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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNtrlBtnLDEN DELq{NATION
<br />I h.rcby arTrh u Lr Fnil!, ot Frrury drr I m .rcqn 6M rlE Cdral6 Lirne lrw for rh rollowll! m$n (Sd 7ol I 5
<br />Itusin$\ ! Pd.sson codc) Any Cily or Cootrry shich rcqut* a lEmir x' $.nflcr, uhcr. inrl()vr. &nmlnn flcFn uy
<br />{dur. imrb s nsumc. rLe EquiB llf sfitlk!flI for.kn Fmn b fik a isMn {drmnr irBt h..r 5h i. lientn Fnsul
<br />ro rh. FDvisi.ns.l ttE Conrr!.rols Li.cnsd Llw (Chrprcr 9, Conrft(ins wirh Sern,n ?(xn .f Diririon I ofthu Busi*$ und
<br />Pmrcssims Corh) o, rlEr lr q {E n qcng,r rlsctrcn lrd thc nNis lor rlE {lL8.il .r.n{i bn. Any lioldir ot Sdbn '701 I 5 6y uy
<br />ltpli.ur ror ! Frmil \uhlrts lh. rmlicdrl k' a civrl t Mll y o( nol mrc rh4 filc hurnrd dollsi ( i5(n)
<br />-1.
<br />tr! osN olrhr lx),rny, or myun{L,yrcs wilh ruscl !\ rh.n q)h i,npcnrdion. willdo rh. wolk orl rhc stula ir ml
<br />drldl or ollxnrl tr ek ( sd ,or], Buift.( .nd Prcr.rqff Co& Tn Codrdois l-amr ll* dri n ryrlly k, !n o*m. or
<br />ihc Ftrtrdy *ln huilds or irqm'vcr rh@n, uxl *l$ dd\ such w,rk hiNs.ll ur h.hclf or rhmugh hn or hcr oM .ml'lorc.s.
<br />rovil.d ihri \u.h EFtcftn( m n idcnddl u onry.d fn {b lf. lI*!E rh. h.'rnttS or nqnrqE n g|lj *lllir rn }rrrolc.nrkrt( rh O**r au d.r $illhnk ih. h!d.nofpn,vmg rhd lr s, stE drl nn b{ill u imt'mE lh. I'n,Ixny ntr rh nurpo{ of
<br />_l- !(n$'E. oirhc IDIrdy. r.ncElusivclycon'rrlinE eirh I'rcnrd roM:klor kr c.n{rucl
<br />'hc
<br />Frt\1(S&. rotl. Auqr\\
<br />inl hifssin Codc Th. Grnrr*roi r L iccnr tis dG\ nor q,ply h !n osmr of rroF ry *h build. .r inprowr rh.rdn.
<br />ind !k, .l)frch r(, rh F)Ak *irh r c. @-ronn li.h\dl lursud ro rlEco,ir!.roir Ltcns uw)
<br />lrtr.rc rli u xl,1 Scrrrrr
<br />l)[le O*ner:
<br />woR{F:&S', Cottt rtEts,tTlot
<br />DE(lAf,lIIA!
<br />I lrrchtrr,lrn utolf F.llrtol trrJur_! nrc ol rlE l,rlloqmB d(lll{i.n\
<br />I tnrr dn eill minrdn r Ccdifrlrc ofcoflcd lo S.lf'ltrsu. f( *ort rs qrlfnr{iotr. .s Frvi.kl rdr by S(ran ,l7m or rhc
<br />ljrrr ('rxl.. r,r rlE Frrorm*. oritE wo n,phrch rh Frmn G n\!cd
<br />I haec lel willnminr3m *orkcra.otrDcnrlrion rrnrakc, r\ Rqln.d hy s(' i'n rrlJo or rhc ljh, Gnt, fo, rhe Ilrltr@Ne ol
<br />rh. uorl ktr ehkh rhis p.rnir i\ isu.n M, *Mkd! rar\rnsrinr i6\rhnc. .!f,i! url Jl)liy nunrhq {c:
<br />tolicy Nuntur:-Expncs
<br />-
<br />l.cnrfylh0l inrhc lrrlnrroEe otrhc aoik for rhi.hrhnrrmir it hsu.d. lnhll n.r crylt,y lny ,ERr inlnyrunmr
<br />y' a\ b rENnr \ahFd n'
<br />'rE
<br />u,*c^ o)qEndir bE\ or C{liromir. el r3N rhrr if I slnuu lfrotu ruhFr b rh.
<br />sorktr( .onrlEnsrnrn ln,visiotrs ot S.cl ion l?U, ol thc tih.r ( odr, I tEll, fodhw h dxndy r nh
<br />'hM lrmvnnini
<br />WARNING: li'ilur. ro sr srr.ri conit sri.n ($d!. i( unl,*ful. .nl \hdl \rbFr r dr orlr lo.ririnel Furls n.d
<br />.i!il ,incs !p ro onc hundrcd rh.urdd dolh6 (iloo,{xD), r trddittr,r lo rh. corr ol conlEieln'r d{turcr !r Fovid.d h,
<br />'}ES.crior .1076 nf rtr llhor Cri.. inrm{ !fl1 oudfty's fes
<br />D.l.: ._ ArDli t'' LrceNSmCONiR a-rI)R
<br />DECIJXAIIO!
<br />I liEby lJfm mjd lrBlry ol tEri,ry rhd I m IerE d ui& Ftrq\bn of C"t !pr6 9 {onmmng virh s..ri,. 70m) or Division .l
<br />rI rh auinc$ {d FDtcsbns C.6rt . rd my li.cn* ic i, tull tuG ,ri cllel.
<br />lhlt
<br />-Li...\c NutrL(r
<br />.g!]N[IB!I(1I(]ItI}]lDl!IiAG}:trII
<br />I ltrebyafinnuftlcr lEnrlr] ol'Frjury lhd rftE nn@n(ru.ri,n lcndin! lscftt ii,rh. twrdnurc o! rh! N hrtrtnhrtirFn lL\
<br />T\ucd tsa 109?-crv c )
<br />t.nd.r's N!trE
<br />-
<br />AIEI.IIiINUTESASAIIO!
<br />I hst6y nnmr Lnd.r Nnaht ol rlriury orc of rh. dbf,in8 J(l.Gri,'tr(
<br />Olm)lirx'n P.rnih A+.{or t& ifi.dl'n Fd$al R.!uk nins ( Tdk .lt). Pan6r
<br />_R.qxtcd lit.i of N,{i[..1k,n
<br />._l..dilyrhrrrh.,i:d.fllrc8rlnii,ntrr! d'n! ,{rjov cm)vnl d c tror Jll'ltlrlc n' rnNnn,/.cr
<br />-l
<br />cc i,i itur I h!v. rdn rhn l|lplisrt'n an! { . rhar Us cbv. inlr,nBrior is .rn.c] I lEe lo otrply enh lll C y rn.l Ci'xtr|,
<br />odnrRE n SDk lj*s rlnilB bhlrldin8 <nrMtiotr arn h..by.trlnrr! ,cF.rtrrd rts otrhirCiry d Co!d, ro oi6 uJrlnrrE
<br />ah'vc nrnrhn.d,,rcFny ts in\F.rion pqr){I
<br />\pt,lnmr or,l!ol \ixtrrlr'rr
<br />P.h renrm.(prinr):
<br />Set Backs
<br />Forms/Steel/Holdowns q Lq t/Dkgry,
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall rl
<br />Framinq q!1A (['r D'WT1
<br />lnsulation/Energy I
<br />Drywall
<br />Ext.i lnt. Lalh
<br />Brown Coat
<br />Itrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />t t
<br />FINAL It .Nr#2 v
<br />Certif icate ol Occupancy II
<br />Notes, Remarks, Etc.
<br />Rev 08-07 2015
<br />.2-11)
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