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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEII BUI LDER DEI,('A RiTION
<br />I lE b lIIm uRid FuIy of Frurr rhd I m ddF fmm llE CodrdoR l.rffi l,u lor lh. fouovrl8 rNn rs( 70rl J,
<br />BBi.61 url I'rofdion Cod.): Any C'ty or Counl, shi.h r.qutr6 r rEm ro .onsrud, .hs. inprov.. d.inol6h or rqtur M)
<br />studG.. Fiorre 'l' Bomc, r&l rqniB rh. rppliMl for ru.h Frtur ro tu d $riql ,ddmi tnd lE o. shc i! li.cN.i t uR@l
<br />lo llE F.\i.bB of tlE ( on'rln r Licdrti L,r (Ctupld 9. (-omffiin8 f,nh Sdion 7000 ot trrBEn I of lh. Bunos .trd-
<br />PrcfdioN Coil.)or thd lEorsh. n.rmpl lhs.fion.nd rh. b.rt ror lh. rllcg.d.r6ptioi Anyvn,lxionofs.dir.T0ll 5hytn,
<br />,r9li.!nt for i Fnn subj€l! ln. q"'ltdt b ! civil p.Bhy o I nol mor. rhe fivc hu.d,.d &llur (1t00)
<br />l. s om6 orrh. F.Fq. or ny mplolE sirh r!s6 6 rh.t sk codFEdbn. wiU (h rlE tro.r &d rlE niarc i n{
<br />intarlal or oft6cd for elc (56 7u4. BEinar Dd Pr.lsioB ('odc Thc (b.tBclor'r Lk.N bw d.6 not .p?ly lo d owns of
<br />llE ForElr rL hrildsor urs!6lh6o(.!tl EID (tEtrhw nilElf or lE*llor tlmut hir orlE ow oplo)G
<br />Fori.lal rhd $.h mgro\ErEB Gd indial tr olH tuEl..lt hoBE, ttr t!|ltrB or !'gowcn B$U*.hno* )s
<br />ofcohrLliotr lh. ()*Td Buitia eill hlvc lh. hlddr otFlv'ns tht lE or sh. dil ml hlild or inrovc ln. !.!FD' lor lh. pu'Fs or
<br />l. a omq of rhc Fopqry, fl .rclu,r.ly contracrq vnh I'ccE d co racloE lo connrud rtE Fojcr (Sd 7(}14. &and
<br />6rd hr,rr.bn ('o& Th. ContBroii Li.os lr* do6 er r.t)ply lo d o$ nd oal'ruFny sho boiltL o. ihprovd lh6Nn.
<br />rnd nho onrElsfG ruct F.Jar! unh r (bffionr) lkdel puEd btlE(nnrrl( t Ltcu l,s)
<br />ln
<br />'
<br />c\emp( unJ!r SL.rid,
<br />D.r. Orrd ,\IOFI(FRS' ('OMPFNS TION
<br />tllctaSarlo!
<br />I hd.r'y lilim unl,.r Fil! olFJory oE ol rk rolbn ns {,.(hdb6:
<br />I hav. and *ill Minrlin a Cglilic .ofo'llHrro s.lf.lNur.lo. worl6 .omp.nid6n.6 rrovid.! fff by S6hon 170(rofrh.
<br />L.bor (irle for rlE pafolll1e. o f rh. s ort lor utkh dr IEmi! 6 isol
<br />I h6v. ,nd w,ll mainrrii world conFn.arhn ituurancc. a rcqunal by Sdion .1700 or rhc t-rbor (-o&. for th. FfonrEnc. ol
<br />rh. snA lo \ hrrrlB Fni . e-i M' *url6' LlmFsdFn rn5l]@c <m,i pol*' numbr e.
<br />,*," 5/"4t {; 1,,
<br />nr*,*.o -lD3)2-f116 ,ron-* /o e3-/7
<br />I r6rily rhar in th. pslomnc. otrlE po,k tor shich this Fmn is irs!.d.l ihlll dn @pk'ydy F*)n in my me.d
<br />$ a tu tt.om 'ubj.rt 'o
<br />rh. *o.td onFdioo h{r orcdilomiMi +r fid il I slblll hdom $bj.n lo tlE
<br />*o d mmFrqrion pr.viiioB of sd6n lT0o oafi. hb.r cnt . I Crll, fdh{ nfi onp! u nh rfior pmEiot
<br />\\AkNlN(: I nlLtrc r, \.ru'c \o'1.'r (nnf.tr\rltr!, (!\.'i!. \ L .tr,d sh,,ll n'lr|.\l xn Li t)|,,\c' ro utrtr il Bl,,lr( a l
<br />.nil fin6 up k, oE hufllrd ihotr$n d.llm llltro.0oo). 'n u th. cor olconFurion, drnrlaB d Fo\rl.rl lor th.
<br />Saton 1076 of rh.t h, ('o& mrdd di iron
<br />"38' /q- /7
<br />r)r( r \ll \! l!L\
<br />I n6€hy.mm u.dd pquhy oi psjury lh.l I M li.€.*n und6 Frlision or( napld 9 (commci.s wirh s.dion 7000) ofl)i!nion l
<br />of rh. BBi!B rnd Fmf*i66 Co&, al my lk@ i! in full 1o... &rl.lT.d
<br />-( s7 D
<br />$-rq-rt
<br />(atirat&llarrttDltslcEr(}
<br />I h@b, alfm u.do Fi,lry olpdjury rhnr rhc i! a .odtudion k din8 .!tr, fo. rh. FfollMc. oI lh. work for $hi.h rhts tEnn ir
<br />isu.d (Se 1007.Cir. C )
<br />aISUlAAI"DlCl.ASAIlOtr
<br />I hddt aiEr u&ld pdllr, of Fjury om ot rh. follo$ ins &.1r.' i,tu:
<br />Dsnol'rro PmneArb6r6 Nor',iur$n F.rlsll R.sul,!pc i rik {, Pd6,
<br />R.quir&l lrrtd of t{rifdio.
<br />I .m iry rhol Ih. frddul reubr 'oB r.lrdna 6tEnr rmoval rc ftn +pl(abl. kr ihi. FoJd
<br />I .d 'Ii rhd I h,\. rdd rhi! rppl..' io. drl n.i. rhd rh. .bnr. mlotu o.it cold l.xraro onpb snh.ll(il)_ tnl (tunry
<br />EF6a dn6 oflhis Cny ind Counrylo ,6uFitlindil@6 ind sut. Irs chtnB !
<br />nboLe mcniFne.l Dorl<ny ntr
<br />,\ppli..n( or AB6l Sianll ;,,2;" /7-/ 7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB FIoor
<br />SubfloorA/enUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />F ram rng
<br />lnsulation/Energy
<br />Drpva ll
<br />Ext./lnt. Lath
<br />Mason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />A\
<br />FINAL a"tt-t7 ,l-wa"--vCertificate of Occu pancy
<br />Notes, Remarks, Etc
<br />2f l<.-4= OLr "-r,*-O
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<br />Brown Coat
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