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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS OWNUR ET]ILDER DETTAR TK)N
<br />I lEctt r,Im ldd part, oaFjur' lhd I ma F nno rlE Cotnd6 Lk@ lls for rlr folb{i.e ller ls< 70:rl5
<br />&sins /d Frofsion Cd.) An\ Chy or Cd ! trhhh r.qun6 r Fnn lo odnEt tld. inDrorc, t'dblirh o. rqri! er '
<br />rlrudE Fir ro iri isumq .to ,!Sri6 rh. {?lk!, for $ct Fnn ro 6L. lisdd nddr6, ih, lE or dr. ir lic6&d FNlr
<br />ro rh. Inririod of i. CoffiM'r Lir6.i ll$ l(1q{6 9. Cosntring $ nh Sdi.n to()o or Dnitnn I of rh. BBilE Dd
<br />Prefdio.r co&) o. rhd lEorslEt.hB tfid.fioo ml r,r. hGi for th..lks d.rdFFn Ant !6btio. 6f Sdion ,01I a.rLot
<br />qrlica lor. Frnn iubjd.lh. +pli.. ro rcirilFdI) of nor m.crhn n\. h!ftb.d 6lld (1100)
<br />l. s o$ nd ofrn. Iropcdy, or ny cnployG tr ilh tr !86 es lhci, s'1. com!.relion. \ ill do rh. {o lt md lh. sddR it mt
<br />n{orH mofi6.d tor $lc(Sd 70.14. BBin6! i.d h{lsr(N (i'd. nr ( ont..r.i. l.i.dk l,w do6 nol q'!lr lo m.$s oi
<br />rh. Frpdr $h, lnil&.r inFrr6 !186.. ar! whr th6 sdh r.l{ hnn*lror hdellor rinNsn his or hq.rn nrloy6.
<br />provid.d rh.r r!(h nrF.rtrr! r. (i idqxl.d oroflftd f.r qlc l[ ln\rr. ih. tnildriS o. irBr.\d it $ll \ahin.E ]s
<br />.f mnpkn^ rll ( x n6 Duilid trill lE\ c llE hj(l(n oa For,{ thi lE v {E drl rnl trikl or iaFr. rh. r,tFrl for th. F,r.v .a
<br />l. 6.s6 or rlE rmtnr, m arlGilcly .odtdnB $ {h lk.Bd codrdc !o stdnr.i rlE F!r..r r s< ?0.11. &ffi
<br />r,d hrkir ( odr TIE ( odr..ror-3 Ltd* lrs dB mr qrlr ro e orG of FoFnt N lF tuil& or inFo!6lhEsn.
<br />md { t dll|r.dr t r!.h FrFs snh. c.nrato(t) ltdb.d pr6d h ltE ( oitr&1d r I r.@ l,s)
<br />I m.ranfl rndd sdlbn
<br />\f, ORKERS' ('OIIIPT]NSATION
<br />DIiOABAIIqX
<br />I ha-rr rmm u.d.r F.nhr'oapdjury on.oalh.folL$i.* &(lJ.'h6
<br />I h.rt rd $ill oido . ( di6(rt. of (-oMr ro s.lr.lMr. fd $rrt6 o,pdlr hn. ! For id.d fdr bt Sdio. 1700 ol rlE
<br />t tor Codc f{, rlE Ff(rr1r.e ot{E $oil ld {tii rhc poon ir is.d
<br />\ih^ca i\'llnlrihri(irl6 comrEMrNn '..urnfrc. fi r.qrr.{ b\ s(tFn rlrrr orrh.l atxt (.od(.lorrh. F,(nr(..r
<br />rh.{Nltushrchthirpam'lE8$dM\tro,k6r'comp.ntrr'onmsurift...rE,lFnr\nu,ntEd.
<br />cmro- Jrfitu-l Ptc - a'
<br />p.ri* N.,nhd - BoJo tlO lqlq1rL r,.pnc*, ' C- Z )
<br />l ccrifyrhsr inrn Floi,ts. of rhc *ort lo shrh rhi! pann i! krn.n. l 3h.ll nor dnphy rny pcrun in uy oanr '
<br />s a to broft ruti..i
<br />'o
<br />rh. $.rt6 omFMi.n L$r .a('.lilomi., 6d .sr ltd
<br />'r
<br />I rh.uld b..oG !ubj.{ to rh.
<br />*0*6 onFdi.. prnr tirB ofsldion 1700 of rlE l,t . ( ode I slEll. tonhsilh o,lll'ly tr
<br />'lh
<br />ltbr Fo!6ioB
<br />Tf,ARNINC t.ilur.lo su. rc,t6' otrrFldirn ov6!s. ir uihntuL ..d snnl $bj.< e aphr! lo sinin l FDIB i(l
<br />cn,l lin6 ut b.ft hunrlr.J rhousnd {hllm (tl(Xr,(rxtr.,ddnrn io rlE .d .f..nFGr'.i- d!Ds6 a Fi,\id.d itr rrk
<br />S<!h,n 1rr1, ufr1,. lrlr{ i,,.,.: I lt"
<br />i"rod rnd dtntr'r f6
<br />I
<br />t|[o.daaro!
<br />I h€Ehy amm uds p.m r) or paju')- rhar I arn licdr*j trndd Fo\sk'n of(-h.U6'J ((onnnm(in! \ h s(1Nn 70C)0) orl)nhiir 1
<br />ol lh. Btrsn'Gs ind Fn,tistrions Codr. d ny licmrc is in tullr(rcmd.ft{\boyuT
<br />(A!IIf,I(IA!I!!DIIG.AGI:Ti(I
<br />I lE!t'!.flim und6 Fnrxr.'oap.rju^ lhd rhd.. d (tr{tu.1$. kfttin8.e ! aor rh. Fforucc {l lh. sorl t" $ hi.h rha Fni n
<br />isu.d (se r(D?.(n c)
<br />ASILII:AILDEIJJAAIIA!
<br />I hdrar atrd rn&r ltn.hl of Fj!ry oE .a rlE folL*in8 d.(Lrd bN
<br />Dntul{ 6r Ptuir}Aib6r6. Ndifrdh. F.ddrl R.}!ldrB I I nl. .10, Prl6 )
<br />R.nuncd M oll\&rituid
<br />I cqrit lhd llr f.ddrl rquldb6 rsidins ribdoi l.mrrl c d +pliob,. l. lhir liijEl
<br />_l cairy rir I h!!. tad rhg lpplicllion !d rt.r. rhn
<br />'h.
<br />!h,E infomdior i! coErcr I i3r6 ro oorl ! \ irh all ( irr'.nd ( rrn[
<br />vMd counlrto 6ls ullrtr rh.ion. Md hd.5r.urhortu rcprBorlliv6 of rhi ( ir
<br />(- -:.La-6t7 c .l
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln su lation/E nerg y
<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 />Engineer Final Report
<br />Flood Zone Certif
<br />-/'-\
<br />FINAL X-o1r-,,0a.r'.2 6r/2)
<br />Certificate of Occu n
<br />Notes, Remarks, Etc
<br />ID/SIG.
<br />o, n,rN.! nnL!srn.lxn\,.1dtrr r,
<br />ah\s Etrlk)n.d t)n,F.n\ nn
<br />\pplicrnt or ,\rsrl Sisnxl!rc
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