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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.OWNEA BUILDER DEIT(' NATION
<br />I hdcb, lllm und6 Frulty of Fjury rht I d dan9i 6om rlE Codr..idr' ti6E l.* lor E folbwrg l6)n (Sa70!l5
<br />ti6rd d,J Prot6io. ('o<|.)r &, Cil, or Couoy rhi.h r.qui6 . Fmi to onr d, .ns, inFov., donolah or npln ey
<br />srodr., prio. ro iti B@... lho Equi6 rh. .ppltM' for sh Fmr to 6k . 3is..d rid61 lh:r rE or JE t lkdu.d F $d
<br />ro rl: ForiibN of tlE Conrrldi Li6t d Lw (Cluri6 9, Com*iog *iit SGtion 7000 of Divirion I of lh. B€ind ed -
<br />Prot srcft Codc) d lh hc or !h. t 6.sF tha.foo drd rh. b6! for th. .0.8.d adFhn. Any rhlahr orsd.n 701 I t by uy
<br />.{?licd aor . p<mi $bjctr rlE @li.&l ro ..ivil p n}olml mr.lhE fiv. hult<lrcd dolla (ltoo)
<br />-
<br />l. 6 o*E of rl! FoFry, ot oDbrc wdh $!36 B rhd $L mmFqior EiI {b dr $!|t !n iE nrudG L d,r
<br />ido.tal or ofid.d for el. (Sa.7044, ANind dd PmfdhM Cod.: Tt. (bnltdd'r Lictu I$ &6 Nt tppl,
<br />'o
<br />6 of,c ol
<br />rh. FDFr) * ho hritt c itrqD6 rEE4 .'d u rn dE o.t $qi hielror h6..lf or rhrel8! hn d h6 om oryhyd.
<br />!.ovid.d rn.l &.h inpmffi! e ftn idarh o offrld 6r sL lf, hr6s. tlr hlitli,{ $ itrqD\lEr i 5ld *iltin m }6olftnplril! lh. (xc a{ildd $il hrv. E hrr,aofFori,* rhi ltorCE dt boild or inF.w th. F!Fr} ftJr ilt FEpoc or
<br />l. s osM 6f $r F.Dcrt, M .rcluriv.ly codrr.rins e i h liGEd co rrloE ro co.!ric1 ilE F)j.(1 (s< ro{, B6c
<br />!d AsLsn Cod.: Th.conr.doar Licru tr*d@m' rpplyh mom6of proD<nysho build. or inrirovd rhdo.,
<br />lnd wh. onr*1r fo.3rch FDj.rlr *nh r Co'nrrlo(t) l-dB.d plrud ro rhc('o r.dr'3Li(mr.*)
<br />laa$8Lcaltfiidlarla!pl:oJtaM
<br />I h6.6, lnirn und6 FibliyofFjuryon.ofth. tulosiq dNls.tnr6:
<br />I h.v..xi willmi,rlin.( edifrat.ol( onsr to S.lf-lEu!. aormrkcr com!..r.rio., a For rn for L! S<rFr !700orrh.
<br />lrbo. ('od.. tu rlE Ffo.rffi. of llE *ort lor snkh lt Fnn i isu.!
<br />I h.r..d $ ill Di lir hrtd' conpdB:dFn ie]d.. s r.qun l by Sdid !700 of th. L.bor Codc. to, th. pdlomu. of
<br />rnc wrl tor s,hkfi rhi! Fnn i! ku.d. My wo di onpos.rion 'Buru.. cmid d poli.y nlnbc e
<br />c&id: F
<br />Policy Nusb6:'z
<br />-l
<br />c.niryih.r i. rh. Ffolmnc. of lhc "otk for f,trh thir Fnn is Bruc( I shtll bl @!loy itr, Fr$n in my moF
<br />s s ro b.coo. sbixr to Ewlld @rp6rion lr*! ofcdifod,& od +rcrld ial ltruld heoh. subjct tortt
<br />qorl6' conposrion prcBioB of s.dri l?00 ofrh. t bor Coda I !tdl, lonhrih ond, rnh dE p'lr uba
<br />\IARNINC Frilur. ro guc srrta' .omFqio. o\84. ir unbwlul. &d drll subjd e @plqe lo 6imin.l FEtb 4d
<br />.iil lin6 !p ro oE hubrtol rnouDd (i)lls tlloo.(xlo), in rLjntn io E cor ot odFc.rio.. .hm+6 a Fovid.d [tr 'lEsdi'n :1076 ofrh< Lihtr coda i dded.tl6w
<br />,.'",1t?1dzt-
<br />t K-L:rursri-lllrl-taa
<br />Lll!]-ll!-t-Lt!,f
<br />I My rltm undd !qEi, o I Frury rhi I I li..o..d un6 Fvirion of Ctpr6 9 Goffiins s nh Scrir 7m) oa Divir.. I
<br />ot d! BuilB.!d riltdio6 Co&. dd 6y li.@ u in flll foN dd.lT*t
<br />,-"-*a^* - 3
<br />,,^," ,2./.2/Ze
<br />co$iralJcllo!-lEllaclc[lq
<br />I h6.ty .fim uda Fdrt, ol poiury lhd llEr i . o'ENclion lddhJ .eqcy lor lh. FtorjM.. .ath. wrt tu f,tich thi! Fri ir
<br />isu.n (s6 1097, civ c.).
<br />Al[lllldl.[EgJaallQ!
<br />LEar* 6IInr und6 r,c.!lry ot Dqory o.. oi thc hllosrB d(ltrd ioG:
<br />l).frnnhn PdmnlArh-rd Norific ion r-.dc.l R.sul'rntu(T(lc.t{, Pd!6,
<br />-R.quuld
<br />l,rlq of thifrin.
<br />-l
<br />rdrrr rhd rlE f6r6dl EsuhlFB r.srdilB atsrG rmr .l s. .{'r q?lr.bk b $6 pr.j.<
<br />-l cdrb
<br />'
<br />hd I 16. r..d rha .pplr.li,n rd Irlc lhn dE.trr. info'ndion ..or€r I rgcr.6md,Enhdl( ilyodCodry
<br />G !d hF.by rlrhor;c rcF6a(dn'6 of rfi cnt ! counly lo dls uFn llEordirDnc6 ud Srllc L.\sEhliryr
<br />.bo\. mrhmd FoFd, aor
<br />tppli.rnr or ,redr Si*n.lrh.
<br />/ 4.:/A- /4.//c.s 7z/r:r2a
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall '/^.\
<br />Framing - )2-l Y,\I-\LI
<br />lnsu lation/Energ y U
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />rA
<br />FINAL 2-7-f tt-W1,)
<br />Certificate of Occu n
<br />Notes, Remarks, Elc
<br />COMMENTS
<br />Flood Zone Certif.
<br />I M.rmd und6 SdDn ,B &PC forlh.la5h
<br />D.t. Or.El
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