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BUILDING. INSPECTOR RECORD
<br />SITE-WORK COMMENTS OWNER BUILDER DETANATION
<br />I hd.tr .frm undd pcuhy of ,6rurv rh! I h .rdnpr fism fi. Codr*lo6 ljc@ lrs for llr lollown3 ,@n lS€ 70.\ l 5
<br />Uur'nN rlxl Prcfsio. Co<lc) An) ( iv or ( oudy uhrh r.q!i6 . Fnd rd cohntu.l, !lrd, oFn\( J.rmliih or Epdr u)
<br />{tudu4 Fsr6 iB iw.,.L Grtutrd rh. @lrer n sh pdm' lo 6k.srsEn e.ffir
<br />'hd
<br />Lorsn altdEd puBltr
<br />ro ih. FoEnB orrE Conrrld'. l-(or<d |rs ((lugs 9, Comdi.! $hh s.di.n 7u)o of DrvBsn ! oath. BGins !.d
<br />PmG.ri,N Co.t ) or thd lE ( dE ir.rmB thd.6om ai rh bGir tu tlE ltke.d ddFbi Any rrLthnorsdrn 70ll t h, &)
<br />.rr[(er for . FDr sbdB 'h. .mlrcd h !.i! ilt{ h) .l mr mr. rhd fiv. hurdGl &116l!too)./^ t\411. s n"Bolrh.p.rpdr,,orm) mplo)6 * htr.a6BllEFlconp.Mion."ildrrh.*dtdndErMEisr$l
<br />ddxj.d or ofid.d aor eL (58.70.14, BNind rd PmadrN cod.: Tn. Co rdorr I i.re l.w d6 mt apply to e o$nd of
<br />rh! FoFr) wi. hi ds o. nnF,tB lhEE.. !d *lr' dE *h *!tl hiNlf or h.rkll.r thoulh hr or hd ow. mp6r6.
<br />povi'i.{ rhar s8h imF.ldF1s e ml idcrldl or olldE] for $L ll ho$dE. lh hriklin* or inpi'v.lMl i. $ld *irhin on rd
<br />or..nq,ld{n rre O*no &ril<la will h.k rlE h,Lh of Euvins lhi h. or sh. did d hriL.l ot imarcrc fi. Flpsly for llE purrE* or
<br />l. a o*n6 oarh. F.Fiy. m crcl(iv.ly conr.d ins *nh li.c!.d conr.do6 to co^(rud
<br />'lE Eor.d (56 ?044. U6rd
<br />un hlkih Co&:'rhc Cooto.roar l.icdr.lrw doB mr !!plyro o osn6 orFopdy vh6 b!ildt.r imp$d ri66n.
<br />ud *ho sdd3lor ffh Fojals *nfi . (i,dtuo(3) lioBal lh6d to rhc Codrdoi! l-icG l.*)
<br />I m .rm!, 6dd Sdion
<br />l".,.,*'Zta-rl
<br />,A &Pc for$brdnY-"- WL.-
<br />' $oRiFf,s' c4ntPENsaTtor
<br />DES.rIAAIIA!
<br />I hd-rr .mm u.d.r Funt ol Fjq^ om oa !h. folk,tr ins &<ladioc
<br />I h,vc &d w,ll roido. ( d,a(d.of ( o.9r h s.lr l@. ror *od6'rcmFMn,n. a Foril.d fo. by Sction l?Llo oalh.
<br />l.t{r ('od.. ru th. Ff()t]@c. o arh. *nrl fo, u hich thc pqnn b isudl
<br />I h*. anJ $ ill nai.tain worl6' cotrrp.Mt i,,n iNur.f,c.. f,r ratut d by Sd nrn 1700 of th. I rhr Cod.. lor lhc pdfomdc. oa
<br />lhr work aor whi(h lhi. pmit i! isRl. My worl6- .omr. l'on iBuMcc cMi6 ond policy nuEbs E.:
<br />Poli.rNonb€: [rpn6
<br />/A! ,a,ry rd,r * t* wrolrlm. .r rh. q nd rm s hxh rh6 Fsn E Bu.d. r slu mr mproy rn) p6s. h o) Itlaffi
<br />r * b t eft $biar ro llE *!rld onF aFr Lq't of (llifomi& u'd rsr rhd 'fhlbuld h6oG ehrd ro dE
<br />*!rld' oBFslion F$n66 ols<ibn r7m of rL l.h, co&- I JdL ffih*irh Mmpry $nh rt.r F!\irbB.
<br />I,IARNINC: F.iiE b sw eul6' shpdetu. o\f,!. i! u!f,tu1 .d ilull $bFl u snpbF ro oi,nird FEri6 t d
<br />$il finB up ro oE hu&cd lhor8j &116 (tloo,fiFl. in ddnio. ro rh. .6i 6l.6mFqi'o( &nus6 6 Fo!'d.d fo. th.
<br />Sarhn 1076 oflh. L.!o. Co&. hr66l ddt'rEy s rG Ar-{L,-'v,.,.-Ltt - 11
<br />U(LN!II1!I!IA ClQ{
<br />Dt( l_1t!\'fl()fi
<br />I hctylmnn unia F,lrly o f Frury rhd I @ li.drql undd rrovBion of ( h.,ls I ((o'n rtriqr knh sdion T()qJ) of Divb'on l
<br />or lhc UlsinBs ud Prclsn N C.dc. dd 'ny li(s. is in tullaorftadclItl.
<br />(aNIAlJlfIqTIETDllGIGEtr(}
<br />I hdlry dIm un& FrXy ot F}I, lh, lnd! i! . slen(lbn bdos ,ea, for rh. Ffolle. ol rlE sorl lor $hat lhi Fm, ir
<br />ia$.d (sc. 1097. cir c )
<br />ladd r Ad&s:
<br />AIIIICANTDECIdSAIIA!
<br />I I'ddy .fm undd !6aXy of Fjury oG oflh. lollowirs d.cbrdion:
<br />DmDlilh. Pmns-Asbelor Nolificllion F.d6al R.8uhtioB lTnk 40, Pe16)
<br />R.quir.d Liltq of Ndi6dion
<br />I cd it rhi dE fcdEd Esuhriod rardiry utctoi raovll s. mr @pli.bL ro rhir pljocr
<br />t1_l.dr6rh,Ihe.Edrh!@plrdhnrnrd.rh,rlE.t t.rfotuhni!cotrd l .$a ro omply wirh lll Cn) &d Co@ry
<br />ffi!:lrc id SE. t,q Elr
<br />"B
<br />ro tuld'n8 codM btr rn h6.t'y .urhriu rqBarriy6 o t rh! C'ry .nd Coudy to otd uF. tlE
<br />.lii\. 6ri.n d Fopd! fd nBFdb.
<br />(Aprlk.nr or ,rs6t siEdrur.
<br />, PtmnF Mme {prino:
<br />A'"k I L4' t't
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVlnsulation
<br />Roof Sheathin s
<br />Shear Wall
<br />Framing
<br />ln sulation/E nerg y
<br />D rylva ll
<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 v/)0 /)R twt'4t
<br />Certificate of Occu nc
<br />Notes, Remarks, Etc
<br />Y
<br />DATE ID/SIG.
<br />SLAB Floor
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