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BUILDING- INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS OTTNET BUII.I,,ER I'ELCAf,TTfu N
<br />I tfttry rffrn undci lEulry.a Frrury lnd I o.r.r{ tuf, rlE Cotu-lm l.t.nE lr* ror rrE tolk'*in3 F.-. (lsL?(r]l J
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<br />r. rh. r,oyisioN Dfth. Conr&ft,\ Lic.ned tjw (alBnrn 9. (.ommrcing wirh s.db. 7flD of Divnhn.l or rlt Boiitrs md
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<br />lprlic0ntturp€mirsubjekrh.,mli.rmro{civilF.nr[yolnolmElhlnlivchundftddolles(tsLx)].
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<br />.\ b*m. of rlE F$Fny. c ny cnghltcs * w.scr.r rlft $h 6"lFnetrn. *il, & tlE *il r,n tlE nnrlE k ml
<br />iddiLd r ofi.r.d fr qt (56'70,14. AGiBr rnd Ptofiri,N C6& Tlr C.'rrdoar litns La dG d.pPly L u otu or
<br />Or FFn, wt[ t ildi d 6!.0B rllls rrn vb dB sn s,l ti@lf oi t*lf d rl' !!h hit c ts o*n.inhFr
<br />,ror-Li ri.r sh r+trv.tdr e d irdxH dolkBi nr rb lr. ].M. rlE tliBig i, rr!.Gld !r r*, sahuln Fe
<br />oloq ri)tr dE GrF Builrs will irh rrE htr&n or F rtrE rt{ ll n sh dn ,i hqiu or inFE rtr Fo,Eiy Lt llE FIFE of
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<br />rl D\nraq'n C.dc lhr(in a.nn \ l-iccn{ l-a* doc\ hor nptlth n.ostruofP',)t{,ry*ho hoildsot nnnn^.\rh(,.rtr.
<br />trtrJ rhr !1,nrBrr tu {rhttuFrs $irhaconrr!.ttr(\rlf,.rrcd ru^ur n,rlF(in rr.ttr.l-icns lf,*)
<br />I h.r.by rmrmu.dcr pcn.lly .l Frjury orc ot rh. tol!,wnrt &.ldtiions:
<br />I
<br />I hxk ori will Minrrin r (tn irrorc of Conenr ro Sclrr ln\urc ntr sor*.R omrEns.rion. !s pmlid.d for by Sar nrn l7m of lh€
<br />ljhr Qnc. fn t r Ffolrjm orrlE srr for whih llE Frni n isud
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<br />h.w rn rill risllh *ork6 ooFM;o. nrur.. r. ErtoGd hy Sdrion 17fi, of rlE trbor Cal., nr ft pdtrlltft 6r
<br />rlE *mt ld ehih lnn Fmir ir nrtd My *dr6 .rnttuir ins,re Mit id F .y nuf,tb.r e:
<br />l,()licy Ntrmhcr-
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<br />.cniry rh'i i. rh. p. orausc or ltE wo,k tor ttich rhn ,rrnrir k nsu.d. I rhrll dn cnploy any pd$n
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<br />rny m.nF
<br />q' s b tElam subFr b rtr lorift .,nlE.uio. lr*{ ofcthfomiL dd.ac ihd it I rh,!u lE<om 3uhFr t, rlE
<br />*o*sr' mr{Eflerb. ,,o\irirnr of sdhn l7m ol rtE ljlrtr ccL. | {ElL tunhr iih cr?|, r'irh ltnr lr.vri,nr
<br />W^nNlltc F.jluE to sE q c^'or{rndion i^m!. r! unhutut. drt rh.ll ruhFr u srl)hFr ro mirl lEtli nd
<br />riv liFr !I! ro oE hudF lhou{ 6U. talll).llr,), 'n
<br />ddnitn ro rh..oil otcoi{EE!io.. d.m8...r Folid.d ror rtE
<br />ttte:1 2-t-
<br />I hcrul'y lirmurdcr ncrulryol F4uiyrhd I am lians{u .r pn,vi\bnof h S..rntr Tilr)rol l)\6tr.l
<br />.r rlE 6uiGs rn Pnrcsb.r Cod.. lld my li..ne L( u 6lrl rna .,i cllsr
<br />I tr.n.. ( 1,'*
<br />g)Nrrallcr]t)NuiNDlNli-&cD!(I
<br />Ih.Rhyrmflnund$FtrnlryolFuuryrhdrlEre(a.rtr(.rrnL'kl'8a8.Nyntrrlkltnn rmcorrh.rork1,,qhi.hrhnFrn,iri\
<br />nrNj (sN 1097. ci! c )
<br />l,nLl\ Addrs:
<br />-
<br />AETLIIAIIIIEII.ASAII!}N
<br />I tE b, !filnn undcr Fnlh t of pcrjurt om of rh. lolk)win! dftht0l iotrs
<br />l).n,liri)n Pcrmits.AstE(or Norifi cdion Fldckl R.gubriln\ (Tirl. rn, Pln6)
<br />-RcrtuiEn
<br />t llcr ol f{'lifrrriE
<br />I .qrify rllr llt r.rL.d E8uld io.i E8.rdir8 r{r(or rcm\.1 e ri .r,f,l..bl tu rin ,m,Fr
<br />I rd'fyrhd l h!v. rc!, lhii.prh ui[nrJ nrrc rhrrrh. fir. 'nn I neren,()nrplyulrhrll( 'r) 'ft1(i,unr!Drl .trk.r.tr'rl Sr r Ir*\ r.l,ngr. htr'lJ'n! ronn'r'.rx
<br />rtxllc nrnrrnrd fR)F-dt ntr nn
<br />,\ ,lnntrl or \xdl SiIn
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnl. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL lUrdlB a,rv\b?
<br />Certiticate ot Occu anc
<br />Notes, Remarks, Etc.
<br />DATE
<br />T-Bar
<br />;::ry,
<br />cM-
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