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BUILDING- INSPECTOR RECORD
<br />SITE-WORK COMMENTS
<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 />Fram i
<br />lnsulation/Ene
<br />D rywall
<br />Ext./lnt. Lath ton i) 9 Dea ,*,a, *
<br />Brown Coal
<br />lvlason
<br />Pool Fence
<br />T-Bar
<br />qHandicap Re
<br />De U Final Re ort
<br />En ineer Final Re rt
<br />Flood Zone Certif.
<br />I
<br />FINAL lo Lt (1 ,q',
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />O\f, NER AUILDEN DEL(' NATtoI\
<br />I hd.b.mrm und( Fn hy of p.rjur_! rh, I n qoDt non rh. Codr&16 l.ic@ l.r for rh. aollonms.B)n tr67O1l s
<br />8utr6s ud Profdnr. Codr) Any ( iry or (i'uniy trhich r.qut6 a F.,ir lo cooerucr. !1t6. rnp(,vc. donolish ,tr rsstr .n!
<br />etudE Fnr to irs iw.. .bo r.q!i6 th. +9ltd for i(h Fdr lo lik. sisn d {dmt rhd rE or ,}. a h.dsd pur.d
<br />lo lh. F.riloE ol E contdoa3 r.r.63.d lr* (Cl'!rr6 9, ('.mEcnci.s qth Sdion 7(xD of Division I otrh. Butrm6r n.d
<br />Pn'icsions ( od.) or lhd h. oi rh. i5 .ronpl lhq.nom d th. hBB for lh. !1L*.d .\dprion AnyrnnlrionoisldirnTlril tnv.ny
<br />.r,t,licd for . Fm( rbjEtt th. qrli.lnl ro r ci\ il p.Mh! oI mr mF rho nr. hui&ql dollrs ( !im)
<br />I. 6 ou6 of rh. rx.Fnt, or my .mplo\6 qirh tr.16 N th.ir $lc comFsr ion. *ill .t, t,i. sort ud th. nu1@ i! nn
<br />i .n a, or orTF.d lq * (sa 7Or4, BuriE od ProadhB (.i. Th. (.odrdo Ii.B lr$ .k6 e, ryl! r. M o"ffi of
<br />lh. rrlFi, sls hlrl&.r mtmr6 ih66tr r,rl * ho (tE sh H',t hmEll or h.elt o. rhmush hi or hd otr n mplo).6.
<br />prurdal thal ruch nl'.@lr rc fl'l hloxldl or olldql ror sk ll how--F, rh. huilding or inlrov@t ie Fld \rirhin on. w
<br />of.otrpklion.llE (\E BiSa qill l!\. Ehr&.olrmnnrthdrEtrd.dndtxiuorrrro\.rh.rrF!turh.FIFEor
<br />l. c 016 ofrh. rr.F-tr. mclcllstrcll co r&lin! |nh l(dsil co rxroE r. Ndrucr !h. Fnjc<1 (Sd 7(ir{- &Bms
<br />lrn Pmtu3M C.d. rht Cont&rori l.(.e l !tr &6mrq,pltkrdorn6.aron n! sh. boildr o. imr,o16 rn6Rrn.a.d qho.onrrlctrlorsucnlroj€ftwnha(tnrdonr)lrm.dpuBumrk,rh.('ontrad.fsl.'cart.s{)
<br />I m.rmfl u*i.r Sat6.
<br />D.l. Oi..r
<br />\toR(FRS ( otuPflts,tTtoN
<br />Df;(lAaalla!
<br />I h(.by afinm undd ncn.hr orr'6rs.on.ofltu ldlosin,r ddl- n'B
<br />I hav. td { ill mflnlar . ( 6i itr.lr oa Col16t ro S.lf.lmur. n" $ofld' .omp.tu
<br />'on.
<br />ar Fold.l foi by Sdrion 17(x) . arh.
<br />t txY Co&, tor lhc psfo.r@c. otlh. ur.l lor qhkh lh. F.nn n isu.n
<br />Ih!\.a j
<br />"
<br />nl m.hra,n $od(6 .omtEart.n Numrcc. 6 r.qun d b Sd ion r?00 of rh. bbor ('orL, f rh.p<n',lmcrol
<br />rhc *ork,litr shich rhir F,rrir.*. zuvtcYt
<br />i! isal My *.rkdi conrnsalion insurmc. cMid and policv numb.r rc
<br />-\tc 5'l+G'?? ro +I t Ia
<br />lc.nitylhrl inlh.p.rfomrn..olth.worl for $hich tht ts'nir i3 irsu.rl. t shall nor flploy lny r,6son in any mrns
<br />s G ro ti(dft ebj<l lo
<br />'lE
<br />tr! 6 smpdshn Ls3 of Crlifomn, rnd rgR ihd il I shuld hd.m.ubjd ro ilE
<br />sortd.omFeiDnprcriri.Bots.(ilnI70oofrlEIlborcod..Iddl.fdh{irh.onpl,$irhih.rF.lirFB
<br />WARNINC: Failr. ki sm wo.kn' $mFnuno. u\msc it urlastul, ud shlll subj6! u dnplorq ro aiminal Fr0ni6 and
<br />cril nr6 orr lo orc h!.dal 'h.snJ rk,llm (tl n f ddinn r, rh. co! of io.. d!m!r6 n p.o\ij.J [or
<br />'h.sarh,n ]trro rrh.l:htr ('ci. mr(d
<br />-", qlz+ltt
<br />TDCIJ8AIIO!
<br />I k'y rirrh u..t r Fulry otFju' rhd I m li.risdl und.r Fortion ol(lupt, e (mmltRih! wnh s.clbn 7(xxr)olDnisio.:l
<br />of rh. Bu',B asl PrefBlnB Cod., an E lt.s i! i. tull loft ad.firr
<br />ub ,z-818.,3-9iLalfl
<br />I hGtt, ilrmlnda FElyolFiu.) lhd tlE L r oiinl.lbo ldiire.Bdy fo, rh. Ffollle. of r,E sorl ro, {nth rhi! Ffla i
<br />isu.d (Sd. 109?, Crv ( ).
<br />Atfl.lgtlDl(ldaalta!
<br />I holby aftm unda Fn.h' oa pdjx, r. .n. of rh. i,llo*'nr d( la!|ions:
<br />l}mohion tmie^.tBros Norilicariin [.rL6l R.sulrlrB(1irl. r0. Pd6l
<br />R.qun.n Ldrd .I f{otifi.dbn
<br />I cdrl rhd llE fdlcr.l r.*uLlioN Ellrdin* 6tskx r@oralE. mr q'plic,blc n' rhu rroF
<br />I ..nif\ rhrr I ha\c rcid thN lll)flicari,r dd rar.rhd inr.nnanr is..dar I dgre n' $nvll" sirh all( irvanJ (i{nr\
<br />oni rd 'nd Sr.r.lrq!rckit!rurlFrn kFMrdna of 'hi
<br />('n!.nd ( ou.i) !o mrd '4o. 'h.atr\. nBro..d nmFn, for
<br />tppllunl or AEol shn.l
<br />ucl 4 Fvuntt>
<br />5luln
<br />ZqAZ-
<br />DATE I rolSrO. I
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