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BUILDING- INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS OwNEI BUII.DER DEITCAR TION
<br />I hd*, .rrfr uBtr Frn, of pqiury lhr I m .ratrF 6om dE Codmdoa Lk.e bw for rh. folloquu l@n (S( 7011 5
<br />Aur< .,n Pr.tdion Co<L): Any Cny or Coldy *hth r.qun6 ! FEt to mlddcl. dl6, inFove {btulith .r ftr.ir dy
<br />cturqq Fir ro ilr 6uaq .to rcqltc t ippli&r lor uh Fnn lo fik r risrrd ni.:6t rhr lE or rlE 6 ltaB.d polld
<br />lo lh. Fovnr6 or iE Conlrsrq 3 Ltasd L.w ((1ud6 e, Col:ftisi *iL S6iioi 70q) of Drulio! I of llE BBi6 ed
<br />Prol*bNCoi.) oi lh.It or.lE n 6or!, thddrona,J tr hGE tu rh. rlLs.d q@F6. Ary!i6l,rhnofsdion701I5brmy
<br />lpplkar for. Fmr ebjclr rlE @lidr ro . ciil p@h, olmr mrc th.. fiv. hurd.d doua tt5(x))
<br />l. o*c ofrh. FFny- or ny.nplord wirh *ar6 nt r hct $k (omFaarion. *ill d, rtr wirl &r! rrr ddR i3 fr
<br />inlorlal o. olTd.d aor sk (se 7044, Busind Md lhrfdi,rN (irL: Th. codtdors Li.mr liw do6 not qply b m o*nd ol
<br />rh.FntEny qho hildr or mlmv6 rhd@( t *lr, da u$ *r hin:.lf or hlrclror rhmtrBh hir or hs osn mnhy6,
<br />p'Dvid.d rh.t :uch nnl'ovomrs e rcr intqdql r oni'ql nn et I li hosd6. rh. Luildtr{ or iqrovanot ir snd *hhin on. td
<br />ol conpl.loc ltE (eln6 lruildq "ill h3w tlE birrl6' of F\in* lhd h. or shc dil ml toiLl or imF.vr lh. I,opsly ior lh. Fl,!(le ol
<br />l. u osE ol lh. rmpqlr, m ctctunrly conr&1mr $nh licar:l codr&1os lo odfuct llE rmFl {Sa 7ol.l.116[5
<br />.,n hristh ccL: Tn contaroir Li(d. t $ d(B mr @ilvto &o*ndofp.oFn, *lb bliib o mp.dr6 ih6on.
<br />bd rho.lriEitrnecfiFDi.!1r*nhlco donr) li.de{ puEd to rlE Co rKor!l.t#l.s)
<br />I 6.r6F un& SErion
<br />Iht. Oud:
<br />]}aalil:&t(aut[ltarlal!l;o.^&rla!
<br />I hs.br rflirm onda r.nlllyolpqjuryoncorlh. aollotrnB 'j(l,r'i(,6
<br />Ih0v.E willn rh a (-dificat. of CoMt ro s.ll-ltrsur. li, *ork6- conpNlion. 6 rovidal nr ny s(lnr 17tr0 o I th.
<br />t bor (\d., fr rh. Ffolr1@. o I lh. *olt for *h'.h rh. p6nnr i i{s!.{
<br />I hlvc lnd will m.intrin worl6 comp.Mion iBurm.c, a rntutr.d hy sdio. 1700 ol th. l,hr (-od., aor lh. palollrr4c ol
<br />lh. vorl tor u'h{h thi pasil ir ie.d My *orld comDdsi.n iGlre. oi, dn poky.unbq s.
<br />l.difr rhir m rh. Flolrl@. of rh. sork for $hrh ihB Fmn ! Buol. I rhrll @r @phy my r@n rn rt m&6
<br />e B to lE om $ti.$ lo th. Nrtd' omDadion Ls. ol ( .liaomr .d .||r rhr ir I ihould b..oft rultal lo rh.
<br />\!116' snFru.lion p('E6B of Srlior !'700 of th. ljh.r (irl. I trll. fonn*tu onply wnh rhoF FoEioN
<br />WARNINGT l;rlur. ro c@ sortd'@mFNdb. .ovdrs. $ unlr*ful, ,nd sh.ll ebj(t r 6pbts
<br />'o
<br />ffiinn FMhi6 ed
<br />cnil fin6 up r) oi. hun&..1 rho@nd
<br />Sdrion 1076 dl rh.lrbrc( aimdd
<br />io.. dahrrd a rovid.J for rh€
<br />I hdctrr lilrn ui&r Fdrr o f Frry rhd I m h..trcl ofCh,F.9 (mmnftin8 $nh Salio. T(xvJ) ofl)irGiro l
<br />of rh. Il8hd,r, Profeirc Co&, a,i n! lidr s '. tull
<br />t.r. A
<br />c
<br />3l'1
<br />\1 3*pn-
<br />I nd.ht rmnn undr Fn.lry o f pclury $d rhd. i! t
<br />isu.n (s( !l)07,(iv. C )
<br />a8m., for th. Fiormdnc. ofrh.sork for[hi(hrhis p€r'nil is
<br />AITII(ANLDECIJf,AIIO!
<br />I hq$t .trm ur& Frlrt of Fiury oE ot llE aollou ins &(lr.n 6N
<br />DdFlni,n P6nnl^rbcr6 llor'rEdnn F.+ril R.suhrbB ( I nlc .10. Pd6)
<br />RcquiGi trrrd of llorfcnbn
<br />I cdrt rh, rh. ldrdJ ..gukrioB r.gddr! 6b<k' do\ dl ir. nor qDlkabL ro r& projd
<br />h!r. rcod rhB.rrlicotionadslat.thd! rh€.tu. mrn.n$ti,r is cotrtrt I!3ralocomrlytr,lh!llCnyandCounry
<br />rr(I.*\rclar !robuildingconlh'.tiun.a8tlwcb!iurhon/crqrsotalnsolrh's(iryo (,u th.nrouBn,rh.
<br />tttV.1"1.r
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathin g
<br />Shear Wall
<br />Framing
<br />ln s u lation/E ne rgy
<br />Drylvall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL rr/[,rl ).)),Al ierr (
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />DATE
<br />.", sla,In
<br />Set Backs I
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