir l-s..* t,* d6 mr lprly torow66lpropdv pho bu'ldror npror6 rha6n. rhd *h6
<br />conlrdt tor tucfi pror(t wihr Cont.ctorl !, I'co..d pu6unrro EContrdoriLE.neL*)
<br />I m.r.6P1 und( Sa'hn .a & P.C. aor rhi! rcen
<br />!aBf,!8t-c0utr!ta!.q!.-prga8aua!
<br />I ts.by .tfm undd p.uty o f p..jury om o f lh. lolh&n8 ddlDtioB
<br />I hrr lrd will dinr.in r ( .nilic.r. or ( oGnr ro SElf. rBur. aor w (.rr' .omp.d|o.. rr povd.d for by S.crEn r?00 of thr
<br />Lbor Cod.. for lh. Ffomtr. of lh. so.l for which lh. p.rmn t n!u.d
<br />4.*-o*'r*.,.,*-,..u,n'p.nntDn 'ns!nnc., G r.<iutr.dtyS.dmnJ700olrh.lrborCod.,forlh.,.rlorrunc.ollh.
<br />*orrdr' 6hD.oa.an Guruc. cEtr.ri
<br />La,- br t a (
<br />4))3oo I \.-
<br />(Th! r.ctaon N.d mr bG @mplncd 'f rrE Fnn 'r ror or!. hudr.d dolLn ll,ml 6r L$)
<br />I cdrly th.r ir tlE Ffol E o, rh. *o* fo. lhich rha p.mit B Fsn B.ny 'uncr !o r ro
<br />tr.m tubrd ro
<br />'h.
<br />@.ldt bn bw! olCrhlornr, rd
<br />tTmotlh. trbo. Codc- | th.ll. fonhrnh
<br />/o 4
<br />icu. worldt comp.Brxo. cov.r.g.,r unl.*ful..nd !h.llrublel rn.mp
<br />find up ro on. hundr.d rhowd doll. (llm.(xxr).in.ddiliontoIh.cotl.fcomF.n io.prov'dcd for thc S.n'on l07o or
<br />rh.lrtxn( ode. 'nt.r.n andrrdtr.v ! li.\
<br />I hs.by.rm undd pr [yofpdjuI} thrr I d lic..&d unds pDvaion ofchrprd 9(o6n.ncins w'rh S6rio.7000] oaDivnion t of
<br />llE BsilE lrd PrefdioB Cod.. ..d my lic.u it in tull foE..rd.fiel
<br />L lo /1
<br />!_!11t1-8!_L!!!\_!.1!l}1. !!
<br />I t6.b,.rfim unddF hyoIpdllr, rh.r rhd.irr coBrodior Lidinr.r.xy lor rlE p.rfodn.. of E
<br />irlucd (Ss. 1097. Civ. C )
<br />L.idd.N.m.
<br />ATIUCATIl.DECIAAAUq
<br />I}mlnion Pmtu-Arb.lror Ndili.dion f-.d.nl R.3uhioa(Tilk40. P.n 6)
<br />R.quircd Lct6 oaNori6ctthn
<br />I cdiay rh.r rh. a.dd.l r.3ulrod EsudinB utoror lmvrl ,. tur .prlictblc lo rh! proj..r
<br />I .cairy !h,r I h.\. r..d rhn rppl(rin..nd i,. i, .or.d I rar( r. onply wnh nl Cny xd Cody
<br />.rd,,a6..d Srd. br. r.L!ina to b{-::""';:ru;"-.b.\. 6cmio..d FoFdy
<br />Arpli..ni or r8at ia.77
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erectron Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It/a so n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL )/el r z*Pf an-_6d
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />M \WP51\P€mil-lnspaclion Foms\Buildrn9-lnsp6.lion Rscord.doc 03.31 06
<br />COMMENTS
<br />r4
<br />Su bfloor/VenUlnsul.
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