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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII,DEI DTJ,CATATION
<br />I lERb, .r,m unL. Fn.ry oi Ffllr, rh, I n .krlpr ln'm rh. cn mrE tEne L.* inr rhc f{'ll,*6! rc.sn r Sc 70 q
<br />Bunnc$ .d Polcssk,n Codc): Any C[y or Counry whrh rcqurr ! rmr ro .{n{e', alrr. inttu,., Jrml,xh or q'& ol
<br />{ruerlF.Fnrr! r trrn4r, rlqr rqum! rh.9dr ' foi\0.hFmnhflrr n8EJ (.r.mnr rh.r,Eor tE i lt..cl llen
<br />ro rlr F vBntrr ot r,r (i,nrdr,'! L&nqn ll* rcn Cq 9. ConftEES wlh S&rDn ru .l Drvri$. I ol rh. BurEs .nd
<br />Ptufc$r,n! Cek) or rhdrtr d rh. (.lcmpr rhmkufi dd ihc ha{\ b. rh. dl.8.d.r.mtron An} vd.lonolS..rion?0ll5 hran,
<br />.pplk.n' ror. JEm ruhFts rh. rBi.nrb.(jvrlJE hy.ln BE rh.n I ryc hudr! doli\ (S5m).
<br />-1.
<br />ar .wncr ol rie pn,IEny. ,r nry cnpk,y..\ wirh *rg.s ,r ihcr v'1. omt n\rr ion, w'll ,lo rh. w'*k url rh. itutw tr D'l
<br />dcnk{ oron.Fd for qk rse 7lx:1. B!nm(..J lhn.ss$nr CLrlc Ih.Contr..ttr!lrc.cll*llEsnr{,I'lyi'ro}krol
<br />rh.n lrny *tIh l! or rqhrF rl*c,n. rn wh, f,rtull*, hm{lfnr&rclldrth Sh hn or h.r o*n .rml'y..t-
<br />p(rllcJrhd ru.h mt('krnrimnn d. cJ or oll.Er rr qk Il, l*,*.vcr rh. h{ Jm! or in{mEmni N $U edhb oic }r*of..rfLL'n.rtrOwftrltu,tlrurllh.Errrl'lnlorolFrvryrh.tlrr+Ed!nnh l or uItr,\T rtr In,Fny for rlr lorPc of
<br />_1. rt o*tur ol rh. FrFn y, m .r.lu!v.ly $nr&r u3 * h lMn*d .odrtun'F r) conrd( r rh. F)F1 ( sR. ?u-4. Bu\iEs
<br />:tr] lh$lrrh C*l. th. C.o Bror'1 l-f,cnr Lr* *xt dn rntly t' { o*Fr ol FoF! ! *tx, t!u,[r ( mp^,Er ih.ro..
<br />rd el$ .(drtuc ni rkh F,Fr w h ! C:onr*i(, lrcn{d f{Bu e' rh. Cootrlm t l,..oa Lw)
<br />l.nc(nrfl !nd.r Sc.r,
<br />laBstBrcollflda rja!
<br />DEL^llXATION
<br />I hcr.hy riltrm utui.r o.nrkrol Frjory orc ofrh. fdlowinS d.cl{atNnr
<br />I hrv. .rn lrll mfirn . C.nf.d. ol (i,Md k' S.lf-In(rc for *r'rt6' o,rrE.sr rn, .r rrevrl.J a,n hy Sdrrn r'7m ol rl!
<br />trtr, C'ixlc. f(r rh. |Erf,ll11rmc .l rh. *D* td whrh rhc Fmi ( (su.J
<br />E1lur.J hy S.{ri,n .}7Ul ol rL l,lltr Cd., rd ilE ,Edl)llm! of
<br />{r m(r4. d.r rrll trrky.!m&r n:
<br />=
<br />I
<br />ki-r,*, -,* "*,**./q, s r' h.-'m ohFrt (,,hc *"lr
<br />'r,rlcF U rvrnqr ir n^*6nr! r
<br />or rh. eort l(tr whrhrhtr Frm ^ssucJ.IrhrllBn.mpk,rnypc8',hnnyrunmrcr'.rn,|xnirlr hwr ol ('ilLldru rtr(l r!na. rl r I \krtu lr.om nrhF(I r,Il.
<br />r (,i.. I rlell tudh*rfi orrl)l, *.h rh,c PnrvrD.t
<br />lv?\RNlNli: lillun n) {ut h,h^ 3)nlFn\dr 6!. r u.h*tnl. .xl 3hrl ruhFt - crtq,hFr n'.r:ll1@l FEl.r nl
<br />n, on( t,tr,,1,.d rt,!r\rd ,i!, tr\ I ), d(!r n) lhe o( ol .o,nP.tr\rrn,n. Jinrlcr a1 Pn'lrlcd l!tr lhc
<br />I h.,(hy.,l,trmtr (l.rrn,,lrtor Ix1rLtr! rh, l ntr'or(h.' \ri)iLotr f,nrtr,!*trhS.(ri)nr(xxr)!nr,1r^ntri l
<br />ol rh( Ilu\m(.nd Pnr(s[n\(ixk. r,rl n,y lf,.n< r in lull l,tre rnl.fl&1
<br />lqs=
<br />I hcrh, r(nn ond.. Fn.!, or ,.rlur, r,ur rhca ir r coniturirn l.Jinr r!.By ror llE rErromnl. of th. mrk for *nih rha FmM 6
<br />NnEl (sa. yr7,ciY. c.).
<br />AIILICAdIDECII8AIIq!
<br />I hdt{, .Rim uoLr Ful y or Frj0,! or ul '& nnl(,* 03 J.lllrrlnn\
<br />D.mn N'n P.mieArlE(or f*r'lE.iion Fol.El RcruhriN l1ilcrl{). Prn6)
<br />R.qucd lJll.r ol Norfrrrn
<br />I r(n,lyrhr rh.l(tl.'rlr.trhrtr,r\ nsrnng rfi\r\,. tr)v.'ld. ! ,'|)|ntrxhL n)rh'\|[)f.r
<br />_l ..n rly rhd l n E (al rhr rpttlur$n lrl (rrd rhar rtt ahrUnnntut$i A omd lrtret,comply* h.llC y. Counry
<br />'itlLnrr.\ inJ Sr, .lr*\ (Lr ! r,ondtur(nL xnl lf,r.hyr rhtrrctot'r.5.nr!I'vc\ ol rh^(rylnd (i'udyn'.
<br />.hrv. Nnl{,md n 'Fny f,tr
<br />,\npli..trr n.,\$nr sknsr
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathing
<br />Shear Wall I
<br />Framing v PatL .
<br />lnsu lat io n/E nergy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar Elrd u1 .tlrx\aeaa '4)
<br />Handica p Req UI
<br />Deputy Final Report
<br />E ngineer Final Report
<br />Flood Zone Certif .
<br />FINAL
<br />Certilicate of Occupancy tfr
<br />Notes Remarks, Etc.
<br />ruI
<br />6lt l(?t 'D {e)
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