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BUILDING. INSPECTOR RECORD
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<br />SITE.WORK DATE ID/SIG.COMMENTS owNrt auILDt:t{ DIil,clR.^Tl{)N
<br />I h.Eb lfm udd p.Bht of F4ry rtd I m .i.rpr tom rh. (.odLlG tr.M lrw fd rh. follouh! Eter (S...7o11.5
<br />BuiiEs rd Pror.si)n Crn )r Aiy Ciy o. Ctudv ,hrch r.qurB . Fd !. oned, .lrs, ,qmw. d.mlih d Eplr sy
<br />ntuci!6, pdtr ro ir: (sm.. also EqrEs rll +pl].ld br ssh lEmrl !' 6lc ! rtEd rd.rni rhr lE or dE ! lic.nBt pursr
<br />r. rh. FvbhN .l r Codr-rd'l l-t nad l^ lct tr6 9. Collmran8 rdn Sdtnn 7fiD .1 Divh-$ I ol tll Eurs rnd
<br />Pnnittion. Cut) ( rh.r lE ir r,E B €&n+ rlEr.6on lrt rtE h.r! ror
<br />'lE
<br />.lL8d .r?ryt,n. Any vDlnbn oa S.di6 ,0,I 5 by uy
<br />,pphcnm nn 0 p.mir iubFck rh. lPplica ro !.ivilp.EltyoImr rmr.rhu fiv. h{ndEd dollc (!51$)
<br />l. u oeE orthc ImFny,.r my.trlPtlFii *nt wrrd ! rh., sL ornlEd.4 lill d' rb xrt.d ttE (dE a d
<br />id.da.l or orr.r.d aq 6l (Sa 7044, BuftElr rnl PmresioB CoJ.: Th. C.d@rd r litr. k* Utr rcr .pply Io u owr oa
<br />rlE FrFt, *tb tliur d inF,B il6@ ln r d(E -d! srr hi,Mrin lErlf q tlrad hir q h.r oh.rploFr.
<br />proviLd rlur sucn d!.$EEn! e d in.id.d 6.ltd!d ft( !t ll lhwq. rtl tuiBiry n uqrwEd n 5! vih, ft F,
<br />ol.onpt ia ltE OIE Buitb vill h.€ rtt brd ofPlDvtr* rhd rE or shc di.t d hrJd or trr?.ow dE poFty lor fi. FrDos ol
<br />-1.
<br />!r own.r oI rh. pqsrr, m.rcloriv.ly codr.crins wnh liccn*! codr*ro- t' con{tu.r rrE pnrFl lsr '?044. BlriE$
<br />.d hst$rCo& TlECo dolr l-izne !t* itEr d rFply ro ro*E ol|ioparytlb hrillt o. nlo$E tddr
<br />rd *hr mddr l[ rsh Foi(. wih r C.ntlodr lit'Ed l[nq ro rll codr&d! L@ bu).
<br />I sr.Eqi unLr SdDn-, B &PC,orrlnrEren
<br />D.r.-
<br />]!0af,trBt{!}ltErlrarlaB
<br />DEl]4Sdrro!
<br />I hcr.hy i,!nmlndd Fn.ny of p.rjury on. ofrh. folbwr8 dslnrDni
<br />_l hlk .!n will mErrin r C.nfrri. otcond b S.ll-leE (, k t6 NnFM.tr .. FDvi.n for by Sdi{ ]1lD oarti
<br />Llr, Cod., ,.r rh. rE fd r. oI rh. *ort ftn *hah (h. Frmir R lsEd
<br />_l h.E.r, sill midrn h.t6 .r'tp.urion idnr., 8 Eq!ftd b, Sdr-n 17@ 6lth. t b., Cod.. lq rrE par|xffi of
<br />rtx sd fDr *hrh rhir pcmt i! iirxi My eods ortr .Nrior aurlE 6i., .d lbl.y .un*B r.:
<br />Poli.y Nun$.r:-l,rpn '
<br />_l diry rld 6 rtr n rfornlre of tlE *oll l( *hrh thi! I.rd, i! riu.d. I th.rl mr.npliry My rs$n r My mdE
<br />m ! r. bcNr .uhrct !o rh. wlfl otrrp.Mrion lzvr oI clliaonit !d !88. rh! ir I lt$uld b..om $bjd! ro rll
<br />r€rLrl lliqlturm pl!$DB of sarbi !r@ of rlE tl6or c'dL. l irll. 6nt*ib €npl, wir[ tlb- pmhffi.
<br />WARNING: F.ihr ro w wtda onlEMDr dv.ru( B !nL*tu|. &, Jull sl'Fd d .!l,roF k, dml IEBi6.rd
<br />civil liftr up b oE hudrcd rho6:nd dolld (ilfi),tl$). r .dd{io. ro rh. cod of coqtMlion. dmt.r e pmvil.d for rlE
<br />:i.rrh 10?6 of tlE l,lE CuL, ird .n &rE, r f5
<br />Lrc[dsectBsdltrlE
<br />DECIJAAIIQ!
<br />I h.rby rlltm ond.r t rhyofn .jury rhr I rm lic.trcd und.r nn,eiriDn nlChrpr.r 9lc.nm*inS wirhSerbn ?UDl nl Diririrn 3
<br />or rlE Burs rrl ProGgl,N Co&. rl mt L.e i 6 tuU rm ,n.ffd.
<br />IOIEIBI]GIIINIBDIIG.AGIIII
<br />I lrrtb, rrrm ud., Fol, ol Fju.y th. rlE! ir . @deia !di!c rrty ror rtE pdio.nEr. ol dr wt 6r *tih thi! Fr, ir
<br />i'rxd rsE 1r7, civ c.l.
<br />APPLICAM niCI.II TION
<br />I h,rby rlTm lnda ,...ky ol9..iury m of E forb*ul &. Lr.rbL
<br />O.rct ion P.mn+Aih.{or Noruic.lbn Fa{cd R.!!LrirroGnk {}, Pd6)
<br />Ritu,al tdrs or Ndrf,{io,
<br />_l cdrfy rhd r,E t &rl rt3lhra Eg]J,nr dBror Efrr$l e ri '0t ErbL ro rhu poFd
<br />, .di[y rhar I hrE Ed thn .pplt.rion .d !.1. Lh.l lh. rb.v. i'fotulrion ir cold. I .rc ro N,trply uih .ll Cily .nd Couir,
<br />ftlNtus !d sd. riar Ellirr, ro hrld4g @l!hli4 .!d tdt5, rdrb@ FF.-d.i6 of .h, Cry ri Clfu, to da qDr trE
<br />drw r Drcd pDFn, td idpdi,. Fr!6.r.
<br />D.r.
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<br />P.nrltk Bh lprinl):
<br />Set Backs
<br />Forms/Sleel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil.
<br />FINAL
<br />Certilicate ot Occupancv
<br />Notes, Remarks, Etc.
<br />Bev. 08-07-2015
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