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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNIiR IUILDrI DELC RATION
<br />I h.etly tllrm un&r FEh! ({ IErirry lhd I m.r.q, amn lh. (h eloF Lir.r lrs rq rh. f6lt,*mt taon (s..7011 5
<br />EuriF\ rn Profcsi,n Gxj.) Any Cir, or Colry *tin rcrtunr i Fma !o s.(Mr, rlrd. iqroE. &mlih or r.F! ey
<br />{ru.rur..,rhr
<br />'o
<br />iB krudM.. lho rcqun.r rh.lplli.dnr t r su.h lErnir to filc ! sismd (!l.rnl lhll Lor !i. i{ licen{n t!N!d
<br />ro rlE pmvirions of rlE Conr,*rofs l-isnEd L,s ((hrpt.,9. CrmtunrnB si'h s..ri'n 7ffD.r Divhh.I or rhc Bu.ircs lnd
<br />l,!l,f.ri$nr (-od.r or rhi lEtr ih. i..r.npr rhddrom.nl rh. h.rir for th .ll.tcd .rctq'l nn Aol vnldhn.fs.{rir 70ll5t'y.ny
<br />lrtlkaor 6rrFmn rubj.{r rlE Trliconr l(' rcivilr.Mhyofft, m)Erhan riec hudEddolllr(t5( )
<br />l. r! owF orllE lhlFny, or m, cnyil,Fs *irh *sa.r a llin {,k onFnsrio. silld. tlE s(r rt tlE <rrlE il rn
<br />ddrlcd (r orIcEd Lr qE (S( 7(X,4. BuriE( .nd PmL<nnr C,irc Tlr Corr&rd\ LNne llw d.6 r, $ily ro rn owffi or
<br />rhc I,DFny *ho trildr or u!x,6 rlrrbtr rrn,h,.ftx sh *rl himi.lfor h.r*lfor rhtulgh h,i or hd osn.mrlo}ri
<br />p,ovid.d rhll such impNErnrr N ml hrcrrdl or .ficEn rnr sl lt trkrs- rlr tlitlina o, iqa,Eror is t,U ui'hin oE F*
<br />uf doil,Lrifl, rlr OuEr Alirkr will lIE ttE hrdn oa Frin! tl! lr d {r dil n{ tlill or inFnE ft FrEry t' rlr ltrFr of
<br />_l- dowmrof rtE pn'Fny. M.r.llriklyconrErins *irh ltcnsJ codrsci(tr\ro.rnitud rh. tmFr (S.{ 7044. Buw$
<br />lrl Aot<mCod.: Th.c.nrrroii La..E t wdE mr.rplyrouorFof rmFn!sh. haild!or iqrnN' rlE 6.,
<br />rnd stn onrE :li Lr fth F Frt sirh x G'rrh-k'l!r lt.nErl IIBM h rh. Conrmor's l-i.n€ bE)
<br />I rn.rr ,t, u lcr SNrn,n
<br />l).le (rr*r
<br />ull8tr[&tlllruENrulQN
<br />DLCL/r&lll9I
<br />I hrr.b rrrtrmr.dd F-nrlr) u, |rrJUr\ .fr,n rh rirk,r n{ ti{lmrtrnh
<br />Ihrvc,xl*illnhi'n,'nrCc'rlliurcol(itrFc r)S.ll Insrrc 1,tr anrkcn' con1li n\nr0r. $ nr vklcLl lbr bySc.ri,r lTolrnt rhr
<br />ljlrtrC,il.. fttrrh( Frl,mu'r.olrhL *lrt |,tr shihrtu pcrnir N ^\ucd
<br />I havc!tu1*ill nrNdrn worlcr..omn n\!ttr'i .sur.R...( rcquiEn hy S(r bn .17(n of rlE I xlrn (bd.. ri, rlt p.rldrmRx ol
<br />llr sorIn, $hi.hrhAJ{r riri\nludl My*'ikcr .otrrttrtrrdrtr' r \tr,uk( (r'i.r,trkl tx,lk v trun'hr rc
<br />_l(n'ryrhlr in rrt r.rntrNH. of rtr *o,
<br />$ dr ro tr.o'n ruhj.lr h rh. $o.k.rr $nln.
<br />lor whf,trti{ Fmn n kurl,l rhrll ntr.rqrlo, my Fsn in.nyMBr
<br />ion l.sr.rcrlilnni!. mdlrr rhar irl \,x'uldltr'ft ohifl ;rtE'
<br />tr!rler\ .oirtf,tr! rtrn|lo\nirin\ol5R1i,r r7rx)ol rh. l ntr{ (i'(1.. 1 \tu1 ntrrhqirhcrnlnJ_w hrlx,rpr*AtriN
<br />hF h ainiul Frrli\ rrl
<br />r^'l 6n.\ up h oft huRlR{ rliruqftl dolnff
<br />s.LrkD ltr760rrh.l.'htr (ixl. trr.'r{r nrnt
<br />- t 0/////d
<br />IIt(t,\t\rx)\
<br />I ttrrcby !llin ulldcqxnlllyot rErjury rhnr I rn usl und.r Inrri,n ol ( hnprc 9 G\nnmkine unh S.clir TlXx)roll)nniotr.1
<br />I rlr Bon6s an Pr{.rsrnr (-d...rn nrv lrcn* n in fullL(r.tncltN
<br />/(./d/ 6272
<br />tittt /+ {
<br />(axuatcnolltlrdllllti-acl:Ut.I
<br />I hcEby .fit r undcr Fmhl of FrJurr lhxr rhcrc n a (,n{turion k.din8 ryckt [i, th. Ffttrlffic IrlE-srl ft,*hxhrhisFmt ir
<br />i\$.d (Scc l1l)97, Civ C.)
<br />AITLIIANLIIISJSAIIAN
<br />llrrd,y llnrndcr ncarhy Dllf,rlnry nn. or ih( n,lk,*'n3 drclarxri)ni
<br />l)inFliri(u Purnrn+ (IE(os Noriliurion lqlcral Rr!uhri{ins ( l irl. {). PM6r
<br />R.qu lI dtr.r.l Miifirin'
<br />l.r rlvrh{rhclc,lcr.lrcauhli(trNrc,uliu!\ti{".,c )v!lire Bn rmlf,rhlcn' rhn pn*.r
<br />I .Tnily rh.r I hal. rc.n thn.mlidio. ad tr.rc rhar rlr rlEr i.ror i, h.nrd l.Ad k,.,n'plywirhallCir) !ni ( nuniy
<br />orliMncc\ lnd Shrc tawr rchliry I honk,.!rc\cnrnr^.ro, rhs (-'ryn (nunryn, ctrr.r ullonrtr
<br />'lx^r n.trrktrrd |m,t(n! ntr
<br />,/ r////17-'\pt llonr or,lEenl SiEMltr
<br />Set Backs
<br />Forms/Sleel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SublloorVent/l nsu lation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL tt t)lr{'ii a>>)
<br />Certif icate ol Occupancy ul =
<br />Notes, Remarks, Etc
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