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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE IDiSIG.COMMENTS (,WNEX BUILDER DEI.CANANON
<br />I tEElt, rfiirm un&. FMhy ol F,lr, th.l I m q.ry'l fron rh. CodMun' Ltcnc L.* for rrt rolk,r g r((sr (SG7(r}l5
<br />AuriRtr .rl Prof.si'n Odc): Any Ciry or Counry whih r.qur.l a lEnnn n' G,nsituct. rhd. iqtrcv., &mhxh or qii rnt
<br />{ru.ruc. rrft r, nr tt!h-c. iko ra$Es th. rpnltinr (tr sEh Fm lo n! . ri8rn n{cE rhn lE or rlE i. IEn<n ,,u.!M
<br />to rh. FvN.nr or rE (tnrtursi t.t.nrd Lw {ch'rr.r 9, ConftEint sirh s<ri,tr ?(In ot Divirbn :l of rlI BunEs( rnd
<br />Pmr.sinl ('od.) or lh.r lE d ilE ir.r.n$ rtErclmm !d llE lLcis loi llE dlc!.d .r.'r+rion Any vi.,Urion 6r ser$n ?031 lr hv !trv
<br />lppliclrr lo, ! Fmir subr..h rtE +plElnl ln a ciril pcnllry or oor mrc lhan 6v. hundrcd d.lloB (t5(r))
<br />-t,
<br />sr osN oa llE FDFny. d hy .nphF! $nh *t!!s $ rltn $b or{F. rtr, *ill &' llE ed !n r}E {rL1w n n,l
<br />i,ildit rl @ofrd.df rk (Sc ?044. Buim(ed PmfcssionsCqi.: Th. (onl.stoir Lt..* L,w d*. nor al,Plv ro e o*tr or
<br />rh. pRrpny *h, hrlds u in{r6 rltd( tn eE, d(B uh Frt hinrc,f o. lEelr or ihmu3h hn d lEt o*n .rpL'ys.
<br />Imrilal rh.! lkh irFDwd. e tn -rald.d o, o6cEd lir s! lt hxis. tlt ttiuiru or iqNm. t s,B eahi. .* )ti
<br />oaonrkrin 0E O*r, BuiLLr will luE rlE tori.n ofJ'ovi1a rtul lE or rlE dd to t ild or in{r.E rh. FoFny for rlE Inqtu or
<br />JLI r! *Er or tlE pmFdy. u.(tu\ikly cnd'dms uirh li.n\.d conreron k,.onntucr rh. FmFl lss.7044. Bu.'Es
<br />nrl hltcs\ih ( odc Ttc Conrmrocr Lic..r. hw dc mt .J,pty !o ! 0*6 or In,Fny rho trildr or in9ft'tl rtE,6n.
<br />rntl erh d,ntBti ftr skh P.oj.r1t *nh ! Co rr!o(9 Ii.incd roriErr !o rh. O"rB-k ( ti..E bu)
<br />, J crctrFr undrr S(ri,'n
<br />,.,. ,illloiq N\ Mfi.
<br />utaf,Eai_caultaIllrli
<br />IIEIIJ8AIIOT
<br />I lwchv alltm undcr r(nrlrtorlLrjury(nc ol rlt nnk'rin8 d.cl(!rtr,n\
<br />I h'h nn *rll mini.b t C€nifr.rc of Conrnr ro S.lf. lrsE fd qrt6. oqEnsdbr r F,ri,al ltr by S<rion .17(Xl of rh.
<br />Lrlq Co&- for rlr tsrormrc of lhr !o* ntr *hth rlE ltdi ir n\u.J.
<br />I h.E.d *nl minlin q,rt6 otlt.srnn itrqrB.... ErlliEn by Sdibn .17flr or rlE l,!n Odc. ,or th. Frromuh-'c ol
<br />tlr v{t for rhah lhn Frmil is i$r..LMy wo.kdj dunvrcnslhn insummc fftr dd Flty rumb.r m
<br />Llrd'ry rhrr
<br />'n
<br />rtE Frl.rruN orrh. {o,l rir whi.h rhis lErnir n ssu.n- I shnll tu, cmlby !.y l.r$n in lny @i*r
<br />$ ar lo ttcoE suhjsr rD rhc *dk6'm.{xn$!it. 6u. ofc.l'fomi.. .Ji lgm thd tf I .buld kom 3uhFr ro
<br />'rEwt6' NqElsrbn rnDvir;rB olsdt.n:t70) of llE l,lry Codc. I tlEll rdhsirh o.rtly *irh lt'€ Pmvniont
<br />WA&NING: tsriluE ro sw mrlcG co,l|t.dion cokEa. ir unhwtul. un rhrll slbirr an anploltr lo qimiol p.dha\ .nl
<br />.ivil nn a !p ro om h!.drcn lhou{and dollir lsluj.o ), 'n .ddntun ro thc (xr ot conllnsrkr. d!m8!r r\ pn'lit'rl ror t&
<br />t (riin 1I7hor rlk liu (-,d.. int('cr..n, 'rEy.l--!,\tblzc\q
<br />IEII.ASAUO!
<br />I hcrchy urrh undd l!.mxy or p.rliry lh.r I im lic.rd !'id.r p(,Lan or (1lFd 9 (ollftri.8 rirh S.<ihn 7(r.xr' 'f l)'ririrn t
<br />or lrr BusiEss nrd PD,c(ioB Co&, .,n mt lk.rc i! r tull loN !d.ild!
<br />crr!|irBLlqll0!.rElDlllc.AcE{fr
<br />I h.rby rrtrn !d.r FEhy ol Fi,llry rh,l rlt'. ir r on{Mi,n bdin8 rscmy for rrl dfolmmc oI lhc *orl nn whkh rhn Fn n
<br />nskd lsr lo97 Civ C I
<br />L.nd.i r Ait&$r
<br />rtxn. nrtrrtrnut pn,rxnr l(r trN
<br />Apdi(ul or '\xdl six nluR
<br />N{tr
<br />,t2tlzc\q
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulatron/Energy
<br />Drywall tha//4 I '-rv'tt rwtt0-/1L.--
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It/lasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />FINAL
<br />"L4/
<br />/?t'-?*-rre IJ
<br />Certiticate of Occupancy t 't
<br />Notes, Remarks, Etc
<br />Rnicy Nurnhcr:-
<br />A.EE&AII.IECIJXAIIO!
<br />I d,, .rtu undcr Fn.hy ol F irry oE or rh. t6lbwi4 deL..rihr:
<br />Dctultion P6f,n3-Arh..los Nolirr.lii Fidd.l R.!ddro.. (Tirk ao. P.n6)
<br />_R.qrien L.trd or t{rif.:rir
<br />I c.n ify rhrl $. rcd.El rcslhriooi E8qrdrnB ..llior Emvlt arc ml .ptlttt L n, rhn lmld
<br />:\l 6i'r, rhd I hrE md rhr .D0lrrl ir .,rd 3r8. rhi E rr'oE inlorndion t com(l I .8rd ro d,nqny rnh .tl Cn, ind counly
<br />odiaN, .nd Sr.t. Lws Ehrirs lo hlildinS .oonrucl ion. srrl hdEby rullnria EPErfui€ ol fii! Cilv rd Cdurv ro 6td qDn dE
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