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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER B(III,DEN Df, LCAR TION
<br />I hfi.ry dntn undcr rrnally o, rrjury rh,! I sr .r.nlt)r rNm th. On rrbn Lk{nr br frtr rh. rol!,witr3 rcr$. (^L 70.11 5
<br />Buincs rd Pml6rir (id.): Any c{} or Crunry *iah r.rtund ' Fn t ro (n.qMt. !lrs- iq'rort. d.fr)lnh .r qrn anv
<br />{tucrrE.Fffk, ! ir.uaE..ls mtui6 rlt npplf,a t iu.hlEmir () frk. n3Ed {licrnr rhd rror.lE ir lieKd lfoN ri
<br />n) lhc pmvninu ofllE C,nlra.rm \ l.iQnsd lrq (Choprc.9. ('onwt'is *nh S. i'n ,tf,x) ol l)ivistn.l ol rlE Durin.ss
<br />"ndPn'f.s{ioa\(i c)or rhjr h.i*rlE ircrcmpl lhcrcanm cjd rnc hri\ f(tr rh. rlkscd.rcrlf,rion AnyviolrritnofSdhnT0!l5hya.y
<br />qflr.nr n, r tEmi rlhr.li rh. q'l)li'nr t' r ofil FEhy or nn mrc rhrn art hundr.d dollrtr I l1(n)
<br />-1,trsowftrorrrEt,Fny.ormt.'nrrhtEiwnh*!*c{rrrhct$l.omFn.alt'n-}illdolh.w.,nrlE{ulri{inrcnd.n or orYcEd ,r slc (Sd.7044, aurimrr lnd Pmf.ssinnt ('odc: Th. conhcr ! LitnE lr* d.Es rcr .$ly ro m ovRr ol
<br />rlE tfrFny *tr) hild! M irIm6 rrs&( xn $b .tB tn k,t hirell or hcrslf or rhhugh hir d tE own.rI'hF6.
<br />Forit d rh.r trt i.!n'w* e d d.id.n n dH nr ut tt lr'6-, rlr lliElB d ilrpiEri.rr k rA *ihh c Fs
<br />olonplcrbtrrlrO* r AuiEs sill h.k ilr trd.n rr FovirB lh.l lE o. rlE dn d hitl d inprow tlE FoFn, fd rlt FIFE or
<br />-1.
<br />s o$w or rrE rnIdt. M.rclul!.|, co.rrdins *irh licflrrj tunrrr,m h on{nx1 rlE Imr..! (sft ?0+,1, EBmq
<br />rn Ptl)fcs*r Code TIK Conrruhr'r L ic.n* trs &Es mr rm,ly lo an ormr of IroF y *ho huilds nr innoEt rh..6n.
<br />snd who contrh n, ru.h pmj.rlr wilh a Conrmclod I ltcn\.d pnuuMr r, !h. G'nrElols l-ic.( ks,.
<br />lr{1. (r*ne.
<br />tlonl(Ft6 (r)turlNs,trIaN
<br />DIgiIBAllt]!
<br />I lrrcb\ rrl'rmu dd ritrJlrrolF-rrur\ omorrh( L)l!)s rrd.(l.iJri,.\
<br />-l
<br />havc nll*ill mintdin . C.nificrrc of Cons ro Sclat'Ntrrc rd sorkn or{Ensrrn'n. as ln,vi.lcd lor by Sd ion l7lX, or rhc
<br />Lhf, Ccic, nn llE rEfdnlm or rrE vftr fin whih llE lErni n nsk{
<br />I h!\t rnd wrll minlrrn porkh .orr{Eri.r i!. rnsuhNc. .r rcquircd lry Ssr ion :l7Gi uf th. lixn Cod. lt" llE FrrormN of
<br />lh. work li,r lhth rhhFrmir is ksu.n. My worlcr' coqtnrdion inruEftc c,ricr .nl ,nli(y .umttt ft:
<br />-l
<br />ani t rhr in rtE FrtdmN o
<br />$ as ro tr('m $t'f{r n, tlE tr 6
<br />$0l*6 .nn{xnslhn nmetio6 or
<br />n F oi' h ii{.J. I sh.U mr olt|t'y !n,
<br />1 ofl4rNr.n hps of Cllrrom^ rdl.AN rhi ir I rrsuld hoi
<br />sdk,n J7(U ol rh. bhtr (i..1 tult, rodh*irhdriply lilt llF
<br />(ieil lin.r !p ro oft hud..d thru{nd doUB (!1m.0(in ddirion n' thc osr ofcorp.nqrhn, r,rN8.. $ pDrd.J rd rh.
<br />in!.rc{,nddktr
<br />_-/c'/ tr/1 p
<br />u(I:NrD_ra:l&lul)A
<br />IJL(LIBIITI]}
<br />I h.Ehy .0irn und.r Fuh, of p.rrlry rh4 I m lE.r.d uri., F,rtir .l (1kBd 9 klnmring wnh sdb. ,uDr o, t ivsin l
<br />dt rh. suriEs lnd Pofcsio.i Cd.. sid ny li..n€ is in rull lorcc urn .rTsr
<br />,,*.-ar* I
<br />r,r,. /o /t,/te
<br />20) ?/ a
<br />coNsrtut-no{ I Fl(DlM: l(:F\cr
<br />I hcrcb,um n undcr FelryotFrury lnal llErc t. $nsrturbn l..din! {8.fty for thc P.rfomtuc orrlr ktrk fttr whth rhn IEnn (
<br />nsu.d lsd. Ir97. Civ C )lr ld rNrtu
<br />-
<br />lr cr'\ dLlr$s
<br />-AI2LICAI{IJECIIIAUA!
<br />I tdrl'ydhldkr p.Ehy orpcrJuryor oa$. folh*in3 d..1, $ns:
<br />t).mlirn,n Pcrnrils Alt {or Norincdr n ftd.ru| Rc8uhr ions (irh .10. ,'dn6)
<br />-turtuir.d
<br />l.n.' of f&rifsbn
<br />l.drryrhj rhcLdcrtrlrcgulxrktrtr mlrdtrrs tr\h({o\ r. x,rilirc *n rprlirht r, thr foj(r
<br />-l
<br />cnify rhn I tl\r Frd rhn .fli.ttir. ud rlrl. lh.l lll ft,t iir.ndkr n toGl I.sr'oonpry*ih.llCirr.rnC.unrv
<br />udirB .!n Sr.k LrB Ebinqb tn irs eErrtlin d,n tfrby .urhr,. EF.*n.liB of rhir cny .rn C.unrv ro .nre qsn 'lt
<br />'h,h mntnftd nmp.ny rltr insF.rn,n tfu Fss
<br />/ -n7 14 <o5
<br />7o/ rlte
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulalion
<br />Roof Sheathing
<br />Shear Wall A
<br />Framinq 0\)+e$fi
<br />lnsu lation/E nerq y U
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />I\Iaso n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Depuly Final Report
<br />Engineer Final Beport
<br />Flood Zone Certif .
<br />FINAL I ,24'l \.plnnl
<br />Certif icate ol Occupancy \J
<br />Notes, Remarks, Etc
<br />rlK
<br />I
<br />-T
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