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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS (,\ Nl:t' AUILDI:F DEII'ARATloN
<br />I h(d, rlltrm ondd pcnahr of lquo lha I o dmr, &nd lh. (bd.do6 tEff l,u' tu llE folhum! rdn {Sd r0ll J
<br />Itu'.6s atrl frofsn'n Cod.): Any ( r, or ( ou.ry which rqlutB . Fnh to .lnsrrucl. ahc. improlc, d.,mll!n or r.IBtr y .
<br />nru.1uc Fnr to
<br />"r
<br />sffi., .to r.qun6 rh. rpplad lor 5!(h Fn ro fik ! $sn d (dmr !h! lE or slE 6 I'.q6.d ,'Jll]d
<br />ro th. ForiroB of rtE Co.rrarois l-rc.*i lr* (ch!fln 9. (imftrn3 $trh Salrtr 7000 of DivBion I ot lh< Bus'n* lnd .
<br />ProLsioN (id.) or rhd hcdr$. i!.\anpt lhd.liom Md lh. b6n 6r lhc all.s."l .r@trion Any lioldthn ol Sa1$n ?01 I 5 by tnv
<br />.rpltrd t r r Fmi ebJdIlE ipgl{tt{ b ! ov rEuh y or R{ mr. rho fi\. huo.t.d &,lldr ( tSoO)
<br />L s o*n6 olthc FFly, or mr .mtiolE w'th *'rr.6 s lhlr $L ..mpoui{tr will do llt tst Ed It sM@ b mr
<br />iddrldl or ofidd ld rlc {Sa.70.1.1, ttBlB 6d Prnf6ioG ( o&: Tn (tdrdm r Lrc& L* ds d +ply h s o*F of
<br />ih. FsFry who hrild or inp..!6 tnoEtr ed sno d(E uh *\,* hi6.lt or h@lf or rhNoBh his or ns o*t mpkry6.
<br />Fovid.d rhd sch mFlrq]ut c Ln idod.d orolTsd 6rr eL lf. k,tr68 tlE tlillitB or it{rolaEl it eld *irhn om \d
<br />olconpkia rlE o'rM &rlb *ill ,!v. lh. Ulrb or Fott t d h tr rlE dn d toiH m rFow tlE FDFry 6{ ttE F Fror
<br />L s osffi.arh. p.nFt', s dclutrcll coirBling enh lkcaGt.odrd6 r..onrrud tlE FoF (s( 7olr, fiGtrB
<br />and I'FEis.n ( odc 'I h. Contldoi! l-icru l-rw do6 not .pply to u ou'n6 ot rrop.n y *ho buildt or imPror6 lh6on,
<br />sd . offi! for such FojEt! wnh . Co rrrorlr) ltdEcl plB@r ro in ( onlrdois Lt@ Lr$ )
<br />I m.r.mrl und6 S6lion
<br />l!!8lg:Bl:lltlltllrarlax
<br />DESIAAIIII!
<br />I lEq{ .rrm u.&. pcEh} oa psi6 or or rh. folh$ int &.l,dio6:
<br />I h6r.Md*illmi rin tr (-6liaur. olConhl to s.ll'lM. ror *otl6' .ompcMnrc 6 Frr'(H tor by Scri,,n l?fir of rh.
<br />t hx C.d.. f tn Ff(ffi. of llE soit for qhth llE Fnn . i$.d
<br />1h.1.&d*illh.inldn *ortB .omtEMrir'n iNu.k.. s Fqui,qj bt Sdlx,n 37&oflh. t h.r Codc, for lh. Ffom"c. oa
<br />rh. uorl tc $hrh $i' FFn n isld My *0116 conFdsn iMk. (ffi &d rirlry.mh.r i.
<br />7'-'' EfftiL FM^"D
<br />(,-,"-,- qlotzr4 slt,,j,l
<br />I cdif, thd itr rlE !.rforM. orlft. worl lor *h.h Ot Fhn is i$.d. I {rll ml dplo} !n, F$n n !, ndE
<br />e &r ro bdom. lubj<r ro rh. *orke comp<B n'n lls of C.lin'mit, dd isre thal if I 3n oh h.coEc suhrtl ro lh.
<br />{o d mmFdhnF.VLKBofs.clh! 1r@of llE hbor ( odc l !h.ll fonfi*ilh @ndy wirr lho* FlritioN.
<br />wARNINC fntu. h su. *ql6 omFdion av@g. i! unlrsfuL ad 3ldl sbFr @ 6pbrs h qinml Frl6 eri
<br />ro on. hondr.,l lhousand dollats (1100.0fi0. h tuldnion t) rhc .. of ( ,p.Bd()n, datrhN.s as Uo\id(d ln' rht
<br />CqL- inrdd xd drolmjs '%*\
<br />X-"'t7
<br />rr( ll*5ur ( urr Rr('r(,RvDE(',r \Rt I rO\
<br />, hcr$, amm u.d6 r.6alty.r pdjury rhd I m [cdlal undd F.vision ofChaPlq 9 (cohmmcinS sith S6li'.70uo) oforGro. ]
<br />oa rh< BBtrB !i lmfBi.c Co<L. !d ny l(.B B r tuU roB.,rj.fld
<br />/""*".o* (-.\n
<br />K,* -tbltl bi&fio
<br />-*-o-, J[ae Ea|JFLMQ tr*.,,72,q
<br />coxttf,uclI0!1,!!!t!ci(i[!(f
<br />I h€lby arrm u.& FEly .l parury lha lhft n a @Nru.lb. lalding +tr, Io. lh. pafolloc. oarlE *ort lor stich lhn Fmi, i!
<br />isuql (S< 1097.C'Y C )Ls'idi NM.
<br />AITII(ANLDESASAIIAN
<br />I hdd, anim r.dd F.dlty of Fju r- orc or lh. folb*os &.ldt! ions:
<br />L)cBnnion tmneA3tEroe Norifi.4ion lclarl RquLrioB (1 i1. 40. Par6)
<br />R.quFrj l.nd ol t{o!fi.dnn
<br />I Grifr rhd ltE f.d6d r.*ukl!B rcsardhs 6t6!dr romr.le. nor 4'gltabk lo rh! ln.F
<br />I cdiirhd I nar. @d lhs !$li.!rion d. lh, fi ..bo\. inaon dion is NBr l 6Bre ro compll q ilh lll Ciry..d aoonl!
<br />ord'.d6 aftl sldc l.* 3 r.ldi* ro hirl(li ( !d lEcby surbrn. EF.sdn 6 of rtu ( il y ad CouU ro 6ta q$n iE
<br />ntr!. nErion J prcpdy fo! inspcclio./*Af^opuonr o. ,\ror shutuE
<br />Io-,0--..,rn,,, ?ult, vr kzL1r1-L
<br />t lttf o
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall I
<br />Framing //tr /rt
<br />ln sulation/E ne rg y
<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
<br />Certificate of Occu n
<br />Notes, Remarks, Etc
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<br />Subf loor/VenUl nsulation
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<br />tY-21-t1
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