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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OS NEN BUILDER DEII'AIIATIOII
<br />I h6.b1 .mm u.ds plulry oa Fjory rhd I m .toF 6om th. (-onh.roh' t_i.N t,tr for rh. foth*m8 rl&. (sa 701t J
<br />BBina3 &n Ptofdion (-dL) Any Cily or Cou.ry *hich ,c{ur6 . rEmi ro oB!tud, ihs. improve d.notsh or EFn tu,
<br />strc'ur.. pilrro rrs isuanc.. !L$ r.qut6 thc,rrli.d ao. such Froir to filc! sisn d strlffil thd hcor !n. n ticds.d pruMnr
<br />r. tnc Fo\iroN ol rlE coms.to. ! l-ic65.d tl* ((-h,fl6 9. Conmftrn! trnh s..rio. 7Cn0 ot D'risro. I oI rh. B*ind .nd
<br />FmfGi.N (_od., orrfid lE or.n< s.toF llEr.fi.s ii rE ba.n ror ih. ltks.d crmlFrn A.]' yirl,lin ot snaion 7o:r I S tr rn)
<br />ar4'li(! tu iFrn( *bj.<lr!n Sti.d 16 r .n rl pcuhl oa mi m.. rhe fi\. hun<t.d 6tbs tlr0o)
<br />l. a oqF oa'h.FrFdr, or mymplolr6 *trh w!s6 s rh.ir Fk.nhrEsio.. $itt& rtr wt en rtE jdr 6 mrin'd!&l or olTFGd lor el. (Sd 7M,1. BBind rnd ProlBrios Cod. fic ( ontrrctoi! Li.ok trw d.B nor q,|,ty nr in o*n6 of
<br />rh. prqEry Fhr ttu'l&or i4roG tlEon..r'd wh. &EructN hims.lr or h@tr or thmush hir or h6 o*n .mrhyc,
<br />Irolid.d rhd ruch intro\o6t! @ mr iddldi or ollsd nf, d. lt tbtred. itE builduB or imtmrtu ! $H s irhm.rc !rofcorpki$tr rtE O*E E{ilb $ilr h.r! rrE hrds' olrmrins rh, tr or r|l. dd d tlilj G i.rF$t ln. F!Fi} tir rrE F,BE oa
<br />l. a osE nfrh. Folqly. m cr.l ie.ly.. re ins u iih ticd.n .o.r!ct.R lo connrud rtr F.trt {s6 7or,t. rrsms.td Abfdm (-od.: Tn. ('.nteroir Lic6s. Llw do6 .or apply to u ownd ofl,roFny wfio buitds ot impn!6 th6d,n,8nd sho ..lnEcrs tor tuch Fojds *nh a (\rl6cto(r li.ds.d rnRMt k h. ( ornrsroi! t_ic.M rr*)
<br />I m crdF un<ls S.nion
<br />\\ oRlt[85. COIt PFr\ SA',DOii
<br />DECLAN,{I'ION
<br />I h6.b! sll] n nd6 p6ahy oi lrjrry on€ oilhc folloR '.8 d<tanl ions
<br />I hr\ c &l tr ill Minr.in a ( dinolc of CoM[o s.lr.tME fo, uo,td conFMhn. s Flvd.d ror b_v sErrn ]7m ofrh.
<br />t nr Cod., for rlE Ffr"ije. or rlE *ort lor $nkh rlt Fnn it i$Gd
<br />Ihn\.anns'llm.inr.inr.rldsrrmlEnsalk]ornntrinc..$rqlur.J[\sdrr)nr7rx)rlrl'.tatxtrC.dc.nyrh.P(]li{m...t
<br />rhc srrl lnr \h'(hrhBp.nni
<br />'r
<br />astr.J Nt\ *orl6s mthshon
<br />'nsurrncc
<br />citrE and
<br />'l
<br />L,$ ntr rtE uc.
<br />Polt! \rn,ts t.\p 6
<br />I c.nrft rha! hrh.p6rormN.ofrh.$orl lor *h(hrhsFmn B i!.u.3. r rh.ttmr op['!.n!p6en in inv manK
<br />$ a h tBom. ruhjd ro rh. * o, k6' comp.ner ion l.us of Calilomir md lBft lhar if I stbuld h.(om suud h rh.sortd con[EMlion phvnons ofsdion ]700olrh. t{tnr Codc. tdxtl, aonhwiih compty *iththoE provLn'B
<br />WARNIN(; Iiilu,. to suc rorld' snp.nrllFn cord*. ir unhsfut, ud shatt 3uhjd e nploF ro (]u,n,t polhi6 .ndcnil fin6 up ro dc hurlt d tho@nd doll6 (ll0o.t(x)). in sddnhn ro I .on ofcoEp.N'Nn. &nir6 a F.\xl.d for rn.
<br />C.d., nrdd md dr.l6 i tc
<br />20 z0
<br />D!C|JaAIIA!
<br />I h6.hy !,Lrn !nd.r poExy. f Fjury lhd Im lics.d u.d.r Fo\iion.fchq*d I (Ntuo(ins wnh S61io. ?o0o) otDNis n:r
<br />ol thc IturiB dd hofsioN (i\d., &!d 6' lrN c in tull loiE !n.fl(i
<br />t\[zol
<br />v
<br />70n,",,,,",,","vT
<br />I hd*, .nm u.(b F.lry of Frury rhr rlE irr(ldMbtr lrdila.gcy tor rlE Ffffi otrlE $ort anr rr.h rhit Fni a
<br />irrEd (Sc 1097. Civ C.).
<br />APPI I(IAI\T DE(L{'t TION
<br />I hdd! .trn un&. F.aht of Frur) oE ot th. lolhr rs d.rlsd bd
<br />D.mhion Pmtu Arb6ro. Nohicd io. F.ddrlRcsuLtbns (Ttl.40. Pd6)
<br />R.qutr.d l.lt6 of Norn.dn,n
<br />I .difr lhd rh. l.ddd r.*uldb6 Egddi.s 6tEto! r.mr.l m d {r,li.ibL to lhi! Iror.d
<br />I .dilr rhd I l!!. ral rhi! 4Pli<.iirn .n n.t. rh. !h..borc inromi p. ! .md I rg,a ro onpty snh ntcirr..d cou.ryordiffid dd srd. L.q: ElrrB r. b'ldiis co'Erudi.( -d lEd,r rultsru. EF.sniv6 of rhi! Chy &d Counry lo 6rd opon rrE
<br />.h,v. noln'n.! lln,pdy f.r itutdt
<br />Appli(.nr or Asmr \lenrtur.
<br />"*U--..,,nr,, \l qn vffd
<br />,,.,. rtltolzal
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathin
<br />Shear Wall
<br />Fram i
<br />lnsulation/Ene
<br />D all
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Mason
<br />Pool Fence
<br />T-Bar
<br />Handica
<br />De ut Final Re ort
<br />En ineer Final Re rt
<br />Flood Zone Certif.
<br />FINAL 4 /t,r s )er IGfi g<
<br />Certificate of Occupanc
<br />Remarks, Etc
<br />\\
<br />I
<br />I
<br />UFER Ground
<br />Notes,
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