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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.c OMMENTS OWNIiR IIU!I-DEI' DI'LCARATION
<br />I hcrciy rlriiin trftcr Jf,mlry or Nrjury rh l m cxcnu llom thc aln rrckF Li.enrc Lrw ror rhc folloui.s .ca!.i lsc. 7lr1l I
<br />Bu\in.\s &l Proltsior Codc): Atry Cily nr C.nnry *hi.h r.qtrircs r F.r'ni, t, coD(tucr. rlr.r. inrrcvc. dcnNli\h or rcprn any
<br />iru.rur. Infiro il\ hsumcc. llso.cqunes rhc rpp,i.nnr lnr ru.h tf,iin ro lilc r (i8rcd {dcnrf rhr( h.or shc is li.ctrwl ptr urtrr
<br />k, th. pn,visi{nrs ol rhc C()nr{croil Li(ctrscd tjw (Chnprcr S. Connrncing wirh Sccrion 7flX) of I)i!isi,n .l orrlr Auli.c\\ rnrl
<br />Frdas\ i.n\ Codc) or rhartrDishc i\.rcnr rhcrcLorlndrhehsislorrhc klcdcx. iur Anyviohiir{rofsccrhtr70315hrrtry
<br />rfplicrnrturpcnnir\uhjeckrhcryDliranrro..iilpcrkyol.tnnxmrhnifirrhuiilrcddollan(155(XD
<br />1.,\owicr.frhcpmPcny.orovcntlortc\wilh*rgcsrsrh.nsh.onlrcnsirn)n.Nil]d()th.workrndrh:sh.k'rcnnor
<br />iclctlorofr.rcdr(,\alc(S(701.,1,Brsinc$n{lPFic\sionsCodc:ll[Cotrrrid.isLiccrscl-rwdEsnorolplyroaiowncr.t
<br />rh.lmEny sto huildsor i,rYtntrrs lhc(nr. dnd skr dif,s \Nh sr( htn\rlfor hcselfor ihmrAh his or h.r orncmplol.c\.
<br />fl.vnt.d rhri $ch imDrarcn..h arc mt inrc cdoofic{d ftrek ll ho(rvrr. rhc tdildinE or idprorcftni isv,ldsirhin.tu )r,tr
<br />orron{'hri.tr. rh.Owmr Auikb wil hrvc rh. tnrdcn.fpmving ri h(.rnrc dil nor nuit or i,nlmvc rhc pn)tf,ny ior rh. nuqrR of
<br />l. r\owncr.lrh. lD['cny. amgclu\ivclyconrla.rir8 $irh lic.n*-d conrrdon ro c.n(rucr rhr polccr rScc. 7(Ir,r. Burnc$
<br />xRl Pmlalli'tr Codc lhcCotrrrklrtr rLi.cisc Llw docs nor :lptlyro xno*ncr oiproBny*ho huilds.r nnp i!c\rhcrlotr.
<br />nnd *lb .onr!c( lor such pnrccr\ *nhrconltu ron,li(cnscd Durturnrhrhcc trri.rols Lions. us)
<br />I J'ncr.'nnr ui.18 \t. r
<br />I lrrrhr rfl irr utrJcr rcnillyolJrrjury
<br />lhrvr xlwill r'inrni'r (lnificrrc of(t,n\c r ki Srli ln!rc lin s.rkcn conDtnr i,n,.xs ptuviJcd lnrbySccii{in lTlX)olrh.
<br />L'h,C{xlc- lorlhcpcrlbnurcc ol rhc *u[ i{tr $hichlhc p.nnir B is{rcd.
<br />tlrNorkforqhrhrhisp.rn,irisi\\ucdMysorkcnconrncnurionin\urun.ccatricrffrltnlicyDun,hcrrc:
<br />Ceac.-
<br />l.cnlfyrhd inrhc n 'hnru ccin rh. s.rk lnr shirh rhi\ pcrnrir i\ ls!u.d.I s lltror cnrdoyLy |{r.n inrny mrn cr
<br />so xs ro bcconE sunjccr t, ihc sorkcr compctrsrhoi lnqs ol C rliLnrir. Md derc.lhd if I should trronr luhjc.r trrlf,.
<br />*.rkcs coD|Ensariotr pmvisions oiScclion l7lDofrhc Lr I dvrll. lnnhs(h.. rtlyqirhrhosfrovttr R
<br />\l,\RNIN(;: I'ritLn. r) \.curc qork.rs co p.n\xrirnr \hail \ubicl ir cnrloys ro criminrllxmlrt\ nnd
<br />(nil lnrc\ trp t, onc hrndr.{l rhor\rtrd d(.r .rrnli.n.xri, r. (lrnn!.\ i\ Jno\iL1.rl rnr r[.
<br />I h'.hy rrfiflntnlcr ncnrlryol plrJu.,n{d und.r fiovi(iono, Chrlrcr e lconmcrcine $irh Sc.rion TliO) oll)nisi,rtr ]
<br />ff rh. Bu\i'rc\rr Proris\ions (i c rnd
<br />'nv
<br />I
<br />CAIiIAIqIIUNIXNDING.ACENq
<br />Ihc(bydfln,undcrrcnrkrorpcrluryrhrrrhcrchncon(rurrionhndirgrac.cyl.rll{lcrlarm3nc.olrhc*orkforshichrhi\rqniris
<br />n{rctlrscc r(r97. Civ C )
<br />l.eodcis Nrnr
<br />-
<br />^.ttLtctNLDEct
<br />B^.rIa!
<br />I lrrbtrnlmru cr F-Nlrl oirf,rjury onc or rhc lhlk)wnrr dc.lmr.ns:
<br />Dcomlirii l'rnnih Astrsros Norifi.rrion l,cdcnl Rc8uhri(int ( lirlc 10. Prn6t
<br />Rcqunrd I crlcr.l Norili.nlilr
<br />I ccrrilirhd rlr ,cdcr"l .rlxlxrn)n\ tugrJ r! rsh.(o\ rctrnrrl rrc mrrntlrrnl. h thl\ Irie.r
<br />Ih rhc rbvc i,rfonndiotr n.orccr.lnSra ro c.n{ly Bith rll Ciryond Coutrry
<br />di(,n. dJ horcbynurhorizc rcl)r.*darivc\ oflhi\ Ciryand Counry ro cntd ulDtr dr
<br />*,"oe-16-D
<br />o uq| tA/J, -\ rrrEr.rfz-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framing
<br />lnsqlation/Energy
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It/ason ry
<br />Pool Fence
<br />T-Bar
<br />Handica Re
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL rpllll9la ia'tolPutL t25)4*r. cxJ \^-,L-
<br />Certilicate ol Occu anc
<br />Noles Remarks, Etc
<br />t1
<br />L1
<br />l.rtrdc,'' Ad,lc*
<br />Drywall
<br />Flood Zone Certif.
<br />t/* , *T
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