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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE O\f, NER Bt,lLDEi DEITCARATIOII
<br />I lElby !flim !n& Frty or Fjury rhd I d adpr frDn rlE Conr-l6 Li.ae Lr* fo, rlE hll6$ir* l!.n (Sa 1011.,
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<br />PrctdhN ('o<L) or rhd lE or dE ir a. q th66on .d rh. bcir for rh. dtcs.d sdFbn Any rnlnioo ol sdion 70l l 5 b, s,
<br />qrlilir for ! Fnir $br.(! rlE 4plrc.ir ro r crvil n hyoIFr m(rt6 firc h!.d.d d.ll,. (tim)
<br />l. 6 o*tr olrh. F.Fnr, r my dplo)6 *irh s46 a rh.n sn. comFEdion. uill& llE smt drE]lndd.6mr
<br />inrsrj6l or ofldlil for slc ( 36 7(,44. BBinB ed Pr.rsioN ( od. ]lE Contdoa! Lta$ l r$ d.d nor qDly to m o$.s ot
<br />rfic FtrIEly uho taildr or i!l'mv6lh6oo. &d who &E nllt \rl tirrlcll.r hclf orrhtuu3h hB or hG o*n.,nDlo!.6,
<br />pro\ id.n rhrt !!.h imrolmls e. noi intdld.d ofr6d ntr s$ rl h)w6(.ItE hildin3 or inqro\mr i $ld sirhn on. rtu
<br />ofc.n l.!r'n. rh. (xnd t uild.r *ill h,* th. hndar oa Forlns rh, h. or !h. dd nor h d or imrmrc th. rntEly litr ih. FIFE or
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<br />xn Pr.tas cod. rt Codrahr.! Li..e Lr$ d(E mi qlrrr,' ro 6 o$ffi oapropdr) N ho t{ildr or inpmrGlnson.
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<br />I m .(mF urt r sdhn
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<br />DESIAAIIAN
<br />I ls.br.mrm ondd F.!h, oapcluro,corlh. aollowing t!ch..rio6:
<br />Ihav.a sill n,inr.i. r ( dinci. of aotr nr h s.laltriur. tur $ ork6 compas.lion, s povid.d fu tir Sd,on 1700 d I th.
<br />l,tbr (ndc, turh.Ftumlnc.of rh. trork for *hich rhc rqhir ir iisu.J
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<br />ri. \rortds conp.$iion insu.in(., 6 r.qrtr.n hy S(t ion I700 oai h. l.ltxw (td.. ror rh. F nrmm. of
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<br />'hir Fnn r e.n. I rhlll mr aphy xy Fen in uy @6
<br />$ Btot<.mroh.dtollE$o G'onpcdion L$r.a(.llomt. lrd {rlhi af l.h6uld tK.ft.uq.d '. rlE
<br />svt6' onFsrion FDrirhE .ls.dion I7l)0 otrh. Iltor ( o<lc. LEll. fonh\nh enpl, *nh rh.F F.t!i.N
<br />wARltlN(; faluc ro su. rcd6' conFBnbn .ovni3. u unh$rll .nd 3h.ll ubjd D dprotr ro onrd Furrc a'l
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<br />ol llr BGdE nd Phldio6 cod.. rd Ey ltG b h tull f.re d.fid
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<br />calilal]trloN-LllltlcSlillcr
<br />I h6.b, rmrm undd Fnahloltdlrrythal Ih<. n..onrtu(ti,n Lndif,g r86c, for lh. pqfo'fuc. of lh. *olt tu ttich rhE Fnnit is
<br />issu.dtsd :1097. ( iv ( l
<br />AfTIICANLDEOJAAIIAN
<br />I '.rys rlin undq Frlt y of Fj!ry oe of tlE f6llo$i.s d.cL,n66
<br />Ddmhbn Pdilr-Attdrd NorifE ih F.d6.l R.suLrhN(Tnb40. Pd16)
<br />Rcqun.d las of I'Joliftrion
<br />I cdily$ri rh. adt .lr.*uhioBegddme 6t6rorr6bdd.nordpplic.bkb th!pror.d
<br />9.a,[ 'ur r r'",.,."r rr'o +pt,.oton
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<br />ed star.ihar rh..h)\. infi'mdi,'. is corcd I !3r ro .onply wtrh .ll (-ir ) .nd (-ou.Q
<br />nB comlrudn'n. {'(h6.hr,.uhor& rqGolarirB ollhi! (ny dd (bunr, h nr6 urn.rh.
<br />rtt\. rini.tlIloltor\ ntr
<br />^Alu l+
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />U FER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Fram ing
<br />lnsulation/Energy
<br />Drywa ll
<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 />I )lt
<br />FINAL I I,.l14l)+NNru//
<br />Certificate of Occupancy t-]
<br />Notes, Remarks, Etc.
<br />ID/SIG.COMMENTS
<br />I
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