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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS ()1+ N lli 8lJ ll,Dl:8 D1:l-cA RATION <br />I hso".- .anm urdd Ftuh) nl pnjurt rhd I m .rmfl fiorn rh. ('onrn1o6 l-t.e lrs f.r rh. folhsin* r.M lria 7ull.t <br />Ilutin$ rnd Prof6ion C.&) Any (-ily or ('ounly shicn rcquird d pEnir r. codtud, .1i.. inp.o\G. dcnolnn or r.p6n tnr <br />roduq FF. b ir! Rsltr.. lbo rcq!rc llt 4r,1.&r for och Fmn ro 6k.3rSElj scml thi lE or rht 6 lic.nr.n P(ed <br />b rh. rovisionr oarh. ( ontrr ois l,i..nEd l,w(noprs9. Comnftint snh serion 7fix) of l)irilion t ofrh. uusi.dr d:rd <br />Pma6hn! Cod€l.r lh.t lt s E a crnqr rhd.6.m nd rh. nlir nn rh. rlL8.d c\aglior Any\i.ltrhn.fsdbn,0!r trn uv <br />rrglic,ni aor . Frnn n,bjftr3 rh. dppksi to ! ciril FMh! o r ml frE rh& nv. hn.&.d &lla (tso{}) <br />!.s o*E orlE FlFrr, or my pht6 *nh ${16 6rlIn $kotrr{Eldbt *illdo E$dIrndErnrlEtFl <br />iddrrd or offed aor sk (Sa 7044, IturitB ud PmfdioE Cod.: llE Codrdorr l.tff l,$ dr6 ml q?ry ro M o{ nd of <br />th. Fqdy utn biil& or inlF$r6 t Eotr s,ld $ho aE Mh uort hin*lf or h.Elf ,, lheush hi! ot ha ost mPloy6. <br />FlvxLd rhx 3Kh iiir6rffi3 ftd dad.n ofitr.d fty r]. ll lrM6u.llE txildlt or nnprt\ffi a $ld qih6.E tt <br />ol conpkir, rh. O*n6 &ritila sin h,E rh. h,Lk6 of Fovrg fid tE o. dE drd ml bild or triF.E oE Fnl6y 6r rh. IirF$ of <br />l. row.6.{!h. Irnr61y. m achBivcly co.,i,lclins wirh I'coed o nd.R k' co.$rud lh. I,oj4t (sd 7(r.14, Bu{rc <br />,d Alfsin G&: 1 h. Co.rdo.r Lrru lrs &E nor .r,!l! ro u o* n6 of FoFnv r ho l,uildi or inprov6 lhgon. <br />ed $ho mfl.*t! n). rld Ftr..1t snh r ( or r&ro(!) lan6.d pu,rd io <br />'h. <br />Codrdorr lic.e l.w) <br />I 0.\mpl un<E aiclti <br />Mlit&I:(anul:rsarta!DfgdSalla! <br />I hr.t l. rmrm undd Fex, o r tEjury o.. ol th. tolhs inr d{h.tionr <br />I h.v.srjprll m!' ain a c.n'6c!r. olconhr tu s.lf l ut. for tnrtss comp..ur o.. d F)(t rl lor h4 sdion r 700 oI rn. <br />l lhor (i{a for rh. Ffol'le. of llE \ orl tor * hth rh. psn n is,.il <br />t hrvc and *,ll m.inrrin *.rk6- conpsdrNn imtrrin... tri r.quirci hy Sal'on .17 r.arh.Ijhdr(ird..tulh.IEn'flunc.II <br />rh. sorl a6r *hrh rh6 tdmir s ireEl M} ro 6 comrqBdnn irurucc.m td Flkt numbd r. <br />I cdrfy rh, inllEFfolmm.of rh. trnrt r.r *h.hrhiFmn i is!.d- I th.U mr oph! !n] F$n m.nl m6.6 <br />e B ki b..oG .ubJ!! tu rh. $ rnt6' comF.lrrcn h$ r orctlron'a. ud asE rha if I lhuld tsoft suuBlo rh. <br />nh{irh ('mrly sirh ltrs proraionr*oIIn 6nFerio. tmlilhN of Sdl ion lr Tlx) of lh. l,h, ( ode I <br />.Nrl fi.cs up lli on€ htrndrd rhousnd dollas (1100,{)()0), in .ddir d.m,Ba {s prcr'd.n nY rh. <br />Co&. 'nrdd rd dro.rEi Id <br />q <br />I h4hy lmm ondd poalt) or!.rjury lhat I &n l(os.d undd ptulilnrn ofChi,rc r) lcommdci.B {nh s<rion ?000)otDivBrtr ! <br />or rh. BdilB rnd koldirN Co&, nd n! lE@ ! in full ao.a tn dYd <br />',J"'E/z_sfo <br />I ha*, dlm un& FEnyofFiuylhd llE i!! @tnnrraoi r:diD8.e*t l llEFfolrlre.f lhc srl fr'. $ti.h rhb Fnil i <br />i!$.d (Sc :1097.Ci!, C ). <br />AIIUCANLDES.AAAITA! <br />I hd.bv ,,En u&lf Frlrt of tEjury- oR ol lh. tollouins &(lu.l ioB <br />l,tnol ioi Pd't$tutEroi Norn.rttun F.d6.lRcBul.rrn (tillc.l0, Prn6) <br />R.itun n ldrd orNdiardr'. <br />I .Etify rhd rh. f6ld.l r.*ul,rioN r.ssdins NtErlc rmo\ !l u. no' ,mli.t6k b I hn pmj< <br />I cdrflthar l lm\c rc.J lhs.pphcaln,n d rhd rh.ibr. <br />'nfonndrkrn <br />s cond l aAra t, I,nply Nirh all ( irland (-ounr) <br />Ndiffi6 !d sl't. l,$ r r.b tr{r ro burl.l'nl ir rqr.gxon6 ofrhis cnt &d counl) lo dls uF,n rh€ <br />.ts\. rmrnn d Fop.n) lor <br />,\0pli..nr or ,trrnr Stn.rure *,.ofz;fn <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVl nsulation <br />Roof Sheathinq <br />Shear Wall <br />Fram ing <br />lnsulation/Energy <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 />Engineer Final Report <br />Flood Zone Certif. <br />FINAL IM,1 I ',>44 '5W<1 <br />Certificate of Occupancy ' <br />Notes, Remarks, Etc. <br />I <br />I <br />I <br />I <br />I I <br />I <br />I <br />II <br />X