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BUILDING. INSPECTOR RECORD
<br />OWNET BUII-DEX DEL('AAAT ION
<br />, hd.hy .mm utujs p.n.h) of pdjury rhll I d crnpt 6$n lh. Colnr&1oB' l.rd. lrs for rh. lolb*s* rar. (S( 70ll 5
<br />ItiBhs dn Poadirn (-o{.1 An! Ci! or (oudJ rhkh..itutr6. Fni' ro codM, rlrd. inFo\.. &tmlish or..F; ut
<br />srrucruc. [ior k, ns isumc.. also r.qutrB rh. gpphc&r tor suct lErnir lo 6lc a nsod rt@or thn rE dr lhc ir li.d\.d pusmr
<br />h $. Forao6 or dE (i,nraroi3 Licc.sl lrs (Chqrd e. con.rdins wnh S<b. 7o0O of DirisFn I olrhc BNns aod
<br />l1.fsions co&) or rhd lr d rh. ir .rmd lhd€fmm $n dE t66 for rh. nk!.d crdpthn Ary rioLlion.ts.nbn 70ll 5 b! !n)
<br />lpplic0 ro! r n mn rublds lh. q'plicd.l lo a civil p6.h, of nor nor. rhe ne. hun&€d doll6 (ltm).
<br />l, & oMd of th. rreFr1y, or mt dplotE *ilh *as6 a rh.ir rn. comFa.li.n, *ill do th. wtrt ,i llE 3B1E i! n
<br />dorj.d.rolI6.dforsktsaTOr].BuinddndPttrf6ioB(-o&rTlEColnrdor'sl-t@l,vd66r!ppl!r.sosffiof
<br />'h. F$pd! *tn build or in+(6 rlEFtr itl *h. do6 c(n nn& hin..la.r h@lf or rhFulh hir s hd o$n ctn hlG.
<br />trov'dcd rh!' su.h hF!r!ld! e mr olqr:l,j q ofi6d f sL lf. lxr*6s,
<br />'lE
<br />toiHm* or i4r.ffi ir sE unhm G y@
<br />ofconpldin ltr O*E Builda *iil IEE ltE hr&' of F$wB rht lE d nE dil d tdld or i,pmw tlE lrlFr for lrE lrrFa or
<br />l, 6 0$6 ol rlE lmpsry. sn .rrlusivcly cor rad ma rvirh lroMrl conlracloE lL, co.!rud r h. F)(r (Se 7(J44, BBmas
<br />.d lhtsm CdL Ih.(-onrdois Lrru tr$ dd6 mr.prl) lI oo$.roftroFd'$h. h{i!& r inpro16 rh.6n-
<br />a.d \$o .{nrd\forsuchFq(lssiha(idrrckrds) I Iusml lolhc(ininciors I i..M lr\l
<br />I M.rdpt nr&r Sdrir
<br />,,.,..)/t\/t?- o.*X
<br />w()Rl.(Ff(. c(tntPtnsa I (rN
<br />DESJAAUAI
<br />I hdcl)), nruddFuxyoItEjuryoncolrh.foll vinsd.(laark,ns
<br />I hrr. &l s
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<br />ll m.inrsi', a a.n ilirar. olcorsr h S.l[ lNuE i(,r \ o' 16 (omFer n.- E! providdl fo, ht Sdr iM ] 701) o f rhc
<br />Laer Co&, fo thc p6fomu.. orrh. *{a fr trh'ch lh. psnnt 6 $u.d
<br />I hav. a.J s rll maimain *ortm comFcd b. iNu.,ncc, B rdluftn by sdnr. 17rc of thc ldor ('od., for lh. psfomMcc or
<br />'h.
<br />*ort tor ehkh $a Fmir i3 isEI My so.r6- .omp.dhn NUrm..!ffi lj Fli<) numb.r ic
<br />I cslit' lhat rn rlE FforuNcorlhcwort for *hrch'hkp6mr is su.d.l slulln.l flploy ey Fso ro&rnMnd
<br />$ a ro bdom $qd ro rh. !0116 @nFqrion h*t of ( llifon( od rsE rhn if I slnuld h(om rbj.( ro rlE
<br />u,o as.onp@rionFUvisioNofsdrcnl70oolrh.lltor(1d.,IlhrlLlonhsnhc.mplywnh'ho$prolnrB
<br />WARNING rdlwc lo su. w*d .\rnFEdirn s\.r.sc t lnbutul. dxl llrll ebr<l u s4hF lo @ml FEhb nld
<br />0r'l lin$ up ro .n. hu r.d rhouln dolk'\ ($llr).1)0lr). n, i{n h rh. co{ or.omPtflstk)n. rlanst.s.s p'ov ellorh.
<br />s(ridn 1076of rh. Iibo cod.. mdd, dr'm9 ifc
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<br />-?/nltz-npp,,o*,!!
<br />ttcl;lsrDra rxatlaaDli0ixal1a!
<br />| @ lllm lnda n Elv of FjD- lhd I m [cqEj und6 Drodiior otchlp(E 9{onmtrinx snh S..tnn 7(xro).JDr thn !
<br />of lh. ttusins sd l\ofsioN Cod€. orl my licd. ir ih tullaor..dd.fIdt
<br />ca!ffal]cr0Ij.r:lDlNc-acrrcl
<br />I hd.hy amrn unds rEulty o f Fjurr rhar rh6c B a mnnNdtr,n k drs.sd.y fM rh. lofurl11ft. of !h. \ort fd $hirh rhlr lEft( 6
<br />$u.{ (S< 1097. Cn C )
<br />alru(arl[lig.dxallo!
<br />I htdrydlnn unds rqtlry ofrsjuD,on orlh.follo*ior d6l[otions
<br />llmol ion Pmilr-Alb6los Nolilicltion f_.d601 Rl8u ht iom (Iirl. 40. l'an6l
<br />Ralutr.d ldl( of Nolift dmn
<br />I .6liiy thd th. a.d6d rclulrli.N F!!rdin8 aberor ranov.l e nol ryoli.abL ro rhi5 prulel
<br />Alf.d it rh.r I lBr @d rhis lprri.xion sn {!r. rhr rh. .!o\. inrorrnd on i cotrd I ryre ro coFply tr irh lll ( nr. .nd (irnrr'
<br />il",:**fr :sxryry:'u'h*"'F**c'I:'-'iili,;,;*
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathin g
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drpvall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handica p Req
<br />De puty Final Report
<br />Flood Zone Certif
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<br />FINAL /c /rs/tt .-'1M.,7'- riCertificate of Occupancy a-7 )
<br />Notes, Remarks, Etc
<br />Prmllr n.m{prinl): (,*or<1,-- t t
<br />Forms/Steel/Holdowns I
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<br />Ext./lnt. Lath I
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<br />I IEngineer Final Reporl
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