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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUTLDER DET-CARATIOI!
<br />I h6d, .mm uida Fdlrry ol pqjory thd I @ .i.mF 606 'h. Coflri!.loB Lic@ t w tor ln follo*in3 ra$n (Sd.7oll.t
<br />B6i.* !d Prof6ion Co.L): any City or Co! y which r.qut6 . Fnn lo onntoc1, !lrc, imFovc dinolilh or Epdr My
<br />nrudE FE to tu ilsleq r. r.quiE rlE pdtul for ect Ftil lo fiL ! sisicd n.rotEr thl ll or tlE ! li.ctE d plm!,
<br />to rh. Flvir.B of iE Cotu-tlr! Lt.&t d tr* (Cn F6 9. Coffiing wnh kion 7000 ot D'ti!b! I of tlr BslB .4a
<br />Pba6ioN Co&) or rh.r lE n iE 6 ddtrF tlEdon sd tlE bG! lor rlr.lt *cd daqrDn A!, vi,!.tion ofsdbn ?01I t byot
<br />.!!liunr for ! Fhn !ubj6$ lh. lpplcer lo i civrl ,<uhy of el dic rhs lil. hu.dr.d .totLr! ($m) t
<br />- l. s ownd dfth. Fop6lt. or ny dplotE wnh s'!96 s th.ir FL compqsaliotr. uil & lh. rql d'd tu ntut@ it @t
<br />i o.Ld tr olIs.d lm d. (Sc 704,4, BBitB Md ProadbN Co& Th. Co'ii.loi! l-.de t-w d.6 mt .p?ly ro D ow of
<br />rh.Fopaiy *l$ tul& or rp.!6 ltsor an s,h. dG $dr ur tilulf o,lE*ltor rlsDurh hn d hd o*, anpbt€
<br />Fo\d.d thd tu.h i6Fot!6rr G ml irdxLd d.ik 6. -l.. l( h6E tlE hlildu{ d uslEc! ! -ld *ihii 6c )d
<br />ofcoqldStr tlE O$E Builds sill htr rlr hlddr ofFlwls tL lE q JE dd Dl hlld d 6e.ot! lh. F.Fy 6r ilE F,FE of
<br />- l. B o\lN orrh. Fopniy, m.r.lBiv.ly.o r..r!,X wnh lcdrql odrdoE lo Nn!rud lh. Elrar (s4.7044. &Btr6
<br />.d hDtu m ( od.: Th. Co.rrrroir l-icd. lrw d6 nor @ply lo d o*c of Ford, eh. h{ild! or imF.ld th66n.
<br />,nd who ..dn.l3 fo. r.h F.F3 $nn. Codr-ro(i) ltaE d poBlzr ro rlE Conrrdoir Lilg t *)
<br />I @ croF Bd sdrion
<br />laa5E8S-.cqMtESSArA!
<br />DECIJAAIIIII
<br />I h6rb rmm ridd Frhy oI FruD. oE oarh. folh*o8 &drd bB:
<br />. I h.\r ..d wrll tuinrii. r ( dr n..rc of Co.sr ro sGla-lGE for *nrl6 otuFBdnrn. a pror itLd rbr by SalFn 1700 o f lhc
<br />l,ab.r Code for th. Faomec. o f lhc worl for which lh. pdnil a is!u.d.
<br />h,r. .r.l sill m!i.hi. $0116 $nF6.rhn iBulme d r.qltd by Sclion I7(D of llE L.bor Co&. for lh. patol]]e. of
<br />$irr 6r *hih is Fnn i! isld My rort6 .o,pduiion iMrre w id polay nMbd r.
<br />, /z*. Lr6lfi(rY
<br />\ou", ",.* 'u ^'l
<br />- 61D .tYssz?c aS E,etu (o / rl z- zo
<br />I cdr$ lhd
<br />'n
<br />lh. Ffotu. of lh. *ort for *n(h rbn Fnh ir M.( I sldl mi dploy uy Fen in.ny ll.llE
<br />o 6 to h.rom obid to df, \ntd cotrrFsion Lwr!f Cdifolu !d {r ir
<br />'f
<br />I tlbuld b.oc ruti.tr lo tll
<br />$0116 coflFdi,n FrBioB of S6lion l?m olrh. l,!q Codc I !r!ll fonh*nn @npl, rnh rhor Ftrri6c
<br />WARNINC FnluE ro sur N*d' coopoBtrioi ovarrc ! uihwtuL .nd sh.ll $bjdl & @ploF lo siminal Frtir dd
<br />civil find u, h on hunddl lhouud doll@ lll0o,000), in addnnrn lo rh. coi of conFNtion, (llmaBB a plovidcd for lh.
<br />n 10?6 of th. L.bor Cd., inls.n ai anoft.v! 16.
<br />u(I:r.:glcl)J&r(Ila
<br />t tcl-{tsll.uq]
<br />I hs.by lmnD und6 p.olhy ofrojury lhal I 6 licgs<l und6 Fovnion orch.B6 9 (comMcinS wilh Sdion 7000) of t ivB6n l
<br />.l th. BGinGr Md PbfdioE cod.. dd mylicft.is in full forc. arl (fl81.
<br />\,2"*.n- 6. cr<)\" ,at',1 ,-r
<br />, <!o ]5\\UY
<br />('onm(ror SvPtf ,'^-;
<br />coNsrrtucTroN t rtDlltc lcEr{cY
<br />I hotby tlfm u,xLr FrIy of Fjury lli tlE ir. @dnErb! ladlu.8c, fd tlE FfolllE. of lh. wt for *hit Oii psnt il
<br />Le.d (S<. l0rl, Civ C.)
<br />AIII.ICANTDECIJIAIIO!
<br />I hody lrlm urxb Fuly of Fluy o* ol rh. folld* ing ddlr.r.ro
<br />D.mlnion Pmtu-tuhdto! Ndilic.lion Fcddll Rqularrns (Tirl. 40, Pal6)
<br />R.qut.d t.u6 otNotifdbn
<br />I .or'ry thi rlE Gdd.l E&Lti,6 rl3idin8 Et a6 lqEvll sc iot +pli.bh lo lh6 FlF
<br />Z1l cdrryrhd I td. dd $s.p9lr!ru rrd nn. rha r atrE bfonndbn i coEai. I .8re lo ongry w h rll Cny.id Cout y
<br />A&$G sd Sl'r. trs Etdiis ro burldmr @dddrtr ed hd.ty lullbia r.p.6aftti!6 ofrtis Cil, d Co@ty lo dla upon ltE
<br />-iln\ e n,6rL.nd D.pdy fo rFdtr)n turtos=i2_\ \pplicrnr or.itd! Sirnrlur
<br />""..u. ",.",,n,,,, $Es ^rB1)t)1c(e 58 6.-,
<br />\"i{_\1
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorA/enVlnsulation
<br />Roof Sheathing
<br />Framing
<br />i nsulation/Enerqy
<br />Drywa ll
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deouty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />I I nFINAL llzAl*b F-L:'npLl
<br />Certificate/of O6cupancy
<br />Notes, Remarks, Etc
<br />Shear Wall
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