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BUILDING. INSPECTOR RECORD
<br />SITE-WOBK DATE ID/SIG COMMENTS 0lTNER AUII,DT:R DEI-CA TT ITIJN
<br />I lErchr allnm !d., FMh l, ,tr Frrlr) rh.r I rr .r.q rion rlt (i'nkel.s t-i.n{ l i* lor rlr nnhuins @ur ( s$ 1r.l l 5
<br />Bu\nr\\ urrl Prntrun (irl.) Ary Cily or Cou ry whi.h rcqunr\ s Fmn b con{tud. !lr(. in n,vc. &m)lNh or qutr rny
<br />sMiur., l'Uio rrr srulEr. ll{l rcquuc\ I h. aDrlaonr fd sNh frn () fih . n8ftrl {!r.tu.t rhlt h. or !h. n lirnrd pur$rd
<br />t! rlE ImrFiom.f rlr C..re'br\ Li.TneJ lis (Chllld 9. (nnhfl.in8 wirh Sccrl,n TUX} ol Dirti)n .l of !h. Aurin.$ rnd
<br />Pn,tc$xnr\(i.)orthorh.or\hencrcnurrh.Etomindrh.brnrforrh.rllc8.dcr.mlkln AnyvbldirnofSd1.n,01I tht y
<br />ot'tlicrnr n,.Frm sublrkrrE dmli.s n, r.nrlp.Elr) oIft,t B,Erhl. fir! nuodEn doll.r r15dr)
<br />I. r\ osrcr ol rhc preFdy- or mycmpl{,yr\ wnh w!8.r ri rh.tr v,k rnn{rnvrion. $rlld. rlt tr,rt afil tlr ntu1r. ^ mr
<br />inr.nd:l o ofickd ni sk ( Se 7o,l.l. Bu\im$ J tbLsit'n\ C,xt fhc (irrd.ar l-..trc L.r &Er frn q'dy n) er o*Er ot
<br />rhcnn)IEdy wh, huild\ or lqr(ivs rtrc)n. al Bh) &a r!.h sirl hnns.ll nr hcr*ll or rhnrugh hir ur h.r of,i.nnloyr.\,
<br />pnryid.d rhd iud nrtnmnhen dcdln .,Lrnnrs! It hrtrlrs. rh tlildin8 f ntm\tmnr s <,u rirhin,,m lte
<br />ol.on+kri,( rhr ()*tr Builld *illhr\r rh€ hrd.tr of F'virA thl h..r rhc dd ft{ hdikl or iqnrvc rhc Fr'Irny f.r rhc plrJr'y ol
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<br />rh. IInTdv, trmrrclurrrltronrrdirg tr hh.cned.on[ itr\ro(,n!rn'.rrh(Fl!(!(S..7($r 8!{Ns
<br />Jrl htui (ixlc Ihl(onh r'sLrrnrL!trd(r\ r altlr n' trnoEmr olpnrF-ny{h, hu'ldso n,[ofc\ rh.r.on
<br />rnd rho (otun.rfor\u.htrr'r(t\*irhronnr,.nnl\)lxc'N.tl,'tr'ur r,,rh.(\ n.xtr'\ l-i(tr\c I !s)
<br />lr .r.mDr u.dc.Serb.-
<br />D.l. ()$m.
<br />ya.B.$;8tr0!t[ENtaflaN
<br />Df,g,TAIIIQIi
<br />I hLr.hf !rltrnr trtrd.r ltnxlrrol tElmrotu ol rlf nnkrs'ng dcrhrrri,nr
<br />_l h.vc ,rl *ill fr,nrlin , (tditxrrc or a,nynr r. ftli I nsu,r ror (,ts{ dnnrEnerixr. r! nn)vibn lor by S(tiu l7u ) o, rlk
<br />ljtri. C(xl..ld rhc psinn{xc orrhr worl. nn }hicnrhc Frmr d nsucd
<br />I h!\r !trd w ll .unr.in *orkcr\' (onr|Enuri(r rnehtu1.. u\ rcqutcd hy Sc( tr 170)olrtuljllr(i r. turrhr Brn,rtuR.ol
<br />'hl {ork
<br />"trq,hrh
<br />rhr\Frmir r( i!\En nly*olrn. omttnsr$n m\orah..arar xxl F,li, nrn*Er aR
<br />, ".,-tlno*rrqrr+ 4+,S G pro+.^rY,,,.-il4^rcnilf.Lgf -l ,,^.' I ]rtltl
<br />llrnilrrhir 'nrlI F,n,num. ol rlE qorl t uhi_[rhnFrnrir r( r\al.l \hillnnrcmpl,)t !trv t rv rirrtrymutrm,
<br />{i r\t' tt..m.\uhlr.r hrh( wuikln.u rtl.n$rtr'n lr*sol Crlil,'m'r. r'il rgR..rhrr 'll \bullin.m {hJrd n,rF
<br />81,*o1 .onFnerr tn'vhx, (olScdnn r7(x)ofrlr tjhtr(rij..lrhrll. n [f, h .o'nplt *irh r l$v. F'vi\k,]
<br />WARNIN(; ,:!ilur( b rcur. *orkcr\ cnnDcn\dion .ovuiec r\ u.h*lul. nnJ \hrll hF.t atr .mfhrlr h Gmrnll0ctrrhE\ rkl
<br />riil nm\ u! x' oft hu,riRj rh.uqn<l doll{r lll(r).lrtr. m
<br />dp
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<br />L f q,'#"-1":
<br />I hcthy rl6rnurds pculryol p.rrury rtd I m ln!.tt u.dcr Frrnn,n or Chlpter 0 (dnnn.rcio3 wirh Sccrh. T(xn) olDilntr,n l
<br />ol rhc Irurinc$ ond h,fc$i,,ns (i'dc- lnd nry lrccn{ 6 in lulllodani.lTdj
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<br />r *."" ( r"* t
<br />',"" >ht,Ioffi"a
<br />I h.tohy trlnrnr uhd.r Ftulry ot prrjury rhnr rhtu t a la,nsrrucrir)n lcnlmE !3cNy ntr rb. F.rtormftc nl rhc sork ftn {hf,h rh^ Irrhn a
<br />^su.,l
<br />(sN .vr7. (ir ( )
<br />AIILIIAIiLIIEI;I.AAAru}I
<br />I tmt.llim uidd Fnllrl- otFrury.E ol rh. n,lk'sint dNl&r!inF
<br />IXnr'liri,n Ponirr A(h.no\ Ndr'l.n(i,n kLful Rr!uhii,'fl\ l lirI t0. l'!n6)
<br />Rcqu ft,| I .(rr ol Mi iliurrn,
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<br />(drlythd rhc tctLal rcBuLrrnr E8.rlin! a\h.{.\ rmtral rr r stplfthk ro lhn F,j.\1
<br />I (.n'ryrhr lhf,\c kx(lrhtrrnp ,(.or.rr I rgN ro.oq'ly * h.ll(iryrni{irunrt
<br />'rlrcrnr nc\ oflhi{ C y !n! C.uuryn'.nrcr olr'n rrt,trJiir,f,c\ lnd Srrrr lr*r rcbr'ng t, huiLl
<br />rt.)lu n*nr iom(l nn,nlny n,
<br />*\'o t's
<br />Mt oV:TIL
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsu lation
<br />Rool Sheathing
<br />Shear Wall ll
<br />Framin s .1,$l tl U,lnt)l
<br />lnsulation/Energy lr
<br />Drywall I I
<br />Ext./lnt. Lath +fiks JJ$nnt
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL t\R6
<br />Certificate ot Occu pancy
<br />Notes, Remarks, Etc.,
<br />c.ll 6
<br />U"-rUn * . r1nnl. .rt'N
<br />V/r,,/rc
<br />I
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