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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />iet Backs
<br />:orms/Steel/Holdowns
<br />lrection Pads
<br />JFER Ground
<br />]LAB Floor
<br />iubf loor/VenVl nsulalion
<br />lool Sheathi 2
<br />lhear Wall
<br />-ramtn
<br />nsulation/Ener
<br />all)
<br />:xt./lnt. Lath
<br />lrown Coat
<br />ulaso n
<br />)ool Fence
<br />[-Bar
<br />landic R
<br />Final Reu rl
<br />rt:n ineer Final Re
<br />:lood Zone Certil.
<br />:INAL
<br />)ertilicate of Occu anc
<br />{otes, Remarks, Etc.
<br />OWNER BUILDER Df, I-CANATION
<br />I rErcty rnnn !.d.r !.nrlry of Fqury rhri , M .rc,r{,r lr,6 rL Codrf,rd latnr LB nr rh. rotnlw68 E $n (Se roll 5
<br />BusErr td Prnt s[n C,rL): Any C y or Grdy eh(h Equ@r r !..nll k, .rmnrud, .xd, ir'Iror, !.h,l6ti nr EFr -r,
<br />(ru(rur., FDr (' 'rs ir$mc. rko rcqurs rhc q'pli.$r l suh Frnl n' n! r usEt! q,.mnr rh.r rE d slr ! lL.nki Fr$.tr
<br />ro rh. rrDvubn! or rh. Cont&rois Lr.r*d L.* lch.fl.r 9, G,,im-.'o! v h Ssr$n 7@0 or Orv'.nn I f ih. Bnu*s $t,
<br />Prr.sirnr C'dJ.) d rh.r h or rk ! .r.n9r rh.(ftum .ll rh. h.sir tu rrE rlLs.rl .r.qri'n Any vhlrridn of Serbn ?01 L5 by .ry
<br />.Jll'lunr ld r p.m 3ra,Fk rh. rlrlr&t k''iv,lF ltyotnor m'Eth.n fiv. huntlEJ &nhr (1500)
<br />-1.
<br />rs owt oI (h. FrFny, d my cngloF! w,lh wrs.r s rlEe $k F,t .Nrb., su d, ilE wt rn llE rrrr B d
<br />Ilcnltl o..fr.rd ft, sL ( Sd.7x,a. BurlK lrJ Pr.&.iiom GrL: Th. Co.udd: tilM Lq &Er ml rml, lo u owr of
<br />rlE F{Ery vt' llltt u it yr'6 ttERE !n rho dra sn wt hrreU or lErElf or lhmu8n hi! d lEr om.irrby..r,
<br />phvrlul rh,r tut olio@d, e mt deldl tr od@i 6, at Il lIMw, [r t[ turs r qEEr.! ! $Il eithh rE F!
<br />orcdrtlcrstr UE Ovffi au k" ril h.E tlE hrn n oI Frvrr! lh.l Lqnr Jil d hiu d lqmE 0E F{Ely lo llE F]rIrE oI
<br />_1, r\ owRr or rh. thrFny, .m cr.lu{v.ly .odrr.r hE w h |..nql .o, r&tn t' otrstui ilr F,l..r (S.1. 7044, AurBi
<br />aftl hresi'n CiNL: Thc Conlr.cntr t LEcnsc Li* &rs nn rplly n'.n oeoc, ol pmFd, wlx, hurlds.r mllrnv..lh.r.on.
<br />lnd *h) ronrrkk |,tr suh lx,Fct *(h r O)dru6( n h.tr$.| pursud rd lh. Ci'nt&ntr'! llcnr be)
<br />*l .m c\cmfl uok Scrir-. B. & P C fix
<br />'hR
<br />r.ti,.
<br />.1!I]SEEI[E-.!A!TEENSAIIO!
<br />DT:CL,AMIAN
<br />I h.rcht attrmrnJo FMlry or Frlury oN otrh.,l,lt)urr JRhflrDnr
<br />I hnh nrl wnl rumrr( r C.n 'li(rrc nt Con{nr bS.llln{urc lor uo sa u n{Ensri)n..r F'vri.J ld hyS.(rxnr l?u)olrh.
<br />ljhtrC(xh. L{rh. If,rturtuk.ol rh.* tur whthrhc lrmr F s!.d
<br />_l h/E {nJ e'll n.rrln work.rs lohn n INr ntur.,k., .s Equir.al ty Se.'r iD .l7(tr ot $. Lb(" Cixl.. tur th. Fnol]ilet ol
<br />rtr krl nr shrh rhir Fmn is trsrJ. My erkrs lomFNrx'n rnsualr (drr.[l F,1., nun$., E
<br />- 4ela c-oI\ts^g4'or. gY\9
<br />ollq EiI,^,, i\-l -1a.) '
<br />l.cnrly rhir rn lh. Ir lormB- c oIrlE *ort ntr rh{h rhn Frn r rrkJ,I shtllfr{ cnPh)yrnylEis.n rn rnynanE
<br />y, asb hcro r srhFl h rh. vMt6s .l'mFnnrxr trwr ofC.Lnnr. rnl ryN (har il I dulJ ..Lom iuhFr b ttr
<br />wolkaa d)mFn*i t{ F)vNr}ns .! Sa(r$n .!7{x} ol rhc liin Cirlc, t slB[. nnhwnh .oq,ly w h rhE nn,vi\lns
<br />WARNING !.rl!rc 6 s'u. vorlcR .a,n{xour$n .o!cr|!. ,\ unhwlul, rnd si,ll \uhr.r ,n cn0l,r}s t' mrl Is[B url
<br />dvrl linc\ up r'.rc huBlr.ll rlx,trenl J.llr! (!lul,(t)(r), n r&ldtn r' rh. ro{ oI omlEn$rr$. J.mE.. .! n oyblcJ 41, ih.
<br />Sr.rh'o ll,?l'.r rh. hhrC(in. nr.rr{ JiJ d!
<br />l
<br />DECIIEAIIA
<br />I lEEhy .nnn uni.r F lry ol F,rury llur I.h bdarn untld lnlvifi', or CrLI{6 e (nMNr,B w'th Serion 71)(t)) otn,vnif l
<br />or [E Au{Es ntt PmlcsDtrr Crxlc, .,] fty l.cn* ! D tu[ nrr r,rl .ff&'.
<br />'c-5\q56rui
<br />CONSTRUCTION LENDINC TCFN('T
<br />I lf,rhy .lfunr !frl., IE.J|y ol Fr]lry rh.r rlxrc s r onimlDtr Lhlo8.3ce, nr rh. Fnomrt. rf rh. *,t ir wh.h rtu( Fm( t
<br />issu.J rsa 109r, Crv. C.)
<br />AfIIICANLPECIdIAIIIIX
<br />I h.r{tt ,ltim uoJq pcnrlry or Friury om or rh. ldl'vn8 d( l,r.ri'ns:
<br />rXfr nnx,n PcrmreAstf,{or N,inl(.rn,. l"cJcral RctuLl$ns (1 irL 40. Pan5)
<br />-R.qur!
<br />l.(.r o, Nifrrri)n
<br />_l r.n'1y rhri rtE rdl€El ,.sahx,nr E8{drne .if,ior rcfr)vil u. ml {'d.!bk to rh$ rmrar.
<br />lzl e.nrry rhlr t h.vc rcd rhrs rpd..rirn {ri nsr. thd dE ft,v. ihn'mrn)n 6 oGl. l .8ra tu Nnrty w h .ll cdy nl Colnry
<br />rdirtu.s mtl Srk lrv! rclzurg k, hlllrt (dnnddx,c Un hact , .urhnrc r.trcs,xrhr or
<br />'nr
<br />c t .,rl Cou"l, l.: cnl( qDn rlt
<br />ah)v. nrnrxnR,l ll(lr--'nt,(,
<br />,\Wli.ml or i\stnl Si!u(uF *,,,L-l#71
<br />Dtl.:-
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