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BUILDING. INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS o*NDl. Atr[_DtiR t tit,('ARATtoN
<br />I h.rhy ,,llr ukhr p.trllry ot |{,Jury lh! I m crcnDl ln'nr thc (inrrr!.ior' l,klnq lr$ fttr rh. fi,lk,wtrr! .cry,n (lE.... 7(r1l I
<br />hr!inc\! a ltolc$ioo C{ic) Any (iry or ci,uiry *hirh 'cquirc\ r F-irni t, connn.r. ulrd. inrlrov.. d.ftni\h or Errut nny
<br />{dfrtrr. Irinnr ir\ rsurftc. rl{r rrnutr.\ rh.4tlicMr tu \u.h trnnn r' tik. {igrcd ( .trr r rhrr tEor \h. i\ lircn\fd ltnxnnr
<br />h rhc Fnisii,N.l rlt Contrlctni |.f,.n{d lis r(tut d'J. Ci'mmm'n! snh S..ri,. ?(XXr ul Divhnn I I rh. Au\in€s rnd
<br />It)r.r\x,ns C,ilc) or rtu h.mrh. tr.\rnfl tlErcfn)n ln, rh. h{\n i,r rh( rlL8.rlcrcrq'rbn nJ_rbl,r6nolSdlnn70115hyr.v
<br />lnpli(.nr Lr rFnn rutrF-rrih. "IplKrnr b!cnilp.rlrt.fftn m,rcrhln lir. hlnd(d oll \(l5mr
<br />l. us osnur of rh. tn)IEny. or my cn,Fl,')r.s r ilh *trA{r !t rhcn $t nnnrn\sin,n. * ill &, rtE eo* url rh. {d1uE i\ ml
<br />inr.'rlLrl orolltntl,nr uL lS( 7t,ll,1. Bfiift$ and h,li\\idN C,rdcr Th. (in[r[tn s l-ic.nE lrw drcs nor apnly n, m owmr oI
<br />th. pnIEny sh, h!&l{ or itrF'r\ rhcrd'n. ud st[ &B tEh u'll hnnwll ncr{llurhnrulhhrorh.rown.f,!i'y..{-
<br />,ln,*Ldrn rrkh iqmmdsedn dcnl.n itrnr&{ tuah Ith'Kw. r h{ildiry or rrrKNEd n sU sihtnor }c,
<br />i{qlt1r.. rh. (}* rur Bu }r *rll rra\r rlr hd.n olF vtns rh.r h.qs& dn n{ hiEi, nrF*. trt FtrFny nt llE FllIN of
<br />l.r\owDcrolrh.I[,|rny.itr,u.l$ivcly.otr.ri,,Esirhlicrn\cd..nrrrhh.on{nr.trlf,nn!!.r(Scc?(}],l.llu!nc\\
<br />rl tt is\r (itrl. lhcC.trtr.kr'l l ionsc Lrs (k'c\ n'i imlyh.n.lB, ol pn'Fny*ho htrild\or imF,rr\ rherc tr.
<br />r.(l *hr ronrrh lnr \u.hltfl,irr\*irhr (inkr.n)n\r li..n{J tur{ud n,rhc(tntetr'\ Lk.r{ L!tr)
<br />F,/2,.t^
<br />lrh( l.rkt llo\
<br />I h.r.hy lffim un cr FrEh y oI Ftury nN ol ih. aours irt ,L{|Irt i)n.
<br />_l Mr ad sillnBinrrD r C.nrf.!r. ol Consnt h Sclr l.\ur. fd *nrtdr o)nqrMrn..r Frvrd to, ny Sd$n 1?(I) ot rlt
<br />lltu Cod.. for rhc Erlomre nf ihc md ntr *nah rhc Fnir t k*n
<br />I hrvc a.d * l rtuihruin *orkcr\' ..mp.nsolirn nNr.Nc, ,s rcquircd hy Sccr ion .l7((r of rh{ liht C.dc, nn rh. Iiriornwc of
<br />rh. turl f.tr whih rhn lrmir ir i(En My wortdi .onl{n{i,n insuftNccEtr nd polty nlntxr d.
<br />-l.cdify
<br />!h!r in rh. r.rtormRc olrh. work for wni.h rhi\ pcrmil ir h\ucd, , \hall nor.trllll,t lny pcEon i. any nu.ncr
<br />v' iii' tE$nE {h,Lrrk,rtI sodd! d,itindioh h*\orcrlift,mia. J!8rrh!' if l (lnult lNom slbFr brli
<br />sorlrr, drmltn{r r'. rrlhi(]nr .l Sftr b. 17{$ ot rM I rhtr C,nr, I <Ell. ldhurh mrily *irh ibc Imvnbn\
<br />WARND{(; Irlo,r r' {m *rit !r'$nvErerrr dr63c rc unl.*tul. lnd {lull sur,At oittib'tr k,6i!ffil Fnli\.rrl
<br />d'l finc\ un h ok hundki rh,usnd Jolldr (St0(,.(Xtr,.
<br />'n
<br />adJ k,n h, rh( ({ olc,,Iv{n\!r'nn Jxtu!.r r. lnrvidcd tu rlE
<br />S.\rtr n.1076ol rh( llhtr CoJ.,rnflc{ lnd !tom\ \ lR\ t t /)*.. .il zuA ^*-,, 1 1LA, /-f,;' /,,",I I urlla$1,r.1;oNr8rl3)BuEAsAIo! I
<br />I rrEh! am,muhi.r tEMlryofrf,rjurt lh.rI.m liNns\i ud., rm\Fk'n rl()lsl'tl c (t.nnEi('n8 r h SdIn 7(x,r t) or Dirti,n .l
<br />ol rlr Burir\! lnd PEf.i*,n\ C,".t , .rn nD lic.n( r m full n c. ! .lfel
<br />c1)!,uauclraNuirDlNctcENt}
<br />I trNhy afatrrn u(1., Foah, ofp(qlry rhrl Ihcrc ii r ron{turrhn lcnding !8.*'y nr rhc tl..lrntuEc olrhc $orl lnr ehich rhn rsn,ir i\
<br />n\k\llsd ]{l)r. c,! c r
<br />A.8&rCANLDEClr'l8.trU0N
<br />l lra.l') llrm ufrl.r n nrlry of Frrury nr ol rk fo ll,*int J(hrai b.r
<br />llcn [i.n Pflmn' rre.o\ Nonff,ltx'n tcLrrl R.guL rnn iTirlL {r. ?!n6r
<br />R.qurd l.itJ ol Miiltari'n
<br />l(.rrly rhrol'( n,l.rrlr.!tr|. n'r\ k!r'di',S rnr!,^ '.nn^rlr. n,i rl)|r]trxhl. t,rlrA r,'!,r\r
<br />_l.diftrhr I h*. r rhk amlilr k,n !d nnrc t
<br />onnMrcs and Srlrc I j*r rhrinB h h{,ldn3.on{ru(
<br />hnr rh. !h'r. rn(trftdi,. i\LoBl I ra'a k, $nnlt $ irh lll ciry lnd C.u.ty
<br />kitr &t rErcbt.Tfr{r. krx.{ddir.\ olrhtr Cirr ard Cou.rvh cnrd u
<br />.htrc mnrFB\, nNn(drlor in\Ixdi'n nurF,s\h" L4
<br />1+Ll
<br />,\t'trliutrl or ,\*.tr1 Sithlum x '-l
<br />T* *i /.r\r4 4*1rc
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Bool Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL ihT lit lil'tl134
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc.
<br />DATE
<br />Brown Coat
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