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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.O}TNEX BUILDEN DELI(-ANATION
<br />I hd*t.rm udd Frn, of FjuD- rhr I r d.f,,l 6DD dE Co r..16' Li..M t r fo, rh. folhwide lm (Sc ?011.5
<br />BuulB !d PrcfBi,n Co&): Any Cn, or Coury stat Equir6 . Fna ro 6dM. d6, inProle ddlah o. cFt uy
<br />tu(ruq Fbr ro it! lrUft., .t rq'ri6 rlE +pli.d for ru.h Fnn lo 61.. risrcd ndd6l rhn lE o. CE a li.d!.d PuMd
<br />ro rhc povirioB ot th. Conr&roir Li..n!Gd Lre (Chiflr 9. Comocin$ wnh Setion 7000 of Divisior I otfi. Buind ud
<br />Ptof*ioN Cod.) or $!l tE or {E i! .r@pl rha.6oD ed rhc ha! aor lh. .ll.g.d .xmplnrr. Any uill.lion of Salbn 701 I t b, oy
<br />ilplicot lo Fsn 3ubjdt rhc .ppli.si to a civ il p.rhy oamr mr. lh4 fivc hund.d &,lld (1500)
<br />-1.
<br />s ow of rlE FoFry. or iy strpbFd *nh *is6 s $cn $k.!,rFdio( *ill.lo tlE rril !n llE ridE. d
<br />idod doffdld ad st (sc ,044. BciB od ftsf6ioN Cod. TIE codr.<rd 3 Lioe kw &q m' +p, b n oqE of
<br />rh. FFry vlb tril& or irt nts dE6tr dn *h dG Mh *rrt hirulf m lErlror rhmusn tir s lE o*n onplorc,
<br />p.ovid.d lhn r!.h inFlvsEi! rc Dl id6i.d n olTgd ftr el. U, how, tlE &i!r.8 n inFlvdr.r'l i rld witfiit oG F
<br />of.orpkiotr ihc O*n6 Alikla will h.w tlE hrh ofFllins rh, lE or itic dd ml hild or irFoE U. FDFry 6r th. Fr?or of
<br />l. B ow oa$. FoFry. m aclEiv.ly conr-lh8 *nh [csE d.TnocloE ro co6|ru.1 tlE FrF (sft ?044, guitr
<br />.rd Arrk . Co&: Th. Contrdoir Lk.M tr$ &E mr .pply ro n osna of FoFly * l,o boidt o' inFor6 ihso..
<br />sd stb otrrrlt ror uh FiFB *n[. codrso(r) la@.d pll:d b
<br />'h.
<br />Cor't dtr . l-t@ l.*)
<br />-l
<br />o .tdpr u.<ld sdrn-. a & P C aor thir ren
<br />l).rc O*n.r
<br />ltoxxr]Rs' ( onlPt Ns^l loN
<br />l)ligaaallQl
<br />I hdch) llliln und6l@llr.f Ix ru6.n. oIrh. f,,ln]\ 'n! d-Lrariotu
<br />-l
<br />h.v. dn *ill Einru r ( 6rifri. olcon5i ro Sdf'lM tor sulsr ompa!.liotr ! Imlii.d for b, Scri,..l7m olllt
<br />llbor Coda aor th. Ffolrm. of tlE m* ror vikh llE Fnn i isu.d.
<br />'ill 66inri'n f,orl.n comD.md nln iBuranc.. s rarut.d by Ser ior ll70o o I th. I rtxtr Co<L, fo. rh. Ffotruc. of
<br />insurd,.. rixr '.r ad pl'.y numlE '!.
<br />UcSoaL-ot &j tt-l-(?
<br />-l
<br />cd'ry lh,l in rh. tEtolr]e. of rlE worl lor $hkh rhn Frmh n isu.{ I JEll rcl dplo} oy Fs. i. o} nlffi
<br />$ !t ro b€tuE suual ro lhc $ort6' codp!*!t n. h$ ot Clliaodo. ed +G thd if I 3hoold tE onc ru
<br />sorlEs compqsln'n pNvisnrns or S€.l(n .l7ur orlh.llbor Co&, I rh,ll, Iodh"trh comply wilh lk,E
<br />WARNINC: F iluc u surc wort6' comp.Ndnrn (orc.*. is u.hs
<br />.n'l fin6 up ro 6n. hun&.J rhoMd doll6ltl0o.uD), r
<br />sdkin 1076 oarh. bbo. (-o&, imd.r ed lrk,B r
<br />I ho.b) .rm undd Fnah, of tEjury lhd I m lisaql und6 r,ovisioo of(1apl6 I (cdm6.i.8 wnh sdlion ,000) o r DNLr'on 3
<br />oa lhc llGin6 Md Psf*ioN cod.. ed ny licos ir in full torcc &d clTd
<br />Clor I 4..
<br />co!ffaucuolt.LDlDllrolcElcl
<br />I hrcby lmm undn Fn.hy o f pdjury rhd rnq. ir . coMrudi.n lmdins 6socy for lh. Fforlftc of (h. NorI for whi.h lhB Fnil i!
<br />stu.n (S( l097.Cir ( )
<br /> 9PI ICANT DIiCI AtrAI'IITN
<br />I h@1, aIIm uid6 loalt, of palury on. oa lhc aolbwinS ddled ions
<br />D.mohion Pm $Astdror Nonficllo, F.dall Rcgulariotu {TnL 40, l'd6)
<br />-R.qun.d
<br />Ldrq oa l.liiifi.dm
<br />I .dify rhd rlE f.J.r.l r.*uLl ioc lt8rdins Bt6lG rGmel c
<br />-l
<br />(dlrfr rnd I har. ,.d rhr ap?hcalion r. comply *'nh all Cn, ud (irnty
<br />odimr6 and Slat. L!$s..hitrr lo
<br />.hv. mdron.d proFn, ror
<br />olrht (
<br />'rt.
<br />tud coudlytu ard ot,n'h.
<br />D," lMIN
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />Wubb loLhtr l2-l>-tr k.wt)
<br />FINAL 12-17-/t k -\411(l
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />COMMENTS
<br />1v
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