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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.oiiNEr BUTLDEn DFr,caR TroN
<br />I hcrcny rrrm ufld.r FM[, o, Frtrry thr I s cr.r$ lmm . (.odid6' Litre L.* for llt folktwir! B$n (S$ 7o.ll J
<br />Busi6r .,n Prcfdrn. Cod.) Any Cny or Cfl y rhth Equir! . Fnr lo oBrnxt .lrd i,r{mv.. d.mlnh or r.Fi rv
<br />cBre. ri, b h. rall.N. .l$ EadEr rlt +dtdr rot (uh Fnit kr 61. risnd ndc.fr lh.l lE m r|t i la$€n F qrr
<br />ro ltE Fvi3ioB o, rlE Codr-t, . Lirnsd tir (Ch{n.. 9. 6llmmn! *irh S.<ri'n 7uD or Divni.. .i of rfi. Butits 'ndPEf.rii.i.r Cdt ) r rh.l lt d ih. n cr.qi rhqcfmn {n rh. t ri fo. llt .lLS.n .r.qr b. Any rnLri,. of Sdh.7O:ll ihv..y
<br />q,r ic.nl lor . Fnn ibFt rrE rntlkrnr t, . .ivil Fu!, or ei fr'E rh.n 6rc hundri dolLB (!vrr.
<br />-1,
<br />tr\ o*ftr of rlE FrFny. or .ry cmploFr f, irh $n86 r\ th.tr (|lc (rnnlxn{rion. will d. llr *cI !n tu {BlE F nn
<br />in!.r*d or .fltEJ nr sb I S.r ?(}l.1, Bx$ftrs .nd Pmf.$ions Cni. llt (i,ntr(kr'. l-icns tr* rL* fr, omlv kr !n o*m, oa
<br />rlE pFFny wlr, ttuildr or inBnrs rlrsn. &i vlF d(B ru.h *it hinrclf.r h.rEltor rhduehhtr or lE o*n c'rfloy..!
<br />Droviilcd rhir \uch in{,nEmnh trE inr.ndcn dofic'd lnr {l ll h,a.v$. ttr ttrillin8 or iqroEftnr k $U wirhlnom r3r
<br />of.onphlion. ltE ()*trcr Builkl will h!\t rhc l rd.n of pmviq lhll h( or \h. dn fr{ h{iu o! i,qrcr rh. Ih,Fny fo. rrr f{.F { ol
<br />-1.
<br />6 owtur or rh. |n{E y, tn cx.lu.iEly co.rd inB *irh lirn\6d co.lr.croF ro con{Mr rrE F,i6l (Sa 7(x.{. aurir$
<br />.rn ffisix Cod.: Thc Cohrrrofr La.ns b* dca mr !p0lyro mo$H tf PoFny*lb buill..r impoEr ltlsdn.
<br />'nd *tD 6ndr for.uch Fsrd3 *irh r Codtudl, litn€J ro^utr ft' rlk C. tu i Lt.ns Lr*)
<br />I tn.t.d tri&' sdm .B ePC lu rhir Bon
<br />D.r. orn
<br />!lrB5E&5:rQ[rl!5ArI0!
<br />DICIASAIIO!
<br />I h.Rby rfrtn utoLr n Mtty ol lElury ox ofrh. rolhwng &(lrr tr'nt
<br />-l
<br />htrr. r'xl *ill ,tutr 'nr(tnilt.ICon\cfrn,Scll I'rorcntrqorkrN.onlEn\rri,,i.r\F)vi.l.ditrt')S..r()nlTlr(,!frh.
<br />Lrhtr Cuic, ir ltn Fr ktrnu'rc of rltu *oA ld $hich rlE lxrn,ir i\ ^\rl
<br />-lhlrrrnd
<br />sill'tunnr wor kc^- ..nlnln\aiion in\u,amc. r\ r.qtrircd hvS((ritr.l7(X,ofrhc t2hor(irlc. in rhc Frn)rnun.col
<br />rhc {dl l, *hi.l' rhh m'ntrr'\ trsl ltv trol^n.' \rtrFtr\,
<br />c-. r An\ e,si) 4"o
<br />.i,h!\u,tr,- Peuuo3lla6
<br />rirn in\ururkc crrir
<br />"nd Plky nunls m
<br />.;^-s/alza
<br />-l
<br />eniay rhlr in rlE FrormN orllt *ort,q *hih rh,r Frd F rrEd.l rhrlr tur.npby uv Fen a. rn, m.Br
<br />$ $ ro h.ror rul*s lo rL rsi6 orFn{bn LE of C.ltuni. r'd .!N rnll if I .lb$5 bd.m s!i.( ro tlt
<br />sorr6' onFNri,n I'trviri,B ors.dhn i7m of tlE l,lxr C.&. I rr.ll. fdllynt ondy *th rrbt Provilhtr!
<br />WAXNIN(;] FntuE h cE u,tf,'oniEndi,n .$v.88. i( uL,tul. !d rhdl sbFl s.rlPloF ro aimi l Ff,ia..d
<br />. l n.c\ ut io ok hudrcd rh,u{ntl dollr\ (!l(r}.(r, ,n r&lii'n l{' llr q,n ot.ory.nslion. d.m8rt a Imrncd rot lli
<br />S.crio..10766f rh.litrr(iic,itrrcrc(ml.domy s
<br />IEqASAIIITd
<br />I rEEhy rmrmunttd Frullr.l Ftjury rhd I rh liensn und.r lt)vsir orchllrlr 9lm'lftting *ilh S.nhn 7(xID orDivsirn.l
<br />of lhc Blrirs rid Pft,rsiiff ('od.. rd my ltcnc n i. tull r(,Rr !,i .lYR1
<br />b /0o 6 bq
<br />4//7
<br />I h.Eby sffrm und.r FMlrrof tE]lry rhd rh6. is. q,n{arhn larlinS.ScBy for rhc lEformm. ol rlt *Ml rln $hahrhir F,mir ir
<br />iisu.d(s6 109r. ( iv ( )
<br />lrnd.r's Nrm.l
<br />AffllqrlfDlll;u8alloN
<br />I hor{I} rrmr uBk. F ilry ol rErrrry otu of rh. f.llrsnl3 d.rlrrt l,ni
<br />Dcm,l i,n Pdf,nr Arh.ior Nrr rficlr iD Fdt ral R.Suhrbnr r l i' lc 4r. I'ad6)
<br />-Rcqrir<t
<br />L.rl6 of Ndifrrih
<br />-l
<br />cnify illr r L.Lnl EguLlion EB.rliIB (6.1ot l[mr.l e B* +,tla.bL lo lhir FoF
<br />-l
<br />.!lil, lhd I llt E d lhi! rpplttri,. .In i.k lh.l dE rtbE infdtdion t d..l I .gt ro drmnly *irh all( iry.nl(i,unrv
<br />.nimam.< rnl Srlrc ljrt rbnqi ro toildi.8 connrucl i(lhtr.b Jtrrh(u. ,crcurdn$ ofrhi s Ci' y 'irl Coun!, b ..'d uF n rlt
<br />.,h.r"f,trrr{tr1t,',,t.,r!r, tr.thJlonI
<br />tpptt ,"r "r rr*cnr:rttnttr/.2
<br />""-r* *^, r,n^u, r/D'au)4 /,bhsn "lrk
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />Sublloor/Vent/lnsulation
<br />Rool Sheathinq
<br />Framinq
<br />lnsu lation/E neroy
<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 />Enqineer Final Report
<br />Flood Zone Certif
<br />/,\
<br />FINAL ld-5-l"l \WDI,)
<br />Certificate of Occupancy (,\J
<br />Notes, Remarks, Etc.
<br />COMMENTS
<br />Set Backs
<br />UFER Ground
<br />SLAB Floor
<br />Shear Wall
<br />L.Ll^\_--
<br />I
<br />t.fLLd . \tlhr\
<br />tl
<br />=
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