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BUILDING- INSPECTOR RECORD COMMENTSSITE-WORK DATE ID/SIG. Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf Ioor/VenUl nsulation Roof Sheathi Shear Wall lnsulation/Ene allD Ext./lnt. Lath Brown Coat Pool Fence T-Bar Handica Re rtEnineer Final Re Flood Zone Certif. FINAL Certif icate of Occu nc Notes, Remarks, Etc. otl N]:R B!lI-DER DEr-(-,\R f()N I hd(h.! .flim und6 ll.dlry of p6rur! llul I o .icmfl tum rh. (nnr!d6 l.'.ft* Ir* for lhc follolins ra$. (Sd 70rl 5 Btrnnd anl Prof*ion Cod.) /sy Cny or cou ,_ $hich r.qur6 . Ff,ir !o onrrud. E. inlFoG d.mlah or qEn ml ntuduq rft lo il! isu'e, tls. rqlnB lh..$lid ror.u.h pdmi h lik. tBn.n nd.lmr lhi lE or Ck a licft.d FUsrrn rorh.FnBmroofttEConlrrt'sLi.m!.dLu(Chq,tsc.(.mmftrn*snhsdrnir00oofDririotrIofrh'Bri'e'nd frerBfns (i\&).r rhd lE or slE i.rdrl lhd.6on ai rh. h.e6 to. lh. !ll.s.d.(mFbn nvrirldhnofs.(i.n70115 b-( m! rmhcad for r Fnt sbj.(lr llt ,pplrd ro t.i1rl p.n h! of drl mor rh$ fi!. hlnd.d &lrd (ttm) l- 6 o*F of rlt FtFny, G n) mploy6 trth s+6 s rh.r $L co'9.rsii.. $ill &,llE esr id llt turr r mr ddrd.d .rofi6.dl sL (56 7o,l.l, BciE 6d PmfNB C(i. In (nddctl,to*l^dE,ol+!lvrouo{ffi.f rh.F)Fry * lr hi(h d i,qr@ rlEq rrd utb <tr6 sh FrI hrlrlf o, h(*lfor rhfosh nir r ha o$ mPloltc For rLd rhlt rwh inFuqEG ft d ndrld m ofisd ft]r q]. l[ hrsq. rlE h]ild,B o' 'qhffi L sld sidin m !6 otcomptrb.. rlE (x6 eiE6 will hr( tlE hntn olF!\ilB lhi lE.r llE dn d tlild i,tsDr. th. FoFtv 6r lL Frpd of L s.*n6 ofrh. D.\.r6-v. d.r.kn.ly co.rEdins srh hcancn rod.&1o6!o mdrucr rrE Foltd lsa 701r. tlGi.6 et hohsrh ( od. Th. firnr.dor ! l-ico3. lr$ ddd frn lmlf to o*n6 oa p(FdY *ho bu ilds or irp,or6 rh66.. .nd rh....r.drforsuchFoj.ns*nhacontmdo(t)licdtdl,uftMrhrh.(hnlriclor'rl-'..Ml-s) l.d.r.trr[ undd s(tiotr rhr. r It bz/ 17 oF DI'CLAR,l'fI(,,N I hd.h'.fin'n unds p<n'xy nfp-tury onc ofthc tdk\vmN ddllr n)ns Ihr!.drd{ill inlrh 6 Cdliftd. of ConF! lo Sclf.l6ur. lor $ ortd' omrâ‚¬.sd Fn. s F!\ iLd for bv S<rion lxro oI lhc hh, ( .ne for rh. rEfmcc of th. {o lorsikhrh.Porr ir du.d I h!r. &d sllli!',lri. *o 6 conpc@lFn i6ulffi., s ftq!'Ed Itsd6. umolrlE Lbor Cod. for (h. Ff(ru. ot th. \,t tor rhrh $! Fnn i! isi.d My sort6- o"$.MFn 'BuM. .ri( ,n Fkr nuDld d: l.dra) rh,r h th. Frotuc olrlE $orl for$hrhrhi!Frn B.!.d.l3h.ll mr mth) syF$n in.ntME sr s ro bqam eti{r b rh. Nrtd'comFEinn h*i ot ( .|'romn. ,i *r lhr. 'f I rhrold tEoE $tti<r ro rh. *o 6' snFqrb. Foltioc ors.dhn l?m olrh.llbd ('o&, I Jull. r.nhNnh omPl, *nh lhns Fo\irirB. WARNINC F.itu c lo sw. erl6' .omp.don svd.a. n unh$tul. &d JEll tubj.tl o dploF lo sinidl pdstis aR1 .irn nn6 ur lo oE n!.<!.d rhoM.d dolls (tl 'n .rlni'n ro rh. co]l orcomFMrion. d!m.s6 d FoliLd fot rh. S(rir)n 1(176 ofrh.litn.('oi.. mrdd md I hd.hy.mirn und6 p.ndlry orFiury rhal I M liccB.d undd Fovirion of('hapr( I (cuf,ndrins *ilh sdlnr.7000) 'rl)i!t'on r of rhcB sin6ed Prefs'onsCod.. and m) licos i! D lullfor..tuv].r.d CONSTRU(IIO]I LIiNI)II{G A(iTN(Y I hdttry !,Im un<Li Fdry of FrJury thi lhd. ! ! od di.n lodiis ,sft, ft!. th. Fftu olrh. $nt ft'r utrh rh6 Fnn ii !s.d (sr 1097. civ c) l,r&r'.Nt# AIIIICAITLDECIIXAIM! I hadry rl&n un<lE Frht of D6jur) oE of l,E 10116$ ir8 .L(lrdnN Ir.nohrn Pmng^$dd t{otificdion Fcd6.l R.euhti,N (TnL 40. rtn6) R.quircd tdtq of t.l.rifr.ris I .6lit lhd lh. f.dsd tsahliod Egsdins BtBlo! @vtl e. .ot ..rlt$L r. lhr plsid I (a't rhd I h.v. rdd lhir 4rlidion ad nat. ind fi. .h.v. infod.lsr i! otr..1 I .86 lo empl, wnn .ll Cilv tnd cou.lv odmsn(6 dd Sr . l.\rs Ehling I ,lJing .oBrdct ion. md hachr_ surhon,. tni*ddn6 orrhis ( ilt and ( ounryto drd ulFrr rlr\. n'.nrknr f'ot1d1v lor :fu : LL/ot'/r z Framinq Masonry Deputv Final Report I I )t N^4'\l/ /A lt-t I ^llx t I