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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII-DER DEI.(' TATloN
<br />I hscl,r .fIrm !nd.r p.Bhr of D.oury lfid I d .rmln from rh. Colnrlclc l.'cd. I !s for lh. lolloq inx r.&. (s( 70lr Lt
<br />Irur'n6r .nl l\of*,on ('oi.) A., Cir:_ or Coudy qhi.li Equtd r Fnn 'o $dtu.1, ilrd, mimr.. rlGmlkh o q.t dt
<br />srudu( Ffi ro nr i$o... rb. EquiE rh. rpplker for 3u.h Frmn ro liL r ritn d id.16i rnd l' or !h. b hcas.d p{sd
<br />ro rh. rmvitioE oriE ( ontrxlmt Licord L!* (Ch!rr6 g, Comom'ns trnh Serion TCxrO oI Drri.ion:t nlrh. Bcin6 dd'
<br />Phf*iJN ( od.) or rh.r tE q !r. i!.rdrF rha.tom ud rh. tlin r., rh. rlL*.d.r6n rhi Aiy ri'hrionoasdion 7011.5 brey
<br />ffi#d;*;;ffi'*.ffi ,**r**,**"*",
<br />rhr ForHr *bt li!or rtr+D\Eihd@ nld b&6kll{! hm.lf or h.klf or rlmuth h!. or hd o$n mphtc.
<br />rror ildl 'td .u(t mFtnffis c d had.d d ottu tor et lf, lrq6!. r,E r{iliru or i,r{sqEr b FH $ihn m rdofonpkstr rlr o$E Burl& $nl h,* rlE hrndr ofF.rtrB fii rE or .lE dil d tlitl or n!,or. d. FlFiy for
<br />'lE
<br />prFs of
<br />l.6o$n6 ofrh.FImy, m achsiv.l, co rkr i.B r nh hc.rkn .onrrkroa k, nrdrud rlr I'oF<r (S( 7Or4. BEin6
<br />. j hrEt nn(od. lt.(..ntElor'r Lic63c t-as &'6 rcr lpplvlo Motrnd olrroFnyrho b$rdt or improvdihd6.-
<br />rnJ \ho onh.k hn such
<br />*,,,,',T'P:)Y
<br />I hd.hv.mrn undd ts.hy dap6jury on.oith. aollorins d(L'ario6
<br />I h!\. od r ill ruinrM . Cqrificarc of CoMl ro Sclf-lreurc lor u, kd compo!d!,n, &r Fr\ dcl aor by sftrion I700 o f rh.
<br />I ihtr (trL, for lh. Flolrucc o I lh. sqt for rtich lhc Fmn b is!.rl
<br />I hrr. od u ill mrinrrin uorl6' .oftrFEdhn illlille.- a r.quir.d ,rq Sc! 6. tTlxr ol rh. I lb.r Cod.. for rh. psfo'r@c. oa
<br />rh. *orl fm trhkh rhi! Fmn a isr..t MI$0*6' .omFMi{rn iNnrft. cait,rl Fli(y nuf,b.. r.
<br />I.dih rhd n rhc FLlrja. of rh. {6rt ld \hthrhB Fnn R a!!d,I lhtll mr 0h! uyFen in!n) neE
<br />s a k' b.(om fut d h th. *0116' omp.Mi.. h$: of C.nlomia ,i .tr 'h. it I nruH h<oE $ti.n lo lh.
<br />q 0116 mDp.Mi'n Foi3rB ol S.(ion -r?m oailE t bor Ccl.. I slEll. fonhsn h ondy l nh llns p.ovsFE
<br />WARNIN(; !.ilurc ro K@ *!rtd'en96ann corcrsc B unbsful. .r!d rhlll sbr6r 6 dph)d !(' dinrEl FEhi6 el
<br />.n'l lind up lo orc hundr.d lhoe.<t doil6 (llo(r.(xx)
<br />sdnJn rc76 olrhc lrtv ('od., inrf.n dd &or,r-' s 16 T\@,io..
<br />d'ntred s Fuacd ror
<br />'h.
<br />x,,.,.,
<br />DECTISAIIO!
<br />I h.chy lfnrn uiJd nd.hyoaFjurylhat I dn liccnsd und( Irorirn'n ot( h0pls I (.o'
<br />of rh.IlNind MJ Pi(,felions ( od.. and myli.a* is in atrll fotu. ml.lI(r
<br />h Sst$n 7000) ofOirtio.l
<br />cox al(Il0lt-LtilDt!(ilqliu(r
<br />I ha+, .mm !nd6 Fdry ol F.l!r, thd rh@ n 5 .ododi.n Lndine .sftv for
<br />'h. Ffomm. .f rh. n orl for rni.h lhd pdnir a
<br />i!.u.d lsa 1097.(i\ ( )
<br />AEUAINLDECI.JEAIIg!
<br />I hrt! rtrrn uej.r F.h) ol Fju,, oe oa rh. follo*ins &<Lnd i6E
<br />lXfr'I'l{. Pmny^tb6l6 fiorificdDn F.dcral R.suldioos I I kr0. P.n6)
<br />R.{utr.i 1..116 of l\Idi6(.i..
<br />I cdrfyrtd rhcLJd5lr.rul ioni r.3adins atEtGrennil .no!drpl'cahl(r.lhrsl,ord
<br />lc.n'l_yrhir I llr\. rcad rh6 trpf,l r. on md rrrtrhr rht r
<br />r',l xn(.\ rn(l Srr.lrtrs 'cl 'n!n, h!'lin! co (iD .nd (i)u.rtr. drn (tEnrhe
<br />ahtr. mdlk'ndllh)pdr tM iNltlion
<br />(ppri."nr u.,r*"nr sisn"r,,"
<br />,'rrnirN n,n'( 11'ri'xr:
<br />,,,,"v5-7J-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />S u bf loor/Ve nUln s u la tion
<br />Roof Sheathinq 7n /t't ,. i.8.cen+S(
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL i11-t1 i(.l4Jd\
<br />Certificate of Occupancy UV
<br />Notes, Remarks, Etc.
<br />\
<br />J
<br />Ext./lnt. Lath
<br />Flood Zone Certif.I
<br />I
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