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BUILDING- INSPECTOR RECOBD
<br />SITE-WORK DATE ID/SIG.COMMENTS owNl.ia au rt:ll DEI-cataartoN
<br />I h.r.by lrmr urtr Fultt oa trrnry u I m .rnpi num rll. c(ftr6 iiw trv fo ,r folb,hs E en lsd ml l.i
<br />$ueE.t .d ftolarnr Cdd.) Any Ciy .. Ceny rh.h Equ,6 . Fd r. @n{d. q. itr+ror. &trlili or rcF my
<br />irtuluE. r'- !, iB 6tu#., lLk EqriEs rlE rprlld for suh Ftu io 6L r rSed 3iddEd lhr ll or aE k h.LGl ,uad
<br />r. rt FDvilions oI rlE Conracroir Lc.nrd Ia* (clErrc. q, CDmrcein3 wnh Sarbn 7(fii ol Divnion 1 6I rn 8NE$ .nd
<br />PnnislN Cod.) d thr h. q {r !.r.n+i th.r.from id rl' h.ra lor rlE .lh.n .x.trSioo Ary liobtion ot S<riod 70ll.lr b, Dy
<br />+Flicrni ror r Fmt sbira rlE rppliqd r.rorilp.Hhyoltur mE thln IiE hlndi.d &)llM (lltr)
<br />-1.
<br />r o*Er dlrlr FoFny o ry cmph]{.. *nh *a!6 a rh.tr $l. mn+.dnr. *i[ d. rtE *rt d rh. cMr n d
<br />ordldl or Drl.r.d nn rk {Sc 7o4-{. Busjn.rs rtul PBlsions ('o{.: TIE Conticd s Lt.n* lrs rla nor rrrly ro m o*rcr of
<br />rhr F,Fiy *M lluilil! * uqn,rr rlE@r !d *lD dE uh snt hnr.f or ,.rklf o ieugh hi! d Iq o*n.EploF€s.
<br />I!ln\ r&rl thi sxh itrlpotfd. e d ir.r,.d n.lt .rd lo, sl ll. lnwq. r htlllil!3 ( ur]rntftd L old,.ti. d F{o(.r,qrlli{ tlE ()*E au[E *ill h.E tlE hu^tr or plDvnl3 rh. h. ff nE Jll n{ hri! r trr!.DE ttE FtTqrt fr llE FIFE oa
<br />_1, a o*nd or rla I'opdy, rh .rclusiy.ly coirncrtE wirh liered cotuLx h oD!tud tlE FrFi (S- ,fit, Buift$
<br />nn hr,FrdnC:Dd. TIE CodBtr'i Li..rc h* d6 d.,rDly ro olM olDroFnyDlb h{ilr. or rpDv.r rturm
<br />.d vts oddr Id s.h Frr.nr *nh r C.drk(O lEhal Frl:d 16 rtr Coddd! Lit@ L.rl
<br />]9r85$N:glugiNsara!
<br />DITIJ8A.IIIA
<br />I lEr.hy lffrm undd ,.naty ot Frulv oE ol rh. nnl.*n! &.LrdiB:
<br />Ihrworldeillnd !n i C.n irrd. of Consd b S.ltlrouE f.tr *Nln (!n!rMirn, !r lrlvi&drorbtSeti,nlTmofrlE
<br />t d Cod., ld r,l Ff(ne. oi rh. rst ,i' Illih trr n<rur ! i.!xd
<br />Ihrw: *iUmdrds 6 .o6p.Mn. insrrd., .\ rquiEd by Sdrir l7m orilE bbor Co&, n, !h pal(m of
<br />rh. *dt lu *hkh rhi! pcmn n iru,.d. My work6 mr{Ed\{ nn NUtur crir rd Flt, nunh.r e:
<br />PolEy Nunh.r:-lrpEil
<br />_l enify dB in rtr p$lorturcc 01 rh. wo fu rhi.h ihn lf,rhn i i$ucd, I rhall mr .nfby r.y IERon in oy mrnrcr
<br />n .! ro lEoft ruhjer ro rlE h*6 @i{EMhn L*r oa Crlrnrmi{ &rl r3r rhd itl *r!ld b(ar ubrd ro rh.
<br />k,l.i orp.nerbn provnlE of Sai.n lru ot fi.lir, ( uL, l sh.I. fdhv.h Nnply rdh rlD. FoBm.
<br />WAINII{G: Fr u( rd .M kt6 sqEM$. o6t ! unL*tul !i lhll obF o drplrF tr dr l F IE id
<br />c'v'l ri*r up t or hurlc{ rh.urnd d6lla (lrrx,,ulr), r .ddtrrn ro rl! Na ofconp.trsrio.. dtm!.' a tsovnd for rh.
<br />Sdibn :1076 or ri. lltfi Lnd., ini.EdBri lnomy'r fe\
<br />UCEIIED.(ITdIXACEIa
<br />!&{:IAIAIIaT
<br />I h.ftby.ll]rmuidq Fmhy.ftErjury rhd l.m lien.d und.r lrrd{ion.lCtu0r..9(commmin8 ehh Sdbr 7fiXr.tDrvi.ir.1
<br />ol rh. BuriFr! !d Prcfc$ioD cld., rdl nry lr.n{ is s tuU lila Bl .tud
<br />Lk.6.CLs:__Lt 6. Nlmb.r
<br />!l!r._ Conl
<br />colslallElloll&ulE-dGEag
<br />I tfrby .ffm ur,.. Fehy ol tE ry rl! rlE a r 6NNm tdru.a.8, ior rll p-fM. of lll Et hr *tih rh! FEi i
<br />hocd (Sa. 1()97, Civ C.)
<br />4ILITANLDECI.ASAIO!
<br />I hdlhr.fim unLr Fn.lry of r.rjury oE of'h. tDlbDnB.k lurrioar:
<br />D.ml'iirn Pcmir'A.t q.. NdifrdEn F*r.l R.!!h bnr (Tirlc .lO, Pd6)
<br />-R.qui,.J
<br />L,nd ol NdiiinlM
<br />_lc.ditrh rlr ,.J.Bl rsubr nL\ Eg trU l\t'.{os rcmtr rl iE fri rldLahL h rhn p(,r.Lr
<br />_l (diay $.r I h.w rt th6 rmli.rbn lrr i& thd tlr rbow $r(lldbn n rdrEr. I rgE b onpl, *.h rU Ci, &l Ce y
<br />qillll&s . Srd. L*! EkrE io hrtldiq .Ttrnrudnq rri lEEhy MlEi& E!.r-dri6 ot rhir C[] rd Co! y b dd uFon rlE
<br />rh'v. tunrDxd 0tuFny fdr s,lnir flqDg.
<br /> rpll..nl o. Ator StrluE- lr.l.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Cerlif
<br />FINAL
<br />Cerlificate ot Occupancy
<br />Notes, Remarks, Etc.
<br />Rev. 08-07-2015
<br />tmlt( llld lprtnl):-
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