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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWIIET EUILDTN DPICAI IION
<br />I hftny ro't urLr Frty of F rJry lh.l I m .rryt 6on llr Codrdm tsrc L.r for llE followirS E.$n (S( 1)ll 5
<br />8uri6s .nd Pr.tNa'. Cod.): An, Cary or Cdny whih Etui6 ! Fn ro $nrnxr. dr6. i,tEr. &mlnh r EFir uy
<br />nBlE, Fi, r. ir. isllm. .lo E+iB rlE rprlrur for rh Fmn ro nk. titrn {d.irrll thn L q ilE i liBsn poM.rr
<br />ro rli rsvilioG 6f tlE CdlrElG ! Liu.d t w (ctrprd 9, ColimEinS snh S..rbn ,(IIr ol Division I of in Buims ud
<br />Pn,r.riirnr Cod.) or rni l.E d rh. n cr.ry,r rlErdiom rn rlE lEsii for llE .lLS.d .rcf,prhn Any vi.rhnofs.crior?01I J hr.ry
<br />rrplt for . Fmn iu[j.!ls lh r0plk.n' ro . .ivil |).Et, of mr mE rhln fiv. ludrcd dhu,r (ltm).
<br />l, !\ o*ftr o, rh. F,rrny, or m, .mpk,r!c\ *irh *!sc! rs rlEn $t conlF trsti)n. lill do r& r'nrt ad ttr $uim ir ft
<br />inrc'xLJ or ollcr.'l tuelc(Se.7(x-t. au\ik( lnd t'nni$n,ns Cd. Thc Grir doir l-i..trr ll*do$ n.t,r yt,,nuwn.r.l
<br />rh. lr,IEdy wh' tuildr or inlrt,B rlrF)n. n l who d,rs seh work hnnscll or h.r(11 or rhn'oth hi\ or hcr oqd .nDk,rc.i.
<br />l]ovrtd rhxr so.h nnJr.km \N inr. .rlurolti,rd rr, slc lt h*c{r. rtr h'ilt.*q itrFEm hsldwirtrnnm}!r
<br />nlcormtlnn.ltE O*mr Auibs *illhlE tlr t{^Ln ofln*lng rtu lt or rh. dd hntl nr lqro\t rtr F,Fry frtr rh.IorF'rof
<br />l. r o*er orrlr F.rErr. u.rcbrirl, oirdinr wth lr.n$d coddm !, onrd rl! r,trFd (Se. 7o{.. Aurms!n h!C<!in Cd. TIE Conrrro, r Li...- br &fi mr t,?ly ro,( o*rr oa tftFn,,ho huild! or i,lp6E3 th.id,n,
<br />..xl erh o'Ir-rr tq *t Fotcr! *in r Co dlonlr lienEd Frsu,r hrlE (tdraa r Lirtr* Lt,)
<br />I !mcr.'npr uftl.r Sarion-
<br />lrrr?
<br />IA&i}:&!(AUIE!,I'I-UAi
<br />l)!.Ll trllQti
<br />I li.,fht rrtrnr r (r., I].f ,Ltry.l tr[trt rN nl lhr n,tkN ! rt..]trfurintr
<br />-
<br />I hrv. url will minlsin ! C.nirEarc or C,n€n! l(' S.lf.ln$rc ror *ork.6' &qx6rdr ion. dr pnivid.d lor by S.clion l7(x) dl rrf,
<br />ljhn (ik. n, rh. Frforltlr. ol rlE Mrk ld *hi.h rlE lrmi! k nsucd
<br />I h!ra tr'rj *,llnuinrain workcr! .onrFn.!rx'n rn\ur
<br />,."., a// L/. 6., r.<
<br />rrEc- .t EquiEA by Ssli,n :t7lI) ol llt ljt r Cql. for rlt Frlm ol
<br />,t!.nrri,n itlrl,lur crar rn lblry nlnh.r ft:
<br />lccnify lhd rn rlE pcrfornure trrlr *o.l ktr whah rhir Frdn k nrucd. I r ,y rnt Frw,n 'n
<br />4., Dr[x,
<br />$orlrn .o r|rtr\lri,nr lm)vtri,'n\ ol s.rri{n'.171x)olrhc l]htr c ic
<br />NAkNlNlj l.r,lLne ri *.curc tro'kd\ r, 't)(tr\.i ,tr' .o\.'r)r( n
<br />( tr'l rl r\ up kr o r hutrth(l rhotr\rtrrl (rol.tr\ rlrrr,.rtrri 0 [l
<br />nrhlir rtr.nrdulcr t. rnninrl Ftrrlrf,\ rnr
<br />i0n. .hros* rr poillcd n, rlt
<br />sc(r(r lor(, or rhr lrh,Gilf. i, crrn JklJfttr,ry
<br />'7 - rd'r 1
<br />DECIIa^IIO!
<br />I lEEl'y .lfrn ud6 Fnrlry of Fr|try rhi I .n l6n:d !ri.r Fovbbn of Ch.F€ 9 i lr,llmrrE *nh Sd itn 7(XD, .f On B.n l
<br />ol E Alrirs rrn Pr!16!bni GtL..rn nry la.n* i: in tull for( in.
<br />f2q
<br />",,,"
<br />'2- to-t 4
<br />c{rNsTIlrcfl ()N LENDIT{ti,\(:n_\ct
<br />Ihrrcbt rl&.rtnd.r IE.aht ol lErjury rhrr rrrn ir r co.{Mli'n kndiry a8cry Lr rh. p<rnrnur. ol rhr *o r(trrhihrhrFrnnr i\
<br />i!\udl rsd :l{r'7 ( iv C r
<br />ATIIIIANIDIiCIJAAI1a!
<br />llm.ti) fmrodcr pcnalryofrrrury orc olrrE n'U{,rin3 d(Urarhns
<br />lkm,liii,n Pcnnih AclEslo< Norirf,uliu l..ncr!l Rcrubri.n\ ( |nlc.l0. Pan6)
<br />R.quncd ltrr.r ni Noriricorion
<br />I(r'r,lyrl rrhcliJ.alr+olrr(,n\'.!r',1n,!r\lr!,\r.nhrrlJrc i r|d'.nnr n, rh^ f',,r..r
<br />rh*c inlorrorrn N.orr.r lnSrNn'.or{,1}*irhnllCirr_rrri(-,runry
<br />hcEby rur lnnr. rcr.<dri'vt\ oIrhtr Crr rni Cou,r(yt,.nrs ulr$rh.o(l'tumt\ rtul Srrt I j*s rclarin8 r, $dild'n
<br />atrft rnrr)Rrl pDlEny for in\rEd!n
<br />,\ppli.rnr or 'ls.nl SiAmlu
<br />,r,z/., k "-/o-/l
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/Vent/l nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framin s
<br />lnsulation/Energy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Qeputy Final Report
<br />Engineer Final Report
<br />FINAL E-26-l\tltl
<br />Certilicate of Occu pancy
<br />Notes, Remarks Etc
<br />Set Backs
<br />UFER Ground
<br />Flood Zone Certil.
<br />x^L
<br />,',,,".,*, P?KlltfLl-'1,.,,,,,., S-'/-/a
<br />!i n\rih..onr\uhJr.rhihc{o,k.,\.rnrltn\rri,{r[,*\ot(.rlil.rnin.
<br />..**"* K-
<br />t nd.rl Add,El
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