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BUI G. INSPECTOR RECORD
<br />DATE ID/SIG..co
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall 1.n .1
<br />Framing 4,-)rtl'-"0,,.vlnsulation/Ene rgy '/"1 <t (-.//---\
<br />Drywall /*1A =lMOt {44
<br />Ext./lnt. Lath t
<br />Brown Coat {Co7tf .a 54n
<br />ltilason ry 7r , t-/
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL //r{o'/n @
<br />Certificate of Occu n
<br />Notes Remarks, Etc
<br />fu?z wr.-
<br />A4
<br />(
<br />x ttL
<br />7wf
<br />OWNER A!ILD}:R DfI,( RAIION
<br />I hr.bt amrm undq p.nally of psjury lhat I on .\mpl nom rh. ( uot!*'x l.trmrc ll\ lor !h. foll.u,nrlE.o,,!ts- rort r ,
<br />lli6rn6s &ri Pr.l6Fn (i{.) /\nr Cn\ or Cou trhrh r.qutr6 ! Fni ro (,drud. 'hs ,mtr . d";aqhh o, 'qfl \
<br />rrdcrrtr., Fiir n' ils ilsuan.t. rl$ r.9tn6 rh. .prlrM( lu su.h rnf, k, fiL i sitkl nahd rhd h. or rh. u nc6*d ntrGuifl vh rh. ttu\irions uf rh. C.nrrlcrort I icorn l.r (ChErq o. (i'mmtrin! nirh S(rFn 7fiX) of l)niriti r .f rhr Bun.6i md
<br />totArrc ns (id.) or rhd h.or$c k.rmp' rhd.fi.m tuJ
<br />'h.
<br />barr ao. rh. .lL!.d .rmflro. Ai! rnldrbn.fsdFi Tlrll l J b) a.t
<br />imh.inl for a Ffl.il subjdsllE irT,lic.nt lo acirilp.nrllr.afl)r mor.rhan fi\.hun&.ndoll{s(t51ru)
<br />L c ownd oflh. |rolxny. .r my mrlo,c $irh rvdr6 d r h.n snc lnnt d{l io.. *'ll ilo rh. sor* .nd lh. {nnluc ! nol
<br />ddrL! oror6.d nn sk (S('7Or4, BcuK d,, Pmf6iioE ( GL lh.(odrk1.rs l.E.e l,n daml !r'?b tr, mornror
<br />rh.rr\)rdy vh. hoil& or mFo\6 iEo...fll slb dE n(h \o h'n$lr or hftlf or thNush hB or hd orn mrlo j.6.
<br />|lor id<ii rh.r such inFor @b r. ml mrEi.d or ofrEd lor rL lt hNds. rtr tlildin* or ur{mv6'Ft ir $ld tr ihr on. \d
<br />olconll,ld.( !h. Otr6 &r d( trillh.!r ilE hr&n.fFolrB th.lEm !n di:l ft{ t!& o. imr!.rcllE,roF!) fo. th. Frrne.f
<br />L a osnd olrh. t'nFry. m.t.lusn.lr.odrdm! !nh licdsd.odEcior t, oBlru(1 rh. tmr..r isd 7(114. &!m<
<br />ind ln,I6su ( odr: Ihc( ('nrra.tn! Licoec L,a( do6 n.ralnlt ro M.{trr ol pdr \ho huild\.r tnp'ov6lrFdn,
<br />.nd sho aiddi lor s(h Imr.d3 $ trh . Co d.(rl lr.r.d t[6d rort
<br />I m.rmfl undd sdn)n
<br />lrl cl-aR/l ll(lt
<br />I haelr!.fiinn trnd6 n n,hroiFj"R
<br />Ih{vca kill nBrnrrnr d ( difi.cr..l ( onFx h S.lr lniur. r(tr \ ork6' conrFns nrn, .\ Iroud.d lor by sdrkin I7l)lr of rhr
<br />l-ahn (i\k. nt rh. Ffomk. of rh. tr orl for { hi.h rhc p<nil 6 istu.n
<br />I h!r. anj sill n.i.llin sork6 conp.nrdtion inslnnc., s r.rtniEn hv S(rn'n ]7(xr oarh. tibor (-od.. ao, th. Ffolme c ot
<br />rh. u$rt for *hrh lh! Ft i 6 is!.d. ltl) qort6 omFMr.. rBuft. caE !n rDli.) nuf,bcr d€
<br />lccniryrhll inlh. psro,mflnccofrh. trork lor trhich rhisp.rnr is LltrGd.Ishsllnor 6pn'yanypmn in.nynMns
<br />$ 6kl tr.om. tutlal!o rh.\0116 comFsion INiof Clhfomo- Md rtrclhd if I rhorld tron! sut (r rorh.
<br />tro 6' omFnsr$n pm\ amc o f sdi)n r 700 ol rh. lrbr (ixL, I slall, lonh* ih .om ! {nhrlFkro\tsk,B
<br />WARNIN(| toilurc lo srn. $0116 comtEn$l'o! co\6.!. ir unla\tu|. and shal snrd M onnl(,\6 lo aiarin{l p6uh'6 and.ni nG up io oE hu(nd lrhEnd &116 (tli)o.Olrl, in lddnion r(, thc.o{mmlrulion. &ru36 a Fo\rd.d nr lh.
<br />\..rrn' u)r6 rl rhc I.rlitr ( !11.. tr .k\r xn(l
<br />I h(.hy aolrr trnd( p.Mlryofpqruryrhal I m 1,.un,l6 D(o$ion of (narr6 I (conhacmx s h sdt'n?()m) orDn 'r'on
<br />I
<br />ot rh. RshK and lhf6sk)s Codc, a,n mr li.d* is i. lull lo,G dd rlldr
<br />CAMIAIJCIrcNIEMIIiGIIiAN(I
<br />I hdq?_ alIm undq Fnahr of pqur) rhd lna. n ! .odrudbn Lndir8 +tr) nn lhc ,cfolruc. or lh. unil 6r \ hrh lh6 rEni .
<br />Bsu.n (SR.:1097, Civ C )
<br />artu(lruJigdtallar
<br />lhd6, rnnn uhdq Fnrh) ofpdlury on. ofrhc nrbsi.S &.lfil[d
<br />I).molirio. P6ntu-A11,6ro! Norifi clrion I.dsal R.Subli(!.s ( l illc.l0. Pon6l
<br />R<un.l l.na otNd,fi .!iion
<br />I (6lirylnar th. f.{sal rc3uldnos readlll8 esb.rt* .6no1 i I 0r. m! aml(ihl.'o rh6 rmFl
<br />hd ih. itil. infoM$. i! (ord I +ra h s,n lr * hfi ,ll Cirr rnd (-.u.rr
<br />ion, md hd.hy adrhr',. Et,.d.! ir6 ol rh6 ( r j" d('ount)k'nr€trIalnrh.
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<br />uJt\^{ Ctt 4
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<br />,4-SITE.WORK
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<br />,,^," 4 -r L- l'l
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