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BUILDING- INSPECTOR BECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII,D}:R DEt-('ARATIoN
<br />I h.rct'y .r,nm uhkr Fndty,,1 Frjury rh, ! s.(.npr rn,m rrx (inr(o^ li.nc bw ntrllE nnbw[rr!.y'tr lsero.ll:\'
<br />Bu.m1r .rn Prn.sDn Cd.): Any C y .r (i'unty uhrh Eq!ft( . Ftu to ..n{N!. .ltn. !tr{Nt. &mllrl or'q}t rnt
<br />{rudK, pntrrt' r ssuNc..ko rcqrrc{ rh..ppllad hr !!(h rEm( r' riLa rsn J nd.c.r rhrr lr or rh. 6 l(..r.Lt Purs r
<br />k' lh. F,vtrons r lrr Conr8k,'s L..nsd Lrw (chxpr.r 9, co,nftmhx * h S(lhn ?({x, ol DrvFrrn -l ol rhc 8!rm( ml
<br />Pt t snnr Cqt ) ,tr rh.r lE or rlr u .r.q rls.lon .d rlE lunt fo. llr .llS.J .r.n{rFr Anr vrhrx,i ot S&r.. r0! l 5 hy r.y
<br />rprl(rhr l sp.m ohjrrsrlr apphrnr (' . c'vrl l.uhy of F re'. ih:n nv. hu.Jr.d dolldr (S5(xl)
<br />-1.
<br />r! ohr otrh.ImFny. { mt.n{'t'Fr } h *ra6I llEr $k dr{.n!.ri,n- w JorlrqrtmlrlE.rrw!n{
<br />dcrldl o. otrcFd kr {} (56 7(x4, BurBs !i Ih .rsrrr C.rlc Tlr (ifuar,r t Lrff L* &Er B'l .Jtly ro x oGr ol
<br />rh. F)Fny wb h G {tr FF,E3 rtrR'n,,rn wh) *s nlh urt himrll or h.elf o, rhough hF or h.. om.nphy..r,
<br />FviJ.n rh.l su.h blnEmrrr. N * uri.Di.l r.tlcrol tor qk.lL h,sw. rhc hllum8 or lqhrEmnt n$!rirhoom Flr
<br />{IdElkr'tr rh. O*Er Built r rdi h.E ttE hr',.n.f Frv!ts rh, lE or th dn Br h q ltpr$E nE F,Fly lq rlr F{.. ol
<br />-l.3ro*Nrol
<br />ilr lrqEny. rmcrrlu!!.lyonir[linS *rh ll(.nkl.ontrb6 bonnur rtu lflrrclr ls.r 7044. Bunm*
<br />.rn ftr,l6tmcd,l Th. CodrLrtr r Lk.n{ L* d(i tu! .l'0,y ro n*mr ol F Jrny *li' hu rldr or mpnn:\ rl,crnE
<br />.nJ *hr.r,rik-.-tntrBhIn'F(*rrh.CodBion\)lrc.<alp{^u n' rl* (i'nkkroi 1 l-r.nc t:*)
<br />I rn.\.md unlcr Seri'n
<br />WORXTNS' COiIPENSATION
<br />DEglt6.rll,t!
<br />I hc..6y,rltrm!BL, rtulyor rErjury oft or lh( nnt,*Dx &ak.l!.\:
<br />I haE.Bi will rointu r (.nif.ilc ol Conscnr n) S.lLInsuE !,tr kntc6' lnmpcnrrron. !! pruvd.d fortySccron:l7molrh.
<br />llhor (i!l.. ior lh. l*rrolm. of rh. u'd ntr *n.h !h. Fm ! $!cd
<br />rlr w' rk nr whrch rhn Fmsr ,( (rkd My uorkc^' (nnp.nqrDn h\urlr c (2ffr fld Fnry nunft r s.
<br />_l c.d'lrrhrt,nrlE lf,rfo'mB ol rlr knl ftr whrhrhtr Fm F Btu.tl,I d.ll n{..plryrn,FRr rn.nylMrr
<br />q' s h tl.$m suhr..r lo th. B)l*6' comFnstkrn bwr of C,lrnJm'., afrl ,rEc rhar rl I \holll h-l,d ruhj.d ru rtE
<br />mrtdr' !,nFn., ()n Imyli,nr of Sdl hn l?0o or lh. hlrtr (irlf, I slull nrnhwirh !-mply wrh rhoc pnr$rni
<br />WARNING: F urc li, BK **tc6 lrriEnsrln r rcn8c ! unL*inl. rll rh,ll !!hFr r.iphF h (,rol FEiF.rn
<br />.N'l ftr\ up lo oE hunrEd rhourarj Jolhs (Sllx,.(ro). m .(!l En i!, rlr.or ol loqrNrhon, &m!.r.s !n'vn d for trE
<br />Sc.hn 1076oarh. ljhtr Codc, mr.6d End unory'\ lcc!.
<br />LIIEISEII-LIINIEACPE
<br />DICllEAIlqN
<br />IlEEbyllltnunLrFnIyo!FrpryrhcIulitnrJufll.rJnrvkirol(lqs9(.rrm [3 *irh S& ,n '7000) ol l)Ntrr :r
<br />or rh. Alimrt rnJ Phfdrnnr Cd.. .r my llcnr ( o tull hnt rn .ll(r
<br />L&!eCLrt:-
<br />jjABSIBIJCIIOtrIENIIIGJ1iIIIt
<br />I h.(hy rrlrnund.r FMhynl !.rjury rhd tk'. r i $ndturbn Lntio3 i3.Ey f,tr rh. JEdnmuB. dl lhc w,rk for whf,h rhr Fdi R
<br />r\r!i ls.r. 1097. Crv C )
<br />AIIII(ANIIISJAAIIo!
<br />I hstt y irl-m ondcr Fn.lry ol p.rjury onc oi rht fi'U,,erns d..l{rrirn\:
<br />Dcmt,'n P.tueA.lE(o\ Ndrlrll{n lcncr.l R.ruLlnrs (l k 40. Prn6)
<br />Rcqu!.n L.tcrof lld i.rr,.
<br />_I cd'ltrh, rh.lirkhl (8ullr.n( EtrJor nh.nor rcn,rrlrc ft{ r,'plE.hk (, rhr Pnrr{!
<br />l..nnyrhrr I luvc rcdthr rlplrrr$n rJri darc rhrt rh.ah)e. r lrElet,(,mply,(h.llC[yrntlCou.l!
<br />o'JraR.\ nJ Srar. l re\ rurut (' h ilJ
<br />'nB
<br />r.nndd nn. uii hLrct'y drhtrrc rcn(anturvcs ol rhs Cny rB, (i'unry n) .nrcr tli)n rtE
<br />rtinr mnirFd proF,!y ntr ur\rrronpuli,ss
<br />Applienl o. Aa.nl SlaBluE
<br />-
<br />l).
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulationi Ene rgy
<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 />Flood Zone Certil
<br />FINAL s/*/,c |*,* l6t
<br />Certilicate of Occu pancy
<br />Notes, Remarks, Etc
<br />DrL:-
<br />D.r.:
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