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DING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Beport
<br />Flood Zone Certif .
<br />FINAL ill4 tq bA@*F rt
<br />Certiticate ot Occupancy
<br />Notes, Remarks, Etc
<br />0 C 7u!'I
<br />OWNER IITIIT-DER I,I]LCARATION
<br />I rkr.hy rriiflnu cr pcn(lly.f pcrjurr rhui L'n.r.nvl iinnr lhc (.onlrlct'E Lic.n* tiw fot thc l('lhsinr r.sv{ lsd70115
<br />Burirrc$ lnd ProLr\ion Codr) ny Cn, .r coutrry *hih rcquit \ r Frmir h consrrucl. allcr. inPnrc d.nni\h or EIan !q,
<br />\rrudur.. [int, ir\ i\\onm., uhn Equn.\ lh.apdnnnl f,n \ h Fnnir ro flc! sismd d]rcmnr rharlr.r shc n liccn\.rl Punurnr
<br />l,) rhc lno\nur ol rt( ConLrci{r'\ I-iccnri l$' rchafrcr 'l- Commncing wirh Sccrion 7(xx) of Divi\i(,n I ol lhc Bo\inc\r tnd
<br />Itnla*knN (irn)orrhd tE.rshc i!cxcnDl lhscnomlnd rhc tEsn fn rhc llLeed cicnfln,n nyrirlarionolSsrhnT0.ll5bydny
<br />,nthrutrlnr!a.rnrilsuhF(rh.lIrli.rnrh!.lvrncnolryofnlB)Erhf,nfirchu.drcddollus(Slolr)
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<br />L tr owftr of rh. tmtEnr. or my cmtLr.c\ *irh *aB$ dr I h.n $b mmFn\dio., *'ill do thc snt .rn lhc \turm k mr
<br />hrdrl.n .r of.rcd tn sk ( sc 70,14, Burimsr and Proac.\hns C.dc Thc Co.lrtdois Lt.n€ L,* &* mr ttply ro rn .*ftr ol
<br />tn litrFny slh tritlr or iqmEr lrEmr rd *lI, &E kh rork him*llor b.r{lf d rhftugh ht d hcr ovo ctrll1br*i
<br />Frvi.ldl !tur ut inl'owmnh m mr id..d.d orolfcr.i ,tr elc ll h,kE. rhc hoildins or iryffiftnt k $E *ntin.E rr
<br />or.ortldion,l,r oorcr ari!.r *illhrh trf, htrd.i.f I'olin3 llEl h. or \h dn mr hrld o. itlFrtllf l,Dldy fd f, FqrE.I
<br />-1..rn*rcr
<br />orrh. Ir,Fy, !mcr.lusir.lym ricrins uirh liTnEd d,nrmkr to onnrud rtE l'.jd (Se 7044- AuiiE$
<br />md llrik{rir Qrd.' Th. Gnltrloir l-icrn* l-'q dfts ft{ qrl, to !rosGr ofI'ot ny qho buil& or imnrcr. h.rco..
<br />tnd *ho odrd! n, lkh F.Ft wirh. c(,ddclons) licrnEd po^d ro ilE Codrroi! Licn* t rr
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<br />I m crcnpl utrd.r S.n i,
<br />l).r. ()*ft.
<br />rtonxr cs trr:rtmrs,riror
<br />DT:C|J&IIq\
<br />I hc'.h! xrln,n nds p. rlrt ol tEilury om .l rh. n,lhtr in3 l^Lurrr rrr
<br />-lh|rnnrill
<br />inr.in r C.niridc ol Concnr ro S.lf lns ror srk6 oqEns.li,n. 6 Fnvikrl ror bv sdlio. l7{n o, rrE
<br />t htr C.&. fG llE Ffol r. oI
<br />'rE
<br />*ut Lr uhth rlE Fnil ir iss*n
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<br />h,w Id filr mi.rrin rortfl mnFnrrio. in$riE, * EquiEn by S..li)n.l7lD of rlE tihor Cod.. fot tlE Fr(lfrm.r
<br />rlE s* ftr *hi.h rhir lEmit tr trxn My mrtd{ @qmdion inu.F 6trit ert ,blky.uriEr &
<br />lfat^ t v-,< o
<br />I dlfyrhrr in rlE Flnmd of ti. wo* td f,hahtht Fmn n iiu{- I rr{ mt ci?by lnr rlmn in.ny lME
<br />- .r ro b.<.d fllFr b rlE q,t6 onFBrir. l8 r o, Cdirmi., rd .ar lh.l ia t rhuE h.ror s,t'irl to rlE
<br />{ntd( ortENriin F!{ri'6 olS..li.n 3xx)orr,. Lh, C.r!..l {lll. fonn*i$6nply win rs FotnioB
<br />I{AnNINC F.itE lo l* wlr' on+.dbn ovm8. n unh*tu|. .d rrE shj.rl s cnPloF ro diniEl FEla dd
<br />.n fimr un ro oE hundEi rll nnd doll6 rilm.{m[ in ddnion ro ur 6r of conpcNli't dtnr*.t n Fovn.d fu lli
<br />Sdrirn XrT6olrlE ljlq ( od.. inrcrca ad dno.rl'\ f(1
<br />{ l" I .l{ ^*-,,
<br />DDCTIXAIIIId
<br />I h@t y .tfrn ui.r FEXy ol F,,., lh.l I d licni<t r*r Flvirih of Cl'.9rd 9 (6lffiin8 wilh S.dbn 7m, 6r
<br />ol rlE Bori6i dd Prers.i'B Cd., rn ny liff i in tull frN !n dld
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<br />C-to taYt(o )
<br />e/,-1,4
<br />coN\Ttllc-T(rN t aitDIN(: acmcl'
<br />I ltrch, aft-r xnl.r FMh].l Fr!r] thor llsc ir . d'dmrin tadinS .ScmJ_ for rlE Frformm. oI lhc *trk for shkh r hir Fml ir
<br />F{mi (sd l(!)7. ( ir ( l
<br />L.'ncir N.E
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<br />AIEIIIANLDESJSAIIII!
<br />I irrtry fm uBL. Fnrlry oa F4ury oE .f rlr folheine d..hrl ionr
<br />Dcmlirbn P.rhik A .rnx t* ifrdion F&ElRcgnlrions lT k40. Psi6)
<br />R.atxr.{ triis ot t*rifr.ri,n
<br />-l
<br />ccn ify rtd rlE fcd.[l hgullr ionr ESsdins 8tE\lo\ rcmlll m fl{ {Pltable ro rhis ptuJ.d
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<br />rcdiryrhrr I h.w rcdd thii it't li.clionud {ar.rhrrrrFdtx,vc rnlitrnulion n cond I tEe ro orlPly I irh dll cny rtld Coun'v
<br />odinamc\ md Srrrc hsr rld inx lo nu iuinE connM i,n, arn hr.by.uthorir c0rce dlit.s orlhk Cn, an<t Counryro.nr6 uFln rrr
<br />oh)v. mnriomd lroFny (tr mslr.inr 1-/t-t a\t)Dhrnni or \x$r\i!n rtrrr W,.=@L L<
<br />UFER Ground
<br />SLAB Floor
<br />e"t y xunro -9t\&eyl\16):L ,,0*.' 6- zo4
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