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BUILDING. INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framrng
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />/n\ydtLx)t1--/1FINAL
<br />Certificate of Occupancy vIJ
<br />Notes, Remarks, Etc.
<br />OWNER BIJII,DEN DEI,TANATloN
<br />I ha.b, .lrm or& Fdry or Fru.y rhr ! m ddpr tlo rlE Cotu&6' l*6r Llr for rrE f.llo*i4 r.en {S€ 701 L5
<br />B$i.s rnd l,.otdion (odc) Any Ciry or cdum, whi.h r.qui6 i Fmn ro onrdd. .h6. imFovo &mlah or ..rtr m,
<br />ntucr@, FM lo n! &le.. .Lo EqlriB llr +pltdt ftr $ch Fnn ro fiL . risn d iroEl lh. lE o. rE ii li.a!.d F,$,r
<br />ro rtr FDri'ioo of 0! Conrr&rdi l-iet d Lr* (ch+rd 9, (nm.n.in! uirh Sdrion 7uD orDivirion I olrh. a6i.o Ed
<br />Profsion! Cod.)orrhn lE or !h. i.rd9r thq.ftoB.d rn b6ir for rlE rlks.d .ranFion Ary fbl{io. of Sdh. '701I ttrey
<br />lppkor for r Fnn $bjdrs rlE rt plr&r lo . ciril Fulr v of er ooc tha li1 . h!.dr.d dolbr (1500)
<br />-1,
<br />6 orG of rh. FlFry. d my.npL,r6 $nh *.s6 6 rh.n rk.omFsiio( *i! & tlE usl &ld dr nrlrlE is mt
<br />irrdr&l or otr6.d fot s.l. (Sc 7044. Bui.d ed PrcrsioB Co&r 'In. Contrdor s l.i.@ ln ilo6 mr .!?ry to 6 orE of
<br />dE FnFry *'ho hil(l d i.+.or€ tna@ !n who &E Eh $ort hirelfo. hatlf or llmush hir m lE ort.dpl,ry6.
<br />Fovidcd th.l $cn impro@i!E mr iilqd.dorofisd to.sl..lt how. dr hildins d (Vr.\qd ir -ld "inn m,r
<br />ofonpLtiotr rlEO*c 8{ililE sil lrrlh.hBldr olForuB !lE(JEdd&1hntl$iiqh\tth.FsFr}6r Ep(irDeof
<br />-1.
<br />sour6 olllt rropdry. mcx.lcivcl, conlrelrs wirh licd.d conhdon b co6ru.l r& proj.rl lsc 70,14. &.!6
<br />dn PDftsnn Co& Tn Conl.rclq r tic.Mt r'&6 mr oolv to D oqns oa rroFny sho b{il&or inprc!6 'h66n.ud uno $dtu1r fir 3uch Foj6r! pnh ! Co 6.10(,lro!.tl puB@r ro ln. Conlncld r Lt.@ lr*)
<br />-l
<br />a dorn urds S<iion rP(1,,h"'"',..,-..-:-.'l ,D\(-r\Jt3 \\ \- \ J tto
<br />^" Jlzll, (l
<br />DI'CI
<br />^RATIONI h6*r rmm u.dn F.ny oa Fjury oE oldE folhwing &.Lrr ioN
<br />,l h.w !d srll dinlrh a C6rifrn.of Coe lo Sdf.l6E tq f,st(r mFrl6i,6 FrviLd lor by Sdion 1700 of$.
<br />L.er C.de fm th. FfolrMc. of th. w for f,tth lh. pqnn i ilru.d
<br />_l h^.,rdtrill@idan wo sr .onFtu lhn iNulm.. B ..qut d by 56l ion 1700 of lh. l,bor Co&, lor th. Ffolru(c ot
<br />rh. @rk aor sni.h rht Fnir i! ie.d My wtd' onFMh. iE!.e Cffi nn poh) .umbd R:
<br />I'oll!., Numhd
<br />-arttr6
<br />_lcd'fylh.linrh.rqformmc.ofth.wortfor(hEhrhkFmnirissu.d.lnEImld4lolDlFe.hrrl6ffi.
<br />s s h h(aE sub6l lo th. unr6 mhFs.liou L*! of Cllif.mi4 od irc rhlt if I druld tE om. shi6t lo lh.
<br />worlqJ comrdelion FovnioE of Sclion ]7m ot lhc L.bor Co&, I .htll. aonh*nh omply wnh r- FDviti,6
<br />n cokr.e. ie unbstul, od 3h!ll $bjd e dnlldrd ro aininal FEllis ed
<br />(tr'l hrs uf b fne hu r.d rh.trrdd do lm.ofll). i. .ddnio. ro rh. cor ot comFlldio( dr{96 6 Fovii.d for rlE
<br />s.(d.1076 ofrh. bt r Cdt . ordd
<br />1 bt-zl- tQ 14)
<br />TECIASAIIO!
<br />I ha.lry rrrm u.d6 p@lry oi Fjlry lhd I dr lic6!.d und6 Fnvlion ot Ch.Fs 9 (onn6'.g snh Sdbn 7O{0) or DrBion l
<br />of rrE BuriB ed PbfBioa C6d.. nd my lke b s tull Lr dd crd
<br />(allla!f,ruN.-L!tsrllclliEdI:r
<br />I ffir aflm urd6 FEhy oa pdjuiy thn th6. t . codtud Fn tndinE .96., foi lh. psfolMc of th. srt tu rnth
<br />'hir Fmir i!
<br />&ru.d Is6.109r, cn. ( )
<br />AIIU(AdI.DE(IJAAIIA!
<br />lhodryatrm uods pqlhy olFjury 6nc ofrh. folbwins d<ldaiions:
<br />Dosohion Pmnr-Altdo! Norilic.lim F.d.nl R.8uhioN (TnE {0, Pdr6)
<br />-Ra+r.d
<br />tddof Ndifrdnn
<br />-l
<br />cdlily rhlr rhc a.dqll cguldoN Egidrg 6b6bi r.m\.1 *. fr, .F0lf,lbk to rh! p.or.l.
<br />I.di$rh,rlha\.r.idrhllryplic.ri,ndnsar.rharrhcahr.,nn)rorrn6lotr(r larrc('comd! ({hlll( ir) rnd(i,u \
<br />r::r:n::,i:,?i :reJ; ff . ;;ffi '
<br />Ilffi :-Hi :";{
<br />*..n*-..,0n4,, {
<br />I
<br />DATE
<br />(ME
<br />T-Bar
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