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lBUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathin
<br />Shear Wall
<br />Framin iD ,
<br />lnsulation/Ene
<br />tlD
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Mason
<br />Pool Fence
<br />T-Bar
<br />Handica R
<br />De ut Final Re ort
<br />En ineer Final Re ort
<br />Flood Zone Certif.
<br />Certificate of Occu nc
<br />Notes Remarks, Etc.
<br />o\tN tR BU lr,Df,R Dlil,( AR,rTloN
<br />I h<.try lrm un&. pdEt, oI rqury lhsl I m .rorl frem lnc Conn*o^' l-r@ l!tr r., lh. folhtrinr r6ri,Js< 70rl J
<br />B$in6s anl Pmf*i.n ( od.): Ant ci(' or c6unr, \hrh r.qur6 a Fmir b .odDd, .lrd, mpdr, dmnih .r EFt ,ny
<br />('xdE. Fn.n, ili suarc., atso ,.11!ir6 lhc rpDlicer tu ru.h rE ril ro fil€ s Jisn.d rlalodl lhortcorsh.irlico,'sd pucualll
<br />k, rhc FoviioB ol llE ( ontrrrori Lienrd bs (( nlrird 9. coffiftins $irh s(rirn 70u) of Dnision I of th. ttusi.o.nd
<br />Pt,rcio$ Co&) o' thd lE or 3h. s .t6rF l,Ectom .d th. h6ir for rh. ilk8.J qopri n\ rnldhl of sd[n 7(rll t *-,ni
<br />imh..ntaordFnn3utr.dsth<.prhrn!r...iv,lprEh)otml@(rhrnfi\.hr.di.nrblld11100)
<br />l. ai os6 or lh. l,oFny, or dy dplo\6 with Bd36 6 lhcir $lc cohn<L*l ion. Nill do lh. *.rk ud rh. {n(rE a ft'l
<br />inlnd.d orolId.d Lr sl.(Sd 7(x4.Ilu.insdd Proli*ioB Cod. l1k(i,nrEdoi!Li.d.l,wdo6nol,pplynr^noqno.l
<br />rh. I'aFry *b &rld!or tnForBrtE$n..nd trh. dE uh trrt hims.llor h.Rll|or lhmuBh hi! or ls our drl('r6.
<br />lr.lidaj rnd su(h mthydd3 e mr darLd d ofiHrl fty $L ll hu-d, rlE hl}jl4 or flqmEFn ir $Ll *dh'n on. \6
<br />olrLripldsc rlE Ouffi tu dd *nl hr\! rlE h'da oI Fnrrry rhd lE or ni dd tr'i ht(t rp$. rh. FoFi! tu rh. FrIrEof
<br />l- 6otrnrotrh. Fop61y. or.lrlosn.ly conr.din! $nh li(c.n ronridos rt.onshd rn. Iro]( (S(. 70r.1. &BiDe
<br />and hofsin (l'd. Ih.C.nta.tn s Li..N. Las dod nor appl!lo mdrnd nlprcpdrrho hu'ldsor impA.irhd..n.
<br />dnd wh. qutrals ft" ch F.jcnirilhs (ontralon.r lic6E n,'uswrhrh.(ontr.dor $ I rm L.$)
<br />l0.r.mpr uRls Sn1'on
<br />Drt. ()rnd:
<br />r(2alilits.r:(outftsArlax
<br />IIISAXAUAA
<br />I nd*{ rmm unid Frhvolporu,\ d..orrh. Lltotr'ns d(l,nrbnr
<br />I h.r. drl $
<br />'
<br />ll tu'.raf, i C.nrar.l. ot(oMr r. S.I!IM.. rG snl6 c.mpdsdiotr. 6
<br />'i!1
<br />kLd tor b,\ s<ion l70l of rh.
<br />lifi Cod.. ror ltt pqfolrlre. orin( Nrt for whkn rnt rEtf,t a su.d
<br />txr,l;andrvillmrnrrinworl6 .omlEnsalon inturihcr,ss cqun d bySdi.n 11700 olrhc llhor cod.. for r h. !,6fonw. oa
<br />ion isumc..air !d polty nunts rc
<br />r,,ri.yN"^b-C.c1-5q IAP ,,*r^ 3/ZZ{,Q
<br />I cdrryrhar ii rh. pc.foman.c oalhc rork lor shiLh lhk p.rmn i i$ucd. I rh.ll not mrlnv rn) p.Mn in 5ny,n.nnd
<br />$ E t. b..om rub.1
<br />'o
<br />ih. wodd3' comFndion lr* r or crhromia, ..d +rc rhd if I sb.utd tsom. 3uqd k\ rh.
<br />tr0116 mmFsrhn FuiioB ofS.1krn:r700 ofrlr Iibr (it .I Cull, Ldh{nh onpl_\ \nh rE * pro\6h6
<br />(nrl nn6 up ro oG hu.dr.d ihousi<l &,lln tll@.uJo). h lddirirn ro rh..o!l ot.onFerNi:$l[7iz-^
<br />!!r r r \ll \ r r())
<br />I hdrl" tlTm uLrn FuXy of Fru' r- lh, I o liclEol !i&r FD\ aio. or(tuFc 9 (om;ci.* snh S.d Fr 7{xx)) of Dr Emn r
<br />of rh. t\Eind ind PrctsioN Codc. !n my liccB i m tull fo^. dxi.fi(r
<br />I(,tu". ']o It?- ,^,-,*,x
<br />colslB.l(IlatllilDltc-ac[lcr
<br />I h(chy allm unds Fn.lly of pojlry lhll lhcc ie . .oni rud hn lmding rs6ry lor rh. pdaomruc. of lh. qo* fin \rhi.h r his tEnrir n
<br />irsu.d (SE.1097, ( n ( )
<br />4.8ILI(ANL\. rnromdir. ir (dd Ilxreroomtlt*nh.U (irt rnd(-.unrv
<br />od'nrtr6 od srii. I i$ r EldtrB ro llr q conc dFtr rn r.F.sdn6 otrhB (-rr! r C.lntt ro nt. loonrlE
<br />.h)!( nErFr.d rroFn! for icFds. rirFn6
<br />'1ppliuntorAg6l Slg .rrr.:
<br />f$mile nam. lprlit ): x
<br />*- to lolO
<br />FINAL
<br />?1
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