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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCAiATION
<br />I had .oim ur& Frdt, ol FJd, rhi I m 6arpr 6.i 0! Coff-ld liu* Lrs lor tlE frllbvins ten (Sc 7otl3
<br />BB'n6r dn Prof*ri Codc) Any Cny or Coudy which r.qut6 . Fhr ro codtu.l, .h6. ihpmv., &mlirh or 8 ., my
<br />rodc Fnr
<br />'o
<br />r'! illeq rlo r.q!i6 rlr lpla!{ for tuch FEn lo fiL. tiBxd rrqE $r L or dE a lEqE d pllld
<br />to th. provnioro of rlE Corrr.croir Ltd!.d L.w (Ch!pr6 9, C6M6cin8 wirh Sccrio. ,000 of Divisi.. I of rlE Builr od
<br />h$f6hG CodG) d rhd lE d Jr a qd$ rhddoe.d $. b.si fo! rl! dLg.d qorFiotr. Any vbLrbn olsalbr 701I 5 b, t,
<br />4rlEd for ! FDh rubj.d! thc .tpli.er ro . civil p.n.ty ol ior mrc the fiv. hurd..d doUB IlJ00).
<br />l. B oqn orth. FnFrr. o, ny mplorG rnh *.s6 a rhcn $E conFsantr hll & rlE rrt lxl rE *!rlE B mr
<br />iddrd.d or ofiad for d. (Sr.?044. BrilB ed Prof4ioN Co&. Th. Conlralo. r ti.@ L.* do6 rol @lr to & 0{6 ot
<br />rlE FDFty wls hri(h 6 irFoc llrdh ,n who &E un *qt hiElf or harlf or rllDlth hL r hc om dnplor6.
<br />providcd lh.l luch ihF$EBu & ml hlad.d oroficd for sL. lf.lbv.€. rh. toircins or imFovcnE{ i. ott sinin oE )dofNnprd& tlE O.G bilb r h.G tlE h.dit olFrirE th. h.q 3lr dd or hild q rqlr dE FDFy 6r dE FEF* ol
<br />.l,6o\Gofth.FoFiy.ddcluiv.ly.odrdin!*nhn..nr.d.oiu.(loEro@dtucttlEFDFi(s6.70,14.h6!6,,{ Rotabo Codc Th. Contatoit L'ctu Lrw &6 nor .Caly 10 & osn( of FoFry who brildr or ihrovd rl'aotr
<br />&d pho o d3 for sl' Fo)dr w h . Codo(3) lk.rE d po,!d to rh. Conrsocr IidE L.*)
<br />I M.rapi un& Scrrn ,a &Pc torthilan
<br />loarcf,!_.coutIa;alla!
<br />DECUAAUq!
<br />I hd.!y .Ilm und.r pdrny oaDsju.y oE offi. folhslur (hlsdioB
<br />- I lEr. r'd wrll ruddn. CrlifEd. orco'@r to Sall6e for *dla-o,pqErbtr - Fnvti,.d 6r by S6tb! 17@ of lh.
<br />l$or Code aor lh. pafomuc. o f thc md for whth rh. Fsn a @ucd
<br />I hlE od sill mdim.in worla .of,FerFi iaurftq ! rcqur.d by S.dnn !700 or0E kbor C.&. lor rlE Firu. ot
<br />lh. eorl for ehth thi Fbil i ie.d My sorl6 .ooFaeb! itBlJluc @ir .d ,olicy i@ba h:
<br />c*i- . q!EE!(
<br />r,,,ricyrun*, 'Q4? :Arr - n'1si?2 ' <r25 r.p"* ! t(,l l rl ?O
<br />Deod8allo!
<br />I h@ry .frm u,rla Fully of Fjury thd I @ licqa.d uds F.vnbn of Ch,p6 9 (comM.ing snh S..tion 7(J(lO) of Divnio. l
<br />ol th. B6ilg.nd PDf6..6 Codc. -d sy la.@ n i, tull foc.!d.ar6r
<br />1-1.*. 1 1,* r C r<) , CL(2 L'..8. Nuobo
<br />-t9D rgY
<br />D.r. .1"..i \r l\1 cordorE-Sv!,g,-"U
<br />COIiIBIiGI&U.LIIDIIGIGSMI
<br />I h6b, .It@ !.da parlry of Fiury tr thtr ! . oDindbo Ldr'g .86y for rlE FforM. of lh. mrl 6r $in fii FDi i
<br />isu.d { sd. 1097. ci!. c )lzt&.l Nm.
<br />----ArrucadfDEctaf, uo!
<br />I hqlhy .iEn un& F .ty of ldjury oE of lh. follo*rtr8 ddlrabd
<br />namfti.. P6mne^tb6r$ t{orilic.rion r.dd.l Rc8uLlioN (TilL a(r. Prn6)
<br />Retrtrc{ I drso, Norlicirc'n
<br />-
<br />I ( o! 'i rhd rh. fol6d r.su.o! nB rqEdrn! sbdrot roov.l u. mr .pphubL ro rht pmj*!.-d)
<br />\2fdify rhd, h!v. dd rhs ip?lE l'on d{ nd.thd ih. rhov. itrfomdio. i!.ottl.I lsE lo enply wnh.ll CnyDd Cou y
<br />odllled od Sr.rc LtB Elrltg ro hriu'I| @dtu.lbtr rd hd.t y D$oria r.r.euir€ otrhi! Ciry od Cour, lo a,r6 upoo rli
<br />.h.( Mt$..d pmF, aor Npelrn I!l Ir (
<br />5l-
<br />.tpplad.r o, Ardr Skmlur.
<br />r.^,r-.... rp..o' D(.r-),- ScXc >
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Exl /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 />FINAL I t7 w Pftrfi{L *8'
<br />Certificate of Occupancy I
<br />Notes, Remarks, Etc
<br />o.,", r(zl rr / t1
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