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BUILDING. INSPECTOR RECORD
<br />SITE-WORK - PATE rq/srG.COMMENTS OWNER BI lI I,DER DIT,('A RATION
<br />I h6.b, amm trndd p6dhy ol prjury lhal I m .rcmpl lrcm lh. Co.'lr.cloB l-icor. lls lor rh. a.llowi4 r.n$n (56 70lrl 5
<br />Bulind ed ProfdFn Co&) Anr Cil) or Cou y qh'ch r.quiE ! rEmn ro c.dtu.r, .nd, inro\.. {bnolnh or qEr ut
<br />slrudu., rrior ro fi isru.. dr. Gqurd rh. qlplrel ror ru.h Fnn !o nL . !i8Ed rdmi rhd lE .r slE ir hcsa.d pu&d
<br />ro rhc Inrtiom oafi. conrdor'r l,icoEd l,r (Orqns u. Comnoc'n! *irh sd..n 7000 ol l)irBi.n I or$. 86hss n.d
<br />Pror.s'o$ Cod.l or rhal hc or !h. Lr.r.nfl rhd.6om md rh. hd$ f.r rh. all+.d crmptntr. Any riololt'n oaserhn 7011.5 bt.ny
<br />.$li.anr aoraFni lubjd8rh. .tpli$nr !o !cirilpdh) I.or mrclhu lirc hundEd doud (l!m)
<br />l. ar otrE.Irh. FoFny. u mr dphlG trnh *as6 6lhs $L.onFMion. $ill {b riE sct !n ltE rnnG. &,
<br />inrori<n or otlo.d lir !6r. (se 7(},1,1, B$i6. Md ProfdioN (-od.i fi. ( irlEclois l.rc.@ Irw d.6 not tpply k, dn os 6 ol
<br />th. FD6ly rho tril&or inlrov6 thgon. ud sho d(E sch *!* himr.lfoih.*lf or lhnit$ his or hd own cmplov6-
<br />Fo\ iddl rhd s.h mth.!ld! uc mr iddxLd d olf6.d 6r sL IL lFtr6c- lll. rlilld*.. nt{'tl:rd n $ld sirhr om 16
<br />ot co,roki.[ dE ( xlE Buildr s
<br />'!t
<br />ls* dE hdni of F\i* rhd lE or JE dri d hitj q itrplrt ln! Fl,Fy tu rrE Fl'rE o,
<br />L so"ndofrh. prrpdr. dr.r.l6ivcly conrrdins rilh liros.d RnlGdotsro 6nrtu!11& Foj.d (SE. ?Orr. Burn6
<br />arn l\oksi, Co&r rn. Conlrxlor! Li.cM l.!* dG el !!r,ly ro o o$nd . f FoFn v $ ho hoildr or iFpro\ 6 rhdhn,
<br />.nd rh. sdm! for sEh FlFs snh ! ('o r.donr) la.ed po6uli lorh.Codrrlr'r Lie lr$l
<br />I xn'.\cnrt trnll.' Siaridl .ll & l'( f0rhs '.N,n
<br />Drr. oin.r
<br />1r oRxp R\, i i)rr PfrsArroi\
<br />![(]a8anl!Jr
<br />I h6.hy llirnundrd.lryoltidi,ryon.olrh.nnlnrin8d(l.r.tions
<br />I hocadu'ill tu'nrlin ! C.n ifrd. of (.olMt ro S.lf-,Bur.ld sirl6 smFEiion,6 Fo\i(t.d for "r" Sdhn 1700 of rh.
<br />tdor Code tm llE Fflfu. lrlrt rod lor *nrh th. Finn 6 eat
<br />I hak snd willnrinrdin {o!kdr'conpcnsatnrn insuranc., ar rc\tuirRl hrs(hon:l7oooirh. tibor (irdc. for th. p6fom,a(f r
<br />r h. sorl for $ hi.h rh6 pnnir ir irtu.l. M} rnl6 coDp.nq ion i6urm. (&n< ml F,lKy numb.r E.
<br />lrdiryrhrr i.rh.Ffo,]ffi.of rh.sort for shthrhnFmil Lt is.rt.l slsu.dr mtht m! FFn in.ny,und
<br />$ B b lE or ruhrcr to th. *6A6 .omp.rd6. L*s ol (-.lifomir 6r! l\.r rhd ia I rlFud b.co6 .ubiftr b rlE
<br />soltd comFsron prcvsFns.ls.r:lion:!700 ofrn htr).(od..I3lull. tonh*nh..npl) sth lhor ptolishnJ
<br />WAININC: rlilur. to suc *o,k6' codFnsrion ordrsc ir unhsl,l, Md shall tubjel m @doF lo dmitul Fnalli6 dnJ
<br />cn fin6 up to oE hlndcd lhoNnd doll6 (t100.000), ii rddnio. tu rh. (on of comFNlion. de,Dc6 a Fovil.d aor rh.
<br />L_T.a,i5"*T,,;
<br />DI(IdIAIIO!
<br />, h6rt'! lrfm u*rd Fsh' of Fi$) rhd I m lk(E d ud.. Fov6ion of (luF6 9(ontrer! enh SdM 7ou)l otlhBx'n 1
<br />or rh. SrsiIB ud Prelssd Cod.- ed ny lE.e B in lull fo(. ri.iTFr
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<br />,.,. t"-lf,-vr
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<br />glltlalgJau.LENDLNc-acl!(l
<br />I ndlty.rm uftld Frh) otFqurylht ilE a r ord^Elsn ladu*.sft) lor rh.Ff(M. olrlr *orl lor \rfth rhis Fm. ir
<br />(q4d (s( 1097, (,v c )
<br />I cndd ! \mc
<br />ATTII(AIIDECIJSAIIA!
<br />I hd*, aftm nndd Flllty ot pgjury onc ot rh. tolloq inA ddlfal ions:
<br />Dabl(rn Pdne^rt'<iio t{orifi(d6n F.ddrl R.8uL!rn! I rnE,r0, P.n6)
<br />R.quncJ Lrlls of fio 6cdr'.
<br />I .dify rh.r r hG fdl6d rcaullr nN E!&d'ns BtErol r.r.\ al d. nor imr'.rblc ro r hi
<br />',mic.1.
<br />I cd,ry rht I hd. 'dd rh. .ptlkdrbn rn $r. thd rh. rtrr.
<br />'f,
<br />folMhn ir cotrd I a*re lo @mrrlJ sdh tll(-rt lnd Cou.'\
<br />6rdimn.6 d sr.r. I r** rclrinx ro hiildin,r codrudion. dld hd*D aul rFru. E rda'r,B o f !h3 ( ,ry .nd aount! !o otq uF)n lh.
<br />ah,vc 'n{rined piorElt for i.sr^.*ton Ntrs
<br />Appricrnl or rBol shulur.(ht\
<br />^"j'
<br />b41 \q
<br />Set Backs 'rl ,i.tl
<br />Forms/Steel/Holdowns r,)t1 f,
<br />Erection Pads p tl lit "1 tvi
<br />UFER Ground ;t.,0 t'l tl
<br />S-!AB.Eloor t1 i.l !1
<br />(Su bf log/Ven Ul nsu lation 0 /Z /t lt
<br />Ri6T-sheathinq
<br />Shear Wall I llWt '/
<br />Framing
<br />lnsulation/Energy /ti Itty't'r14
<br />Djywall 3o
<br />lexi)tnt. Latn L
<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 />FINAL I
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />'1rl
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<br />z/t-/ |'y/
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<br />'all
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