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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/sfa..COMMENTS;
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handica p Req.
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />A
<br />FINAL t0-g -t1 ].,u-,D(
<br />Certificate of Occu n
<br />Notes, Remarks Etc.\
<br />OWNER B!II,DER D'II'ARATloN
<br />I hd.riy tmrh uds pdulty olFjury lh.l t m .rmF filn rlE ( onrdn6' l-t.M lr* lor rh. followi.g l6n (s< 7011.5
<br />t uin6r Jn Prordion ( od.) A.y Cny or Coudy * hth rcqun6 ! ,Enn ro co'r!rucr, !ls. inFor q dEmlish or Rpr sy
<br />tiocrue ptur lo tu isua.. .&o Equn6lh. +plks' for 3u.h Fmn h fik. rigEd u.,@r rhd lE or JE i! lkoB.d BmJI
<br />ro rh. rmliri,B ol tlE Cor koa. Lt.B.d t!* (c,upr6 9. ( omnmi.r. * itt s.crnn 7((r) of Oivilbr ] ot tlE BulitB sd
<br />PDldnB ( c.L) n lh.l lE or iE i dmpr lha.6om ftl rh. t-ii lor rh. nhs.{ .rmFion Any \ 6ht6n of sanion 70!l t by oy
<br />.pflicd tu r Fmn objer! E ,ppltd ro ! civil p.Ehr of d mE rh& lir . hlktd &illB (1500)
<br />l. B o*G of rlE rmrEny, n my aipbta sth *rs6 a tlEn $l. @trp.Grio.. trix 6 tlr *Ft -d U. nndE. mt
<br />ddddt or olfd.d lor sl. (Se 70,1.1- &ai!E ud Prcl6hB cod. It (ndd..t l.tdE l,$ d6 mr +ly b x .$G of
<br />rh.FIErl *L hliu d itrForE llEm rn u ho d6 sh E l hrrelf or h.r*lf or rtmu3h hs or lE orr arpl,otc
<br />F.viH !d s.h mF!1gdr a d irari.d M olEr, in et l[ rF*Fr, trE t!'ldnl(r r irForq6r n -B *ahn tr ]q
<br />ofonphiotr tlE (xF Bui\ra $id l!\r rtE h[d6 olrmrrt r lEG,Edid mt hild or lrtror! tE FoFiy ttr rlE FrF*ol
<br />l. BoeEofrh.F.Fiy, ma.lu.n.ly.ofi.crhs u'nh licdEd conreo^ m $iirucr rlE Fri.( (SE 7O1r.116!B
<br />inl Plnkim ( od.: Thc Co.lndoi! l-i.d. l-rw d.6 mr .r,r,l, ro o.$ E of rroFny *h. hoil& or inpr.v6 rh66n,
<br />rtrd trho.onlndraor&.hFudt!$nh,corrrlclo(,ltas.dr{Eurll!thc(nnrr*ttrrl-ic@llq).
<br />I ancrc'npl utrd6 sNrion a & Pa nrrhn Fk,i
<br />I)Nrr On n€r
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<br />DI(IAtsTI]O]
<br />I lr.h\ xllntr,, tr,1.' ltnrll\ oltE un.nr ofthe nnh\ il! lcch'Iur(
<br />I h.\ c dd \ ill r.linlain . ( .nifEal. of ColEar ro sclllatrE lor *utd' comrnBa i.n. a F.v'd.d for hy scrio. :r70o o f rh.
<br />l.!ho. ( o&. fd rh. Fl.flne.. of rh. $orl aor *tih thc Fnn ir isu.rl
<br />I h!\. lnil tr ill nlinrdin $ ort6 comFMio. iBu6ft.. ar rrqutrld hy s.n irn 17fir of rh. lrh\r c.rL. f6r th. Ffoll1@. oa
<br />ih. *uI for *hah ltir Frnil ir isrd My "nkd 6mFdi.n 'sure. cni' .rd lhlr, .unb.r r.:
<br />l.dift rh.l in rlE FfolM.oatn. $o* fG trhth thit p6nit ir i$o.d. I rn I mt oph) mt F$n in &y nuE
<br />h 6lo tErtr $ti{ ro llE *rrt6'onFMion Lr: nf ('rtihna lid .3c rhi ill lrFuU tt or lticr b 'Lrn*d' snFqE rbn F!\ irirB orsdion l7O0 of rh. llt.r cod.. I tdl rMh{ nh 6mp,rr u hh r ho. FolirhBn ARltlNc l.ilrc h sE sr.t6 @nFlin n mr6!s. ir urbu tul- r.d trdl ebj.rr e dpkF ro sdtrsl F.lB dd
<br />civil loB up ro oE hun&ql rho6.rd &lLB llloo.mo), u ddnnn lo rh. .on of.oip.Gdio6. dr!86 a F.\it d lor rh.
<br />sErhn 1076 ofrh.l,hr Cda inrd Md rnorEy rf6
<br />l,icErsED-(axrn6(IaaDroll&rllQ!
<br />Ihd.h),dfinn undr tdah, ofFru.y rhal I an licosd u r Fo\kn,nof( h.pl(9(.onu6ch8 \rith Sdirn 7OO0)ofl)ilision:r
<br />ol lhc InB'n6s snd Prot6sions (i,dc. ud mylico* n in full ntr...nd.lId
<br />CONSTRUCTION LE NIN(; AGFN('I
<br />I h.rd, rllrm un&r Fn xy oaFjury th,l rha. a. mldrudnn hrdins.strr ro. tlE Fn 'tlNG of rhc sort tor uhrh lha Fni a
<br />i$u.d {s6 ]m7. Cn. C )
<br />ASIU(ANLTECUSAIIIA
<br />I h.d, ltIm !n&r F.it} of FjoO oR or ilE 6llo$ins &.h.nnd
<br />D.imhirn Pmi3^.b6r6 Norif.nio. Fcddrl l.suhrioE (Tirl. J0. Psr6l
<br />R.quiEd l.lrd of t{ori6.ih.
<br />I .6r 'l r hlr rl'c lirj(ll r.aularirB r.8adin8 ab6roi r m\ al !. nor .tflk.hl. r' rhh nhr-j
<br />l.oirlirl lhr\.r..irhisapf,ll. ionandnar.rh thcalu. 'nntrDaiun '\(on.1 lrsreh(nnfl)\ h .ll (
<br />'r\ ahd ( .unrl
<br />rr(lirun.(\ rxl sinrr I iss'.lnrn! i ildi+ ..nnn'cl$n. adhc'(h\ iul 'qr.trarn6 orrht ( ir\ and (in,nry r. c a ull)n rh.
<br />xlr^c tr,.nltrn,.(l|n.ltn\ li,' tr'
<br />,rDt,li(rtrr o, \r.nr siAm(,"?1sf/r?
<br />Roof Sheathinq
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