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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Eneroy
<br />Drywa!l
<br />ExrtnilLath tY/& tt/a/2,2 )++.*
<br />Brdtfif Coat I
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Beport
<br />Enoineer Final Beport
<br />Flood Zone Certif .
<br />FINAL tl6lt,r nA *5q
<br />Certif icate of Occupancy
<br />Notes, Bemarks, Etc.
<br />,)a I
<br />-+
<br />I rEEby rrm und.r Fnrliy or F.!ry 0'd I m.r.nfl nom dE Cfr*nd6 liaE L.* for rrE fo[o*!B la$n (sd.m]|5
<br />Businc$ !d PDfcrrion Gn€): Any Cny.r Clunry wti.h EquiB . Fri t, .dM. 116. ltproE. dcmlnfi G EFi ny'
<br />nd@ Firro ils itulE,.ko 'quiB llr.Iplirtr ror sh llmn lo filr.isn d.E.ml ltu tEor CE i! lt.n.d FrlaM
<br />ro E Foviranr of dE Cd[-roit LinEn ll* tc[+rcr 9, Conmrin8 wnh Sdlbn 7flD or Divilhn ] or lh. SunE$ ud
<br />Polcsbrs Co&) or tlEr lt I s& n cgrt,t rhdfom !d l,r bni! tur rtE rlk8.rl .r.r{rirn. A,y vioLtion ol S.(bn l0l 1.5 by m,
<br />rrpli.r ro. g pcmir shirk rlE .,,,rlic.nt k 6civiln lly or mr mE the fivc h!d(n dol.. ($m).
<br />-l.ncemfl
<br />u.d., S6ran-. B & PC. ltrlhis E sr
<br />_1. I owr orrhc FDFnr. q dy art'r,rB *nh wr8d * rlEn iL 6'rrtEMion. will rh tlE qd r,!d rlE irElc n Dr
<br />i siLil u ofrcnd ftr rl I Sa r0l4 Boir$ ed Ptut $ir'B Cod.: Th. Conlrdor'. l-i.rnr lrw &.r ml q{'ly lo u owmr of
<br />rtE $trFny *h) hildr oi iap.6E ttrqrtr .rd etb do.. sh sll hiB.lf n h.elr or lhrulsh his r lir oq.'4ht6.
<br />lrotikn rhd luch itr{Ew,'! E d insi.d ryotu lq it lf. hlltE. aE t lls d i,4rtEd i! $ld vlhi' m rErofd,r+Lrir tlr O*a BdB6 rin hE 0E hlrhn orFrsr rtd lE s rlE did d llill inpmE UE FqEry tor li. lurFr or
<br />-t.
<br />at owE or $r FoFny. rm.rclri!.ly dn Brhs *ni la. d .anrdm x' .!^rM dE Foj.a1 lsa. 7OL. Bu\iEK
<br />.tn Pl!6.sincod. TIE C.mB'ol\ Lirrs t * &{r nr q'nly io u.*E of InFny sh. builds 6r in tov.r rh.r.on,
<br />ind rho conrdr lor Mh Fox{c wnh 3 C,nrErons) lillnEd nuNdd io rrE Cotulcrir'.llre Lr*)
<br />O.r. om.r
<br />wonxg*s- trxuir.grror
<br />orrcr dR^Ttori
<br />I hcrcby rmrm undcr p.n lryofFqury.nc of rlr follopm8 detudm.s:
<br />_l hrE &d sill tui.rri.. Cd'fd. of Cdnar ro S.lf-lM fr vdtd orFnrri,L s FDvij.n ld by Sarb.170,J of tlE
<br />L.bor Od.. fd rL l! m ot rl! srt lq r.hi.[ 'tt Fnr i ir!u.d.
<br />_l hrh dnd erll minrlin krL6 on{Enr.rir. n urrE.. .r Equn.i by SNlion l7(D o, rlE trtfl Co&, fr rlE Ffl,r:Em or
<br />c-",, 5l? t(
<br />FT!! Bud trY-l"v( v'\e
<br />$016r &,rrEns.li,n iNUre crt' lrl ,'lty numlE m
<br />l2-]
<br />_l ..nify rhlr in rhc F ormE. orlE mrk ror whthlhisFrmn ir i<Ed.I sh.ll Nr .rit)b, rn, Fm. '.eylMEs or !o tEsft $hr.r ro th. kri6 oq$dbn hwr or C.lifomn. d .8N fid if I nuE t..or n tFl lo llE
<br />rbrr6 a,qEKrbn Frviriffi of S.riion lrm ol tlE Llu Cod., I lhrll t)nh*nh n,qily pitn rlbs pmvirionr
<br />O",, 1A
<br />D.r.: LO
<br />15,1
<br />I ! eppuonr
<br />-Lrpncr -l
<br />IVAI(NIN(; l,J'lutr n) e..trR.*,nhd'\ .oar{xn{rrn.ov.rr[. s tr lul. tun ih.ll ruhrc.t rn mnhlrr lo sitriml rEBiB aol
<br />.iul fitrc\ up n) om hun,lRl rhotrluil tlolh^ l5l(I).(rl)J. in &lni io rh. co{ ol otrFdt,r drms4 r Fovij.d ror E
<br />iB*rxrn :1076 or rh. trlrtr (inrcE{ ud .tl,my\ 16
<br />I ?4 7
<br />r,-t",, ' /o9(:q oC)
<br />.,',,.,,..,.,,1/- |,
<br />I h.Eby &liim udrcr FElryolFrjury rh, I m I'rnei und.r E,,vsi,n.l (1llFld 9luonrmNio3 *ilh SEri,n Tlln) of
<br />oI lh. Auircs od Prf.a\nD\ Codc. ud my li..M ,\ in tull f.re dd clTrr
<br />aaArL
<br />tlt^tlltuclo .laDMElIiEBur
<br />I h...l,y lfrm ud.r Fndry ol Fr,llry rhd rhdr ir r onrocrirn lndirB r8!Dy f.tr llE I'€fo,n@. r,f rh. vorl ft4 vhhh rht Fni n
<br />is@d (Sq. 1097, Civ C.)
<br />A.TPIIIANI!}II,ABAIIQ!
<br />I !$$ydlnmu lc! lcnblryol pcr)ury nN rfrtE lblbliry d.rhrdx,n\:
<br />Dcn,lni(,n P.rmil Arh.dos Ndrll.dmn l-.ndrl RcSul rn(lT[t t0.l'!n6,
<br />_Rlquirai lalrcro, Ndia.din
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<br />ccniry oEl lh. H.,rl EguLrids Er.inin! .rb.'ror Emvd R mr rp?lk.bL io rtL I,!F.
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<br />M'fy Ur lMw Erd rhtr 4tldrion rn x!. rhrr !F rbw infomElior Lr con.l. t.!E lo.onFly *nh !U Ciry rnd Colnly.dlsE rlld so!. tr*i chtuu ro blrldns (odMrt, .,n-tEnh, rdtnri& EFrErirG ol rhr aty.d C.u ylodau?on0r
<br />.bo( ftadrd rhFrr rd m+*" p.p"* ./ I /l t /
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<br />Bev.0B'07-2015
<br />UFEB Ground
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