BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER AUILDI:R DEI,CAR TION
<br />I hlrrby rfttm und.r pcnrlrt ol Frjury rhrr I u'n crctrDr ftrrnr rhc CotrLrtm l-rctr\. lr* nn rh. r(nk's'nt rcr{ r (S..70.11 5
<br />Bu\ircs 3d Profc*nr codc) Any Ciry o. Coutrr, uhth r.rtuncr r Fnnn t' .on{Nd. rhd. in{'rnt. tLflx,li\h r El[n'otry
<br />nrucrurc. pri,i, irr issurcc. all) Equircs rh. arplicmr lorsuch Frn'irnr fik! \irrd nulgmnr rhar ltor rhc i\ li.rn(l N^utrtrr
<br />k, lh. Fmvi{nnr\ of rtr atnlrdols Liccn{'d lja tCh.pr.r 9, C nnkRin8 *ilh Sc.non TIXX) ol l)ivrli'n .l ol rhc tlurirrs !.d
<br />ltofc(\i('tr{ Codcror lhar tr or sh. n cxempl rh.rcriom nRl rlt ha\i in rhe rll+.d cxcnrpri)n Any !i{nrri,,nofSsr,n 7o.l l 5 nyrny
<br />rrpli.rnrr arcrmir \uhF.t rhc apnlica0r r. acivilpeoalryolnor mrcrh{n liv. hu rcd dollrr\ (S5lx))
<br />-1.01osmrolrhcprcFny.ormycnplo)ar8nhwd8.\i\rhctrc,h$trp.trqri(,n.silrdorllq1',,nltr{u1Knr{inlcn,cd or olrcred lor sL rSE 7(}rl. Busircss ind Profcssn' n1 Codc: Thc G)nr&lq \ L.i(cnc ljs dr\ nol lpnly t' !n osRr nt
<br />rhc l,nrty $lI, hilds or iryn)rcs rhcmn- aJd *hr dfs u--h u hi'nkl{orh.r{ltnrrhn,u8fihi\orhcrn8.c tik,yftr.
<br />pn,vrlcd thrr \u.h im|hN.EnN m B{ dcidd r nficNl (tr $L ll hr.rr. rh tuiuitr! rtr nlYn,Emd i{ g'U *irhin orc $rul.u pLrr'n, rtE Of, ftr BuitLr *ill haE rlE hrd.n of F,ring rh, lE rr rh dii mr t lll or in{nrt rh. th,Fny tdllt pullr,r(l
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<br />i( o*mr ol rh. ImtEny. am crctu{ircly conrad itrA q ir h lrc.n{ti conrrkn !' (on$rud rtr lrl'}rr ( Sd 7(!J. llunm\\
<br />$rl ltDtr\rbnCodc'thcCo nctri l-kcnq Lj* dm! mr rpllyr' rno$ns nfr,'pcn)" f,lr, hu'ldror 'nlnnc\ rhdd,n,
<br />rnJ sho .onrr-r( f(tr s!.h Fr:rs uirh. co.hdtn \) laortl pur\ufl r"h. conrf, rtr'i l.E.nr l:*)
<br />I amcx.nDrunlrr S..t$n . A & PC nrthh rcrvnr
<br />D.r. o*mr
<br />11 (rxxER$ coM:Pr.\ia^ iroN
<br />DE1;IA86.IIAN
<br />I h.etr-r' rfinm und.r rrNlrr of Errury oE or rlE lolbr ini 'ietr !rxnr
<br />I lErc un*ilr mr.'rm. Cdifr.rc of Co.rnl tu s.ll.lnrurcn, rr 6i.nn{Etrdi'.. i! ln'yt.n tu hy .qLrr,..u(r, ot rrr
<br />t:ru c(ir.. fff rlh lErolr,*. of rhr rrd fd f, h*h th. Fmir t $hJ
<br />I h.tr {nd *ill minr.m *o*crl- comlE.srr nn inur.ft.. ,{ rntun.n by Sd i'n .l?lx) of rlE I ih, Cnd.. nn rrE Fi'lmE. ot
<br />llr *!rr tu *hih rhit Fntrir is nsi.n My qnk6 oqrndhn inuar..Mtl Jn F,li.) nln*Er m
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<br />cd'f)_ rhrt rn rlErErformreof rlE *ork for *h.h rhA Frn n r!hn. I {ull rn cn{ i'y 'ny FRr m :nf nbn'rr
<br />a, s!hlr$muhFrt'rh.ro s\ oqxndiB h*\olCDlilomE rrl rgRrh,
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<br />I lh)lll h.roft.uhFr t, rlr
<br />{o*rt lrnnlf,nerhnnn ri,n\Drnri. lTll)ofrhc ljhn ctn, l {Ell nhhr hr
<br />uARNln_c Flrrurc r. s-urc rolkEs conrlrn$ri ,E r, lrnn'Ml Fflh* !
<br />drro3.r lt Fnrrlcd nn I
<br />l]rllJa,llu:
<br />I h.Eby lmrmudcr ncBty nl rE4ury rhd I ur liena{ udLr tio$.n o, (lEIj
<br />of rhr Busft$ dxl Pn,f.rsi,.s Cod., dn my lk.nr N '. fx ll fik{ lrl .lf&1
<br />rtrhs{rkn,r(ixrr',rl)}hk l
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<br />I hcEh, lmrm undq rE lly of FrJury lh.l rlta. n ! mn{ructbn Lndios asrtuy n, r
<br />R\ucd (SN 1097. Civ C )
<br />. ofrh. $orl h, rhf,h (hs trr'n[ tr
<br />AISfIIAILD&CLAS{IIAN
<br />Ih.n:6,rmnnund.r!.ndXy rr.Uuryomof rh.tnt)u18d..lhhri,)n!
<br />Dcd,lirn,n Pfn \ \b.{o\ N.rilic.rion Fcn r R.Subrn,n\ (Tirl..r0, Pd6)
<br />Rcqu,Ed trxcr of l'{orilicllbn
<br />l ..nili rh l lfu l.dcrr rrguhri{in\ r.Ernli',g r\tu{o\ rdmirrlxr. nor rt,I i.xhl. t' rh^ t,frrrr
<br />1..'ril.yrhrr I hxvc rcrd I
<br />o,rli,,r (r\ r tl srrr.l.rs\
<br />2*i,'(rri'vc nul.kd t)n,Nrryli
<br />ADDlicf,n( or A*cnl Sign{lu
<br />Prmile nam.rprinl):
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />S ublloor/Ve nV lnsu lat io n
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsu lation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lVlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />L614t1il ,frrt{L t h/,q >\ 5t
<br />FINAL */1/tr >tJ'dab
<br />Certif icate of Occupancy
<br />Notes, Remarks, Etc
<br />^--t+k-
<br />!,/LPP
<br />'r
<br />i
<br />Flood Zone Certif .
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