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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.OWNER BUILDER DALCARATION
<br />I hrny allrm lnlar ,f,mhy of Frhry rh.r I d dcmfl tiDn tlE (i,orrrc|m L.t.nc Lr* for llE followin! r.s$n (Sc701L
<br />Brirc( !n Prcr.$h. Cdk) Any Ciy o. (i{'ry *hth raun- . F.ht lo !nnrB1. .116. i,F.rr. 4nnlkh o. EF Dy
<br />dndE. Fin to "r i(u.m.. .rqi nqun . rh. +f ltd! ri,.ktr Fmn !o nt ! tilrn dr|.ftnr rhll lE.r d! i! li6ed FNd
<br />x' ll* Fn'vhir,ns o, lrr Conns(roii l-tctrsd lir (Ch.rr.r 9. ComftminS wnh Sftlion 7ux) of Divni,n :t of rh. BuriE$ dd
<br />Pnfesiont Cod. ) or rhlr tE or rh. is .r.r?r rhd.rrod .nd ih. h&\i\ ntr rh. rllcs.n .r.mr,t bn. Any vhhrhn of sdbn 7o.l I 5 ty rny
<br />rptlarnr rd rFmn suhFri rlE rFlk. h.clrilFMl'rormr m,. rh.n nr. hudr.d dih6 it5m)
<br />-1.
<br />N o*!Er of llE FiFny, or m, .mptutr.l {irh waso rr rlEn sb $nlEtretir,tr, *ill {,o rh. *mt rrd tlE ffrt@ h rt
<br />i.rcn&rl ry oftcEd l'or rL ( Sd 7044, BuriE$ t.d Plor.riift Cod. Th. citntdorr Lk..s Ii* &8 mr {dy b .n f,*ffi or
<br />rlx Ftdy vtn lloiul d irqm6 tlEM. rrl lls dn uh qrt nimelf or lEftlt or rtuDllh hir d lEr oM ..ploFfl,
<br />Fovir.i rh.r ch intmEmd' & d iimLJ tro,H nr s! ll. bre. tlt hlildiie r irFltml ir $ld wahin.E Fr
<br />or otphrion, rl! ollrr Bdtl.r wil hE llE hr&n of FDvin8 lh, h. n sh. dn mr hild d i,lImk rtE Fqdy for r t[rlnror
<br />_1. !r .* Er of rlr InI,Ent. !m .(turnrly conrd in8 $ h licnrn .o.rtuJm b n'n{nn.1 rlr FoFt I Sd '7(}ll. Buirs
<br />r,n Adtsix Cdt lh.Conlrrr.i{ l.iccnr l.!wdEr.ur.t'tl}tr on o$m. or flolxd! sb h!rldror mpn,wr rh.rd,n.
<br />lnd rho conlE.t r(tr such ltoF( *irh, (imincrodn li.cnsed puBunrtorh. (l rtrktri Lic..sc tje)
<br />l.mdcnw ud.r Sdrb._
<br />^", lbqltott
<br />!Lrtrx,u&!
<br />I h.r.6! rmrmun&r FdlyolF,lryo*.lrhc 6lh*ins d.<hnrnnr
<br />-I
<br />how Md will minhh r Ccdifk,L or C,,nvnr ro Sclr lntur. r'or *.rtcis conr.n\orirn..\ n^'viLd tu hySeri.n:!?(x) ofrh.
<br />lrtxtr Gx,., Lr rh. Frrnm ofurE krt Io *hit llE Frn k nrEd
<br />I hr\c r *ill mi N !n rul@! .orqxn\rt kr ir\ursft... r\ rcqui'.tl hy Sd i,n :l7lx) ol r hr Llttr CnL. l,tr rhc pcrnnnErc of
<br />rhc sork lnr shich lhnrnnn is i{luul My surkcr' n)mFi\srin nNtrtrr.r€r'cr urlF,lic, mnrh.r c:
<br />-l
<br />anify lh.' in rlE FrforfrN ot rlr roll r,, $hih rhn Fmr ir isru.d- I rh.ll mr cq,h, .ny F,$n in rny nUE
<br />r' !skrh.<or rlF o rlt k tsi orpcn{nn Ls..fGlilomir. .,rl {ft rh.' il I dbuld lE om $bF ro rrE
<br />wortdt $r'Itns.r iirn pn,vnhn. of S.dion l?m of rh. ljhtr C.d.. l dEll. lonhwth on ly *irh 'lb- tin,vkioni.IVARNIN(; liiilurc n, r.ur. qo.lrA .o 'r.n\riion.o\rrrg. N unl]*I ad rhlll slbrtl rn dnnlowr h simixrl lrullil lnd
<br />.iil liN! uI' ro om hu.nrcd rhro.d &,lhn (!l d.m8.r G pr.rid.d lor rrE
<br />^Lri,n 10?6 of rrE lihr Cclc. nrc'.r rl .tror
<br />Q/tq l>o rq
<br />IIEIIdEAIIIIB
<br />I lE.6y!finm und.. |Rdl'yorFr]lry rhd I sF lirnan undc. F.virFn or(.1Epr6 e (limrxinr *'rh Scrf'n 7fill) olDilti,o ]
<br />oI lh.lluriNssdrd Pmacskrnr Cod.,,rrl oy lt.nc n in iullfoEurlcfltrl
<br />ATTUqNLDESJAAI]AX
<br />I hcrctrytrlllnnu dcrprfulryol p(rr ry.rcolrh. lnllo*intdNlarlrions
<br />It.x,lirinh Pcrfrir\ a\trno\ Noriri.trrion l;.Jcrrl R.3ulartr,n\ al irl..lr). I'!d6r
<br />_R.rtunA, lInd nl Mril.rrrr
<br />l..niryrl r rhc h\l.r:nrcAuldion\ rc!snlror r\h.{!r'( n,hlrrc nornft)lirnhlc n) rhi\ p(,}..r
<br />I c.nrry rhd I h r (rd rhir +ilk.ri)n rn nri.rnll (hc.hN,nlom
<br />onjinlRrr lnd Srarc lfr( rcLri.8 to hoiuin!iEsolrhtrC ytrnl(i'trnrvt,..rrruIilnrlr
<br />,'ri*c nrfrrtrtraL I ,t,r'r\ l,n
<br />ADpli.rnr o.,\E.nr SiAturuft g/d+lso1z
<br />Set Backs aT
<br />Erection Pads
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq /6-r. lc,<cra ,J
<br />Shear Wall
<br />D rywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif -
<br />FINAL /oq - l4 b,filO
<br />Cerlilicate ol Occupanc v
<br />Notes Remarks Etc.
<br />COMMENTS
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Framino
<br />lnsulation/Enerqy
<br />It/asonry
<br />IiAISIAI]If,IIINIEBIIIII;ICINII
<br />I hcEhr,flnm uhd.r lf,nrlr, orFrjuryih3i lhsc t a en(rudion lcndin8 or.my ntr rh. p.rfoiru .c oflhc work ror whi_h lhn Frnrir ir
<br />rudrs( .1097. civ c r
<br />t nrtcr'r Addr.* _
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