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BUILDING. INSPECTOR RECORD
<br />SITE-WORK COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfl oorA/enUl nsulation
<br />Roof Sheathin
<br />Shear Wall
<br />Framin
<br />lnsulation/En
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handica uirements
<br />Final Re ort
<br />En ineer Final R
<br />Flood Zone Certificate
<br />FINAL
<br />Certiflcate of an
<br />Notes, Remarks, Etc.
<br />OrG-Build.r Dcclmd@
<br />I h.r.ly.trfr u.da p6dry of ,.jEy rt r I n ffipr fm th. CoEr.lor' Lid. Ls forlh. folloDing Bd (rd.7031., Buird
<br />&d PDfcri@ Co&)i Ary Cly d C@ry rlid Equid r Fmn lo c@nlcq .h6. inP.olc, danoli.h o. Ep.ir &y t0!.t6, p.in ro in
<br />i.'Ue, .l& Eqoic lh..ppliot f6t!d p6mn b 61...i8n.d n r6Ht dur nc a rh. i.li6.!.1 pol,Ur ro tt6 FovirioN ol0F
<br />CoiE*rd! Li.a*il I- (CLrrq 9, Cdllt@int *irh s.ci6 7o0o of Diebid 3 of rh. B€ina 6d ?Efdid C.d.) s rh.r hc (
<br />rl!ird.dlPirrllqlfm&d6.b.d!t6rh.dl.8.dq69ri6.Ar,rolrlldofs.clo?031.5byo,lD?listldrFfrnrubjc!.
<br />.ppli6r to . civil p6dty of n.r Dft tie 6E h6drld dolL., (1100).
<br />_L ! ffi 01ln. F!!dt ,6 n, alployd rid i.s6 a iEir Dlc dnpantid, *ill & $c i6t Drl O. llrud@ il aor i.r6dcd
<br />d olldld f6 td. ( S...roat, Buixt .d lr.f..ti@ Co&: TIE Cstr&lr! Licle ln &€ !d .!ply io s orG of ln. p.oDary
<br />yho hd,& d ihFDB thsw! &d rho dE nEt rort hid.lf6 ha&lf a tnor8h hir d [s om dplor6, Fovi.,.d tn.i tuh
<br />imFoEtndr|' tr. nor int nded c olftrld fn rd.. If. hwea, thc hildins or iDplDvaEt i! told pid n oo. ydof.mrlaiol rh.
<br />OM6-A{IB6 ,ill [.8 6. brrdo ofFlvi.a rhrr i. 6 th. not build 6 imrrcrc fd dE plrpo. of r.].).
<br />_I, a oh6 of $c F.rdry, e q.lEiv.ly qlE*dis ,ld! lildd 6Ftr6 ro cdlnN.r $G Fojd ( S.c. ,oat. Bqir* &d
<br />PrDfdid code IhG C.oft.ror', U.ae trs d6 iot ry?ty io dr omd of propGr, *ho hlldr a iEp.oB tho@ , Dd who
<br />st*a fn ,u.lt proj.dr witt . C.it .ro(, li.ced pluumt to lllc CsE*toas Uc.e b*.).
<br />_I o .rcmpt udn ScIi6
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<br />& P,C. ld $ir Boi,
<br />WoRKERS COMITTISATION DrCL^RATIO
<br />I h@b ifiim undd padty oa Fjur, 6c of rh. toll@i.8 dclo{erl
<br />_l hrrc ed will tuinr.h r C6ri6d. ol CdMr ro S.lt-Im fo -qk6' cmpddim, r Fovi&d fs by S.cda 3?oo ofth.
<br />Irbor cod., fddr. p.rfdfue of $. k tk f6 *hicn lh. rcmir L in!.n
<br />_IhNcud*illmi lin *dko' conpc .ri@ iNdmc., a EquiEd t, S.cdon37oo oarh. Lnbor Cod., fd lhc p(fomrne oafic
<br />wort lor wtic! lhi, pmil ir bGd My wo.kn' cqponrion icurD.. cMi.r ed poli.y nlmbr !..:
<br />iolicrNEnte ErpiE:
<br />OrtL .erim ncd .o. b. .dlrplci.d ll ll. Fnir b fa on. n6<hd doll$ {Slo0) 6lar)
<br />_I cdiry dltl iD in. pafnnllcc of iho rdt fn rhid 0t! parir ir itr!.4 I rh.I n.. drploy &ry Fr6 ii ir, MH ro ! tot c!fr llbjcc to dr6 i6lo 'qtpattliolM of Crlifotuil !d.ir!.lh.l if r rio{lrl !.co.E nu..t ro dtc,6td'
<br />cdn?ordd PtDyino, of Sericl 3700 ofri. Lbd Cod., I rldl, fcrlt?i6 comply !.ilh tio!. Fovnioc!..
<br />w xNINCr rdl@ to r.t@ ?dt6' dnpoEijd @vliry. ,, ulrdd, &d rhdl &bj..! $ oplq/t' to dihiul p6dri6 &d civil
<br />firB u, to @. huftH tnoled <tollrt (t 100,000),in ddiriG 1o ih. cat ot.onpaB.d6, de.g6 s Fovid.d fd lh. Se 6 10?6 of
<br />$. lrbd Cod., inrGr .nd .nm.y'! fcc,.
<br />LTCENSM'OnlT! TACIORS DE'I,]{IIAITON
<br />I ltdlby rmm und6 padt, of pdj'ry rh( I rh li@d uds Flvirio of clEprq 9 (cdill6.itrr ,ilh Sedq ?ooo) of Divirid ! of
<br />dE Bqin6 rd PDfdi@ Cod., Dd nry Ii@. i. h full fdr. Dd .fqr
<br />U@. Od:- U.ge Nunb-)z ...-\
<br />coNsr{rcftoN rlNDir\G aGENcv
<br />I hmly .mm md.r p.ndry ot FJury [l!t $@ ir . o]lnEdon lEdins .t6c, f6 lh. plrfatiu€ of fi. wdt fa whic! thit p.mn i,
<br />l $cd (se. 3097, CiL C.).
<br />tacc't Ad4B
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<br />AIIPI ICANIIS Df,(a Al!{TtON
<br />Dsmlitid ?qrlttF^.b.n r Nodficdiq Ld.6l Rcsd.ri@ Gidc .0, P{r6)
<br />_ R.qliEd ld6 ofNo{lic.rid
<br />_I €dfy lbn th. f.dd.l rqd.d@ E8-dnE $!o16 Em[l 6 ,or .fDliobl. ro dir Foj*r
<br />_Iqdrylhllh&.oddirTDli6d6&dtlrt.lnrt0EtDoEiofdri{iotcdGrIBGro.dnplywilnrICiry6dCo!,dr,ir.E ud Sric lm ddr8 !o blildilt @ru.rio.q rrl h@b, llllt6l, Ep.dar.rE of $n Ciry md Coury to nrd upo. dE
<br />lboyc .bdd.d prc!.dy fd in p..ti6 porpor6../_3-.o d
<br />Iffililf,I'Iil
<br />ry
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<br />itltilI
<br />Brown Coat
<br />\r<2^-, ,Zz--,.^
<br />I DATE I rD/stc.
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