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BUILDIiTG- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS O$'NEN AIIU,DET DELQIR TION
<br />I lrrchy rfrud ui&r FMny or Firy rh.t I d.r.r+ amm llE CdfrloF t-i.!nc L!* ror trE f.lhshs E.$n lsc.,ollj
<br />Burincas .rn l\of.s()n Cod.) Any City or Counry *hrh r.1ut.r ! Fol k, on{ot. rlrd. ir{,tot. d.ml6h o. ElEir y'
<br />sdduc, prirlo ilr hs!r.c.. ako Equircs lhc apdi.nnr ror sx.h Frmn h [b! li8n d {d.rual rhlr lEor {r is lic.n!.d lunulnt
<br />ro rhe Foraionr or rlE ConlEror s Lk.nsd t w (Chipls 9. (i)n1mmin8 *irh S.cr ion 7m) ol Divni,n :] ol rlr Bu\in's 3nd
<br />Pmrc$a'ns Cod. ) or llBr hc d rlE t .r.t{'l rh.rcarcm &i rrE h.si< lor llr !lk8.i .r.n{,ti{rn. An, virhirn .l Sdlnn 70.1 I I bv rnv
<br />qdr.nt lor . Fdd .ubFk ri. .II?licDl lo ! .iril Fmxy na mr mE ln,n nr. hundnn doldr l!t{r,
<br />-1,
<br />ri o$Er ofth( Jn,Fny- or ny.nlJ,l('y({ wirh srS.\ !r itrtr v'L mmpcndxrn. s'lltb rhc urk nn tiMW n nn
<br />rnkftrdl or orTcrc n, Et ( s6.?()41. 8u\iN* lnd Pit,r.$iin c,il. Thc Conrr.k,'\ I-kcoe I !e dr\ fr rPplv b in o$ftr ur
<br />rh.rFFny wh toildr or iq'mves rh.r.\ni trnl who dcr {rch wod hin\.lf or hcr*ll.r rhough hn or hcr wnenlloy..\,
<br />nn 'vxi.n rhrr su.h nlYn)tnt.ts e n,, inr.Bldl Dr olYcRl li t {L lt ho*\ o, rlr l iltrg ot rtr{,ownui i\ i,U *irhin nm }tu
<br />nl.unplliotr lh ()f,mr Boilicr qilllurt th h{rdcn ol prdh8 lhd lt or sllc dn r, t!*i nt irIIFrr Jr Inrlidv f.i rlr IrrIIrt 'f
<br />-1.
<br />!\o*trr or rhr Ftrtxdy. .m .r(tu{vcly.onrrnne rirh he.Dsl nrnt tr\!)c.!rudrlr,)nt}\rIS& 7(ll,l. Br{ft$
<br />rnl lh,fL\si,.(irlc lh. Contnct, r l-r..nrc t-r*d,{r frn nfrlib !notrNr I Pn,r--nywho huil& onhln'vcs rhc..on
<br />und who $ft{d\ f,, {.h irmt .l\*itha(i,ntr.t(l) l(rtr\. purrM r t'rh(crntr!.ioi\ l-itcn* Ir{I
<br />l).r. (hF.
<br />lt()R(rR\, c()lllPinis r(t
<br />TE(LAE{IIITN
<br />I h.rchy Bllirtr,rndd Fn"lry ol J)criury nnc ofrhr folloqnB dc.hrolioni:
<br />-l
<br />hrv. sn will roinl.h . CcniLrr. of ConEnr b S.la lNlE tu *ntar oqtnlilhn. as nm!i& fd bv S(lhi :1700 or rh'
<br />L,try Cq&. rtrltE Frrm oflt s,i rr, shah rtE Fh'l is is*n.
<br />I hrw.d uill minrxn *ort.ra .ontE.qlbn hsurt.. ( E1uiEn by sdri'n l7m of rlr lrln, G'd. lor E ltrtu of
<br />rh. srkfor*hth rhir Fmii k irsd My*(16 oqrndr iffictdar {n PlivNnh.r r
<br />-l
<br />adify rhd rn rh. JE forMc .I rlk *ofl for *'hih rhi\ Frmi r is.etl. I $rll n .n9lov tn, pcrq,n B m! nr.rr
<br />{, a. ro tE(om rnhrrr b rll w d!.nn{xndiun hrsof(-.h(mii ariryrtld ilI tlpuld tf,ftm rlhFr rorlt
<br />wnfim conyx.vri'n F]visions ol Scd i,n ]Tm of rh. l ihtr C.d.. I rhill. fonhrnh (qrly w hrh.clnvirhns
<br />wARNlN(;: Iuilurc lo ccurc w.rk.h onp.trsarion .okfulc ir unlawtul. rtul +rll luhrct m ctpk,Fr b dminul lrMlks tnd
<br />rivil lin.s uF n, oN hrndtcd rhols. l dolhft (Sl()(l,fiXr, rn rtldiltutr k, nt con ol .olirltn$ri(,n. i&nE8cs as lnlvnl'd rM rh'
<br />\n'r, rr)r.Lirli l-'LtrGrtc ('!{rnlrtr
<br />,,.,.: ?/r//p ,rpp,
<br />l]r.!Lr&\-tlu:
<br />Ihcrchyatlttr,odrrprillryoInrjuryrhtrrImh.cnlrlulldcrF)vi\n,nofChrlu9l.onn.'tnr8shS.d
<br />ol rh. Bu(irr\\utrd lhna\io.\ Co&. rl nry lkcn!. N n liillturcflklcit.r
<br />l.r\'fr.'- D
<br />,, c z/z/t?
<br />?t4Z
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<br />I lrEby c,Iuh udLi Fmxy of ,Erru.y rh, rt6. k ! onrrudhn !din8 rECm l({ rh. Ffornhrc olrln *ort li)r }hih rhA ltrmir i\
<br />i$Ed (sfr 1097. cir c.r
<br />L.d.rt Nrm
<br />-
<br />Alfu(AI{[IlEcl BArll]!
<br />lH'y!trdro ld FBhyof F,Jlry nE or rlE Iolh*in3 d..Lrrbnr:
<br />o.drlirbn Pdmr. ait no.llorifr ir tu al R.SrLrnn! (lnk 40. Pd6r
<br />_Rcquir.n L. d ol t{orifrcion
<br />-l
<br />ccnify rhd I hc tiJ.al E8!hl hns Estding dstEslor Ernvrl N rci {Pli.tbk k, lnir prcj$t.
<br />-l
<br />csrily tnx I h.B,qrl rhi {'ola.ri,..,n d.lt lll.t.hot inroMion n onsr I ryE to orPlr wlh dl Cilr.id Colnrv
<br />o,rliN .id sr.r. LB ElIit lo lliBin! .o.ilElbtr !n ialby rdhori4 EFr*n tiB of thi! Cn, .d Cdnlv l! .ild r+o. dr
<br />n. n.nrr,ftJ nn,Irn' n|n\FtrnnnuF{\ Z.
<br />^pprrc.nr
<br />or^a.nr.rr ru( A Z
<br />Itm tE Mmtprlnr):
<br />z/z-/1p
<br />Forms/Steel/Holdowns //4//i5W,bE{m
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulalion
<br />Rool Sheathinq
<br />Shear Wall
<br />Framinq 1/,rfit >D86
<br />lnsulation/Enerqy Aq /,.t 4gt
<br />Drywall btn17,,6
<br />Ext./lnt. Lath 1./ils q);A
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif
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<br />FINAL
<br />Certificate of Occu nc
<br />Notes, Remarks, Etc
<br />trnJ.r's Addrcs:
<br />-
<br />Set Backs
<br />'1/u./ltr
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