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BUILDING. INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS OI!NI:T bUILI'ER DCI,('ARAT!oN
<br />I @ altrm un& Frty ot FJu]l rhn I d .!@F &m rhc (ndrdr6- l.(.M l^ nv rlE ftnh$n8 lmr (S< 10ll 5
<br />ll6ind Dd Prol6,rn aod.) Any Cny or Coui! $nah r.qur6. Fh. r. (onrrud. rh6. imFo(e &n lnh or r.Fllmy
<br />llru.rnrc, tn ro ns i$od.., atro r.qui6 rh. .ptlirafl for $.h Fmir k! 6lc a sisn.d stll or rhd h. or lhc 6 li.c.n P!e.{
<br />ro th. trorniE of rtE (irrr&1or'r l adr{ litr l(tuBd 9. (..md6.int trith sdhn ?(lr ot Dirnion :l oflrE BBi6 od
<br />hotBrirnr ('od.l d rhir lt6r nE ir -dnF rlE.6om lld th. tri. for rlr.l&cd.roFi,n Anr rnldirnoft oion 70rr J t! !.y
<br />rttlira ao! s p6rn rubjers th. ipFlicinr ro . civ il Imhy o f nol moE lnai fi\. ilndt.rl d)llas ($5@)
<br />l. a osF otrtE FrFrr. d 'n) orgb!< {nh \+€ d rhd $k.omFsio.. {ill &t rlE tr(t tn r,i {'urE ! mr
<br />i 6d.d or ofid.d frr ek (Sd 704r. BuriB ud ProfshB (.& TlE ( .drd.i. Ltm t,$ .!.d noi 4Dl,lo e o*E or
<br />rh. Eopd, *h. toilds o. impro!6 lhdo., r.d rto &E such trld hi8.lf nr h6.lf or ihrcuah hr tr hd oNr .mrhy.d.
<br />I'.\ xLd rh.r tu.h inFor61d. r. d -rdidl G olEd ftf, sk lt lsq66.llr hilduc q iqh\tan i. $ld $ihin G ts
<br />or(TtrDLliE l& O*E tuitk *nl n \! llE h!&r of F.rng lli lE 6 ilE dn mt hild d ttFrt dE FqEry to( lli F4Eof
<br />I. d 6trc.rrlE F.Fnr, m dclNn.l, ar diir $irh li..G.d conr&rBto codru.' rL F.j.$ tsd 7orl. trsl6
<br />.nj Plokin Co&: th. Contirroii l-i.drc lr\ rlE nor !p''l) to 6.\ ffi ol p..Fnt s lF tril& or imFo\B lh6on.
<br />rnd \ho..nrc.lrfors.hlhrjds$iih!(onri.ro(s)li.ordpuRmrhrhc(onticroisl.kd*lr*)
<br />I mc!.mfl unds snrxra
<br />l).r( (r{n$
<br />$oxllaias' ( oiuPINs,tr lilfi
<br />!f,(lJ&tu!
<br />I hdcl) im'tr, nndd lrtrrl(r.ltEr,'r) on. rlrh. f(nL\r'nF dalxrir(rF
<br />I h.r.atd*'ill minrlin. Cdia.{.6tcoMr h S.lf-ln$E f cd\d-mnl'.N.rhn. B Frvd.d to, rt S<r6n !7m ofrh.
<br />I ihor Co{h. tu lh. p-f{Iw ot lhl Nrt fr *ttd ih. Fn( B s!.d
<br />I h.v. lnd l ill mrinr.in * ort6 .omFB.l ion iBUBE.. s Bqut d ht Sd ion lrlD of lhc lrt 6t ( .d., for th! Ffomn. of
<br />th. *ort rd { hah lhii Fnn i! Nld M\ $nl6' amp.G.on iBua..ui d poli) nuntr e
<br />Iccniry rhar i. rh. tdLdlN. df rh. $ort ao, \hirh lhi Fmn is i,3u.{. Ish.llnol mploy uy ps, i..n} n nd
<br />$ a ro h.$ft stid ro rlr uo.l6'c.mFE nn Lu.ot(5l'aoha- tnd a$d rhi if I lrbuU tE(.m sbd lo llE
<br />qut6 $nFdion lior 6reN of Scdhr r 7(l(} ol th€ l.hor ( ql.. I (ihr homp\ tr hrtFrrnr\6F6
<br />$ARNIN(i lh'|trr. n) Nur. {ork.6'.onlEns.r('n rorr( N unla\,nd shall n'hi6r in mflo)d o d,nrnil p6ahi6 inJ
<br />.nil fih- ut ro om nu,!.d rhousd dollc ltl(xr,Oro). in .ddiri
<br />SdFn 10 76 of rh. lrh.r ('od.. ntdd .rd nrm r ,G
<br />cost orconrEtrsrio.. d,m+6 a nrnfid.d for rh.
<br />DE(]JalI]AiI
<br />I hE.b) lmo unds todlryof ldju.y rhd I m li.dkl unda m\ knru ol(luEa e lcomlt]friis $ilh s.cr$n 70fiJ).lonrion 1
<br />ol !h. Bwind ed lR,ldnrN Codc. lrl my lt.e n in tull nrc. an.rli{r
<br />(AN[lfllfIABl.ldIIIlIi.AGT!(T
<br />I hdlby .rrn u'r& Fun) o f Fru r- rhi rhd. a . Nnnto.1nn krl,+ +ft! lo, lh. Ff('l]llm. or lh. *art 6r $nrh rhi Fni it
<br />i.ru.d(s6 !0e7. cn. a )
<br />I dd.'s Nrm.
<br />AIfIIIA fDECI.ASAI]OX
<br />I hdltt a!fir. unilq F.rlr, of FJur- oE {f rh. Llhsrg d<brd i'G
<br />l)cnnniion Pdnit5-Arh.stos Norifiririor ljcdsal Rquldioro (lirE40, Pan6,
<br />R.rtund lmc of |ldifi.ir..
<br />I.dr'lyrhar th.lr{d.l r.suldio.s rqro liry ah6M rdnlral nrc nol dtplicabl.n'Ihictr\rd
<br />I c.n'[ rhlr I lE\crc 'hi$rrhr,ri'n rd hr lh.rt$. inf.Mi'n 6codd I rarer.$nply n(firllCi!.ndCounr\
<br />o'Lln (s rl Srair I r\\ '.lar'n! x, hu'ld'ng d ion, dln hd.h! .urhor i/. rcrr.sd n6 of lhr (' y and cou.ry (, mrd trtrr. rh.
<br />rli,'. nori(n rr0r,6ry nr N
<br />Ktt'Ilicsnl or ,\16l Slrnrlu.e
<br />(,&t^,t/L frOo*Farr*H
<br />{u'[g
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing lo-Z -/9 Ez,tl ro:
<br />Shear Wall /o -2-/ ?Wlql
<br />Framing
<br />ln su latio n/E ne rgy
<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 />4.4*<<-t+(o-to-ta ot.aa h ,
<br />FINAL Lq-41'r ogiftc to1
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />DATE
<br />a,'"rrrrr,'r$D-
<br />Set Backs
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