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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS ow!,ri,n aull!]:R t Et.cAt,ATloN
<br />I lEcb, rirm lBLr F..Xy oa p.r!r_v du I n .&.pt tDm th. (loddd l*B kv for th. tollotine M ls.c.?o1$
<br />Buir$ rd P.of6$n Cod.t: A.y ciry .r c ny rhth rc4!i8 . Fd r. dr.{M. !lrs. inpr.E. d.@lsA or Epo Dy
<br />rlMe.FEroas is!E. rlo EquiE! rlE {nlid ftruh9.d b 6k.ltEd u.ld rh. i.q rtE il li'et Fdd
<br />ro rlr FovBbc .t rE Co erdl Lirni.d l.r (CtF.. 9. CDlfrBint srh S..rii^ 7Ul) ot Divkt'i ] .r rh. aciB! !i
<br />PnrlBr.tu Crt., * thi ll r rlE ir .En+ rHrDm lrd tlr h.s lor rll llkad ?rqrDn. Ary DLti{ olsdtu 7Oll.J b, uy
<br />.prla.d (or i Fmn {birrt tlE .I?lkd r. . oyil p.Ely or d m,. rho liE h!'rircd ddLn (tt{D,
<br />_1. !.qF.l E tbCdry, ( my.apbF.s wirh *r!.r .i orn al. sn+.Mi.[ eil dl rlI s* rn llE rtu a d
<br />dmbl or ol[.El fr gl (S< ?(x,1, AGi6r Dd Eor6rm cqL, TtE Cdr-d'! lirnE lrv dE d tPPly to .n ow. of
<br />rtr Frrdry !h, hilrr r irllm rlEq .rn rtD dB sh urt h]er.r tE.lr or rt@.th ni. q h.r os.qbr6,
<br />F.rld.d rlur sh nrFn@tuedid.r.,.dnol,.n.dtM.! ll.ls*!E, rh. hoildt 6 llgrErn n -!d *ihn E )aol.mpldia tt! ow A{i!a siu h.E tlE tonla ol F!v,u rlu rE ,r tE dirl d b{ill ( i,p.DE ltE F.Fl, ror llE F,F. ot
<br />_l- i.o*E oa rh. FoFny, m,.lusiv.[.!drdin! w(h lE.ns! orEn'a x, lm{fl.r rlE FrF.r ( S-. '7O{-{. BuriE$
<br />n, Pn 'kili n (i . Th. Conrncroi', LicdnE L!* dEs nor rptly h !n owtur (f nroFny wts burldr or rnl+rcws thdotr
<br />.nd *h! a6krk tu iu.h p.oFB wirh i cnmmro(s) lk.tr*d t!^ud Lrrh.crd.dn! L$.M ll*)
<br />-l
<br />!n'ct.n'U u'xLr S(i
<br />lr!)8f,<s:(o!4r[!ra:lM
<br />DEI]IABATA!
<br />I hd.hy.ttlrm u&i n Mny of n .ia om olrh. lnlbrin, d.cL.ni'tu
<br />-l
<br />h.w !n vnl oi'rri,. C.ritx& of CoBd to S.n-lNuE nr rqt6 lan .dDA .! Frv'd.d 6r by sditn l7m ordE
<br />lr[ Cod., td r ll Ftflm or dE *dr rd *hi.h r,l tErn i is*d
<br />_l h.E.ti vrll dd.u u'*!d conp.Mrb. iBurB., .1 nq!-d t, s-uh 17m oatll Lt'or Cod.. td rlE paf.illa: of
<br />thc st fd vhrh rhn IqFi E Mrd My rlrts onp.aubn csar trr rn F,lay nunlE, {.:
<br />P.rEy Numt-r HrDftr:
<br />I cdiry rhd n rh. FlitrllEE of ilE klt ftr rhi.h rhii rrrtu rr urEtl, I ihru r{ .nploy my Fer i, e, lM
<br />s iro rE r.!liu io uE ffiI6 @rnr.di'. r.$of c r.,N.,rd.cr rh{ ir| n$u5 lt6r rbih ro tll
<br />srt6 $ FNrmFIi!EB otsdiln lrq)of rlE tilrr (:dL,l rlrl. nFhwrh Ln'rolr sirhrlDEpovi'ioN.
<br />IVAI,{NG fnriE ro @ Eta!' @mFBrhn ..8!. s lnlrwiul ul rl,.ll otFd a rdpbF b mi.rl pa.rE od
<br />cNrl liB, op ro oE hudrcd ttrsid ddL6 (llllr.(xl). ,n rddnri. r. rh. @d of @nltqrion. drngcr ( pmvn.d ror dr
<br />Sdr Nn :1076 ol rtl l:lDr Cod., irft! t i IbEy s f..r
<br />ADp[.rnl:-
<br />ut[dtE!l;r]Nr3at1g8
<br />DEIIdSAIII}!
<br />I hc(hy.Iltmuid.r I'.nlhyolp.rjuryrh.t I !m lic..EJ unl.. !'nrvnidn olChlpr.r9l..'n'tncinS wnh S.diin 70m) olDivisi"n 3
<br />of rh.Irurm$ md Pbf.sirB Cod. dl my li.nc ir '^tull fttrcri.l.fl!.!
<br />I r..."" (1*e?c c7 /'fi"3P1'
<br />cQx[I3llCrpNl.ENDlBli-AGlfsC(
<br />t h.El'y rtlimruBLr FEtyofpcrlln,rhr rlEr iti !r.r lin ldu{ rrry for rl: p..fdmE of itE rdt 6r *tih rhil Fh! ir
<br />n$.J rsr 1l)97,Crr C ).
<br />ATILICANLDESABAIIIII
<br />I h.6y rfm unrd D.nrr, of Fjory oB of tlE folb*ng ddllrrisl
<br />r,.mhrDn PmnFAsb.{or Ndrfdrn ftii...l RquLrin5 (Tnk.(), Pd6)
<br />RauirJ Lrt.ro, lhifa.&i
<br />I ..n'r, ihlr rh. ,.{.nl r8ll{ior E8ulii! Bt not Rm,vr, G n(n {Dl.rbL D rl$ pDFLr
<br />l (.n'fy rtur l ltrv. Eid th^ aDrlic.rion rd id. ihir rh. trh,!! 'nfom un (or.(r lnS.cbcomply*nh3llCirlinJCounry
<br />rn r.ru Sri. llws rbrntg io t{ ilin3 roNodinl erl lFrhy aorlrr'r. r.IEcorirv.l ol r tur Ctr y 5d Coutrry t, .Nd uF)n ilE
<br />fi,v. trrnrr'o.J nrlFny n, i.sp.LJt'n puqr$s
<br />I \Dlrtri or rBrr s'$
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />lvlasonry
<br />T-Bar
<br />Handicap Beq.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />A,
<br />FINAL vlLfluu txytw la6
<br />Certificate ot Occupancy
<br />Notes, Remarks, Etc
<br />Rev. 08'07-2015
<br />Pool Fence
<br />con*lf-
<br />I
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