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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE tD/stG.COMMENTS owNtt au ll[ta Dlit,cAta TroN
<br />I lldb, rrm uni.. p.eny ol papry rhd I m.rnpt iom rlr Cotu16 liru t * lor tE folLuin! ft.s (Sd.7011.1
<br />Itci,B .d PmL6r. C.&): A.y Ciy d C{d! *hah r.fliB r Fd r. odral, .l!6, in?r.G &mlirh or EFir u,
<br />idd@. pd ro ir. nru.ru. lllo €quiF! ttl !ppL.!, for rkh Fmi ro 6l ! sigmd jrr.cnl $r ll o. !5. t ljetrql tlmd
<br />b rlr IFvshB ol r CdEEi lirnt d I.r lcrrF.r 9. Co'lffrint *irh S(rs 7ffi) or Divl.i'. I .l rl! BsiE$ ..d
<br />Prn.$rln! Cod.) or ln.r tt q ilE ! .r.trB rh@tom !d r,E lllir for rtr rlLt.d .r.tr+Dr AnyvDLrio.ofsdbr?0!l.5by&,
<br />.ppliqnr lor , Fnnit subj{tr. rlE .ppli.dr ro ! civil p.Mhy of mt mrc rh.n fi v. hlnlrcd d.ll.6 (l5d))
<br />_1. .i .eE .r rh. FsIEny, .r ny .nphy.B wnh er!.r ! 6.ir eL .ontEEh., qll d' rlE sit Id tlE cMG a mr
<br />id.nial .r olT.r.J for $L lsa.?fill. Burs .rd PiofssioB cqL: TIE C. rrrd\ Li..rE L.q doal mr lpply ro E olEr of
<br />E FDFi, *tn tril& q uqsE 14 rn wlbd6rrn sxt hitrlf6 t rlf o. ltrcu!! hn c ts oh.t?L'rd.
<br />proviLd ih.r tEt inFkcBe N in.'i,.dndlldrd f( gt lL hM6. LIE hliUnt c iqrErd is sld wihin E )E
<br />ol.onlpliia rlE (rM Builda si! h.€ [r hnl.I oI Ftrvi.s [s lE or ihc dil t{ h] d inp.nk dE,rcFry ix lrE Flry.* 6r
<br />_1. sowErofrh. p.p.ny, m.rclBivclycofrrint *irh I'c.nen.o trrm r. con\lrud th. FeFl (Scc.lO{4, Bulift$
<br />xrl ftr&as,CoL Th. Co tuor'r Lirnr Lq d&! d rnoly ro ose olF.p.dywho blilto. DproEr rl.M
<br />rid *tp 6 rds ror tkh Fnrdr *ih. Codddln lf.rsd r'{^6 ro rlE Codtd( r Li.r lr*)
<br />-l
<br />m.En{r u .r S{
<br />woRxrrsffi
<br />DECIASAIII)!
<br />I h.r.b, .fltm u.d.r p.Mlry oI O.rjory o* ol rh. dlouing dccl$lrbd
<br />_l ruk i * l mi'rrn r Cdnri. ol Coe b S.rl^$E fd rarl6 NmFsDc .i F dl.d n, 5y Sdt.n l?m of r
<br />l,hor c,xl., ror rtE lgffrffi ol rlE mlt lN qhth rlE p.rmir is i$u.d
<br />+f,'rd *rll ll1d.b srL6' conp.urs EUnr. !. Equi:d b, Sdrr,n l7m of tlE trh.r Gxr., for th. Ffollls. ol
<br />..mp(r{rn 'nitr,u'cc.!n'.r IPl'., n nfid d(
<br />,l u c/- AA A R.-'7 </rs I z<,
<br />_l cniii rhai ,n rtE FrruNe. ol rh. eork for which thir ltihir h a3!cd, I rhrll nor .!r{,loy lny Fion in ay Mi?r
<br />$ a ro b.<oft.unid b rlE wtdt @mp.Mm Lw! orcrhLma .d lar fi{ if I dsuld lkom lhfd r. th.
<br />mrl6i .!np.Nrs pioviibB of Sdbn l7(D of ih. l,h, CuL, I idL ftnn*$ lutrpl, vith tlE pbhix.
<br />WARNINC: FriluE lo icE mds o,r{ENrrnn 68n3. ir unh*tul, ud s&ll !!bl.d .i .rphF to oMrl Fmli. rd
<br />.rv'l firi up r..E hondEd rt qnd r. r rddiri'n to tlE lnr oI
<br />aLo
<br />I h.ftby tllirm undd FMht of p.rj!.y rhd !,lcohr(in3 wnfi Sdh^ 7rft) of lhiib.l
<br />ul rlE llure.! ul PNturlim C&L li..nr s in ,u ll nre lrl clld
<br />tl sqg
<br />ca![rEucIIaNJ,EdlMlG[lg
<br />I &Ety rffm un&r !.rly.f Friry rh, rtEr a. o.{rr.r lnlll' .3!By n, rFf(IrNof rEkt 5r qtahrhB Fd !
<br />rs.d(s6 llr7, cir c )
<br />AITUSIaLDECI.ASAIIO!
<br />I lBrt y {Jfm u&l.r p.n!hy ot p.ijury on. of rh. folbrine daldBronr:
<br />rl.mliron P.mrlAsb.no, Ndrf.ai,n FaLEl R.ruLrion! (T L,Jo, Pd6)
<br />_Rr.lun.d bkr orNdrfrdhn
<br />_I cd lf} iha rtE f.dml EgulltFm E3lrdrg slE{o. Ed'$l e d rmlrrl& io rhi' pDFr
<br />an rn. rhd rtE .E r. nlodio. ir (cl l .3r b arpl, vih lll Ciry rd Ctu ,
<br />) ri Counry ro rnid l|.n rrr
<br />rhtrc d.nrtr,tual l['p(ny hr olp{cr!'!
<br />coljmdr,( lrl llrby rdhtriE FFrdd
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />I\,4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />I I
<br />FINAL I 1l-Za yn I YJ q #a'7
<br />Certif icate of Occupancv lg
<br />Notes, Remarks, Etc.
<br />Rev.08-0/-2015
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