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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNEi BUII,DER DEI''ARTTION
<br />I lE.tt,rrm undn Frhl of ,rjury tl't I m daqr tun ilE ConrariR' Lkdq tr$ for rh. a.llo!,8 l6d (Sa 70rt 5
<br />ttnr6 rn Protdio. Co&) Any Cnr or Courq whkh r.qui6. panr ro oldrucl,.t6, if,p.orq &mlilh or le.r ur
<br />rtu.le, Firro it3 i!.le.. & EquG rh. epla&l for kh Fin lo nL.3isn d lriffir rhr lEo, tlE ! lksBal p{l'd
<br />to lh. provirioN ot E C.rlr&d i Lkord Lrw (Ch.F6 9. Comtri.g shh S..iion 7m0 of Dvnirr I ol lh. Bwins lnd
<br />Pmt*rB Cod.) or rhlr lr o, 3n. a .rmF rh*Aoh dd rh. b.!n tor $G dkscd qonglion Anr \hbrion otsdio.70ll t l, sy
<br />rm,li..nl for r Frmn $bj6lr lh. rpplkd lo a .ivil p..rhy of mr nor. lhM ,iv. nudr.{ <bllas (lt0o,
<br />l. 6 o"c oflnc FoFn), or my cmplotE wnh w!!6 d rh.i sl. onFGnion. wiu {h tlE wod !d llt sur@ u nol
<br />dgt d or oltdcd tor sL (se.7(x4. UuriB ud ProfdioB ( od.: Tnc tunrnctois Lic6E l,$, (i)6 mr ,F?ly ro D 6\nd ol
<br />th.tn!F!] *,1$ hrikl or inFo\6 tlEotr ri *h. &E si sriit hr@lf.r hd*llor rtmuSh hir 6. h.r .*r mplotB.
<br />Fovr,.d rhd Nh ltfrrq,n$ ft d d6n d d olH tu -l lt lDrw. rE hdri's ( lqnrqr-r ir Fld srnh .k ya
<br />olNrpldia dEO*E ltrilb *ill lIE llE bmidr of p.Dvlt lL lr d dE dn d hild or urmr! |n. FFrr- tu lli F FE of
<br />l. aorEoflh.FDrdy. mBchtrn.l,yconrmdiq snh licct!.{ codrdm ro odrud llE rmJ.d is( 7Ol-1. &6tr6
<br />ltn hntsi.. co.L: Ih.Gnrerol-r l-i.6s. Law d66 .or rpplvro oo$ndofFoFnywh. burld!or impror6rh6on.
<br />md *ho Nrn6c|3 ror uch liojdi! *irh 6 Conlrrcro(, liccG.d puBunr torh. Co ndoarl-i.Nl.w)
<br />I tr ,rlc'nd uid.r S(fotr
<br />D.r.: Ornd:
<br />noRrrq-s c oMnar- TroN
<br />oEgJaaIIq!
<br />I hacbt rmm u.<b Fux' .f Frur: !E of rL lbllotr iis &Lr, h6
<br />I h.uc !d will mit e r Cdrfrtl. of CoMrr to Sclr-ler. for ent6 @nFMbn, s ,mr iLd tor hr Serion :1700 of rh.
<br />l,bor Codq fG dE Ffm.. of
<br />'h.
<br />m f.r $ti<t lh. Fnh 6 i$.d
<br />lhNcsnd s,llmiin(s'n $o'Lfls' cotr,p.nrarKn iL\urinc.. tr\ reqtrnd hl S(ri.nlTOlrofrh.l rlry ( nd.- f(tr rh. Ffonn.nt. of
<br />rh. lvort tu \yhi.h rhh F nm ir ir$rri My $ 0116' ..dPtner
<br />'of,
<br />idutur. .did md poli.t nunt( a.
<br />(hd
<br />Ponci. Numbq: ExpiB:
<br />I .drt lhd in tlE pqfolrm. of
<br />'h.
<br />*ort 6r $hih rhir Fnd ! aqr.4 I slEll mr oploy u! Frn in ry IuE
<br />b 6 ro beoE llitr ro rlr $nLo @rrFsdnn k*! otc.lifomq nd.sE rhrn
<br />'f
<br />l .buld b.<.e sti.tr ro rlr
<br />"$rtd o"rFldio. Foviiir6 ol s.srM l70o olrh. Lrhd ( o{L. I lrdl fonh*iri 6mpl} virh rho. Fori.i.6W RNINCT FlifrrE lo Ru. Nrt6' 6mFGd6n ov6.l. 6 unLwtul. dd shdl flbj<l e qnphF lo aihlsl Fstir ed
<br />civil fin6 up ro oE hu.d,.d rhou.d {hlls {ll00,l)00), in .ddnion ro rh. con of conFEtion. d.6.sd a psid.d for rh.
<br />\.!rr, \r..lrhrI.rli| ( L,J< tr d!n
<br />,,,,, ,llzolwnI r-
<br />I Hy .rm u.& F!n, of Fiut rhr I h lia6.n En r F.rii.n oI ch$6 9 (mnffirc Enh Sclion 7000) of Dr iion l
<br />oa rtr h!n6Id Pmf6$B cck, rd or 116g ! in tull irre.n.lfi.t
<br />Lic6. ( lN:b ndr.LLmr- t0npe
<br />('nr'c'r tl*-ttlzo I zo11
<br />IA.NSIAUCIIONITIDIIC.ACEICI
<br />I h6.nv.ffirm und6[tnah, olFJ',B rh.r rh6. is r codrudk,n Lndins rgtr:- for rhc Fforn:m(. olrh.\o* n! {hich rhis fmir is
<br />'ir!.dts6 n,9r. ctr ( )
<br />I (nJ6 . Nrm(
<br />ArfucAsr.DEg4Saua!
<br />I h.d, dfrm und6 p6.ny of pdlort on. oarh. followin* d6ltu .ns
<br />llmoliion Pdmirs AstEx's Norifi. i.n ljcdd.l R.sularions (lirl.40. Pln6)
<br />R.qun.d kll( orNorif(d$
<br />I (d'ry rhd rh. faj.ril r+ul,!6m Errdins 656ros roorrl {. mr qlt]lobL ro rha F,j.ar
<br />I cqr'ryrhd I h.. rcld rh! qrlf,dFn sn nrr. rhd
<br />'h.
<br />.h.r. rnfotup. a(otrd l.arek!.!nrl) s hlllC(' 'd Counrr
<br />odtun.c rxl Slar. Irtrr rLn'nf h huld'n8 irr rn k.br .ullFip. r.rr6.l{rn6 ofllt'r ( ny d Cou.D lo ni6 uFn rrE
<br />akr\. lmlrcn d prcFny foi
<br /> Dt ic{nl or ,\g6t Signclrr rc
<br />UJfa
<br />tlzo[zot1
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathin s
<br />Shear Wall
<br />Framing
<br />lns u lation/Energ y
<br />Drywall
<br />Ext./lnt. Lalh
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />flandicap Req.
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL -zn,/lg, 5,'B-ntt 711-87
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />I
<br />Brown Coat
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