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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OIPNEi BUTLDER DEII' RATION
<br />I h6qr! .rm un&, !a.1, ol Fj!,t rh, I m danF fmn ilE Codrtd6 Lt.e rr$ fo.
<br />'h.
<br />folhs!\s td)n (se ?0r I t
<br />ttNind !,n Pmfdlon Codc) Aly Cily or Coudr *hah r6run6 . Fna lo oi!rucr. .xd, 'nFo\c .lamlirt or rq!, xy
<br />nrudue FF to ns il.le.. .le r.quic rlE Agladl fo, Mh Fhi ro 61. r'8Ed (d.!ffir rhr lr or llE i! Iicq!.d Flr8r
<br />ro rhc FovilbE oarrE Conrrdd! l-'enEn L* (Ctrpr6 9. Comffiins with S.crior 7000 of lrvlior I of lh. BGIiB ud
<br />Prcfsirn. Cod.) or rhar lE G rh. ir cr6pr rt6.noE &d rlE b.ri lor rh. .lLs.d .xon$io. Any rioLrion of Sdhd ?011.5 by &y
<br />iflllic.nt fo. a p6fln subjdrt rlE .ppl'cdr ro !civil pdlhyot@r mor. rhM fiv. hun&.d dolla (1t00)
<br />-1.
<br />s ow of rhc poFry, or my dplo'6 vnh vas6 c rhcir crk NmF&rio.. sill d. $. wo ald dE nrudE b tul
<br />imdt d or o,fa.d aor el (Sc 7044. BuiB ed Pmf*ioN ( .d.: Tt ( onl,.cr .! Lt@ lr* &6 mr @ly ro e oMd of
<br />rh. FTEry slD Uril& or itrqorq rlE@( ad wlD dc sh *!* htrelr or hd*laor rtmu3h hir or lE oq mpbyd,
<br />p.orirLn lhd kh mslEEr. n d noi.d n olH i, rt l( lne6q. lll hlildi.s d insr$gd i nld {'inh oE ,a
<br />of ol?l.rd! dE Os@ aoildd *ill h-r rlE hmln of FDrilt tl! lE c !h. dn m{ hild or liso\i dt FoFt, 6. t E F po..of
<br />l. 6 olr@ oarh. FFry, e dclNnrly cotu.(lin3 rirh liccracj (onr616 ro codrucr dE p6r..1 Ise 7ol4. hsu6
<br />ud hffss Co<L: Thc c6nk.do. r Licdc ttw &6 nor .rply ro M o*nd of Fop.ny q'ho build! or improvd ihaoL
<br />.nd who o,ttur lor sch pr.jei! uilfi ! Conrrcro(s) lto!.d puE@i r.rhc conhctor'! l-t.M lrs)
<br />I d..rmpl undd Sctio
<br />]!aB5E8S:l9AltMAIlO!
<br />DE(IIf,AIIOA
<br />I hGb imm uidd Frh, of Flur_ oE of dr folkrwiq &rlud hB
<br />_l h.\G ad *ill mitun . CdiaEd. oacoMr ro Sdf-lM. ror wt.i @p.n-rio[ 6 FoviLd lor b] sdbn 1700 orlh.
<br />lrbor ( o<l. for rlE Ffol:iec of th. h.t f@ *tkh tlE Fnn i! isu.d.
<br />I hrv. and will f,ahtain wo*.rt .omp@lion iNuranc.. s ,.quftd by SEI ion l70o of rh. t,t$t (i'd., for lh. Ff.roc. of
<br />th. wort for {hich lhis p.rnil t ir$.d. My workdi orp.rsllFn iBurec. cmi6 dt Flicy numbs ucl
<br />1
<br />r.,b. 5zt363t 57 -7 t 2-d \ q
<br />-l
<br />Grify rh'l in rlE FaoliM. olilE *ort aor *hkh rhir Fnn ir N.{ I Jdl ml dnplo) uy Fe. i. oy ffi
<br />$ 3 to ba!ft rubd to rh. wrt6'onFEnbn h*s of C.liromn. tnd {sE lh, if I rt olal bdom $t d lo llE
<br />uirt6' comDadior FovirioB of S.clion 1700 ol tlE tlbcr Cqlc I JulL ldhwnh comply wnh rb- F.r irio6
<br />WARNINC: F.itu. ro s@ * l@ oqtuion colds. A uL$tu|. .rd rlull ebtd e 6nphF ro aininrl FEhi! &d
<br />.ivil n.6 up ro oR hlr&cd lhoMd d.llB (i100.000). in .ddilion lo lh. con oa comp.Nlio.. d.ft.gd a Fovidcd for llE
<br />sclion ]0?6 ofrh. tlhor Cod., inl66l lri !ftom.y r 16
<br />'),,", t2-/ r>l. rr t..\-v--u-:_:
<br />Llc[:s]:ll(l)lt ts t(1l).8Dtll..l&rl[,I]
<br />I hody .lIm ui<L, pa.Xy ol Fjqy lhi I D ljcn d u.da FDdrbr ol (,lllllE 9 (offi'rs * nh Sdlb. 7m0) of Diriiitn ]
<br />of rlE BuiB ad PE 6ioE Co&. .d my lrcoe . ; tull lorc nn d[6r
<br />.**.,* G L'c.* Nusb.zG=+Dc\
<br />D"" \2-L t?l I I ,n**.,- @=.-..-L G -5-;e-L\!t s
<br />g)ISIA!J1:UQNII!DI!G.&GI!(I
<br />I h6.tj" imm ondd Fsh} of p.rjlry thot lhq.6 i oNrudon kodins !soc) forlh.pdfonnsc..frh.troik for stich lhts !si( 6
<br />iscd (s6. 1097. ciY. c.).
<br />Lri& r Nm
<br />-
<br />alEllga r.llfgdaarl()!
<br />I hdlt, strm und( poalty ot FJury on. of rh. fouowins d< l&axonj
<br />lxmoli bn Pdnns-Arb<to! Nolificatnrn rcddal R€aulat ions (l'nG 40. l'a16 )
<br />R.rlun.d tdrd of Ndifidirn
<br />_l cd ify lh, rh. a.d6d reoliri6 ceedlry abctor rm\.1 a. m rFplalbk lo thn prcJct
<br />-l
<br />(sr rt rhi I fid c Ed thit .pdilrrn !d r.l. r,lzi tlE rbo\. i.aotu.n ir rffi I.Sraro conply unh dl Cny and Comry
<br />ordll]u6 s'd Sr.rc L,B Elri't lo hiui.s .olrnntlb'i. an hd.rry.drb.t! r.F.d.n 6 of lh! (-il y !.d Couluy ro .dd upon E
<br />.hor. mtion d FrFn, for iEFdicn purDo!6
<br />apprc.or^B6,srsorur.Aq<-\-:q r.,.rz-fr?ll8
<br />,.,.r- ,.,.,rnnr, L\-E r-- l+--"P
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA,/enUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<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 />Engineer Final Report
<br />Flood Zone Certif
<br />/ ..-'1,
<br />FINAL lz-15")*-w\a
<br />Certificate of Occupancy ?T-V
<br />Notes, Remarks , Etc
<br />Lcndd't A&i6 _
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