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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS orxN ER B! ,Dr:X DE|_(-A i T|ON
<br />I hd.b .mrm undd td,h, o f Fjnry lhd I m .r@rrr rrom lh. Codrdo6 Lkd. h$ lor rh. followtrU r.Mn ( S( 701 1 s
<br />lrusin6! 3*l Prcfdi.n Cod.)r ,{ny ( iry or County *fiich r.qoir6 r tEftir lo conntud. th6. imp.ov€. &ioli5h or rqsn ey
<br />srruduq Fior to irJ Ls!e(.. lbo r.qut6 rlE qplicd for $.h Emi nr frk a lBn d xdmr rhd h. or !h. ! li.4rd lntusr
<br />ro rh. Fn!6bB ol r ('.nt*rc-s Licdrn L.s (chrF6 e, coMftr.3 *nh Sdrn 7000 of Dnsi,n I orrh. Bu!6t rnd
<br />Pr!f*on! Cod.)or lhr lE s rE is c!mp( ll'q.&om ud tn b6t [or th..lks.d doFn An, \iohnnofsdb.70ll ! ht tn,
<br />,pphc!.r ior ! rrn subJdr3rh. rFpli.lnl ro rcivilpmhyofnor mor.rhd fivc hu.drcd &rlld (St00 )
<br />'l..rn{ffinfrhcrmrEd}.orm}mnlo6trnhs.*6srnnsko'rp.Gdion."ill&,llE$qtsdllt!t(r@ud
<br />iddrli soll6.d ror qL (s( 7ol.l- BuriB r(l PnlBnB Cod. Ili(tirdor!Ik.@lr$&dmrq'PlvroMo*n(of
<br />rh. FFt {h.h)ikld sgorBiE6r rn uho.l(Esh tr! hi'Mlf lEElro. tlmu*fi fin or llF o*n mpkr!€.
<br />Fo\ ikn rh.r .ud mrmrgtds e r{ ddxrrj M orrtd n{ d. ll hr$6r. ltE hildnrr c ,irmrffi ir $tl untu oE \w
<br />ofconl9klx'n. rhc Osrd lru'ld.r will h.v. rh. hrtor ofForr.s lhd h. or s\c d'd mr hrild o qi.\. th! FnFry adr $. Frrnk.f
<br />l.6.sG of rh. F Frr, aacldnrltcoddins *nh lkaB.d contrlc'o Ndtud llr FoF lsc 7orr. &!i,6
<br />nd hlksCod. 11. (tnrr*roir l. icorc l,s &6 mr qplt ro uo$nd otFoFt! trho builds or im ovdrhdtun,
<br />mn *ho .odr&l' ror uch Foj.rti Nirh. cont donr kdsal plllI@ o rh. Codrdoar l-i.(e k{ )
<br />I tunflanF undd sdrnin
<br />,,,.. ?\,1 \r ,,",_ \{_ )-- 'ruiursEsEhsr:rc1Dt(lJ.8arq!
<br />I hd.t, ifinn und6 to.hr.alrjuryon.oirlr f0l16*inr d(ld.rioB:
<br />I h!\. rt *ill mrr.'. . (-difk.r. of (\Mr ro s.lf- IBUr. lor $116' smFMi1., B Folid.d for br S.clhn 1700 of rh.
<br />ti&r (irl. lor rh. Frffi. of {lt ur* lor *trh rl! Fn a su.d
<br />F I hn!. MJ q ill miinr.i. so,t6 conFm.lhr iNU6n... f,r r.q!n.d h, Sd'on I7OO of lt. hbor Cod.. aor rrE p6aome. of
<br />lhc work fttr whrch thb p6nir i3 irscd M, worl6 comFroltion i6umc..end dd policy "!dbd es
<br />lc.nifvrhlr inrhcp.rfodorccofrh.*ort lir *hicfi rhi!Frnil is irrucn.l shrll nnr ontloli., F$n in.nr mmnd
<br />$ arotBom.sut <rbrh.*oltd comrf,Mio. htr! of( .lifomi.. Md +ft rhd if I3h.old tE omc3ub6t toIh.
<br />\ odda ..qml{n F,v6i.B of sd$n l Tm oath. l,hor (iJd . I lrsll. f.dhe nh omplt u trh rhov For Noc
<br />wlnllN(; r.ib. ro suc trlrt6 FmrEMhn m\d8. ir unbtrtul.,n 3hall suhFl d o,9hlE k, min i FEriF.nd
<br />cnil fin6 uD ro orc hlndr.ij rhoued dollB ttloo.(x)i,). r ldd'rion ro rh..oq ofmnrFsrnn. d!h+6 B Fo\ d.d ntr rh.
<br />sdtun 1076 of rhc uhy (id.. inr66l dd .trodEyi fc
<br />t(rx 1/ )a>--UTEIiELCONIaa(fOA I
<br />DE4.IJ8AIIA!
<br />I H'1 .mm undcr,qrlly or pqju J- lnd I n lica!.d und6 rml ision oa ( firpls 9 (enmcnB s irh s?db. 7()()0) of Dn irn\n ]
<br />.f th.8$incud Phfalion3 Cod., 'l mr licN i! in ttrllfor..dd.ficr
<br />calilf,ucrlo!-LElDttrclcErqr
<br />I hd*t fm ud.r Frtt of Fl!4 thr rlE. i . NEMh. L.di.g .stry ev th. Ff(ffiG ortk s{ri f.r trtth lhir Ff,i 6
<br />isu.d isa. 1097. cn c)
<br />AIIII(AIiLDI]CIJa6IAN
<br />I hddr arnn undd ,.n!lr' ol rc.juD_ onc ol rhr {ollon nr tLrldir ionr
<br />Don.lirion ldn:irl^stEr's NDrilicdion lialdal R.xularionrlrnl.40, P.n6)
<br />R.\r tr.n Ldr6.ltJdi6cdio.
<br />I (6! rt rhn th. fRi.r.l ESuhio6 FtrrdlnE abcbr rEno\ .l e mi ,mlkibL ro ths F.ld
<br />!1lh.rity rhar I n 'c E rhn lpph.alion erj r!r. rhil rhc.hrv. infomdnrn i! coftcr lryrE16conply$,rhrll('ityrnd ( odnrr-
<br />ddt.nc6 od Sr.r. L,q! rchri.u ro b'ldins .oGtru(ion. dd hRby sulhorn! qrdardivd .l rhi! Cny !d (ooni, lo 6ra u,[n rn(
<br />abr. ,ffiti,.al p.op.d\ I Gttt1ion tuFB
<br />^pplt.nr
<br />or
<br />^16r
<br />shirrnru X
<br />Y-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Qgputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />,1
<br />FINAL
<br />Certificate of Occu pancy
<br />-,
<br />I
<br />ISubf loor/VenUl nsulation
<br />Brown Coat
<br />I
<br />Notes, Remarks, Etc.
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