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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.qOMMENTS OWNNR BUII,DER DEI,CATTA'IION
<br />I hodD rmd unds rqulry ol pgjury rhll I m .idF fmm th. (-.nrdoR' I.rc* l,* f6r th. aolhsdB l*n ls< 70:rl t
<br />Buin6s .rd Profsion ( od.) Anv ( ity or C.unry $hEh rlqu'6 6 Fmi ro co'r{rct, rh6. mFo(. d.nmlirl o, qtrn tur-
<br />slruclu., pntr to ns isuuc!. dls rcqun6 lh. .r9li<d for 3!ch Fnir ro 6k ! ris.cd ei.'Hr rhd lE or slr it li(.d.n pultld
<br />Io ih. FovtmB ol th. Coiriadoa! L,co3!d lrw ((lEI,r6 I, Conmftins $nh S.<tion 7000 of Dirlsion ! o[l& Ir6ind ed
<br />ProaNions cod.).r rhi h. or sh. ! d@fl rhd.frcn ad !h. t6s fn llE lllq.d dsnprion AD rioLrh.otsc(ion rtrll 5 b!, e!
<br />aDrlici aor.Fmnrubjldsrh..rplic.n'to!olilp.6hyofmtmathd6\.nu,<L.ddoll6{l!00,
<br />L a o*ffi oarh. FDFi), o. mI on?lorc $nh r+6 c llEn $b comFEdior. Nill & rn s.ort sd fi. rBlG i! mr
<br />'dd'rlql o. ofrdld for el. (s6 ?04,r, Buri6 ed PmfdnrB co&' Th. (tnrdoir t].@ t * do6.or amly ro n o{ft oi
<br />lh. FnFr) rt hril$ or inpmr6 tlE@tr d *ho do6 $ch qo* hh3ctl., hdlf or thmlsh hir or id o*T odolc.
<br />p..vxi.d rhlr such inrrm\ffir! e n adln of.rid tur 6L lt hor6.r. rl! hildn{ or iryrcrsEr' i! hld rithn oE \6
<br />otconptthr llE ovnd Builda wil ta. tlE trnlo af Fo;ns lha lE or i,E dn ml hiu o ltlroE r FlFrr 6r rlE FrIFror
<br />I, a otrE of rh. FoFr). u crclurir.li. $ rdi,* "nh li.ar.d codr*r.6 ro.o.fu.1 rh. tlNjd! (Sr 7044, llEhd
<br />.,n Pintsi, ( o&:'l h. Conk-ror3l-icle t$ tio6 ml llrltto dotrnc ofl,ron n} who build!or imliovdrhdon.
<br />ed stF codrult fo. scb Faj.ct3 snh ! conu!.ro(s) licdB.d puBumr b rh.( ontkor! l-(te hs)
<br />I M.iono unds Scrion , B. & P(' aorrhBre.
<br />D.r. O'rE
<br />toa6!8s:gJ!r.e!!!Auq!
<br />TECIJAAIIA!
<br />I hdd,y iflirm und6 rE !h, of psjuy o.c o{ lh. follovins d<larlrioN
<br />I halr ad *ill min'.m. Cdificd. olCoMr !o S.lal6d. fM *srt6' omFdhtr s F$ ildl aor b:- sc'ion !7m olth.
<br />Lh, ('od., for rh. Ffoffi oa tlE trql fir s hkh rrE Ff,n ! irud
<br />I ha.artsill mi.i.i. *0116 .omFqrion iBurnc.. c r.quirc! b! S€r ioo l7O( o, rh. libor ( odc. for rh. Ffolr@c. of
<br />rhc rort n{ $h'chrh( n rm s (u.tl V\ $ ulL6' o.n +M'nn 'nntrR. cmd rd Fn(} numho e.f/-.ztc A rt s _, ./
<br />u",',,'^* y'11 6a ?ZzE66 ,',1129 /f7
<br />I di6 rhd in dr Frf.Ifue.of lh. tr.rr for wh'ch thi! Frn is nsu.d. LhrU nor mrtoy an.v rER'n in lny mmns
<br />s a to baorc rlbj.rl lo ln *0116 comp@ion hws .f ( iliLmli. &d !gr* rh, rr I .h.uld tr.oft 3ubj.d t, rL
<br />wort6' m'nps$rion pmvsioB of S..hn r?00 ofrh. L,bor ( o&. I rlMll. fdhf, nn omd, N hh rhof, F.\ ihE
<br />I{ARNINC tailurc ro s6. w.rld' cohF6d'on o\d!*. 6 urhstul. r.d th.lr 3lbjrlr u d,rph}s lo sin,Ml Fu[6 lxl
<br />.Nil lltr6 trp ro on. htr.d,.rl rlNuend rhll6 11100.0,),'i rdd ilab {E
<br />'ddd md.n.'B's f6
<br />I 't !- L\t!! ! !r\
<br />I h6.b amm undd Fnahy .f p.rjury rhn I d li(E$.d und.r rnr Enn orcll{Fc I (c.Dnmins tr ri s6rrr 7(x)0) oi I)r isi{in ]t
<br />of rh. ButinB ed Prer*nd Cod., dd m) lrd 6 in full lorc,!.fid
<br />(c)
<br />7
<br />(ax$alJcralluilDltc-acEtcr
<br />Ihs.b:'rrmutul6Fnalr!.fadjuryrhdrhd."sc.Nrrudio.hd'na's6cyr.rrhcFrom.orrh.sorrtrnhi.hrhnFmin
<br />isucd (sr.1097- (iv C )
<br />lfrrl(a[Lllsaaar[r!
<br />I hadt !trm ui{h Fn.lry of Fjur} oe oa rrE lolk u ins &{ts.d nE
<br />D.molir'on Pff n.-A3ltn6 Norifi.orn n Fcd.El Rcsuhios I1 il..l0, Pd6)
<br />Rq0n.d l.rGnrNdif$ion
<br />I..niryrh.l r lrc f.!.r.1 rqul.l ion, i4rdinB atEk)r rnovrl ee mr drrlic.hlcr.rht FrFd
<br />I .drl! rhtrr I hr\c,MJrhr l\)fl'!irkr,nxl nrrr i,. 6 cm.( I!!rerocompl!* h rll ('irl rnd Counrr
<br />(dma..6 md sid. Ir*3 Glr'.! tu triltimS
<br />nbo\. IMrn n.d prolsrt fq nqEclirn
<br />\pplicrnr or \s$r si!trsrur(
<br />di\6 r,hE( irwzr!hdqurflh.
<br />*.r/zg/r>
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />N/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Oeputy Final Report
<br />En ineer Final Re ort
<br />Flood Zone Certif
<br />A
<br />FINAL 1212-l/v"ull;)
<br />Certificate of Occu n
<br />Notes, Remarks, Etc
<br />r -'**'y,*
<br />I
<br />Subfloor/VenUl nsulation l
<br />I
<br />I
<br />Brown Coal
<br />I
<br />I
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