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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE tD/stG.COMMENTS OWNET BUIII)ER DEL(-ATATION
<br />I ,*r* .r"n !id6 Frny of Fiu,! rhr I n 6mF fmm rh. colnrrlB Ltce l^ ror th. fouotr(E i6n (S< r0l l 5
<br />Buind lrl ftofBi)n Co<h) Any Cn} or Couny *hrh r.qun6 ! Fnln ro odtud. .nd. ir{to1., dmlith o' rFir dv
<br />!lMs,F ion. ..le.. rrro..tric ilE +lkd tur uhFnn h 6L.3is,Ed r.mr lhn lE or $c ! lk.c.d puM
<br />ro rh. F,rcn6 o( E Contr*r@ i L@N.d L!* ((luprd 9. Cooifti.g $kh Sdio. ,m0 oa Dn itior ! of lh. Bsr.d tld
<br />Prc&shN ( od.) or tha lE r JE ir ddrPl thdt6.m nd lh. hdir lor rlE.lk8.d (dplioi Any rFLlhn or S.nb. 70:r I 5 "rL m!
<br />rFlk. forrFh sbjds rh. applrdr ro !civil !. hvormr mErhe lir. hu.(H dolld. ($m)
<br />I. d o*ns ol r h. Ih)rEnr, .. m, dplor* *irh s.r6 arh.r sl..onFdsion, (rll6$(ssk sij lh. rulEc s to{
<br />idod.tl or olrd.n ,or sl. (S(.70,r4. Bsin6iud F.rdions('cj.: h.(nnraclors l i.ok l,\r&,6hr attlttoanosndof
<br />rh. Fnp.nr s'ho ltu'lG or inpror6 rhmn. Md $ho do6 rtr.h *olt hins.lfor hn.lio! rhourh his or h6 own cnrtloy.6.
<br />Frvid.d rhir qirh i{IIovo,orr r. mr i dd.d or oflitEj lin sk I I fior'6 r. rh. hildins or i'nF ov.nrnr a! s,ld \ ithin .ru }w
<br />olcomfkion. rh. ()!E BuildE will hav. th. hrd6 ol Fu inr lhd tE .r stc dd el tD'ld .r r\to't rh. Fntdy for rh. purFs of
<br />l, sosEolrh. rmFciy. u crcl6 ir.rt_ .o nlE.r inr trii lrrqj codrrcr.Bro 6.hd rlF FFI (SA ?orl. B6'n6
<br />.,i Plrlsim ( dl. Th.co.rdors Lic@ l,s do6 mr qjPl\ ro uoqn6of Fopclrsho rturldr o mrod rhdsn.
<br />ed sl{r mnr*3 fo sch FoJ.cre trnh. Conrrxro(i) lt6!.d p{rxEn lo rhcC.nrdois Lr.M lrel
<br />I e.rmF lndd SdlFn
<br />"", 06' /q.t+
<br />I h6chy .ltirm on.l6 lEndhy of Flur_ on€ ofrhc nnh$ml
<br />I lDv. el s
<br />'
<br />ll mdinrain i Cdificarc oa( .nsr b s.lf-lnsur! 6r $0116 comFsaiion. Er Eo\ i&d nn hy s6rn n 700olrh.
<br />Lat{r Cod..lor rh€ p6fomd.c otrh. s,orl ior trhi.h lhc ponir is rsu.J
<br />I h*_. .nd will mrfl.in $ort6 comp.asd io. irourrE., s r.qun.d bl. S.clior 1?00 of lhc l,b.t ( od., lo. rh. Ffomm. of
<br />'h.
<br />uorl for $hi.h rfi6 FDi! ir isrdl My *ort6 onFdion iNu,4c ffir dd Flty nudbd ,.
<br />I cdifr thd in rh. FfnlllNcoflh.*ort tor *hkhthsr<n( 'r $u.d.I rh.llm! mplo! an, F$n r.nr muF
<br />$ atu tE o,B iut (r h rh. $0116! omp.Mrn l!trr of (-!l.nmn. Md l*rr rhd ilI rtFuld trroE utid o rh.
<br />$o*6J comp.nsrion rro\ilioB ofS.dion 1700of'h.llbr (id.. r Jull. forlhnilh coopl) \'nh 'bkrnn(iontWARNIN(; hilur. lo <ur. *prl6r snpdMlon covn.[. s ,ml.r rul, anrl sfirll subjRr M mpk,E k' mn@l p<shir b"r,]
<br />n) ok hutrdrsd rhotriid d.lh'r llllr(l.o(ir). m rl(lrk.tr ro rhc c.s of
<br />S(ritr loTa otrh.l ihr ( fd.. inrs 6r and aiiom$'r lc$
<br />I h.r.b rmm und.r Fshl ofFrlu.v rh& I m li(6!.d u.d.r tbn of(l[p1a 9 (oFnffims * h sdlDn 7000, of onbio.l
<br />of rh. BBin< !.d I'rofBbB Cod., r,i m! li.cM n tul
<br />(a!flxll(:tlaNLElDllc-dc[r{}
<br />I hd.by.mn rnd( p.nlhy of pdjury thai lhd. i! ! ()Ntudi,n kndinB aX6cy for ihc p6fonnan(. ofthc \yo'L frn $hi.h rhh F.flnil is
<br />issu.n (ss rou7, ('n. ( )
<br />AIIU(ANLDTSIAAIIO!
<br />I Irrqs rfm und€ Fnrl' y ol FJ!r, oE or lh. folhtr mB d<l.'d hnll
<br />D.rmhrion Pmn3'Arhdrd Ndifi.nion F.d...l R.luldirn! (Idl..l0, P.n6)
<br />R.quEd l.rls orNdrfrdir
<br />I cdlfr rhd rh( f.Js.lr.8ulalioN rcaudin3 altEnx rdn.r!1n,. nol q'pltlhl. tr rht tnoi.t
<br />I.d1'1\ rhr I l \.'.r!lrl,'sn|t,l
<br />o nin!.srtr(iSr. cI trr\rrl(,n! ro
<br />n iscond la8rer'complls'lh6ll(ilyand(iuni)
<br />r.rrMrain6 olrhi\ ( ilr and (i unly ro otd qx,. rh.
<br />atlvc'n.nrn'ntJ uoDolv
<br />'.iin)n Md n.r.rhd rltr rtuf tr,
<br />,",,ld -/4-l/
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln s u la tio n/Energ y
<br />D rywall
<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 />FINAL lolLslfr, n 14,4wt4,ar/4)
<br />Certificate of Occupancy JI I U ['
<br />Notes, Remarks, Etc.
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<br />l-(i& Nunb.t
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