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BUILDING- INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS oWNER B(JII-DDR DF]I,(]AI{{TIoN
<br />I hcrcby rlln undcr ltn.lry ol Nrjury rh.r I nm cxcnn lionr rhc Cidrlct^ l-i.cnsc Lrs lnr rhc lblk)lin! r.Jv)i ls.c Toll 5
<br />tr\i',cs\ a&l I'rons\t,n Cnlc): A.y Ciry or ('outrrt ehi.h rcqut.\ | l{nnlr b.or(tucr, alrr. i'tii*c. {lc.mlish or rco{i. ttry
<br />{nr.rum. p'n r' ( s\urtr.c. aho rcquncs Ihc rtltlrnni lar such |*mi ro ilc i siSrcd {nrcrmtrl rh3r hcor \hc i\ li..n{d pu^urni
<br />b rlrc !x'ri\ion\ ot rhc Coitrcntr \ Li.cnrJ l.rw (Chrprcr 0. Co,nnrd.inE *irh Sccri(n IOI) of Diviiion I ol rhc tturltrcss rnd
<br />Pn,L\\i()n\ Cod.)orrhrr h.or \hc is .rc'npr rhcrdro and rhct[An fttr rhc,llclcd crc lridr Anrvnrl0tionol'Sdinr70.l15btrtry
<br />ap!li(itrrnr rndnir rubjcdsrhc irDli.r.tloa.ivilp(nrlrrornurnnrcrhanlivchuMrcnnolhr\(S5ln))
<br />{f"^n*n"."r,r,"pa*ny..,'nycn{'{cc(}nhrJlcsr\rhctsL.omNnsartun.willdorhc*orkandrhe(uru.irmr
<br />lnrcdcrl .rolltrcdlor{hrSs.7orl.0uiE$lndl,rolcsiqrCoilc:Ih.(.('nirrctn\l-iccnscL,(dor\.rr!p1yk)rtrotrDcrol
<br />rhc nn),rny qho huild\.r infr.\t\ rhcN ,.trrlshod(r\\u.hsorkhi'nlcllorltrsclforthor8hhisorhcrosn.'nnk,Jrs.
<br />oiconDbrion.lh. onmr Buikis will hau rh. hudn ol ,rovin8 lhd h.or\hc dil !x bikt or inrrro\ r rhc pbp.ny fd rh( lDrli,{ ol
<br />l. x\o*ncr ol rhc pi.,pcnl- ucrclu\l\cIc.nk ri',S*irh icco\cd.onrrcrnb$nntucrrhopnic.r(Scc TlBl.lnr{Dc'.
<br />r il $ho cofrrcr\l(n\uchpnJjccr\snhrc. rraci(\)li(n\rdt)uhtrn r)rhcc' r..ntrsl-.ctr*l.rsr.
<br />I xtr,or.nrtn ndrr S..ritfr
<br />Y. C- ly ""*./
<br />!.llr!.!8luu]
<br />I xhr C&|.. for rhc ncrli)rnuncc ofrhc $ork lnr shich rh. I.nnI n i\\ucJ
<br />qL[,..n,,,",t,**u""'un.r, rhrtr rl !r (hkl'rlri\rnnir i\ j\\rcd. I \hnll mr cmnloy lny pcrson rn u] mrnmr
<br />s) n\ lo hcco'h_ subj..r tu lhc sork cn' co Dractr ur ior lrssolCnlilorni!- trni agrucrhrr ifl lhoold bcco,nc \uhF.r!)lhr
<br />s.rkds.onrFN.iionprovnioxolSdiotrST0OolrlrLatnCoac.lshrll-r{,nh*irhcomp]ywirhrh)*!tuvisi.fs
<br />W RNING: lililtrr ro ecurc *orken conrpri\ rnfl $\r'r8c is unlrwtul. rM \hdll suhjcct afl uDpl.ycr x, cririnrl lr.iahi\ r d
<br />clvi ,in.\un(,on.hundrcdrhot\rnddolh^rSlUr.(XX)).lnr&l[i(rrrorh...qol.on]|{tr\rrr.i niec\r\0(n
<br />\.lj,nt'-6.,1'1, I 'l.rr-,.l| inhl'rr I n' \- t:t,. , ,-1-]
<br />*-, .7.-6- IS ,,u,u-^)1 .f9.rzz.? f.<,-,z--
<br />Lrr liNslrf{()N I R \L l(lR
<br />DEI;I,AIAIIIIN
<br />Ihcrcbyar'llrnundcrlcnollyofp.rjrylhnll0mlienrdundc.rrovnionol'Ch,prcr9(c.nnrf,m EwnhScction7O(x,oiDivisi.n.l
<br />of rhc Bxsin*smd Pofes$ors Corlc. r my li.cns. i\ in luli,hrcc ifrlcff(r
<br />I-irc \c Nu tr
<br />EoNIAlqtONrfNUINGi(illN(t
<br />isucd (Sc. .10tr)7. Civ C )
<br />aftLlcANfDEq aau9x
<br />I lErctly altn n unrlcr pctrrhy oiFrjury orc oirhc lollo*inr ncchrarins:
<br />lX n,lnn,n Pcnnir\ Ash.nos Norilr.dur rcdcrrlRctulari.ns (Tirl.40. Pd6)
<br />R.qun.d btrcr of Norifrdior
<br />I.cnilyrhn rh! lcdcrJl..guInrnN frgttrJx,! ]\h!no\..nxrrlJr rr,' ri.tblc [, rhi\ Pojccr
<br />r.0.c{.nrrrnr\ ollhn Ciy rid Coutrry ki cnr.r uFf r rlf,4u..cs rtrd s' rc Law! rcldin8 ro buildiry cotrnfld ior. rlhc
<br />Ritt<zq
<br />?-Q-ts
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFEB Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />nsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL C-lt-/9'Jddaa vY)
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />-)
<br />SITE-WORK
<br />I lt'ch!rlli' utrd.rrdD]l1rol jUjrf .n.olrli.n,lk,si'rsdL,clIr!nnx
<br />I hrtr alx] sillminrrin sorkcrs .o.rNtrsori({ irNur Ec. ir rcqutcd hy S.dnrn.rTrDoi rhc uhi{ Codc. for rhc fc.io.rrnnceol
<br />rhc work tn qhich rhir Dcrnrir is isnLi. My workcr' .omfcnsllion nsurro.c c cr rxlrric,nrnrhcr dr.:
<br />l..nJ"'\
<br />^JJ.
<br />.'
<br />Applic"nl or As.nl Silnrlur.
<br /><t0
<br />Pool Fence
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