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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ro/qlG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground \$'
<br />SLAB Floor \\\\'
<br />Subf loor/VenUl nsulation
<br />sRoof Sheathin t"{t4 tll IAL+
<br />Shear Wall
<br />Framing il
<br />lns u la tio n/Energ y
<br />Drywall ln
<br />Ext./lnt. Lath la ,r li4
<br />I 'I
<br />Masonry I
<br />Pool Fence
<br />T-Bar
<br />Ha ndicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />Ir
<br />FINAL t1,tl
<br />Certificate of Occu pancy
<br />Notgs, Remarks, Etc
<br />iJ\*Nl:N BUILDfI DEL('ANATloN
<br />I hd.t, ,rm u.dd Fn.h, .l prjury rhar I m .rdpr fn'd rhc Conr..riu l-k.M b$ for rh. tullos in8 r.Mn ( s( r0l l I
<br />l,uin63 rn lroa6$n ( od.l Ar\ Ci'! or (-Ndt shrh r.qur6. tEni ro oNrud. nhs. impNe &nolEh or q[r ,
<br />slructrc. fiorlo 'ts isuancc, ltso,.qut6lhc applicdl fo!luchF nn to fik! sisn dnrmd lhi tEor$c a ncds{ FdMr
<br />nr rh. tmrsioa of rrr (-o.renr'3 l-i.d!.d I^ ((n rin q. Cohncn.iis wnh s.dbn 7(xxJ of Dnision ll of th. ttorincss .nd
<br />lrcfdions ('od.) or rhd h. or st itndF rhd.non&n rh< hdei! for rh. olLg.d.\.nptFn Ar! \ioldnnolS.di]nr01l 5h]r.)
<br />q'rr(i lor. r.nnir subj(u'h. applica.r ro.civilp.naltr olnor morclh& livr hunlrcddoll!6(15001
<br />l. B os ns of rh. trordly. or my.'npl,'r6 u'ilh *aa6 s th€i. $lc comr.Nrhn. s ill (h rh. $ o ndrrErturE.in{
<br />indrkl .. oftu.n fo, sL tsd 7o8. Bsr.6 od Prot*ioB ( o& Th. ('od,rd.r s I ic-s l.s dr6 nor lmly h M oqnd of
<br />rh.F.Idr sho hil&or trnpn)vBrhen.lld sho &E kh sryt him.li.r hdrll.r rnru8h hi! orhdolnopl\G,
<br />,ro\ idai rhd s$ imForffi! E ml Ind'd.d orofiEd irr sb lr. hotr66,lhc ttrrBil{ or mFsocn 6 sJld wdhi. o..
<br />'aot conrpldnrr rrE Osn6 Buildd uill h8lt llt hudn of FovnE thn lE o slE dil ml t!'ld or inqrrt lh. FFt for tlF F,TrE ol
<br />L a os6 rf rh. Fopdt. dn .r.l$i\.1, co.trad rn! \ h li.dsai ronr iddn ro ()n{fu1 th. I'ol(t (S( ,(!,1. l!6inRr
<br />d A!ki, (ixL: I h. (i,irrtor'! Lic.e l.r\ &6 &r 'rltl) ro d osn( olt'ofFnr $ ho ltuil& or ispord rh66n.
<br />lnd \$o onrdr for such Fojcds wnh n (tnlrd.t,r{s) li.mrd l'uml lolncConllrci(tr s l ic6s lj\).
<br />I lc\. rfrtrnd.' S.(furl
<br />D.rc osn.r
<br />\t(lRKf Rs' ( (iM?€NsarloN
<br />ul:glr fla!
<br />I h6.[\ ifiirnu6ddp.nax\.frE]un.ft .lrhcfoilo\mrd<l.rdhons
<br />I h,!. ii wnl @'.rin . cqifrcd. ofco'mt ro S.lf-l6urc aor w6rl6 comFMrio,. s Fovi{t d for by S..lion 1700 ofl hc
<br />rrtbr ( o<lc. fd th. Ffoffi ot rlt *oll lor *t-h rhc Fhn ir i.ucd.
<br />)}lt^..,a *,rr *... ".*6 comFdbn 'Nffi.. s ..qd.d t'] s.dn uoo of rh.libor cod.. for rhc !rf.mm. of
<br />ril. tr tloruhrhrhnrcn ! isu.d. M) wo,t6 onFnqFn rNufucc ffi ddpolr) numbo r
<br />cmo C\ t ? r.1j I ^l to
<br />p.r' i\umb6 L r^cu) br\72<1- r,pr6 f ' l- 19
<br />I c.diryrhlr in rh. Ffolrr@. of lh. *orl l( lhih rhi! Fni n isu.rl.l tl$lln{ mphr r.! F$. in rnt mdE
<br />r ah bcoft lobirr ro rh. worl6 .nnp.nidFn l.*s ofcnlinrmia. sd '3rrhd ilI slBuld t .om. eubFl ro rlE
<br />s{*6' omFnr.lion For bioB ofs.nion uu).f th.l,t r Q)d , I .l5ll, fd hhcompb $irhlhorpm\iioa
<br />WARNINC rr'luc lo surc \!&d .odpdsron .ovcEsc Ls unhstul. .id ihall iubrd d mpL6 ro dmiMl paBhi6 .d
<br />civrl rin6 u, ro oE hun<t.d rh.end &116 (tli)o.(x)ot. h ddnn'. ro rhr co.r or..dFeri.n, d!f,,{d N prorrd.d for rhc
<br />S(rnn 1076olrhc I alrtr(, r. n .16rrnd nn.nrr s lG (h(-r+O
<br />r riFlsr-u toi r trtlirrn
<br />l)t( t,1R\ I t(r\
<br />I ha.b .mm und( pdlhyof FJ!ryrhd I m nccej udd F('dshn oa(-ndpl6 e (co'noEcin* *ili S..lion 7(xr)) olrririlio. r
<br />ol rh. Ua,B rnd PrclBi'B (i,L, nl mt ltre b in tul! ldrt rd.ll(r
<br />$\7q tvt,
<br />f-\o-,.'
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<br />c b
<br />(a!flaullt9lJElllllclcEll}
<br />I hmby lmrn und6 penlhy o I pcrjury lll.l lns. b . snrruci ion lddins rsdr ro. rh. Fforl]@. or lh. *ol for r hi(h
<br />'hb Fhi i
<br />rs.dlS( :lll]7, Cir (_ )
<br />AIIIISNLDES.AAAUO!
<br />I hody itrm ui& rslhy of !.rtury oc or tL tollowinr &Lnr nns
<br />Ddnoliln'n Pd,nns Ashdro! Norili.rlion t.d.6l R.Suhlionr (Inl..l0. Pd6)
<br />Rcqurcd Idrd of Ndi6cdion
<br />I cdiay rhar lh. f.dqal r.slhrhB r{eil'ns aitBros rfl)vsl &. mt 4r (,bL ro rhi p(Fd
<br />I (dit rhal I h,r. r6d ihL lppli..r io. rn sd. rh, ih. rb.\. i.ftJtukr.6 cotrRr I ir{a ro Nmpb qnh rll Cn}.nd (-.unry
<br />odr.N6 lrd sr.r.lrws Eldrnr to hrldins cotr(rudnn. dd hd.bysuthtrt. rcrrBdrdn6 oflhn ('iry ud Courv tu d'd uF,ntlr
<br />.lxE nmti)n d finFr) ror iBlxdir psFB
<br />,\ppli(rnl or 1*dr Sitn..or.\LY ^ttt nrb
<br />.R-E it;d.ito-q
<br />ffitt
<br />t\
<br />Brown Coat
<br />I I
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