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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.oWNER AUILDEI DEI,('ARATI('N
<br />I lEEb' erlnm und.r lrdltr,)r Frlury thrt I dn d.ry 6om lhc Co raJi,a l..c.c L.\ for rh. n,lt'*tr! rcrvr lsd mll 5
<br />Bu\ikr ail Pftrr.1*rn CdL) Any C y or Cdud] *tat rcituir\ r Fn( k' $n{Rl. alra. imprrr, &fr,lnh or r.Ft rny
<br />dtutu., Frtr t, [r i31ller, als r.nrmr I lE q{lird fttr skh Frnnr b ilc . ttftrl dar.ftnr rhnr h. or rh. ! lt.nEi ,uru!,
<br />ro rh. pi,!$s,n\ ur rtE conrerois l,ic.n{d l,* (Ouprcr 9. C.hmtu'n8 f,rh Sc.tbn 7(nO ot lJiri\bn I or rh. Burifts lnrl
<br />Pmf.{rionr Codc) .r rhsr lE or .hG iscrcmpr rhdclio and rht hrsis tu ttE!l[8.d crcnurion Anyviolatl)n.tscdi]n?(lJlthyrny
<br />ll]plicrtrr l.()r ! Fcnnil \uhrch I hc aptli.,nr k' ! rivil l.nllry or ml fl$E lhu fivr hu Mrud dollds I!5m,
<br />-l.a\o*rrorrltln,rdy,(trmy.ryk,,rc\*ilh$!sc!r\lh.t{'kGmFnqrk'n,*IllthtlEworlurjrhitulmisdninrci&rl .r otrcrd ri, qk ( s( 7t|+{- Busims md ltofs\hn\ G)dt Trt (i'nrdot l-irnc L!$ df,r fr dy h .n os Er of
<br />ih. F{my $l!' tlikk or iqm6 t tFn lrl wlr, diE *n k'd hrmrll o. h.'sll or rtmxgh hn M h.r or'. crFbye3.
<br />rrolikil rhlr ruh iirftr.mnc e d iddt J,x ofisld n{ qh lt lr,ss. rh. t{ruiry r rtmKftd n s*! e irhin.* Fd
<br />ofotrpLrIn,rrE()*mraoiB.rwlh.EtlEllr.LnorFnm8tldlEorrrtd n trrtlorll4mEthcFtdylitrrhFntDtot
<br />l. .r oww orrh.Ii,Fny. !mcxcbsncly (ontrrri.s *nh liccnkd.ud0.rfi tr, (of,rlrucl rhc pnu.tr ls( 7(}l1. au{fts
<br />and FDfL\{in (1 c lhcConlracrorsLi..h\.l-drdo.rmrdmlrro!nornc.ofPn)rc y *ho hxilds o. nnPmvcs thcB,n.
<br />and rhii (onr'r.Flc'!u.htm,rccrswhJ(i,ik(94!'lKr\cdnd'lutrrrh'rl'ca'n'rr.ntr'\li(n.cld*'
<br />/ r, rpc rntn'''-Gn
<br />,^.. t-,to- 4 -;X .d/%'q//l--
<br />TQf,f,IXS:1])IIIEIjSAIAI
<br />DECIAXAIII.}!
<br />I lEr.ty .flnh !.d., IEelty ol FyJur, oE or rh. nnk,* rE &.ld.rin(
<br />-l
<br />hnv.,il silltunrrna C.nifK.lc ol (\'.*nl t, S.ll ln\nrc for workdr (inP.n{ i,,n..s pmvidcd fd byS(rftn l7(Irofrh.
<br />L!t-r Gxle. linrhr Frrrnu.(orrhe work tur shih lhc lrrmn n isshd
<br />Ih.rcrklwillmrinriinworkcrrco,qxn$ri',nin\orsd-c,,srcrtuRdhyS..lion.r7(x)otrhct srCdlc. hr lhc tEnnurc.or
<br />rh. $'trk for ahrh rhn Ennil is irqEl My*orkda n,tr\rndn,n iniur!fr-. urs dld F liy nunb(r m
<br />l..nrlt rhrr 1n rir tErlornum.ol lh( \ort l(tr $htrhrhA It nir i\ rsuql.l \hrllnor rtr\,lotan, n ^utr rnJnl fl'rn'tr
<br />sr\n,tr.nr\rhFrr,l)r$oAcifcoirrFnixrtr litr'oi(rlifinnr- rnJ r[r( rhrr rfI \hould t]cc{rnt \unraI n'itr
<br />sorkcn ronll'rn\rrtrrpn,v'\i,)trsofSc.ti(nr.lllx)olrltrInnnOrlc-InHll.l,trrhsIh.' Plywilhrh,spr\i\otr\
<br />WARNIN(; l-ilurr [' sur. \'orkcr'.otr,txt\rri,n, (,rrrr3. i\ tthwltl.lt.|\hrll{rhrcr rn 'drycr r'.n tMl[rmllic\ rnd
<br />ciril fttr\ ut' n, rn. huidrcd rhoulurl ,lol[^in dir(ni !, rlr (!\r ol ..nlntf.Jrntr,. Ji !r(.i.,'r^i c lorrhc
<br />sdiln ll)76 orrh.lrh r''rL inrsdrnd{ (
<br />rhr.: t/ -AO. / (
<br />^odn -!l?z-t^r.<--
<br />I lErby uafi,n unls Fdlry or Frjury rhd I rn litn<n uftlc. FoYrioi or(ialtd 0 k\nrmmin8 eirh SNr,n Trxn) orDrvi\ion I
<br />of rhc Bu.im$ukl Pn,tc\i.nr Codc, sil nry lacn{ F D full l.trra cfi(r
<br />g8lilallfll)NLENDlliG-ac&llI
<br />I lEEb, lrrn unLr F,uhy of Frrrry ihr rh.r. n ! $nielDn I'rlu3 rs.tut ri, rrx Ffo.nlN.rrlt *d tu *hxh rh6lsnn 6
<br />is!tr dtsN :l(t)r. (lv c.r
<br />AITLTCANLIIECLABTUA!
<br />I lEtlryrrmrurkr rtnr[y of rrriur].x oarh.l,nk,w'ni ll(l arsn!
<br />D.m)| i,. P.rn a Ashr\kr rlorirE.rhn tucnl R.rubr imr lTnk .r0. Pd6r
<br />Rcquftd lJn.r ofM{lrr_dm
<br />ro'r$r lrgNri.otrrt,lv$ih.L!Lr'nyrrl(in ly
<br />.trr\rtrtr.. ol rl,i\ (\ry rn(l( oinrv !, rtro nFii rlI
<br />D"i;\ r'LO' / g
<br />_l.cnilyrhtrr r,{ rialcrrl Egoldionl E8dlnrS u\hcno\ rrn$vrlaE noi lllrl
<br />_lccnil.v rhrr I hr\.rci rhn.ptli.rri.nuxl\ltrt( rhr rh.uh,k inlniirftrrt i\
<br />,r'linrn.. dnJ \r, r I n{. rbr'np ro hrrlhry n{nnL rn . rrl h.x h) Ju'h{/r r
<br />Jhrc.{Frr,ftrl nn'|<n) Ltr 'n\Firrn purF,{\/
<br />rpprior or eror srmrur!. ./ . ,C<r'f| U&/A_-
<br />",-,*-^.,o^^,, L' Df q V.ztfrl|L
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVenUlnsulation
<br />Roof Sheathinq Z/z///tr xt{a
<br />Shear Wall
<br />Framinq
<br />ln s u lation/E ne rqy
<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 />Enqineer Final Report
<br />Flood Zone Certif
<br />I
<br />FINAL ?)zd/t{.zfl.+t-
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc.
<br />COMMENTS
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