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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS ()IVN T]R I]U II,DT]R DTI,CARA'I]ON
<br />I hcnby illt u dcr t^.- alry {,f Frjrry rhd I d cxciln fn,.r rhc Coffdttr. Llccrsc Lrw ti,r rhc lillowiU rcrenr (Sc.7o.ll5
<br />Busircss m Pi,ncssion Cod.)r Any Cty or Coutrry uhi.h rcquir.\ r tf,nnil 1,, con(dcr. rlrc., nnp(,v., dln,lilh or tqrt !try
<br />(rlclLtrc.0rlor n, ns i$uotrc. rlso rcquirc\ rhc arplEol lor su(h pcnnilio ri!.r \iried {arcnf,ir rhd hc.r shc ir licc.scn rn.surtrr
<br />ro rhc ptuvisn$ uf rlr Coihcr.fs t-i..n{d tjw rCh.Icr 9. C.nnrcncirg *ilh Sccrion 7{xl) .f Div,\ion I uf rh. Bu\ircs ard
<br />Pnn sions (:odc)or rhlrhcor\hc i\ercnpr rhcrclronrn rhc hJ\n tur rhc rllcgrd dcn1nr.tr Atryvi.hrhnolSccrionTI,.ll5hrrtrt
<br />antli.rnr for r tdnrir\uhj.cr\rh. nfrfli.rnr h, i.i!ilpcnrlryofnor nn(crh(n llvc hunircddolhr\(S50tD
<br />_1. r\ o*ncr o,rhc pmp.ny,," rr,.nll.!dc( wirh w Cd ns r[cn e,b..nFn\dn'n. ]illdo rhc *ork dd ih. ifttur n h
<br />itrrdxlcd .r oltand lor qlc ( SN.704-1. Busirc$ rnn Pr.lcsions Corlc 'l hc O)nkacrn ' Li.c sc tiw docs nor lnply h rn o$ mr of
<br />rhcpmFny trho hi!d\.r niprorcr rlrN .n slx, des su.h srl!( hnnsc li rh.AcltorrlmuBhhisorhd.*ncnrlloyccs.
<br />F)vid.d rhrrsu.h inlrck rtrhnEmli cRlcd ollircd tu sle lf. k)*evcr.ltE rtuitli'rs.r i'$n,R rnr i\ sld wirhin.,n. )t.r
<br />oi conrrhlion. rhc O$ncr Aui[cr $ill h!rc lhc h rdco ol prcving lh, ltr or \hc dil nn buill .r in!,m\t rhc tmFny lor lhc I'u!po{ or
<br />I. as.wncr ofrhc [lloNny. aorcxclusivcly.onlracrinS *ilh l].cnlcd conrrackns b.onnrud rlt Fn]-cr (Scc.7044. llu\inu*
<br />lnd PDrc$iD Codc: Thc Conrr.nn s Li..n\. Lrw docs nor pply t, dD owr ol nron rlyshohuild\o'nnprcvc\rhrrcotr.
<br />rtul trho .rnfri.lsld su.h fo]..B wirh d ConrNkrl \ I l icenrcd pnrsurnt torhc(-onkrroi\ t-icrn\c Ij$)
<br />lrD,rrcnrpr uidc' Scrr
<br />()sner
<br />]YO3[[A[!ANIE!Sr!-UQ
<br />l)l[LirtstrUsN
<br />I hcrcb! dtuN uM.r pctrrlry oiNrjMrotrc olrh.Iolr.winr dcchrd'ions
<br />I hrvr tdd*ill 'nri.rdir a Ccdifi. col c.nscnt r,s.liln\urc lniworkcis crnnpcns ion- x pn,rid.d tur by sc.rnr :l7lx) olhc
<br />ljlxnC(xlc, fff ihc p.rl(lm ccof rhc *ork fd *hithrhc pd rir s nsucrl
<br />IhnvcdtrdwillnridriDs.rkcrsicotrr|]cnslrnnriNu.rn.c.r\rcqtn.JhlSccri(d17(X)ofih.ti'h.r(ndc,iorrhcnrLnun.col
<br />lhc *uk lhr whicnlhi\ lennir is tsucn Nlyworkcri.onrp.tr\llion insurrncrcrfiicr tukl B,li.ynunrbddc
<br />_l c.nilirlur i', rhc pcrlonmic.6l rhc sork tur whi.hrhi\ fcnni s riucd.l shullror.nrpl,,ynntpcr$n in rnt mann.r
<br />ni rs ro h..otrf, {rucd b rhc rorkcr conrDcnqrion hws or Cllihnrir rtrd rrrer ihar irl should h.oft subjLtl in rtE
<br />wo*cr( .o D.netiotr fmuni.trs ol Sccl ior .r T0O ol rhc l,oh, Cqlc. l lhrll. Ionh*irh condy s irh rrx,{ fn,vnioDs
<br />\YARNIN(i: Fjailurc r. *.rrc *orkd( cu rr.nurn cu\ttugc i( ntrlnqlul, .nd shull suhj.cr an.n,f[)ytr k' cdnnDrllx]ulric\ rtrd
<br />.nil ftr! up k, onc hutrJ'.rlrhousa d d.lhh ($l(D.txn). ir tddiliotr r. r[c co( ol.ontli.n\in,n, da ugc\ r\ nrcvidcd li,. rhc
<br />Sr 1tr.n.xr,,,'rhf lhhl i'nJ". iL n!,r. i n .J ( !\s
<br />Ap0li€nl:
<br />uc[asE]ll:oNrld(IoB
<br />DlicLlSS.IIAN
<br />I hcrcb, ofitnrlndcr ncntrlr, ol t rjurr rh,r I m li(nid xtol.r phvisn{ olchrlrq 9 (conuEncn's sirh Srcri.n 7o(x)) ol [)ivN1otr l
<br />ol lhe Businc$ and ttoacsions Codc. ud nrrliccnsc is i'i folllni&ann.flccr.
<br />ca! B!,tErI0NtIiNulNG-dli[Ntr
<br />I heEhyrilirmunicr If,nrlryoltxrjrryrh rhcr.hr.oiitucri.ilcndingi!cn.yturrhcltrrlonrnNcolrh.work(,wlri.hrhi!lttniri\
<br />i*u.d (Sc. 1097.Civ C )
<br />AIILICANI.IJ'ILIA ll)N
<br />I hr$y a|nn u nJs rntrlrt .f pcrlury oic.rrh. ftnbwi'r! dc.l.n idF'
<br />l)cndiri{)n lcrnril( shcno\ Norilicrrion FcdcRl RrEul ion\ 1Tirlc.l0. P 6)
<br />-t(cquted
<br />lrrrcr of Norit.xrbn
<br />I rcnllj ihxl rhcf.,turrlrrgrLrn,D\rugx'd,!r\hL{n\.tn(rrl dpflic.blc l0 rhn pmicr
<br />ion hcorer I rgft t,.ontrlyI .dr1y rl'r I ^rc
<br />_c.'d,h,s,'ftlni''.r Jrlirrc rl'.r 'hcordirrtrccl itrd Shrc t-rs\Nl{irel.c rcr.nnrxrivc\ olrln\ Cirt
<br />xnr nrirnnNl pn,F-n\ nn 0\
<br /> nplicsnl o. Alrtrl sisnaluea
<br />Ll.. rr<_r,*
<br />rd (oud)'r c suprrrr
<br />t"-E'tt
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />ln su latio n/E ne rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL //-/{-/9 J).t8=(*)
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc
<br />I.nJ.i. AJJ'r$ _
<br />N\\-,rr
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