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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNIiR BU I I,I'$R DI]II'ARATION
<br />I h6.tt illm und.r Flhy or pdju' r. rhd I m .ranrn fmm th. Codi.doE l iw lr$ lor rh. ldhtr'i4 ra'n (SE 70! I !
<br />Ilcrd rid Prof6ion Qxt) An' Cn' or Coudr shrh r.quir6 . Fmi ro oNtud. .tc, inFole d.el.h or rF Mr
<br />rucruq prior ro rrs isud., Atso drutG lhr 4lphc&l lor !r.h Frn( r. 6L a ri8r.d sl.lond rh,l h. or 3h. i! ticoEd I'uuunt
<br />ro rh. rreli3io6 olrlt C.ntkrors Lir6*d L,w ('hlPl6 e, Comn.n rns $irh s*rion 7000 of Dirlior I of rh. Bsi.d ,nd
<br />Eofsdn! Cod.) or lhd ll o. Jr b .rnpl lhGcli.n Ed !h. t6s to, lh. rlledl .roFion Anl rhl,tnn ofsd.. ?0ll t h tnt
<br />aml(a.r f r Fnn subjdlrrnc lp?trc.nr ro ..n rl p..alrr or mr n6r. rhM fir. hun&.d dollm (lttD)
<br />l, 6 o*n oiih. F.Fr!, or my orhrc silh \.a6 s lh.ir ek.omFMsn, $ill & rlE rmt td llE ldG ! mr
<br />iddrddl or or6c{ for sk tsa TOl4, Bu'B ed ftof6sd C.& 11* (n EdJlE@l^&6mrqPlt'.M.trEor
<br />rh.pNFrt sthttrlkhorinrre\glhmn.ddtrtn&6lchw hims.lr or hd*ll.r (htoxth hE o, hs os @pkJy.6,
<br />provid.d rh'r such i'nFovcm( @ mt iddrLd $.fien nn sb lf. hos.s.llE trildil4 or in{rerffir i! $ld tr irhin on. )@
<br />otcoq,tr$( rh. ()*E Btrdld $i[ Mr! !L hi&i oaFlrirtS $. lE or lrE d! mr lx'ld or inpt^t ln. pltt6! 6r llE IirIrE of
<br />L s.{ndofrh. FnFdy, m.r.[in.t contrdins wnh lic6s.d c.lnr!.lod r. ..Ntu.i rlE F.j.( (Sc 70{'1, &a'.6
<br />dd Proksno Cod. TIE Conrdor! I ro* tr* &6 x rt,lllr ro eornd ofFopclysb h'ldr or inpmr6rh6or.
<br />ond *ho codn(1! rd rch F.J.ds wnh r Codtuo(s) lkdE d plEut h ln. ( odr&rd-! lr..M tt*).
<br />I d.i.rpl uftla s(rx'n
<br />tt'L-l?
<br />I h-d,' rmm,nd.r F!h, oftElurt oR oa'h.
<br />I h6v. rd sill maintain , ( .rrificr'. or G.Fr k' sclllMr. tu srtrLcs
<br />lihor (i{.. aorrh.Ffolll.s.of lh.s.rt foruhrhltEpdnnr. $udl
<br />'i.d fi, hvSdrn)n 1?rm ol rh.
<br />I hdr. and Nill nirtrin *orld3' comn Nsiion iNor.mc. * r<uir.d h, Sdr ion 1700 ol rh. l rh.r ('oi., for lh. p(Inmtnc. o{
<br />rh. *orl ntr*hkhrhiD.flnil G isal My *orkqr' snporllion Bur,m.cmid eklp.licynunrtE r.
<br />l.d'lyrh.r'nrh.Ffo.ruft.olrh.f,orkfortrhf,hth'sFm i! siudl.Ish.llnor mploy.ny F$n m,nl nEnk
<br />$ s h tE$m. srbJar Io rh. *ork6' .omrEe! on r,\* oi cilrnJmir, ind .*re lnd it I sl"i)uld hccom. sulr(r to ll'.
<br />tro d.onposrionprs\ENNofsdin:1700dfrhcbbd(Nl.lstnll.fo.llllihconplyIirhrr.rlnrtions
<br />WARNIIiC l-r,lrr. t! *6. ro 6' .onp<Mo. .or<i8.$brd 0 nDlo\q ro sim' l rErhii $il
<br />.nil in6 trp t, on. hu.d,dl rhou$nd dollc lt d ol comFMtioo. &n s6 I Fo\ d.d for rh.
<br />s(notr 1076 6lrhc I ntrr (irl., ms.sr ind
<br />nn,; ll-L -tl
<br />I hs.n) !flim u(lt pdaty oflxrju't rh, I m l(rlej !h sdnn Tlrxi) ofOtrrr)n r
<br />of rn.Itcina! Md frctBnoB Cod.. r nl li.dr. is in
<br />colrlBuqr.&Il,ldraclcEll:r
<br />I hdcby lmrm und6 Fnahy o t pdjury lhal rh6. n ! snsrtudi)n lddin8 t*6cy lor lh.Dsf.m,m. ofrh. s.tk Iu trhicn lhB Fii E
<br />'su.n
<br />(s< 1097, cr c )
<br />iu&KAtrLD[Cl4lAIlA!
<br />Ihaltryhrmrml6 pa.hy ofp.rjury on o|lh. rolk^ri.s del& ions
<br />l}rnh'.o FETilt' ttrd.. Norincdh. Falol l.l|uhtu6(InE r0. Prn6l
<br />Rt\ur.i I dr(.rN.r li. (,n
<br />I rdif, thr !n f.d.6l r.sulrrioB r.Irdin3 ab.(6 rmrrrl e. B! rrrltahL t lht l'ntF
<br />I .o1'1r rhd I hr\r rrii rlr{ rtll]li.[trn in(l Bt.rlErrh.ah'v.nrfonndtr,i iscor&r laSrer0c.mply$ h.ll('iryandcinnr
<br />odinrn.e md Srar. I$s rcldin*r.F6.dnn'lfglrhir Cny dd ('ounrv to a!6 !r$n
<br />'h.rtrlt MrhFd pnrFnt ad
<br />\t,t,licntrr n, \(ur si{n[tr,r ,^," lr^A-t7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />In s ulation/E nergy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />ltrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />FINAL 7-/r-/8 ,J./.loh1 -?r1
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />I
<br />I I
<br />S u bf loor/Ve nulnsu lation I
<br />Engineer Final Report
<br />Flood Zone Certif .tf
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