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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEN BUII.UER DEI,('ARATION
<br />I h.Ebt rllnm uhLr tEElry (n Fr,!r, rh! I m.kmpr rn,n rh. c(Dt*r.r' lr.nc L.* ntr rh. lolh][3 Ere'i lsd 70.11 I
<br />BtrruBi .rn Pn,rc(Dn Ct+): Any Cry or Counry lhrh Rturc(. rmr lo.rndMr- Jid.,hlrov.. &rmlLrh d rFr ay
<br />drudurc. rntr k) ir{ 6r!m., lio rcqumr rhc !flnna fin .u.h pcm r' rik a nBeJ mrcmn hr' rE or rh. 6 lctnEd lruts.]rl
<br />h lh. F'v(b.< dl rlE Co.r&ttr r LEn€d t:w rch.pr{ .r, Co,twBh! * h Seri'n ?dtr or Drrn$i .l or rrr BusiEtl .nd
<br />Pn,rcsi,nr C*1.) or rh.r ,r n rrr !\ ci.rin irEdren Dl rlr lqnr nn r,r ,L!.J.kqri,n tu, vri.'bn or S-tr ?0l l.5 l'y .ny
<br />.mh.'nrktraFn iubFarrlr rprh.lhr h . (vd Fndr, ol n frftrhr,rv. hunlnl d{'ll!ri (lsd))
<br />_L !! owkr ol rh. lfi{rny,,, my cr{ .'Fr e(h r.3$ 1. rrFr $k on{E ql$n., l& rlE *rt an rlE {,lfu n n,
<br />d.nj.\l,troffcEJnrqatS(.70,14,AurE(lrlPnrrcsiB(irL:TIF(id,&rr,!116*l**x\nr+plyb.n.*Ero!
<br />rh. l)n)tidy *h' h! .1\ nfurlrlE(h.Nr.,rn wh t}6 ..*h ul* hrmi.l! r h.rkll or rhnNgh hu or h.r own.mal(!ycct.
<br />|ffovildl rh.t !u.h mpn,kmn(d i .r.rdl roll.Rllor sL lt,h)E\T,rhctu h3 or nrn,Km 'ra!\lwnhroftyedor rqrI,hra rlt ()wEr Bu[,Lr * ] h& rlr tr,rLn or F*us thd riorirr Jn R h'! if, rFrE dE F,Fn! n{ r,r FlF,€ol
<br />I.I wxiolrh. fn)tEny. .n c(lunv.ly .onrrar mB *[h l'(nrd conirrtn h).onn r rlr !r)J.Lr ls.r. 7l}+4. BurE(
<br />.Dl hUL(rh CdL: Th. c{,nrh- ntri l,r.r{ L:w &F Bn.fi'ly k' r0$6 of tjn'Fd, wlrl hurus or mP.ov.! rhson.
<br />rnJ *hl onerr ntr \xrh |rteh w(h I Codtutrlt lr.n(d pu6!d k' rlE Ci)f,lrslx'r lroc L!w)
<br />I.n.\.mf,r !nd.r Scdrn-
<br />Drl.. o*nr
<br />WORI(EES' COMPENSATION
<br />DECIISAIIO!
<br />I hcrl'v.llrmun&r Fn y ol Frruy.ft ol rrx l,,ll,* D! d-L..r Dn\:
<br />I ha( lriwrll tumtau . Ccn ilicarc ol fiffcnl 1,, S.lllnsurc lor w.rtcr\'(.mp(nr on.r\ n'ovtrLd turhySc.rNnl7tx)olth.
<br />l:lu Grl..ld tlr frrtomn..lrh. u)d nr *hrh lh. tffn n rru.tl
<br />_lhry.lnlwllnrlnrm*orI.r'.omn(n\a.onhu,r'(c.r\r.qtrnJhvSr(rtrrrTrrl.rrh.lrhor(irl.,r,rrhcn(noM----.ol
<br />rh. wrk ntrwh'.hrlnr Nrn ,\ N\kd My workc^'.o rp.nqroa mturr .(aE$ xrtl linky nun$cra.
<br />-l
<br />ccn y 'h.' r 'h. FrlomL. of rlx wod r( whrh rhF Frnn a F!,hj,I \hrll nn.rqrlllt r"y FR'n 'n.ny lMF
<br />q) r\(' lr<om:xhFd ro rh. u{*6 r.f,tr.eriri l'*s DfcrlrlomH, rnJ !8rc. rhrl rl I th,ul, tE oft tuti i{ttlr
<br />$dcn' cornp.n{.Kr. povllr,nr of serlr 17u} nf rh. L.hr (iiL. I rhrll, lrf,rh*irh . mrly *irh rbs ranv8r,tu
<br />WARNINC F. urc rt, su sntcr' lr)qf,nsir', d'@!c ! qb*tut lrl lrdl !!bi!r s .r9r,Fr ro (llllul FrlB .,rl
<br />L'r'l rtrrs up t, nk hunJr.{l rh)usnl Jolls r!l(,o.lxto r
<br />'n
<br />&[l,rnn n) rh. on ol a,n. dmr.s .r rovrl.d ld ih.
<br />S(rtrtr' n)76 ol ilr,-rhtr(',rn. d.rc( rn,l irrrry'\
<br />!]lt_Lir-!I!.(l!
<br />I lEEhy .flun uBLr lEMUy.! Frrury rh.l I m lKnrn ud.r FrvNitr. of CtuFq 9 ((a,ltnBin! wdh S&t rir 7fi$) of Ditaio. I
<br />uf rrr Burn$ .il PDfdrbnr CuJ...r ftv lrar B n tull lor rn.fial
<br />CONSTRI]C-IION LF\DIIIE GEN{:Y
<br />I h.dry rlrtm trnilcr FndlyorFrrrryrhi rhcE Frd'n(tu.lr)n lcn tos s!.Ny ror rh. Frdlmtuc of rh. w,r* {orvnrhlhnrErm !
<br />rsucn 1S... .r09?. Crv (:.)
<br />l.nj.ir Nrm.
<br />trnJcrr AJ'tc*
<br />-
<br />arfur rlllf,rt f,altar
<br />I llnny rrri'n' unJ.r Iinlhy !'r Ii] ryrtr( orrh. r('llo*trr! d..l , nr\
<br />lInr)l'rr)n P.rnnr\ A\tI(oi N,i'rrarnr l.dcrrl R.ftrlrr(,n\ r I ]. q,. t,rn6r
<br />_R.1rFd rdr., d, t{drtrrJd
<br />_l c.nfy lhr ln ral.El RluLlioB E!!th8 ar&nn l!fr!.I G ml {,plE.bk lo rht ProF'r.
<br />_I 6 f, rhn I hlE dr rh8 !p,t !dE. .n nrrc
<br />'h.r
<br />r,E ftrw 'nrom!jr,. 6.lm'. I llr ro o,ply *nh .ll Cry td Cou y
<br />u"ltr'r(.\,hl srrr. 1.,,*\ rcLn'n8 n' bu'Ll'nr (!i:h.d8 r/hrr( '.pr.\.nr, 'v.\,n rhtr (iryrtul(.rtrry
<br />rh,v. m tr,kJ pn'Irny iir u\F.rx,n
<br />ADI,lic{nr dr ,lEenl Sis.{l
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu lat io n/E ne rqy ,1 ;-)rxvc,t^l<'(l+V 'rwt<rto,
<br />7
<br />,)
<br />Brown Coat i)24',tt4 "1,l/',/brj 6z')
<br />Masonry U
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />D uty Final Report
<br />Engineer Final Report
<br />Flood Zone Certil.
<br />4ura.}h la 'i .,,
<br />UI
<br />FINAL 5h 1.4 ['%)
<br />Certificate of Occu nc
<br />Notes, Remarks, Etc.
<br />Forms/Sleeli Holdowns
<br />Drywall t-,4(,1 Ti:Er:|)/lnt. Lath 4'tnk4 1
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