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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.OWNER BUILDEl, DEI,('ARAI'IOII
<br />I ltrcb, .ftun ui<lcr F hy or Frry lhd I D.r.q{ 6i,m rrE Conrd6' LiiN L* lor rlF ioltr*i.3 rcr$n rS..7(rll I
<br />ausie(r r,rl Pmr.*6. Cod.r An, Ciry or Cou.ry whth rcrtun$ . rEflrir to .1'n(rud- !116, n"rrerc. d.mlnh or Errt xy
<br />$elm. Imr to iF i(o.E, il{ Eqlir6 rh. qirlk r lor rkh Fmn r. fiL ! {SErl ndffr rld ll. o, rtE i. Iid.<n purtid
<br />ro rrr Frviri,ni ofulE Q,nrrld l l.i.n*d L,s lchlpr.r e- Commrcins wiln Sdion ?ux) or Diviqiotr I Dr lhc Blrin.s ud
<br />Pn)lc(nnr Orl.) or
<br />'h.r
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<br />r,tli.:n'ror.Fmnobj.rlsrlE.pt'ltulr{'..ivilp.Mllyor r 'mrc rh.n fiv. hundBl doller ( l:ir0)
<br />-1.a{o*ErofrrEFnFny-({my.nf,k'Fciuirhsr86r!rh.tq'kdr{En\di(,n,*iId'rhcf,ukenilrrtrEl@i!,linrodol or.ncrd li, .k ( s<- 7u4. AnsiE( tr.d Pror.(im C.d. TIE (hnxrrry ! LicEe l,* &B mr {'ply ro orF oi
<br />rlt F{dv *h' hits q intn,6llE$tr rrn *b d* q.h Nrl hims.lrrr hcrrlf o. rhftrulh hk or h.r oen cml'h}€cr,
<br />pn'ridcd rhar rhh inl'DEftdt R mr hr.nd<i m otr rsl fo. {! lr. n*r6. rlE tlrLrrB ii lrlnNrd n T! riho tr !uor$ribri,n. rh. o*Er lloilLr rill IEE rlr tur&n olFrvin8
<br />'hd
<br />lr or {r dii { h{ikl.r iq'mv. rhc,mp.ny r.r r,r |lol,D€ or
<br />L 6 o*ftr oa rr. FoFnr. .m.rclu.iwlr rc rerirt *irh lEned ond6lo.ltrlnrl rlE Flrd (S< r0.A. SBils
<br />.rn AntsirCo& Th. Conrklor'r Lic.nk tr* &r\ mr rtply ro .n osn& of l)n)Fdy sho hxildr or imtmrcr th.rsn.lnd wh. d,niB-rr ft, trh Foj.lt wnh. C..rrFodo lRncd porunr ro rh. Co'r&1( r LiiN L.*r
<br />I.nr.rcmpr uftid SirK,n
<br />l)*r.
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<br />I lu(ht illtrnr url.r trtrrlN or trrrurt nn. ollhr L)llo\rtrrg rl.(lrrrrrnn
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<br />tuvc ml will midlin r Ccnif(dr. or Con*hr k, Sclalnrue i, *orlsa .nmp.nd hn. .s tmvid.d ar, hy Sftr km r7m or rh.
<br />blt (irk. fi, tlr l{rf(4di of llr h.l fr {hih r,E Fmn n nrEn
<br />.il rill Emrlm worl.F'Nqr.di{ aftu'rrc. rnuicd hySdi,..um oIrh.lrlhr Co&
<br />I ehKh'htr Fm' n rru.d Vv so'k!' t. smrn!'hn rn.u, rr. rtrr [n Fn( y nu,*{. m
<br />hvncnta\ 7tuict^
<br />t1,r.,n*,*,,WL9oQ60 l'l -'.,,.' ,'/ - t) / -
<br />I.cdi!rh3rinrtulcra.rnum.olrh.uorin rhNhlhnFrn n n\ucJ.I shlll mr.npby!n,lrrsn inrnynmF
<br />g, .s !' tE$nE suhrr! !o rh. rnt6{ srqx.di,n bf,rorCali(rnir lnl +ft rh2t irl shrld tN'nr {bFr h rlE
<br />sor*.n onnlf,tr\lr ion nmvni()nr .l S.cnon .l l(n.l rhc trhrr Grtc, I rhlll. fonhanh..nfly * hrhEphrsirnr
<br />W nNIN(; raitut b tr. sorl.r' n'riEnurnn o\o.Ec i! u.Llrul. ltn \h.ll suhFr .. cn{'hF lo .nmiul |fBlrlr lRl('vil finc\ utJ h nm htrhdr.rl ihou{trd rlolh^ lSr(rr.(rXl
<br />sdr* ll)76 or rll llhn Gil(. ir .r.n rlr o,E! \Iet
<br />oa.oflIEn{rion. dnmg.s .r Imvd.d for rlt
<br />LICFNSFN COltTTACT(,R
<br />I}ITIISAIION
<br />I rtBhy rmr. undq p.nihy o l perJury lhul I .m lierarl u.dd F* i1i'n of (-hrp'd e (6'mmN!n8 r h S..rbn ?(xur or Dilthn .r
<br />oI thc BuriBr.d Pmr.r(i,N (irk, rn mv lrcnr r in rtll firr mt cfls!
<br />3J3f ss
<br />glluaul:rutlrEunlcri[ll.I
<br />I lrrt', amrm uBLr Fn.lrl ol Frru.r rh{ ilrft i! r $dntlbn bidina rgifty ror rrr FfdffN,)rilE rbrl ror *hih lhi. Fnn h
<br />i(.Ed rsd 1097. civ c )
<br />ATILI(ANLIIEII.AIAI1()!
<br />l rE:lt ilor u .r Fnrhy ol rErrury or ol rlr foll'r nrr dNhhtir .
<br />l)cnxrl(i.n Pcrnnr\ Artf,d.t NoriR.arion li.d.rtrl Rcguhrbnr( liri..l{. Pd6l
<br />-R.quir.d
<br />t ncr or Ndllkrriln
<br />I Nd ily rhar rh. fcn ,al Esukrirni Esadins .!tE(x rcfr,ldl e nrn q,nlicrhlc ro rhn Fn'irr
<br />IcnilythllIhlvcrcrdrhititplir.rion,rld.t €thlrih.itl'vcinrormrir'iirdntriI4rc'oonDl'*nh.llCnyd6u,
<br />rrd,ME.s8rl Sr.ru L^\ EIdiry ht ild nl h(rc6yiurknir. 'cl).r{nrgrirc\ r! rhn Cit rtul Colnry k,.nr( uFrn rh.
<br />rl!n.'rnnnnrll)'L,tirrvrrn .
<br />,\t'pli.mt or /\,lul SirnHrrn
<br />I'um,ilcrhnn*lprinl): E t, /rt.la n Ja ? /to/tf
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sh qathing
<br />Framin g
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Beport
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL /l l,t/l1 m L/tq
<br />Certificatb df Occ ncy
<br />COMMENTS
<br />Set Backs
<br />Shear Wall
<br />Masonry
<br />Notes, Remarks, Etc.
<br />I
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