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BUILDING- INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS or\ \t Irt t,t.Rtnr( \11\ lli)N
<br />I lmtry rfirn unds Futry ('f Fluav thr I d cr.'r{tr rmnr thc (idrdr6' l-tcnE ll* lL rh. folh*m8 mq'n rS" 7011 5
<br />Itusnrs\ {rl t\ofc$irn (,v.Lr Atry cirt or counly *hi(h 'cquifti u F.rit ii, d,n{rud.olrd- trq'ov' dctrrnish 'tr ruNir drrv
<br />(Dcxtrc, I'xtrt, [r ilsolNc. rlqr tiFiE. rh. .nlltld nn iuch F.mr r0 ilc ! n8ftd {!l.rnr rhar h. or llr r lkcRd
<br />'lurstnrn, rrE rrorni'nr ofrli Conr$hr l,icned ur ((-h.flcr 9. (i)mrmins silh S.crion r(xrr of l)irisin 1 'r th' Bu\in's rnd
<br />Ihfc(ions ('odcr.r rhd k otshc hcrcEfl rho.rromand lt bs'\ nrlhc rlks.n cr.,rt.i Anvri'brhnoISdiotrTo:lr ihr'nv
<br />lDpliad fttr N tFmn uhFlr rlr rmld.r to a .iY!l p(Mh, of nn mtrc rh!. fir. tufth.d doll{' i !i )
<br />-1.!roqRrolrhrFofdy.dnycr+loFq*iihu.36.rrhcr$konlFcnliirn,rlll&tllsqillnrlEcrimnninicrxld or 6frer.d for qL {S( 7(x4, BlsiFs u.d Ent \\nm C,ilc 1 hc Ctrnkd.ktr r l.iLrit tjs do.s nor trpPl! ro an o*mr or
<br />rh. Fn'Fny r'rn !oil& or inrnF rtrEm, rrt *fn (16 uh slrt hrm€llot h.i<lf rhrou!fihn (tr h'r o$f, r'.lihltc'-
<br />p'"rlca rtrur.ucl iqmwEnBmnn hi. Ldr.r.tintreL lth,*.rtrrh.t iuirE n irF'Eft'r t c'U uirhin ok Fa
<br />;t mntrhri'n. lll of,Er Buitll, * l hrE th( t!td.. ol Inring rru lE .t dE n n, t rd ry inlnN rtF F{Env lit rlr ,rryE 'f
<br />-1,r\.srrorlh.roFny.r.r.luriElt.oddJinB*ihlitn\..dc.
<br />hdoF nr snnrud rrE rmjd ls( 7o!r' Au\irs
<br />l-d* rlor\ fti Iml, h rD otrnrr ol lln,F ytrtx' hu'ld\ !r nnpnrr\ rhcrcor(l ln)1.*rrI 1,11. llr (-'dik rtr .l.r..n
<br />lnil *h, drnreh nr ta.h tn'Fr! uit Co klon.lrcn<rl purud rorh.(odrmi(tr I Li.nt lisr
<br />I r,nckmn! u lc, hll.rrt.l-2ut(
<br />l)I(l.r.&ulo)
<br />Ih.'rh!rrltrmtrr1.,tf,trrlrv.rtxll'rv'rcorrhrI',ll( \ rP(1..h'rri,nr
<br />-l
<br />havc url will nuinrain r C.d ilirlc oi (ir{ir fi) S.lI_ln{urc tur eort r-conrll.n\dion. !\ ln)vid lorhySd'rnnl?(xrotrhL
<br />Iih, Codr, ritr rh. Ftormm orrlx uort ror *hrh rlI Fri 6 r(ud
<br />I h.x !ft, q ill msihrrin f, ork.r.- c.mPcn\di'h rn{n rNc. !s rcqr .J b, S(r ii,n .17(1, of rhc I rhor { id'. lot rh' Fn)l]mR c ol
<br />rlE work tir*hihrhn Fmil i. tsin Myrorkdr (dq$srin, i.(rak.coir i rDlf,vnuhh.rr'
<br />,-l.rnily ih2! m rhc ltil.rm&l orrlE 8{k n, trhih rhtr Fnn, n 6sEd. I ihlll un cq)lov rny FMn in 3nv mnmr
<br />y, k,tr.oft{ut'F!roIh.*. cti (n{rnssrn,n ltw\ ol ( dlinmitr dnd 8rcc lhnrill rh{ld tEom $hFcrl0lhc
<br />sortoL d'nFnsri lln'tri'N ol SNrion I Xt) of rhc tihrC(rk.I dEll. tunttrirt$rnlt lilhrl5< pnr6i'n\
<br />tll[NIN(i Ix'ltrrr 1,' ir,!. \q,l.Ia.!ri A rtrls\h'l nn(L \lt ll \'hl.r rn. llllorcr kr (rtrr rr lx{'rr(\ rtrll
<br />riril nmr up t, om hu r.n lll)rqnd dolldr t{r).lxtrr. 'n d i{ k, rhr cr{ (i ()n ,lJnr!.s r\ Il(*dcd l({ ilr
<br />S..rtr,n 10?6o, rh.lrhr(,t.. i' cr.\t1-2-t ri J
<br />llL:l.l.Mja)
<br />I h.rhy ifirm undc, I*.alryol Frrury rhar I m li(Ensl mkt Pm\ktr of( 1unrd 9(mnnEtrin8 *ith Sd$n ?fil' trDivtb' I
<br />ol rlE Buriftli .nd l\.fclsion( CoL. lri ny lt.n{ ii in full ({e rd .rTNr
<br />lolEr8t i{JxlL.LExlullil1inN(t
<br />I herby rfllirnu(ier ltndlry ort qury rhBr therc il n $tr{n,.lhn Lndins as.n.y fn lh. Ferrorronuc olrhc *urk |nr rhi(h rhn Frmr E
<br />R\kl rs( :l(p7. cir c r
<br />l.frlc' . \rtr
<br />-
<br />aPPL|Crr\l ot_tl ARA rlofi
<br />l)ri,vilnru rr trnrlrv DiBrInJ_ oru o, rh. h'll(Nire Jr.lxI)rnn\
<br />l).nn,l'rr Pontrrr sh.{u Norllr.irr)n I.(l.rrl Rcs hrnrn I l nr. lo PIr6r
<br />Rcqnrcd lxncrnf Miililr$n
<br />,..k,./,,,"
<br />-,r*-'-,iisr"" r"
<br />lM.fll r.8tr lir i(,n\ ns dirrt tr\h({.\I.nr,\il . mrrPl,l'.rNc n) rhtr lnrl.rr
<br />'ud rl'^ rt'tlr n kl{rr. rhi k).omnl! wirh rll('rrr_n (nunlr
<br />ra nbrin! r, t{illiq.oNtrir (rh* C(t,rl (.u r\ &.nrq trFnrh.
<br />lIt,li0n,l or,\xr l Sitmlur(
<br />5 /+Ar+i
<br />,/.2-L- K
<br />Set Backs )
<br />Forms/Steeli Holdowns /
<br />Erection Pads lr /,, t. d t"
<br />UFER Ground \( ttl'0 '/!p
<br />SLAB Floor )
<br />Subf loor/VenVlnsulalion
<br />Roof Sheathinq
<br />Shear Wall ZJFraminq t)FZL;
<br />ln s u lation/En erqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat 4 7/r//f ,
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil
<br />FINAL lz-/?-/t'J./lHa ,(-i4
<br />Cerlilicate ol Occupancy
<br />Notes, Remarks, Etc.
<br />DATE
<br />Y1()
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