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BUILDING. INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS O\T IET BT'ILDER DEI,(' RA ]IO\
<br />I h6.1iy lmm und6 p6rhy ol Dcrjury lhd I m qdl'r from rhc ('ndrrd"B' L(ft lln for th. a,rlhuh* 'aen (S( tlrl 5
<br />Irui,n6. sd hor*b. (od.): ny ('rt or coumy *h(h rcIon6 a tEnil to connrud, !1t6. inpro\.. dnnolih or qrr lny
<br />itudue Fior ro irr is@c.. !k i.qut6 thc rlr0liel for 3!.h p.rmil lo tu . 3isiql 3lr@r thd lr M dE t lic4!.d PGU!i
<br />h rh. rovsrB of rlt ('onrr*rd-r l.i.@ed tl* {(lutrr 9, Comftos $nh S.dhn 7(x{ ol D'rnrn I .f rrt BsiB od
<br />Pftia*irns cort ) d ihd h. d rlE i .rdF tk.nom ol rh. t 6is aor rh. dk*.d doFnn A.! \thrF..fsdion 70!l J b u!
<br />.rnhon! aor ! D.n ir rubjels rh. qDl'dor ro ! cilil l!.nilr- or er frtr. ihM nr. huftiral &,ll& ( l50ol
<br />I. .r .w6 oflh. prlFnt, or ny mplo'6 wilh 8.86 c rh.t sl. corrrEMtion. will 6 $. so( ard $. !rn,.l@ t ml
<br />i dr,.d or off6d lor slc {56.70.14, BuilB dd PrefdirE Code Th. (idr&rG r t]..B l4 &6 ml ppiy lo d orE of
<br />rh. F.par, *ln tril(i .. inq!€ fida lrl $ to .tE En *on hiMlr o. h<*lto' lhoush h. r hd o$n mdo!6.
<br />Fovii<d rhn sh lnF$ql ft d datLd d dltad tlr nL lf.lm-c. t,Ehrillll.r irseEEr. $U *ihh G !c
<br />orNtrpld@ Eo*EnliEaNi[IEElt!hfthofFswlsrhilEor jrdi]mlt ild c ing!\. $. FoFly ftr llE F Fxof
<br />l. 6 o*G .rrhc r.psry. n qcl6r!.ly .otrrclns $ irh liGr.d .o ,d.R to cotrrNd lh. Ircjcl (Sr 70{.1, &!mi
<br />.,n hrtsim co&: T h. Co.rdorr t-'.ru L.* &s mr s'ply ro e o*.( .f FoFr) * h6 trildr o. imprord lhson.
<br />6J rho @nEll ftr r.h FF(, *dh . Comrrcrorlt, laqld Frt*d io rl: Co rdr't Lk@ li*)
<br />l ,.rcDnr trndc' S. (,n
<br />llr. orn.r
<br />\{or.lifrL\' aa\r tr NsA lroN
<br />UTSJAAUOi
<br />lh(ch\ anim undo ncFlrr orprJu^ okorrht n,llos'n! ddlr{n,6
<br />I hlvc md f,ill mrinrain a Cdilicarc .f(insr lo s.lf-lnsur. aor \10116' comFMrion, N Fo\ id.d for t'y sdbn 17(xr ol rh.
<br />t,br ( odc. for lh. n<folllltr. ol lnc *o.L lor Ehich ltc Fnil b ku.d
<br />Ih.\.rnd$illtu'.in*ort6$nF!di!niBur.(..6r.q{n.dh!Sdion17m.trhl.borCo&.to,rlEFfmrof
<br />rlr $rrt f *nah rha Fhir a iqEl Mt wo.td' NmFs6. ituffi.6i, !d r.lEy nunbs e
<br />Pol'ct Numb< Erptrd
<br />l.dii thd o rh. Flollffi.oatlE trorl for rhEh rhr Fril i! us.d. I rh,ll hl dphr tn! tE$n in.n! nuF
<br />$ a'o tE om Jubar ro rhc \o*c'sEF$an. l.\rr of ( allaomi!. od +E rhd if I.huld beorc sul'Jd lo rh.
<br />so*6J comrostion provlsionsofScclion ll?00otlhc lit$r Cod..l:lj!ll, f.dhsirh (omtl! $ilhlhosrm\ilioN
<br />WARNTNC: Failurc lo sr. *o 6'onpaeion .or@t. i! u.ls$ful. lnd shdl lubjal !n dplorn o oinind Frni!.nd
<br />ctril nn6 up ro on. hu tcrt rhoue*l dollm itl0o,fir|). r * ntun ft,
<br />sNrkan 1076 ofrh.l xhy (.d., 'nr6da idkJI6 r fd.
<br />,,,,,.,G-zL
<br />IE(IJSAIIO!
<br />I hdd,t.flrm und.r pdrlry of Fjury lhi I m liftr4d unda F!riri...fcn Bdof rh. B{!(s.!d PmfBi}6 co&, rn my lk.u u in tull for.. rn dTRl
<br />nh sdinn 1(r[)l.tl)'\^kr i
<br />,(rtr\.(,.rs L31
<br />,*- n-?-L-11,""',"^,[w
<br />LLZ
<br />C
<br />I hdrtD iftm uidd Frlhy of Frllr. 'hd
<br />lh6. i3 r sdtud ion kndin! .8fty for ifi. I'qfome. of lh. $ mt for *hEh rhir Fni' it
<br />iru.d (56.3097. (iv (.)
<br />ATIII(AILDE(:I.AAAI]O!
<br />I holtry iltm u.d6 p.nrlry otFjury on. oflh.lollotri6t ddhr.rn,.r
<br />t).ftniiln P.miir'Alh6rm NorirEsrnn F.d.rrl R.tu hr hd (Tnb {o- Pd6)
<br />R.qun.d L.ll( of tdllifrcinn
<br />I rdi'f\ rh.r rlt.i.!1.'rlrr!trhrr)tr\,.!Idng rsl(io! '.tri^ilx'c i"i it,t,l(1,]e r, rhA I,n'r.rr
<br />r). !s corc( I a$aloc.mpl) rnhnllcil) d(olnrt
<br />r.F*dnn6 of rhG Cn! dd ClmD ro oro lFn
<br />'lE
<br />I (dlii rhd I h^. Gri rhii 6ptli:.rkr ]rl sr6rc
<br />'hd
<br />rlE !tr\. in
<br />e .21.t7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing ollzl rs 'l b*ta<6)
<br />Shear Wall o,
<br />Framing
<br />lns u lation/Energ y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lt4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />F|NAL q//2,//q e .{tz,tiil
<br />Certificate of dccu'paircy '
<br />Notes, Remarks, Elc
<br />DATE
<br />Flood Zone Certif.
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