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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS O\I N'R BIIII-OF.R DDI,('ANATlo!i
<br />I h6ctn dlrtr'n undd pdirr) oa paruq rhd I 6n.(.nn iior rh. contrdoB' I-ic.e lrtr ro, !h. ,ollou
<br />Burin6s ind Profesion ('od.) An, ('iry n, Counly shich r.{uir6 a ,mir k' connNcl. slto. improv.,
<br />rudu< rior ro il! isuu(.- .ho rcqrrd rh. !p?lic&r lor luch pdi r. fi|. . lisncd dod! rbn lE or 3h. i! lica*d pu.sdnl
<br />iotlEForiri66oIr,E(-ontdoa!ti...dtrw(cl!4rde,(omftin8qnhS.dion7000ofDvnirr!orih.BGi.d..d
<br />Pmf.sbB ('o&) or rhd tE or 3lE i! .rmF rn6.6om lrd rlE t6ir aor rlE llkt.d .rGnpriri Anr rbldaonors.<rb.70!1.5 bt.nt
<br />rprh.Ul t r i Fnn uqdr rh. rpglic.nr !n . .iril psah, rl mr mr. lhn lir. hun&.d .hll6 ( 1500)
<br />l. trs owns ol thc FoFny. or my cmrlorc wih $aq6 .r rhcir elc compslsl trn. wiU do lh. *6rI ed $. nndu. i nol
<br />inrorhl or olIq.d nrr rL (Sd ?O14, U*r6 &d Prefs$N C.d.: Tn. ('odrdoi3 Lk.B Ir* {h6 noi !tf'l) 6 an .q nn or
<br />rh.IFFtt tr h. hd& ,r qrov6 dse sn tr h. dE sh $r* hiN.lf or h6*lf .r rkouah h! o. h.. oun mrLt.B.
<br />Fo\d.d rh,r .kh inlro\6d! e mr ddi.n m o,t,td fty sb ll lFq6r. ir tlildrB m itrF.orgEi a hU $ih'i m. rG
<br />ot(or{'kiotr llEOrE tiitla q h!r.llEh,ris!ofFotitBlhilEo.slEdd,rlr'lddnrFr!th.FbF!ftrrlEFFEof
<br />L &r .*ffi of rh. Fotdy. m .rclusiEly contrdin8 e nh li..nr.d .ontrlo6 to coonrud llr pmj.(l (s< 7(x.1, IrBm6
<br />rrd Frtse Co& th.C nrrt|orr t-icd. l-.w <k6 nor ,I?ly ro o o*.r .f FoFn!" *ho huitlr or inprc16 ll'(d!(
<br />Md "lr otu. for kh Fol.d3 snh. (-offion 3, li(.rE d pllld !o rh. Comrlor'r Lk.* t s)
<br />ltun.\mr, u.dd sdt,n
<br />D.le (rnEr
<br />laa[Eal:(aruENsal.lQ!UlgJf,AIA!
<br />Iho.6.fi,m un.i. n nrlN.fn-ju^ oM.lrh.tolh\i.t dR lddhN
<br />IM!.i s ill mai.t.in . ( d ilicar. ol ( onht lo s.lfJBtrr. for !.rlds' NmpqEllion. s Innrd.dfdbys<1(,nr7fi)ofrh.
<br />trtrtr Q'd., tu rh. p6nmDnc. orrh. wod nn which rh. IEnit i! isu.d
<br />I h6!. r.d will D!'nr.h n 0116 comr.rEnro. i@Em.. N r.qur.d by s{tr irn r7m of rhc lrbor ( od., for
<br />'h. Ff.lrm. .,
<br />rh. *r,I for *hich rni! Fii n e.d My *o116 strpqlr.n 6uft. elffi dn Flry tuols a.l
<br />I cqrrt! rh.r inrh. F6lfuxcorrErorl lorrh{trhBFm i isu<i.lihllmr mpkr) rn}'pds. i.tr! nuE
<br />$ 6 n, tE(m $qd b
<br />'h.
<br />troltd'ftinFdi.n k*s of (-.lifom6. rnd +,c rh, if I nsuld t {oE rtirl ro !h.
<br />Nolt6.ompdMionrro\sioBofSdnn1TCOofrh.l,br('oj..lslull.fonhsnhcomplysnhrhoeForniom
<br />W RNING: Failurc lo c@ *6rld .orposbon c.v6'*. a u.lartul. sd rhdl subl.q m mrl.y6lo oiminal Fah6 and
<br />.nil fi..s u, to on. hun&.n rtosnd d.llaB (lloo,mo). in lddnion ro rh..ost ofcohfENtion. d!rus.s ir Fo\id.d aor rh.
<br />\dr'.. ru76 uf rh.l.hr( n&. mrdd.rxl dt^ft, i 16
<br />UtElf@.(atrrxA(Iaa
<br />DISAAAIIO!
<br />I tfthy.mm unds p<nilry ol tEjury rhar I m li.dscd uhdd Folbhn oicnapld c lcomhd.in8 *nh S.srn 70(x))DlDnbon:r
<br />ot rh. Bui,e.rd l\of63ioB Cod.. an 6t lic@ ir in tull rnra rn.fid!
<br />Cq!i[B!EIXI!.!E!DI!C.AGE!(A
<br />I hd.bt lm $& Fdrr .l Flu.y thr lh6c L . oidrudion todi,E .sd, for rh. Frorlle. of !h. ra* tor rtah rhn Fni .
<br />isu.d (s6 1097. civ. c )
<br />I .nd. t \rm.
<br />.- A.TTU(AULDECIJ8aIIq!j
<br />I ho*y lllm unds pcnllry ol p6jur] on. of rh. tollosin! dEl!r!rNn.:
<br />D.mohion Pmil!-AJtError Nolifi calion l:.ds.l Rqul.lion! { I ilk,r0, P3n6)
<br />R.quEal kr6otMnrtErnn
<br />I cd' i rhn fi. r.rld.l kjulr66 rrdinB at6br rdo\ rl e. mt qPlic.hL ro !h6 proJtd
<br />I cdllr rhar I hov. .aj rhir .pplicar6. od llorc lhd rfi. atnvc i,toml ion n r rar I a$( ro Nmply unh dll (ny rnd counr y
<br />ordium6MdSt.l. ll$r rcld rlr ro hdildins codruclion. tuxj hfttry r!rhor,. r.FMtrliv6 of lhir ( ilybdC.unryro oia up.n rh.
<br />.t[\. mlio..d p.lFnr for ,trlFclhn FfFE
<br />.\ppli.rnl or AE6l shn.xrr(
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />1\
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<br />FINAL >-1K-n x.v/11t,)t
<br />Certificate of Occu n
<br />Notes, Remarks, Etc
<br />I
<br />lns u latio n/Energ y
<br />IDrywall I IT
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