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BUILDING- INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS (,WNER BI.]II-DEI Df, I,('ARATION
<br />I hdltry amm uid.. Fnalit of pdju.r ihd I m .rcdw from lh. ( odrdor' l-icd* L,u fo. rhc rolbtr'iry r.en ltic 70lrl 5
<br />BBi.6s dn Pr.f6!on Cod.) A.yCnvor (.udy $hkh rc{un6. p6mn ro oNrud..hc, nnFo\e &tmlnh or r.r!tr dr
<br />srrudu.. Fd b iri isumq .E rcqutrd rlE .prlker tur $.h Frmn tu 6L r v3Ed Jdm! lnn lE or Jr B lr6E d r{EEn
<br />ro rh. Intivbiom o( rh. ( onrn.rort ti...s.n lrw (Chq'rd c, Com6d.r.B sirh sftri.n 7fi,0 of l)nision 1 ol rt BulmR! and
<br />Pof6iohr aod.l or lhd h. or !n. i! .rcmpt lhd.6om md th. basn 6r lhc rlkts.d c\dnprion. Any \ nrbiion or sErin 701 I 5 4 d4
<br />rt?liLd lor a Fmn lubJd3 rh. .pdk. r. r.ril,,.tuhyol6r mr. rho n* hu.&.n doll6 ( t5(x))
<br />l.sof,ndollh.FoF.n}.ormymphrctr'lhw!8dslh.n$F.onFlsr6n.sill&'lh.smttldlh.sMrek&{
<br />inrsrl<d or or(.J n sk (S( 70.14, Bsin6s dd ProlkrioB Cdc l t. (o ra.ioii Li..@ Ir* dod nor dlply lo an own( ot
<br />rh.prnFnt sh) ttril& or in{r.r6 rlEsn. dxi q h &6 3u(h *!.1 him*lf nr h*la o, rhoulh hi or h.r oM mrlort4
<br />Fo! rkn !h, sucn mtfrradr ft br id.n d! d olrdtd fd sL ll rn$6s. rlE ho'ljr* m ir{nnEtEr a sH rnhin or \w
<br />ofmmrldon. tlE ()qF &ild6 *illhr\! rh. hr&r otF\in* rhd lE or tE did hr hrtd or n+.o}. !n FbFi! n! rlE F4FEor
<br />l. 6 d$E of rh. F)Fiy, m -chan.le..drrr$s snh li..i!.d.. rr:106 ro.odtucl llr pmj.al 156 ',tr1.1, &u'n6
<br />&d FnkiDCod. I h. Conrrrcro.'r Ltd. I !*' dB mr lr,pty ro o otr nq or rroFi} * ho bu,ldi or inpro \ 6 rh6on.
<br />rid $kr co E.t3 ad N.h prordr *nh r (-od6cio(O lr6sl pund !o rh. ('onrdo.s Ltro L!w]
<br />I en .roF undd s.<rirn
<br />uaBf,lx ollllillAl&!Ill;gaSaltlt!
<br />I ha.t! rmm und( FEhy oI psjr r- oE ot lh. follo\ iq datraxoB
<br />Ih.\cudeillmm.ino(dificar.ofCotrHrroS.lf-I6urcforqort6 corrdshon. e tm\i(kforb)sdrmni7(xr.trnc
<br />tibor ( d1.. for $. FlomMc. o f lhc "o for$hichth.t6nil i5 ilsuAl
<br />I har. .rl q
<br />'U
<br />mlini.r trnrtd' .omFerhn i@re.. d rcqun.d b) sdir. r Tttr .l rh. lrhtr Cod., for lh. Frolfuc. Dl
<br />rlE Htrk ftr {nth rha ponn . er.d My $.Ad' orFdi,n idurffi.6ir tn Flt} nunlE r.:
<br />I c.d'fy rh.r in rh. tdfom.n..ofrh. worl for $hidh rhE n6nn rs irru.d. I sh.ll not mploy.ny p.!$n in lny nMnd
<br />$ N ro fd{ft $t'jdl lo lhc solt6 oorFld n n bvt .t Crlifon'a &d ec ihd ia l lhould &.om sobjd lo llE
<br />*ort6' omFEdo Foriliod ors.dsn 17u) of rh. htnr C.&- I iull, adtsnh ompl, N th rt * F!\irhB
<br />\+ARNINC FlluE l{ $u. sr.t6 omFM6. or6rt. ii ,nl,$tu|, .d !h!ll $bj.{l x dr{,h)s lo 6orul Fih- .trd
<br />oll litr.s up lo o c hundr.,l lh.ui.nd dolli'\ (tl(Ir.ol[i). i'r rdd nn,rh. .o{ of (om!.ner io., dEmx6 8 pro$dd for rh.
<br />S(r'on 11J76 ofrh.Ilh)rCod.. mr66r Md 'rhrr) sf6
<br />b'11a1
<br />LIIE!;ED.(ONII^(IQf,
<br />DrclaSarlo!
<br />I hs.bv .m,n unds rEEht of Fjurv thd I o ltoE d undF rrlvilion o I ( ht rd 9 l.ommd.in! *nh S.d hn 7000) of Dv$n)n .r
<br />or rh. ucilB..d Prcf6lioB ('od.. dn m! lkru t in tull forc rn.llclq
<br />"L,l-r.\
<br />tGc
<br />&l ,-*"".x
<br />coltrBt&rItN-ltidDll$lqElsr
<br />I bottt Jrm ud.r p..!ht of Fjurr_ th, rha. n . 6.dru.l hn lgldht lsdy lor llE r6f(nrffi. ol lh. *dt l:. $ hich rhi! Fmil k
<br />s!.d (s(. 109r, civ c,
<br />l.nda'r Nm.
<br />AIIII(AdLDECUAAIIAN
<br />Ihrdryiltjmurd6 pdlhy ortstury on o l rn. lollos ins ddl@tioni
<br />D.ml nrn Pcmit!-Artclos Noririulotr lj.d..!l Rqulariotr! (lnL{0. Pd6)
<br />Rqu,.,l t!!6 of Noliftlli,n
<br />I (alilr th.t rh. lddd ..r!kr i'trs ,!sEd,rr dtEslos rmoralr. nor ap crhl. io rhi! pmidr
<br />l.d,lt rhd I hrr.6d lni3,fiif,rtbr rn sar. rhd $..tF\. r.aotuFn E cor.n I rsxa lo smpl) *irh lll (- r t d (-oud!
<br />odinanc6 rnd surc l,{s r.ldiry h hoildin-r .on5tucriotr ,rl .urlni,. EF6ot'lrr6 of thE C t&dftutrrtro ard uFn rh.
<br />rhorc fro".rcd pNpqry ro. iBYon
<br />a^ppli(.nl
<br />o. \3ol shrrlure >o (
<br />b'11-r't
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathinq
<br />Framing
<br />lnsulation/Energy
<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 />1
<br />FINAL a '+47"t6 ill/7+TCertificate of Occu pancy
<br />Notes, Remarks, Etc
<br />oz4/a)./7_-7r-/,47
<br />DATE
<br />I I
<br />Shear Wall
<br />I I
<br />I
<br />.4
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