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BUILDING- INSPECTOR RECORD
<br />SITE.WORK COMMENTS (,\T NI:R BT'II,t'ER T'EL('ANATloN
<br />I tfthy alrm unds Fcnrlry,'rpoju,t., rhd I d.rmfl frum rh. Cont&roN- L'.ffi l,q for rh. follotrrn! r.Mn lsa r)rl 5
<br />Busins .id Pmlshn cd!.) Anr Carr or cou ! *hkh r.quiG r Fmi ro codrud. .lrs. imFotc dsmlirh d l.!dn mt
<br />rlrudurc. Fhr h its isud... .ts. rqun6 rhc dpplrc r tor lch Fmir h 6L a r{Nd 3rd.Idr thn h. dr 3h. i! ric.6.d p!r$ r
<br />tu rn. F6 isnln! of rlE Conlrebls l-i.dr{ t $ {(1+16 0, ftrnmtr in* with Sdion 7000 oa lrn Lr'oo :l .l rh. Burind rnd
<br />Pr.Gsnns (irj.) or rh.t lE o sh. ! c\mr,l rhd.from !d rh. bca for th. .lLsqj .roFhn An) ri,hrn.olsdnnT0ll! b!..!
<br />appl(! for . t6nir suhj.d! rh. arplicsr fu i cilil tHax y or nor f,or. rhs fi!. hon&d tjolles I $500)
<br />l. &s oM6 of thc FnFny. or m, dplo)6 wrlh *!s6 s thcn sn. compqlsdFn. rrll dr rlE *rit ed rh. ctu14. is n t
<br />inrErlql o,orrcd fo. sl.(S( 704,1,l,usDaed Ftltsn N Co& Ih.('oitdoarLic.etl{&6nolrpplyt'u.$n6ot
<br />'lE
<br />prqxr! { ho blilt 6 !r!F\6
<br />'n.!qa
<br />rn wh dB s$ $.rI nm*ll or ho*lf or !}mu3h hn r hs orr @nh)E
<br />providcn thd 3ucfi mF)vdd3 E drr d6xLd orolE.d fr eL lt lDtrEq- rh. h'klin3 dr itrFo\.d ! $kl sthrn on. ,6
<br />or6n4Lli(a rlEO*G ttuiHr uin h.v.ttr hr&r.fForir{ rhi h.o'llE d mr tniki or inFnr. rh. pmFry fo. rh. OrF)* of
<br />I. e o*M of rh. FiFr, ma([Bn.l!.o dins *nh l'.ats d codrd.6lo.oNrud rh.F j.\1(SR 7orl.116!K
<br />!d PFto$n (.& Ttc Co rero.! l,icdr l.!$ d(E d +ply 'o
<br />d 0116 otproFny u ho b!'ld. or imt6\6 rhdon,
<br />Md *ho .od,&rs for such F6jd. wnh . co 6do,lil lic.ts d ruB@r ro rh. ( onrrdor3 Lic.N b$)
<br />l rn cr.nDr undnScrio.
<br />lr.r. Oi.r
<br />1!ORXERS CirnrPeirS^rlON
<br />al:clJaduad
<br />I h6.by irlir. undq nsElt of IE)uD oE of rh. fdlo* inE &.learfr
<br />I hd. ed r ill @'nr.i. a Cdrifi.'lc olcokn ro s.lfJMr t NrId-odFdio..6 Ford.d for t^ SdhntTlxrotrlE
<br />llbor (ode ro.lfic Ffomec of llE u o* itr wfiich ln FBil b isu.d
<br />I ha1. .nd e ill m.'nr.in $ 0116 comrEdd ii. ireul*q s rarur.d b! sdnn I7m of rh. Llhr Codc. ror rrE Ffotu. or
<br />lh. rrrt for shi.h rhn Fnn ir ialu.d My work6 .ompq&rion in(rmc. cMi6 ed policy nunbd ec
<br />l..n!ayrh i. rh. p<,ao@nc. ofrh. $orl tor *hich rhE Frn i! @.{I drllB,6plotd! tB$n in oy me6
<br />$ 6 to h<om .ubjfr' b rh. $ut6' omFMion hrs of (-rliaomr. ,i r,a 'h, if I sl$lld b.(om $t!.(l lo rrt
<br />*oltd comtdstion tmvirioBof Sdion l?0oofrh. kbor cod..l slsll.lonhwilh comply *ilfi tnos Dmrisiod!
<br />wARNlnC l.rl!rc b su( ro 6 mnFE li,n or@3. is unhsful.3lull ehF d dthF ro siniMl FBlis d
<br />ctrrl ii.6 up nr orc hon&.d rhound &U6 (tlm.ajo), i. nldrtmn drf,+d a. Iro'ftn fr rh.
<br />sfrrion 1076.f rh.lnhn cod. inr6dsd di.m! r IG
<br />a-
<br />I hrchy amrn trnJs ldully oa rEjur) rhd lin lic.nBl und.r n oi( h0pt6() (.onnErin! \ih S(t.n 701)lr) oflr'r rnn I
<br />of rh( BBind 5rd ftof*irB Cod.. lj ot lt@ it h ,!ll foic..rn.nN!
<br />t\o
<br />I *<r* iffm unda FrX, ol Frl- r_ rhd rhq. is r .onsDc1hi
<br />isucd (Sd 1097.Civ. C )
<br />for rh. Ff.lrm..Irh€ *o.k tur {hrh rh! Fnnn a
<br />ATII.ICA.NI,.DECIASAIISN
<br />I h6*r'.tr nu 16 F..ftr olFjury oE otrh. folheif,8 dclEahs
<br />l).mohtion P6mirl^3tt td Ndrificdnn F.dn.lR.*ularion! (Tnk40. Pd6)
<br />R.rrun d ld{dotMri6.d..
<br />I .6ri[ rhd rh. r.d6d r.3ddsB rc3sdh* NrEios rm\.] u. nol ranl(abk
<br />',,
<br />rha roi.1r
<br />I cdif\ r hd I h,\. rad rhn rmli.6rk,n drl nd. r .6r.innrnn hnncotrd I .{re ro c{nplr *irt sll Cnlnd ( ounr!
<br />odmn.6 rnl srar. L!\!Elnmsro b'ldin8 .urt m. r.F.ddn6 olrhR ( nr dd cou.r) ro anF up.. rrr
<br />-,&,1",1^17tt,plicrnr.r Axol Siqurur.
<br />c rn l{e
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing ry4 /i ) 'l.'o it1.rfi-l s6,
<br />Shear Wall
<br />Frami ng
<br />lnsulation/Energy
<br />Drpva ll
<br />Brown Coat
<br />Mason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />t ,./
<br />FINAL (//il/,^W)'tA
<br />Certificate of Occu nc
<br />INotes, Remarks, Etc
<br />I DATE ] ID/SIG.
<br />dr\c nu kr,.,lF,po1! ln' mstalu trrB)X1
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<br />Ext./lnt. Lath I
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