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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDST DFIqXATION
<br />I lEEby rffm !nr. FBly 0I Frt!, !t{ I D ctcqi ,tun rlE CodRlB trtN bw ntr rh. fouorr8 E $n (S.rIJl.l
<br />lluitrir .nl Pnf6.xr C(rLl Any C y or Cdnry rh.h Eguwr . Fnd x' !sde1 .lrq- rqnnv.. &d,lr3h q EFi, .ry
<br />'ruru.. rnr ro .rs 6ixrh.- rlh R|tfti rlE rI{ aer ror iu.h Fmr h r& r s,!ml rtd.md rhr lr.r dE s li6Gl Fntir
<br />h !h. F)vri,ns or E cont&l,ri L..rsj L.w lcht cr 9. ConlmN'ns * t ScrDn rur) ol Drv8x,n I drrlE Busr3r trJ
<br />Po{.rnnr Cul.) or rl[l ,t or rh. n d.qx rt*i.teh ftl rlE hr$t nr !tu rrk8cd crcmF$n A,y vn,hrxr of Selirn ?oll.5 hr.ny
<br />.nnl,.rtrr k . Fmr $hjcrr! th. .ppli.rnr k, a civil Fnrlry ol nr dm rhM lilc fiunr!.n Jolldr (t5m)
<br />_1, rs owmr or rh. proFny, or my cmploy.cs wi6 v.8cr $ r h.r sL .lmFnlllion. wil do lh. qrk .,n lh. !td1@ i! Dl
<br />ur.nJal dr o,i.rdl ror sL (Se.7o44, Blrim$ afil ProGllDB Ci!.: Tlr Conrt&rqi Li.6r Llw &E r{ {rrl, t a o*E nl
<br />rtE tnrFdy wtbt illr d u{hrr rlEn{. !r.l wll, 'I* uh **t hrMlf or h.Blf dr rla'u8h h! or h.r orn.mpby6.
<br />rrovrrd, rh.r t}--h hrmy.riEnl. E mr rrsi.al q ofqsl 6r rL. U. lIffi. rlE t.!Ur! d ,rFrId B $U ernn * F{
<br />ol.onpLl@ E o\rd a!$q *O hE lll hhld or Frvr{ tl{ lE d ir rln [x b.'! q nrFrE 0. FDrEl, t( UE FIFE oI
<br />l. irowErolrlE lroFny. rm.r.lu!!.ly.onrr ir8 w,rh lrorJ.onkk(n ro $ntud tr* F,Fr rsd 7(,14, Bu\mi
<br />rni t\,,NIn Coti.: Th. Cont rr'i l-{.ns. llw &r! nr rftly t' m ow.cr of l'htEny wlxJ hlrtur nnfuv.s rh.rco.,
<br />.n wh,, .onre.r\ lnr wh lrl)F-rl *irh r conta.t,(\) l'!.n\.J Nuunr r)
<br />1,fl urcmnrun'jcr S(riu
<br />I lrRhy rlfrm !toLr FaEtry ol FpLl dE rt rh. nnhur8
<br />_l h'rc rd will EDrr6 . C.,! rr.b or CoMd ro S.ll-lnruR rd u,I6 L\rntEflri'n. I F'vrrql lo. t t SctEn .U00 ol tlx
<br />lltrtr Cni.. ror rh. Fi,lffL. ol r *lrt fr *iih th. FBil s srhl.
<br />I hn!. ind wrll mainlj wor [cri $nllr.n\8li()n irsur.Nc. 3\ r.qu u.J hy S..tron .17() ol rh. Lhor ( {]c, ,(t rhc Pdl'rmn( Dl
<br />rhc work ,t, whtrt rhi! I(rmrr r 'r\udl Mt wo ss.oa,p.tr\rri, nrrrn( cd'.r all O,l(y nu $crdc:
<br />_l (nny rh.r 6itr rErlorne. ol rhc*.d nrvhrhrhtrrEhnr tr ^lu.J.l nrll , .rqbr.ny Fr$n m ry lNm.
<br />q' .r h h.1oE slhFr r. rh. u)dsi tonlroet$ h*r ol Crhlomu, ,ri rgft !hr! J I rhrld tn oE rrhFr ni rlE
<br />*o ds ll)mF.sinn lnrvr-n nl s(ri'n lluJ of rh. Lrhtr c,rl.. l srull, ft'nh* h $n{iy *rrh rhrE F vrinn\.
<br />WARNINC: FlilrE kr $(urc ktrk.n omFns.tion Nrch!. ti unb*tul. rtril sh:ll sul'r.r o .rq'nrt{. t' r:rurl Fdhr $J
<br />!,vd lincs u! b orc hund(.d lhlui!tu]d.ll6 (S100.000), o 0.ll (n'. ,ldu!c\ a\ prtrr'JcJ l,n rh.
<br />S.lrtr{ ll)7t,ol lhc LlE{ (irn, d.k\l,trir ormy s
<br />t -/af/z<>to
<br />I lrEhy ,tum uEL. Fn:lr, of Ft!r! rhrr I rm lrttrhl u 9 l(onnrBnr8 s hS(rDnTdtr)o,D ^krr01 ttE au!tr$ In Pnfsri,m CGL, .r, m, l.m* t n tull t tr r .nl .rar
<br />caBErarqlrS.J.EBrMilGElq
<br />I hcrb, tltuo unhr Ful!, or tErJrlry rhj rrEG a r dBrtur.n lcr,n8 .3.my ror llE Fr(m. of rlE hrt lhr vni.t $! Frnr !
<br />'t!xJ lse &9?, Civ. C.).
<br />AFILI( ANr pl( l ^In{lroNllu$y lirn,u .r |rtrrlry,i Ii't'try nN ol ih. Ioll)wx,! Jcr[L rnn:
<br />llc initr l,.rnn$Ath({!'\Norllrnrr I.cdcrrl Rc!uLrfuntriIIk.ll). l'i6)
<br />R.itutc! L.tlcr or N'a irrr
<br />_l cd,ty rhi rlI f.J.[l r8!ll'$nr Ea.rJD3 rslEr.r Em,v.l d. B* .p0l.r . l. rlul FrrFr
<br />_l .d y rhlr I Mr Erl rhr lltl.rrrr.d .r. rh{ tlE rtr mtomlrr u .ird I rs( lo (nr{,l, wnt lll Ciry rll Counrt
<br />ornuE-.cllEl srrr. L{*s rcbio3 rr l '!ln3 rr r.F.*m.rtc\ ol r hb (ir y rd Counr, k' .Drcr uFr rh.
<br />irrrr nrnrukJ l,rrF-ny rrtr
<br />,\pplirntrr or,\tlcnrSixnnltr
<br />er.<7 ".3,/er/zoza
<br />Set Backs
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Boof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lrr'lason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />rl /..\
<br />FINAL ///4/.?rrt,/ tMl vl/
<br />Certiricate ot Occu an
<br />Notes, Remarks, Etc
<br />,-,.;y'a?/zozat------7-------
<br />Forms/Steel/Holdowns
<br />Erection Pads
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