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BUILDING- INSPECTOR RECORD
<br />SITE.WORK COMMENTS OWNIR B1'II,DER DEI,(' RATION
<br />I n6d', imrm ond6 pd.xt oa pdjur' rhd I m.rofl 6oi rh. (i'nt&x,6 Licm.lr$ for rh. aolkr*m8 r.Mnls(70115
<br />Burindr ud Proadnrn CGi.) Any ( y or Coun'y shi(h r.quir6 i Fmir ro conrdd, rl'6, imflo\.. dmolbh or (1Eir ey
<br />rhd@. Ftr ro !r! rsu$.- rL. r{un6 rhc 4r'licer ro, such Fnr to nk. s(Ed ndmr rh.r lE or tlE u li.6s.ri lJed
<br />ro rh. I'ot 6iore of rlE (-.nrkorr l.'c63.d t $ t(tBFd 9, CommftinB tr nh Sdr io. 7000 of lA ishr I of rR tru'n6 and
<br />hoINon! ( o&) o. rn.t lEorrh. G.rmpl rls.trondnd rh. b6ir for rn lll.3.nclnrtrn Anyri.hri,'nors.cinn70rI Iq-.n)
<br />arpl,.i tu , pGsir rubJd: rh. lptliclhr h a civil pc.llry ot nor frn. rhM 6s. hun&.d {tolla6 (1501)).
<br />l. B o{n6 ollhc FnrEnr.. o, mr odotG $nh r.{6 a rh.i. $k comFMior, rill do dE uffl ai rlE rMr. s nn
<br />iddLd oro,fotn forsLts( 7011,Bui'Bed Eor6$c Cod. llEconEba3l {.G l& &6n,t qrnr\ ro di.{F di
<br />lh. r.ordy $no trliki o. !ip..16 rlEon. an trlb &E rkh *.rt hiB.lf or hcll.r rhh"Bh hn o. hd.M mplor6.
<br />prtviLd rh.r .u.h mFN qEnr e ton f,lod.d or oficj tu ut I I h.$ 6<. ttE hoilJm* or inrnvEEn ir $B * nhin f n. rtr
<br />ol conptrrn. trE ()116 Buildq will h.t! th. hrdor .r I'lrlirr lhd h. or rn. did mt tDild or i'nl,nw $. rmpqty ror lh. rnqr* or
<br />eL)
<br />l. 6 orE oarlr F.rdy, m.r(l[n.|, codrdinrr * I licqE d coftdots ro.odtuci E phF (sr 7lllr, &ur.6
<br />trd AnksCod. ltc( onlrrlor't l-E@ ljw&s mr lPplyio ootrn(ofp.op.n! ul$ b{ild!oi inro\6lh(F(
<br />ud sho conds for $.h Fojdr * irh . codko(, licos.d puBo! brh.codrd.a! Li@trs)
<br />I mr ci.mpl und6 S(hon l1 & PC f(trrhisr.trion
<br />Drr.
<br />lll)8btasllltlfl:rs ra.r[rcLa&Illa!
<br />I hs(tv.rli'r undr F.ahy olp6juo om ollnc nnhtrir* d(lararions
<br />I h.!r !n Eill rud.in. CdifE.l. ol(-o.d ro Sdal.3@ f@ eql@' comFshn, 6 Fnridal aor by sclio. aTm of rh.
<br />L.bo. Cdlc fd EFfdffi. of th. Nul fd r.tich rlE Fon i isEd
<br />Ih.v.!n,jNillda'nr!'n$0116.o'np.ni on inrur.oc.. d requtrc! hr sclion lulrrr lrh. tabor(i)dc. fttr lh. pginn'rncc or
<br />rh.t.rll"'\h(h+nr.m B (ruai V) qflt 6' iimp.nBrian 'n rn\.ranF dFn(\nurnhod.
<br />(.d6 # U Jn, s, rnr., *-
<br />r^*,*"^* Lfb-4DlL.i? o L-Gl n",,,^ Ll -tz-lg
<br />I c.nity rl[t in lh. p.rfommc. otth. *ork for shich lhh Fmn is bu.d, I sh8ll mr mploy My Fern rn.ny m6no
<br />e a io b<.tu sbj.T' ro rh. ert6 ooF( ion h$ or (-llitomn ..d qr rld 'I I rhuld L<oE sb.n ro rrE
<br />rolt6 $r{Esrbn Forlio6 ofs(rhn 1700otln l.l{r Code I llEll. fdtunh smplr s nh rb- pnruir6
<br />WARNINC: F ilr. ro K@ ".rlft' mmp.Mion .or6!s. t u.l,*tut. r.d sh,ll 3ul,Fd e 6doF io diniml Ful'6.ndcnil fin.r up lo on. hond..d rhoend dtnlG (Jlu).{xn), r .dd kJn r' rh. cosr nrn trerioh. d.m.r6I pr'ldd ntr rh.
<br />sdrio 1076 oflhc l{lxr (-odc. itrrd6rnndsuorcy rf6
<br />5-L,.1 - t 1
<br />I het y drlim undd pd.lry or Fjury r h.r I m I'mEn
<br />of rh. Burinsud PmfReions Cod.. srl my lic€B G
<br />,_R
<br />".," 1p//r+- ,"-"",",
<br />IroL's'.n drl hlpr6 g (.otr,f,,6(iry s h S(h n 7000) f l l)'rtrun I
<br />/5+
<br />AtSF fuA \TQ ,t c 1-z 112
<br />qarsla.li(ft9lIErDlNti_acEN(}
<br />I k,,rfm utr& Frliy ol Fjur) thi rhft b !.odrucrion lodils iad, for th.Frtuc.trh. *ffI tur shf,h'hn Fnr i!
<br />Btucd(sa 1097. Civ C ).
<br />a.ttuta!.LpEcLa8alt0l
<br />I hsdry aflin. undr !.n.lty ofp.rjury on€ ollh.follo*in3 ddl&ationr
<br />t).Dolilh. P6nns-Alh6tts No'ilic.' nn t.ndrl R.guhn{! {Tnt 40. P6d6,
<br />R.ilu&n k dofr*rfrrbn
<br />I (6lily lhd th. Li6alr+rhtions r.*ddin8 ab.ros r do\ al d. nor $pll.rbL ro rhr F.jd
<br />lrdril\ rh.r I hf,\.r.ndlh6n['!l'otkn,rRld erhdrhcilr\.in n 6 cor6i Irgrelommdvtr hrllCir!rd(iunr\
<br />ordiM6*s.nd Sra!. ltur Ehry io hlildo8 mrsruclotr'l '**'"""-:':;f
<br />;;t1*"",har. lmtr)Ed prnFnr t{. iNp.clion
<br />,\prli(Nnr or Agor signNru
<br />[tu
<br />N7 IL
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy l
<br />Drywall (/hh1 m.W'1t\
<br />Ext./lnt. Lath tw
<br />Masonry
<br />Pool Fence I
<br />T-Bar 9/sn/n .-#d1ti\
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />fi 1
<br />FINAL /a/roh ,"4("(
<br />Certificate of Occu pancy
<br />Notes, Remarks Etc
<br />DATE ID/SIG.
<br />Set Backs
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<br />Brown Coat
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