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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS r)r\ \tR lr ll lrl l{ l)l I t \l{\Il(t\
<br />I ls.t'y.tlrn und.r FEny o, Ft.y rtB I n.tq, rhm rh. C.'rrJl6 Lite L., for rlr follotnl! iten (&'',oll t
<br />Autimrl rrd Pmf6.hn Cd.): A.y Ciry or Cdny whih Equt6 | ,ffi lo otr{tu!. !!d. irv.oE. &mlith ot EFn Dy
<br />rrtu@. Fs ro ilr iiffi, .h. ,.auid rh rpPlt.il for sh Fmi h 6t t rir*d .r.rmnl lhd h.6, iE i liq.cd Flrd
<br />h rlt F,vilanr of ilr Conr.rld r Lar.€d Lr* (Clqtrr 9, cl'f,mrins wnh Sclnn 7lll, 'l Divtion I of ltr Bnrimr' r'd
<br />Prrrtrio.. Codc,.r lhll lt d .rE ir .kdpl lhstfion In rh tEsn lor rrE rllc8.d .r.trtiion Anv violtli:n oasdDn 70:l l t btrhv
<br />lmli.snr fo, t Fmit rubj*k ItE rp!'lionl ro.civilr.nrhyolft'r n$Elntn fivc hn.dr.d dolt6(t5(,01.
<br />l. sr owftr of llE Imrf,ny, or my .mpl't c\ wnh wsB.r rr lh.n arl. .onF.rlion. *ill & ilt wrl .r'd th. ntrrE i! mr
<br />i.r.id.d d ofld.d f6i rr (sa 7tli4, BiriEs .,n ftof.rnotrt cdL Tlr conllrl.r'r Lier* Lt* ([*. ml .tlrlv ro o 6sE ol
<br />rlt rFFny who hiilds m itqm6 rlE6a .,n *h &B uh url himalr or lEelf .. llwuah hn d rs 06.iploFn,
<br />F rira, rh.l3uh ,rF.tmr cdi .r'd.d dorcGl fd sk lltr*tg.rlll il!,i,ttun d k sld Yitintd F'
<br />;,dltlhhE ttE OwH Alilr, will h.E lli hlddt ottftviB rrltdnEddmlt td G itr+.oq !,.IoF, ftn trEF'FE''I
<br />l. r\ osErolrhc F,I'ti y, .m cr.lulEly co reiinS s{h lNn<n conrdon lo on{M rh. FrFr (Sd 7(}tl' BBrs\
<br />rnt l\nr.sir Cod. Th. (hnnr! r l-i.c.c lj! dr\ ft rmly t' !n ornd or Por'.dv *ho huild' or rml'ro\$ rh'rsn'
<br />,nrt sh. conhdrf su.h pnrFd\ *ir h r c.dRr.n r I li.n(d ,,u^ur.r x'rlEc.nt&kr'r I tcor lrr)
<br />! !.r.rc ,|n uRtrr Sc.rrn
<br />IECIJTAI'O!
<br />I lE,.l,y rmrn und.r FMly of F,lt, oE of rrr folh*h! &shEri'B
<br />-lh,Erdwilldi.i.rCcnirtdcorCorcdloS.tf
<br />lnoF ftr wlsr' d,n!En{hn. ! ,'ovd'd ror h, S<rb' 1.7m or rrr
<br />t,lttr OxL. fr rhc Fl*-_. {t rli wtt ror *6i.h rlE Frnil i kru.n
<br />-l hlE .n<l wil! mimrin *odcB cotr{E.srlin in,unftc. N EquiBd bv Sdt io. 1700 of rlr lftx r Cod.. ao, th. Frf'lflm ol
<br />rlr *ork for shkh rnir pcmit i! n{.d. M, workss omp.n{ri('n in$.&e.Mi.r sd lolicv numtEr e:
<br />Crt r-
<br />Poltr N!n$d:-
<br />I (d'ry rh.r in th. n rf{rdr ot th. *ort rq shih rhn Fon n !sen.l sh.ll mr.'q'lllv r.v FK'n in lnv nEE
<br />$ .r k' tEor sbFi ro rrE qtt(i oqrndi,n Lrr orc.linrdn lrl +r rnd ir I srr{ld lBntr {hF h llE
<br />mrts' $,FMirn l,lviron or sdhn l7m ol ltE ljk, (in . I rlEll- ldhshh oDplv wilh rr.. Fmvithns
<br />\,VARNINC: Fiitw lo im qftdr oqtndi,n drtf,3. ir !nl'*tuI. md dEU (hF! u .rrl||loFr ro rimi"l Frti'! d
<br />.ivir 6ncs ur lo oft hurnEJ rhrutld dulls l$lm.uDr in rd,l hn torhc mn or.onv>r.rmn. dm8's I Eovid'd ror
<br />'h(s.lrir 1076 ofrh. L:bo, c,ije. nrc,c{ ond strum, r,.c\ Jl .{/J ,, .:_
<br />D.r., ^*t ^,' \ /,)tl/t, / L'/'''
<br />ur6Sertllc8aln8Dg.laBArlll!
<br />I h.Ety nrm uril(a Fehy.f Frrn, rh.r I m lilntn uidc. Fvilirn ol ChdIrF 9 (6llmNin! *nh sdtb'
<br />'00)l 'r D'vth' 1
<br />of E Bu.iFr rn PrDf6*,n ('nj.- td ot li.s- i( in tult lda In rrd
<br />SINEIBUgIITN.LIBIIINA.ACENCT
<br />LEriy lfrmundcr lEnolryofpdlxryrhd irrt ira.lnddhn EnlmS.Ste-y (rrn Franrnr r ul th. Rrk iL *h'h lhN lrmir il
<br />l'0La! Adtt s:
<br />-
<br />APPI |CAN r nr'(',|4Il T|OX
<br />l lm{'tdli u cr ncmlry "l n,Iry om of rhc f,nlwin8dc.hrrr[n\
<br />lk fuliri)tr lrcrnrils A{hn.\ Norrfi.!li,n1 Ic,lcrul Rc[ul[tr!ir ( l l. Jo l' 6r
<br />Rqurctl lr(cr of Norili. itrr
<br />I .-dify rhd rh. fcd.nl Ealbr rft EtsdinA ldEk'r Emr.l ,. d ql|'lf.bk ro lhn pmr.t
<br />I cdify rh.l I IEE ral rhs.t'tla.li.n rd <r'r. rh.r 'rr.tnr{drtoBc(.d Srrrc ljB ELri,{ lo hrillinB.oNNi)tr .d h.r
<br />rhrr arnr(rf,d rr.rcny ntr arr
<br />Aptllonl or AEenl SigmluE <;//a
<br />Irlrrhcoq )s hrllC v'ndclrnD
<br />,r',yfryi$.dn'* "t,hn
<br />(it, d (hutv,n.nrd uF'nill
<br />il cl1 a rh,.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framinq
<br />ln su lation/E nerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />/^\
<br />FINAL 7 -Y,o - )ql .)ll-{.tdl
<br />Certif icate of Occupancy V
<br />Notes, Remarks, Etc
<br />r{EJ rS( lm?. Civ C I
<br />lrnki r Nrm
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