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BUILDING. INSPECTOR RECORD
<br />SITE-WORK COMMENTS OWNIR BUILDEI' DEI,CARATION
<br />I h.rchy rntB undcr pcnxlry or nsiury rtur I m.r.i{,i ,rcn ilE O'nhrL,n li.e bw n, rh. in ,opo8 t .snr rS& 1):11.5
<br />Bus'rs rnl ltolcsr)n C,iL) An, Cny .r (j,unry *h.h r.1touc1 . F k' c.a{ru!r. .lrs. ir{tdve. &nrlsh or R 'ar r.y
<br />drudur.. Fn (, I E\uuc, .B' r.qumr rlr rlrli.nr ftu skh Fmr r! lik r .l8mJ ndcmnl th.r h. u $. Lr ltr.nfd p(s,d
<br />n, rh. ,r,vri)ns or rrr co.r&(tr r l-rrn*J trv (Chrpr.r e, CormBinf wirh S..r!rn 70t or Diriiion I or tht au.'ms ,nd
<br />Pnnc$!,nl C,rL),rrh.r lr,r \,E !.r.ny rls.rnm rnl rh. $.\tr nr rh. rlkr.al er.n$rn Any vn,ht,'nolS.clrrr0ll.J ny,y
<br />.lrl{drau.|rmx(iubr.((h..ff'lunln,.u'rilFullyotfrnnmrhrn!v.huhdrcddouus(ttti))
<br />_ _1. a owtur u, rh. F,ttdr. (tr my.npk')&r vfh w$.r r! rhff vnc NmlxnsllDn. wildo rlE *, !,nllErur@!n,
<br />ddrj.\t or oi.rcJ li). sk ( Se 7044, Burm$ .nd Pnrc$nrs Gnc Th. Codr..!r 1 lrcn€ lr* &$ ni rfiiy h o*tr o,
<br />ih. F)Fny *h' l"r J\ or ryB,ec\ th.R,n. a vh, Jrr tuh wrt hms.llor h..<llor rts)ueh hr n h.r ovn.rilJl!,y6.
<br />nnrvdc!rhdurh nfn'rmnkmft dmldl orono6l nn !k llh'RE,rh.h llla 'r lqnNrnr is qrl] vrlu,ft rr{
<br />ul cunttriD, rh. (hxr lrul}.l6 w l h& rlE llnln .t Frvnr rhd h. or {r Jn nn hurl or rFrE 0F pn'fdy hr rlE I'urF)c of
<br />_1.IosErorrlrI(,Fiy..m.rrlu\ivcly(o ndm*unhlrcnrJc nrri$'r r' .oni ru(l ilr ItrnFl (se 7Gl,l, t u\fts
<br />.lh'rs\r.c'rlcr'rh.contrr.r(tr'!LrLctrr!..qdocstun.rDlyr'0n.wn.rriIr.JEnyeh,hururorop",k\rh.ron.
<br />!n'.1 wh, roorrek ntr n'rh nrr..r ( u h a G'nt&h,( \) lrcnrJ N^ur k, rh. Cudrr!tr'r tr.n* b* )
<br />I amcr.mnl uftl.r Scr$i-. a &PC lnrrhi(ft8fl
<br />D.r., O*&r
<br />lYoRKtsRS COlttPEtiSATlOti
<br />DEcttltdllot
<br />I hcrcbyrtlrnruhlcr Ftrlhyul J'c,lr] orc ot rh. tnb*m3 d{!1...rts'n\
<br />_l hrw ul snlmDr.o rC.drlt.rc f(o.* b S.Mntur. litr uod6 .on{En{t rn. !\ F'*la'l lN t y Scd ('. ,l7(lo of rh.
<br />kn, C,rl., l,tr rrE FrlnlMc.l rlE ud nr shah rh. rEnil s nsu.!
<br />I hlv. rlrl uillB.mrrir work.rr Nnlrn\.(tr)n rn\urrn(c. r\ r.,luir.J by Ser!'i lTlnrl rh. tf,htr(iic, n,Ih n dirtuB. ol
<br />I'r.trdtji{ *nkh'hhn("1 '. h.u.J M}tr Llfl!,,,mr{nv
<br />,-"., - $<'^6tYullt {rU
<br />r rd poh, mnb.r el
<br />-,.*--
<br />tl:/:A\-l4:t20ID_ZL
<br />I rcn,ly rh.r ir rh. F ntrmhcdt lh. *orl lu *hrhlhr Frn r r\rJ,l $:ll not tht'loy t.y lEkr r My tunE
<br />yr L' h.NtrE shAl6 rhr wortoa $nwnsattrn kw, olC.ntoru,.nJ +r rhd lf I3bull tEom sul'Fr k' rll
<br />*or*.ii uunyEnsrtun lln,vrkinr or Scd(rn lrm ol rh. litrr Cinc. l srEll. rn hr h lrEpl, * i rt* Frvisk,N
<br />WARNING. Fr urc t' surc mrkc(' LrqEN i'n d,@3. r uherul. ftl \n:I ruhFr an cnyl,ry.t k' ffitul ,r lrs .trd
<br />r,r,l lln.r tr! k, orc hxnJrc'l rh)uqnd 'joll,i llrlll.ul)I. i. rliri'tr n, rlr.o{ n, $nFtreri.n, dmBct 11 !r)vr]cd irtr 'h.s(ri'n 1076o, rh. Lh, CoL, htcrcn rl.nomy s f(l
<br />I turhy rtf,m !tu1.r Fn yorFrrr.y thi I.n ll(lnrn udcr F,v!&n.lch.trq 9cr.Etu'.8 Ur S&rrr 1J0o) ol Drvrk'n 1
<br />dr ilE lru'm$ !tuj ltr,.$x,n\ Gilr, :fit my 1.... 6 n full rrtrd r^l cllNr
<br />'0 )q0< t
<br />at7- lt
<br />IqNIIBllf,llIUJNllINIi.AIilll:I
<br />I h.rcny rilrm unLr IEMlry o, FrJury lhrr llE s r connto.r0n LnJBS sS.tuy t(tr rh. FfnmLc ol rhc *(l n, tuah tht Fnr s
<br />niuJ (S<.. ,rm7, Civ C.).
<br />L.nJci! Nrm.'-
<br />dffllc tifDErlJaauQli
<br />I l.d,y rllnrn nftl.r Fnrhy u, Frpry oL dl rh. n k'wmt &1lar.t k'.!
<br />Ircn)l (rn lrcrnnNA$.rkx Noxl'rarNr fiJ.r,l R.!uhr(hlTik {0, Prd6,
<br />R.qumJ I/(.r .f M{ 'fuirrnr 1
<br />_I.ddr rhrt rtE l.1Lfll cllultrins E!s,lr3 rlhc(or rc rvll0E ,l lpplE{hk t, rhr p't,F"r
<br />.-l (.rr,ry rh:r I hrv. r.&l rh,r rrtltr(on oil s.ic rhlr rhc rtiv. rnn,mt!,n B.!m!. I rlrE t,.,,,'ot, *rrr irCiry,,,r cn,nry
<br />{nli,lhrr.,rlShrcuwsEldinsn,hurll]rngconitddhn.drlh.rcbyrurhru..qrcFdrrE!or!h!CiryrnCou,bcorduFnrtE
<br />alt*. R n',nc,l nr)F dy l!tr 'n\F(rkr fu,F){r
<br />Arrh..nt o. Ax.trl SiSNloF 7-/2-2)
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulalion
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall 1'(.//.t '/r#t .ry
<br />Exl./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar \-G"A
<br />Handicap Req v \
<br />Deputy Final Report \v
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL S"al-x \$,i
<br />Certif icale of Occupancy \)
<br />Notes, Remarks, Etc
<br />DATE I ID/SIG. I
<br />Set Backs
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