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.BUI[-DING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEi BUILD'i DETT^RATION
<br />I lEr€h, .mrm rndd Fnnhy oln rllry thd I dr akhP from rh. conrachu Lic.M llw for rhc folloqinr rcMr tss.?oll ,
<br />Bdin6r nJ P,ol6ior (.d.) An) Cdy or (i)udy *tich r.quc ' Fmi ro edtud, .116, 'nFor., &riFl.h or i(F, o!
<br />slrucrui Frtr ro il] Nudcq .Ia, r6]!n6 rh. qDlicd f.r such pqnr ro lilc a s'sn.! i.tm.rn rnrl lE or trhc n hc<EJ Fudu n
<br />lo rh. rhriiirB of r& Co arofi Li.ar.d Lt* (Ch.fl- 9. Comdcin! *nn sdion TuJO of Dnision I ofrh€ lrcr.s.nd
<br />Prof*rnr cqr.)o. rh{ lEor sh. aaoF rho.frD6 ud rh. tBi! for rhc.lkr.dnotriof, Any\olarionofs.drnT0rl tb rn}
<br />rtplicd for . I'6nil iubj6l! 'h. al'plicmr lo r .ivil Fuht o f n mor. rhs fi\. hlnrlr.d dolld (1t00)
<br />l, B osnd oathc For-ry. or oy .mplot6 snh w!{6 d $.n sk cohpoalrioi, triU do lh. ud( d'd th. nME L nor
<br />iddrldj oroltard fo. sLlsa.Tort. BBin6 xd Prol6ioB (ol. llE Codr(d ! li@ l,q'dEmt 4'plyto eorE or
<br />rh. proFr, who b{'ld or inlF!€ trEalr ,rl " tn (tE sh srt hnE.laor h*lt or rhmu8h hn d lE oM dptD c,
<br />Forilcd lluhuch iDDrlvoEB e ml hrai.d or ofiqd as sl. lf, lFsda, E hlildlu or itrs.ott'mr ir $U sirhio o.. \@
<br />of@trpldiE rlE O.c thildd $ill hlE EhrddrofF\rBthrlEo.iEdidNblildorltpo\!trF!ra)n'riLFrFEof
<br />l. dou16oflh. Fopsly. a€rclurv.l, codRli.8 *nh h(dB.d.onlreloB lo mnnrud lh. FmF (Sd 7olr,l\6'.8
<br />.Id l"lltslir cod. Ih.('ontrld ! Lic6.Lr*d6d.or rrplr"ro Mo*nd oapro,Enyrn buil.L or imp.ov6lhs@n.
<br />dd *hd $'!'tr3 td sh Fr.rrs rnh. CoirEront) lf,dE d pu^Ei ro rlk (ndrf.i! Lklr tr$)
<br />,,,|)/ffi'l
<br />I h-chr amrinund.r tEslt) oft JU'r- oncolrh.folloNng
<br />Ihav.ad willmdi ain . ( cn ilicale of (-oMr io S.lf- IBur. for sork6 (ompatnlion. er pr.v'd.dforbyS(ltun1700ofrh.
<br />tihlr co&, lur $. Ffo,rjje. of rlE *dt lor $ hKh rhr Ff, 6 isu.<t
<br />I havc and *ill @intlin q orLd cohrEeln,n ,Numc. a Equr.d by s(to. 1700 of rh. bh.r (ir.L. Lr rh. Faomlm. of
<br />lh! *!rt aor * h{h lha Fm( it c.Ed M} } orld comtE5d ion idurffi. .ei.r &t !.lr) nuBbn &.
<br />Ic.nit th.l ir lh. pdlumecc ofth.vort for which this Frnrir is i!su.d,I rhlll oor dpn)y any p.rson
<br />'n
<br />dy 6 6
<br />e a ro tr.6G subj€r ro rh. *!116' ooFadnn hr! otcrl,Iom'a rnd r{B lh, il I druld hd.c ebF
<br />'o 'lE*odd' .onFeiin p1ovn66 of sdi'n 1700ofrh. llt r(ixl.l.hrll. fodh*nhomdy rnhrh.rPlorilioB.
<br />WARNINO hil@ to su.90116' compaldlhn $v@s. it uhRfll. ed shdl rubjel u dplnF lo snniol rdbt6 ed
<br />cnn fiE up ro oE hu'drqj thr!$nd drllc (tlm,(r ), in .dd(nn h '7d nr rcr,FEdFn. &,us6 a Fo,dal ru, ,rF
<br />ilza,/lhc I jbor(ixje inrrGr d arronq-- s 16.K
<br />"cyn:sFflaifrRAaroa C-lpEcldnoN
<br />l(FB.d unddqf,,,6n,i ,,f ch,nrd a l ! mmd('nB urh Sclsn _()rrD ol I)rE'.n r
<br />licG n h tuu ntre ed.IT6l
<br />t hftt y amnn undd ,c..lry of pdJury rhd Im
<br />oa rh. B{!lE rnd ,ilr*rN ( o!.. lri m)
<br />SOIIIBI]IIIO&I.EdIIIG-AGEN(I
<br />t hglb) lmm urd6 FElly ot pqjlry lhd lh* E !.oBruclnn L'dns !s*, for lh. Ffol]1@. of rh.snk for *hkhrhs pdhd 6
<br />isual(sd 1097, ( i! c.)
<br />l -nto i Nmc
<br />ATTII(AtrLIIIiCTJSAIIA!
<br />I hd!b, rn'm udd pdrlt of p.rju, r. oN of rh. nnb*inr &< lEdiotu:
<br />l)s.ohro Pmirs.&b6lor Nolificdion l.ns.l R.auhta6 ( I (1. ,10. Psr6l
<br />_ R..tun.n L.{q ot Nolrlicarioo
<br />I ..nify rhd rlE fald.l rcauldrNB rcaardinr at sks ,mor dl -. or rppli.,bl.n, rhir p.(id
<br />l.6rrt rhd I h$c @d rha !firlNlihn,rl yd. rld E.otrd laarehcompl) * hrll( 'r) and(i,unrr
<br />rqr6ehnvd olrhiLi (
<br />'ryad
<br />(i)u.ry k, mr6 up.n rh.ordmlnc6 aml Stltc !rss rchlrry l(' hu'ld'ng coNlft.l
<br />.tor. ,mlioo.n FoFn, i|NFI
<br />,\pplic.nl or ,ltsl \ltnrlur(
<br />l'.m ll cc n{nr ( prn'l):
<br />z/z/:z vd
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing //.1/-/s'//.3-1..'H)
<br />ln su lation/E ne rgy
<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 />Flood Zone Certif
<br />FINAL 7, ?L-/9 ,/,/z{,h (q/
<br />Certificate of Occu pancy
<br />Ao
<br />Forms/Steel/Holdowns
<br />I
<br />II
<br />I
<br />I I
<br />II
<br />I
<br />l
<br />II
<br />Notes, Remarks, Elc.
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