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BUILOING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG COMMENTS (rwNf.l B!lLDtn DETTCAR TIoN
<br />I hs.l, r,Im urds p.nlhr of Fjun lhi I m .ranpr frnm ih. CodrdoE l-EG l j* for lh< ft k,*ts l8n ( sc 7o1 l s
<br />Busin6s rnd Pmf6sion (-od.): Any (iry or Cor y which r.qutrB ! p6nd ro cotr{tud. 1116, imonv., &nolish o, qstrMy
<br />srdduc. Irirro ns islMcc. ilso r.qutrB rh. qFlicor for such tEnn ro fil..siln.d 3td46l lhd lEo,3h. a li.mr.d noisumt
<br />to rh. FornioN oadE ( onksrois trcdxrl llw (Ch.r,i6 e, ( omECi.E $ hs(rhn7000olDivLhn!oflh.But'nNd.d
<br />Pmrd$n! Codc) or rh.l tE or +. 6 dofl rlE a$i &d llE tdu lor rh. rlks.n .rmplion A.y vhhhn ors.dn. 7or I 5 b ur
<br />al,I'hcur ror i Fn( {br<nr rlE .!pli.d r. ! .^ il p6!hr" of mr mr. thr n\. hu r.n dollts tl!m)
<br />l. ar o$n6 orlh. I,!!Env, .r f,y mpl.tG *nh tr.86 ar rh.i $1. mnFsllion. I&lh.{ortdrh.tMu.bdn
<br />idddnl or olld.J for sl. (Sa ?044, Aurinar Md ttofdioE (td.: Dt Conrrrdor 3 I-i..@ tr* do6 nor lpply to o*n( or
<br />ih. r'Dpqry sho hril& or inqro!6 rlEon. srl *lt) &E $.h (r,* hirelf orhsrlf or rhonsh ht or hd olrn .mpl.t.6.
<br />provik rh.r su.h inForffi R mr ird'd.d n ors.d tu sl lr. rn$6t. l'l rril]trB or Ep$ffir 6 $ld u iifi'n on. rq
<br />olco,qkn( rtE ()*N lt{rBq trnl h6( rrE hrrldr olF.lins fid h.o.iE drl Rr tuU ins!\c lh. FnFr fdr}EF,F*ol
<br />l, f,r o$ n6 ofrh. Foldr. xn crclusiv.l! .ornrelins sil h licors.rt codradoB n, .o e,x.r rh. lrojd (s( 70{.1. B6rEt
<br />flnd l}trhsitr Cod. 'fh. ( bnt..roa3 L(or. l.i$ do6 no! .l)tly r. d oq'ns o f pl op.n y u ho buildr or trntr.vd rhdsn.
<br />and $ho contds fo. ruch rroj.ds s ith o ( odaclorls) li.osd puB!,i ro rh. ( nnk.dors LtG. l,*)
<br />l rn.\mpt u.dcr SdrFtr
<br />D.r. Oinr
<br />11(}RkFLS', ( tlnrPaNsATr()N
<br />DT().dIAIA!
<br />I ho.hy sflimunds p.naltyof tdjuryoh..l'rh. n b$inrd..laBlhB
<br />I h.r. rn q ill unt.m . ( cl'frcd. of Co6dr i. s.lf-lsu,. lor $ntld' orn{EtEi nn. B Im\ ij.d for tD sdion r 7fir .l rlE
<br />l:trn (-.rle for rn Ffoffi. orllE r!.t lor sfi(lt rlE Ffli ! Ma1
<br />l htrv. stul q ,ll m .'n \.rkm- .ompcNd n'n insura.c., as r.q tr.d by S(t,on 17{& of rh. ktxtr (id.. a.r rh. ndnrnmn.. o f
<br />lhc sdrl ld $hi.h rhir p.mir i! isudi M,_worlss .omFGati.n iNoranc.cni( ud Fni.ynumhd M.,* 4TkTe- tr,M),:::"":: -/-67E4"-g .,,": ot_*:4
<br />f , .-'ry 'r,, .,r'. p-r",.*c olrhc tror\ for *hrch rhn Frir t B!u.d- l ihrll Nl dpto, any p.6on in mymsE
<br />{. N t, h-omc subr6! h th. qorla (cmFd'on La or Ctlrl^m& dd t8rcrhn,f I thould l<oE. u}9<' !o th.
<br />$od6 @nFE rro. p6!.6Nofsdrn r7m ofrh. hbor ( od..I Jull. forlhu ilh snpl) *nh rhok prorti.B
<br />WARNINC l_nilur. h ks. f,lrld' conFu.lion mr6!r.. ! unh"ful. &r, rhdl $bj.d D dphF lo cinnol Fd'a dd
<br />(nil fin6 up ro oE h!.&.d ttFuend doll"R ll 'n .J rk,n ro rht..i ol .omr.erion. d&n e6 d Forrl.rl :\Y rh.
<br />sNh.n 10?6 otrh. t hr (ixL- olEci rnd ttr
<br />r)t( I rR\ll0\
<br />I H)r'rmrm unld rx.rhy of rsjury rhsl I m licqE d ur&r For.k'. of cntFd e (.orffiin8 q ilt s.d nn 7000) of Dr ai6n :r
<br />.I rhr t]6ffi dd Itnrsbd cod.. rd ny IE.c is in full tu( dfafal
<br />l.t.NC( liss/z:
<br />".,,i'L 19
<br />b-o
<br />,7- .1
<br />g,NIAUCIX}B.UEDING.ACEKA
<br />I hfthy.llm u.!r,srlry of ,dru4 rhd rhe b. onrddion ldiins !s*y ror rh.Ftoma. olrh. Nrl for strh rh! Fnn a
<br />i$u.dtsr :1097.civ c )
<br />AITUSNLIIECI.ASAUA!
<br />I hdd,y drm uidd r€..lly of Fcjury onc .l th. tollowifls dels.l i,B:
<br />D.mohion P.mtu-Arbdro. Norificarion F.d6!l Rqularioro ('tirlG{0, Pan6)
<br />Rqun d Lal6 or &ifi.rion
<br />I cd!'ry rha rh. f.rl6rl r.Buldioc E8rding 6!d lam!.1 s. nr'{ !'?liobh ro rlri! thF
<br />I.6liry lhrl I h.v. rdd rhi! ipplicarion dd rt.r.rhll lh. rbov. innrmdion a cotr..r t lsr€ lo @nplt wnh rll Cily lnd Counly
<br />ordinri.( aid Srat. Latrsrhllnll .urhornc rcrr6drd n 6 . f lhG ( n, md (-ounty lo dra qrnr rhc
<br />rh\ c mdrtr)md prop.nt nn
<br />'\ll|,li.rnr rr rfdr silnrr
<br />4L+c-qW tL-lL- t7
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />)
<br />t.^t ,,,11,,
<br />FINAL t2l#+l?vwrvl
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />*,jz=4 t7
<br />Forms/Steel/Holdowns
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