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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEN BUILDET Dt:II'AiATtON
<br />I h<.tir rmm und6 rE ahy .f Fjury thal I m .Gnrn fiom lh. ( ofltrlcloR- Lic.M l,u lor th. follotr iry rdsn {se 703 1 i
<br />Bu!i.6r rnd Prol.sioa Codc) Any ( ity or Counry {hich i.qut6 r Fnil lo coNlrucl. alr6. in\,hvc. (Lmolirh or rfan dl
<br />,tu.1uq Frr ro k isoeq !k .q!tr6 rh..p'lrsr Lr *h Fmi r, 6k a stn.n {dmr rh, lE o, rlE i! l,co€d rrdd
<br />r. rlE F{\6i.8 of rlr Conrmr.i3 l-rni.d b* ((luFF c. (nmnftrB *ih Sdibn 70fii ol l)rirh. I of rlE lt6ms rnd
<br />PmtNioB Cod.)or thd h.o slE ii.rmpi
<br />'hg.noB.nd
<br />rh. h.ri! nn rlE!lk3.d.(mdion An! riolrir.ofs.dni 7011 5b)u)
<br />aprl'.rnl lor ap<rn 3uhj.cls lh. q,phca.l lo rcivilp. hrofnol morcllM fiv. hund,.n &116(1500)
<br />l. f,t orE of rhc FrFdr. or mt mrlo\6 $ nh $.{6 a rh.n en..DmFMion. \nl(h rtE sGI Jn th. eeR i mr
<br />dorlGl noF6.d r.r sl.156 ?Or.r. BBilB bd Eor<ioN (-o& llE (tn.ror'. 1 rcc 1,tr (iEFt q'plrhdorEol
<br />tn FrFrt $lb trrli or inporG rlKEn dn {h. .IE kh $nt hm(lf or h€rlf or rhiDqh h6 or nd o$n mphrc.
<br />,rov'dqt rhd suct iml'ovoEfu 4 mi orEd.d or oftsql for sL l( h'q66. rlE tlildirB or inFor@r r $ld s irhm on. \6
<br />ofcompl.lhn. th. (tuE lruiH6 *'U ha. lhc b{d6 ofForin8 thn h€ or .n. dd ml trild or iha,!\ c 6. I'rlIEry for lrt [{rr{s ol
<br />L aorMofrh.Frd!). m.r.lN'v.h.od,arnls trnh ltqEd codndm
<br />'o
<br />odtud ilt !1.F (s< 7044, ar6Is
<br />t rr FDkix Cod. Ttc ( onlrrlo. i I icru Lrs &6 m' 4plr 'o
<br />u otrn6 of Fopd) *ho buil& or inprc\6 rlt!6r-
<br />d sho ..iM! for 3uch FsF3 wnh. co.rdo(i,li.qed prNM
<br />'o
<br />rh.( ontdor'3 Lkd. rr*)
<br />I m.t.mpr u.d6 sdnin
<br />D.l. ()i.d
<br />non (rrrl. ( ont Pr!rslTtoN
<br />DECIIAAIIA!
<br />I h6.hr.mnn und6 lEnalty of pqur! on. oirh. folkrsins d..ldal6ns
<br />In.anu'illm'nr.in.Caliau'.o,coM!'os.lflcuEaorf,d\d'mmp.luFn.ap.lviLdf.rblS€rrn17(x)otrh.
<br />t hr ( nk t rh. Ffortlk. of llE *.4 fq qtkh !h. Fmn ir isu.d
<br />I hrv. $d will m.'nl.in wort6 .omprulion iBur.n... a r.qtrn d b, sal ion lU00 of lh. L.bor ( od., for lh. Fnrm ccof
<br />rh. work lor {hich lhir pcnit i5 iN.d. My work6 .anp.Ndion iNursc. cMi6 !d rolicy numbo m'
<br />,*, : Atwrlo+-t Zst'Lr-L
<br />pu,,,rNumLq - WLSolhUkl- r\!tr6. ' tt/t/tTt -/'
<br />I c.nitr lhll in rh. Frloffi. of !h. wort for whi(n lhir pann ir su.J,I !h!llnol mplorayr.r$n in sy nmns
<br />$ B (, tE @ st d l. th. e&6 $nFui'on L$r olcdirou &d lar rhn iII rhould h.c6mc autid ro rrr
<br />{0116 srFBrio. trs6ioa oas<rFn 1700 ofrh! l!E{ Co<k I idL rurhtr nh Nnply $ih rb.r lh.lhEwARNlnc Frlw i. Kac s{*6 comFMhn nrlarg. ir !nl.st!l. .nd !n!I sbF d ot'hrq b oihul FEhi$d
<br />civil fin6 up lo on fiund.d thousnd 'lolls (1100.0(x)). in.ddili,n to rh. con otcomp.Nli.r. &trus6 a prorid.d tor lhc
<br />SNrktr, ()?6.f(l[ I rLn ( ode inrusi itr(l Au*-
<br />I hd.ny imrm und6 rErdh, of pdjury lh.r I m licaral und.r provirn,n ol( i.pr6 9 ((.mnrftinB $irh Sdlion 7000)otlhkion ll
<br />of !h. A6in6 Md PofaioN Cod., dri myl'.mk ir in full forc. nl.lTd. (+L
<br />larf r?
<br />q737,L
<br />I Ar;L
<br />cotlla.l]IJtall[tDllglcErcr
<br />I hd.by rffm u&r FuXy ot Frury lhi lhsr ir r otdru.lior L.dinS .Stry for lh. F {l,lr],E of rh. wort hr *trh rhB tE tri .
<br />suGJ {Sr 1097.C8. C )
<br />l.ndcr'! Nm.:
<br />AIIIICANLDESJAAIION
<br />I hdrbt .lrm undd Fnllly ot Frjury on. of rh. followins dEtuat ift!
<br />odnohr ion P@n!.Arh6lo! No!fi(.l6n r'.ddl l.*!br iors ('I nt {0. Pd6)
<br />R.{un.d tdra of r*ri6cdir
<br />I cdiry lhd ihc f.d6rl r.SuldioB r.gddinB abdd rdmv.l rr. nor .p!,lkabl. ro rhn pmja-i.
<br />llU . d'fr rh, I hn. Eat rhB arplkd n. rd
<br />'!rrc
<br />th,
<br />'tE
<br />.t rc ihnnnFn ir .ord I i*G !6 comply snh .U Ciry !.d ftunr!
<br />drdiMkd Jt sri. I^! clr 4 ro hiildn* ( odtud n( .'d hqttr x.lr'Bc '+.srir6 o f rnir ( ny ..d co6l' r. ard utFn rlE
<br />e.Lah \. ,Inr k n.! F,,p.n ) l, { 'nsF r
<br />'.,n ry$,s
<br />nr,rr,^ - n" rrrr nr*\rfi*rr,
<br />P.rnrfaun.rprinr,: Y- / tn, \UarP.
<br />1la-rf r7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Qgpuly Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL //r//9 I r///14/
<br />Certificate of Occu pancy /77
<br />Notes, Remarks, Etc.
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