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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS O\I Nf, R BUII-DIiR DEL('ARATION
<br />I n(.b! !m,m und6 Frlrt ol Fjo'! rhd , m .rmF nr,f, rhr CodrdoE ti..8 l,{ for rh. a.llo\f* '.rs. (Sd Toll 5 '
<br />Burins !d Prof*ion Cod.l Anr ( i! oi Co!n!r- rhi.h r.qun6 r Fnni' ro mMnd, 1116. nnFove &nolilh .r rcFn e)
<br />Jtudoq Fhr ro ir! Buuc.- rla' r.qun6 rh.,rr,lcsr fr $(h Frnir lo 6lc 3 sirn d trntur rhd h. or sl. a hcd6.n lurcln
<br />lo lh. !.o\irioN ol tlE Contelor ! l-ica3.d L.N (( hafld 0, ('omm.ncin8 snh S.c'nin 7(xro of Dn ision I oi lh. hKn* and
<br />PtuLsi{,n. ( od.} or lhrt h.orsh. t.ic'npr rhr.from and rhc bdiJ lorrhcalLsldc\dnprn,i n! r(,hxoi olsdNn T0llt tryrny -
<br />.Fpli(rnr ao. r p.mn rubjcB th. +pln d h a .ivil pc6h y ot.or n r. rhm 6r. hundr.d dollaB ( 15()0)
<br />l, 6 o*F olllE FoFly. or m) mplolG qilh u.*6 e rh.i $L conpqsnhr rill & llE s(t ad 0E rn(u.. mr
<br />iddrld d olI(cl h. sL {Sc '7ora. Blli,B dd Eto[6ir6 Cqj. Trt Contlg'r I-t.G hr d6 mi @!t r. e d{ffi ot
<br />rhc F.Fry s tb hril(l ( irFrrc llEFr .d \ no dE sn urrt hiMlr or bq*|, { rh,ou8h hir or IE o*n @pror6.
<br />Forilql lh.l kh im!.$ffi E d norl.d m ofiad &, xL lf.,r$a€. rlE to'ldlB or mfr$.td b stj r ihm orc \r
<br />ofonpLla,l. rrE (\c Buildd $ luE rri h,rliofFrtr$ $r lEo.'lE dt Er hrild or imlroE dE pordry l rrE linF.of
<br />L N .$nd of th. Impcty. @ .rc lui(ly co.tdcr int s irh li(oFj conrrici.,6 ro con{nd r h. pn) (r (Sr 7u-l{, Iluiindr
<br />and Fr!'i*i.n Cod.: Th. G'nlrlctn r I ic.E. t.awdod hor atplyh Mo$n6 ofpropqlr\!no buildsor impo.s lh(N,,
<br />.nd sho co.rEG lor su.h Fr.ar. s h, ( od6.1od, l(olEtj purmr h rh. Contscl(ni I '.or IjNl
<br />I !n.r.nO undd sdrirn
<br />D.l. Oi.d
<br />$oRxERS COMPr'NaarrOl\
<br />D[ClASAltA!
<br />I ho.by rmro und6 pqallyofpquryon otltc follo$iry Jdldrrioni
<br />Ihsv. rl *,ll
<br />'naintoin s ('cn ifi.ar. df ( itrsdr xr S.ll.ltrrtrr. ll,r \ o116 cor.ps,srrio', r lr dld.d fix by Sn-'i tr r7(x)ofrh.
<br />litiy (id.. fr rh. p<tonno(c of lh. ro* rr rhich lh. Fnn . ir.ur,l
<br />Iha..nd$illroi ai.$o 6 .omp.Hrion iM..... d Equ.nb!Sdio.:t700olrh.Ilhor(-od..fo,rh.pontrtll*..t
<br />lh. u!.k ,or *hkh thit Fmn ! eEl My sorta omr,.,Llrion imrN.6ir in trl(t nuntE e.:
<br />PoliclNumb6
<br />I c.rlrty lh, i.lh. p.rformanc.ollhc sori for shich thir p.,nil ir irsu.d. I shnllnot dnrrloy uy nsn,n in an) nrannr
<br />s a to h(rre lubF.l r lh. sod6J omllcMion lNr of CllifomMnd rcd rhd ir| lhuld b.<on sobjd h'h.
<br />"orld.omFN,'io.FDri.ioB.lscoionI7mofrh.lrhrr(irj..Irrull-aonhsnhtuf,pltrlrhrhoepro*ioBI*ARNINC l.ilu.
<br />'o
<br />su. urrla comFMio. 6rdqi. ir !nL$tu|. rd srlll $bj.!' u dnrhls io ainiBl FElb !d
<br />cft'l fh6 up ro oE fiun&.d th.oend &llG (llm.(xro), in ldlinn ro rh..oi of conFsrio.. d!"rsB s p.oril.d lot rlE
<br />sdrFn (176ofrh.ldFrcdL inrad .rld ,ro'lE 1
<br />,.,., 3 l-\J
<br />IJiCIASdI0X
<br />I hd.iry lmd u.d6 D..ahy olrErjuty lhll I &n li.dsd und6 rrovilion ofCharrE q (corntrE(inr *rrh S<rion 7000) ofl)ivtio.l
<br />oa lh. ItuilB &d Pof*ioB ( odc. rt my lic.M t i. aull forc..nd.,T.d.
<br />Drr. 3. r - l?
<br />(OISIBII(IIaNII;NDING.ACTICI
<br />I hmtl rmmu.ddFaryof trjury th lh6. is . co.,ru.rion bndinB aSdcy aor rh. Fafoms(. orrh.work far shi(hrhilIEmn i!
<br />isu.d (sd 1097. civ. c.)
<br />Lndd r Nm.
<br />AIfU(ANI-OISJAAIIAX
<br />I holtD lllor und6 F!h] oaFlury orc orlh. folloRinB d.rl.r.rions:
<br />Donohtun P6nns-Asb-ros N.rincalion f'.ddal R.euhinms ( Iil.4(r, Pd6)
<br />R.quncd l!r( oaNorifi dion
<br />I cdtfr lhd rh. f.d6.l asuhroN cr.&dins a!6rot rmo!d d. .or qrlkabk ro rhir rmj.d
<br />lcd'b'hrlh6.ra.lrht.ptltdl,ndrd.rhrrh.atnr.infotu$nb..rdl+rehomdlsi'hallCilt.nd(.u.'y
<br />o.dffi6 .nd Srd. L.*: Ehit'g io ttr ildnB conrDdio( rid na.6t lurlE z r.F6ddir6 o l ihi (-h di Counl\ lo ds upo. dr
<br />,tx\. rdrNn.rl pn,p.nr ro nrlEl
<br />Appll(rnr or AB6r Sknirur€a.t^^ 6."- t,,,3't- l'7
<br />P..mrr. rrm. (Prrtrr): 6-ra,., A Cl,--<
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Ene rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />tVlqsonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Depuly Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL 1\{n ,,1 t4 2(tj
<br />Certificate of Occu pancy
<br />Notes, Remarks Etc
<br />."^,^*{W
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<br />Forms/Steel/Holdowns
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