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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE COMMENTS (,WNER BUII.DER DF:I,CAf,ATTON
<br />I hcrcb, afinn lndcr p.n.lry or Frjury rhri I m .knu ritrm thc (b.hctF Lk.n{ lrw for rh. [irb*in8 rc.$. (St 70]1.5
<br />Bu\im\r in Pn,r.rsion cd.) Any Ciry or crunly whi(h rcquirc\ a IE mir ro .on( .!. slrn. in{tn}vc. &orlish .r EIEi !.y
<br />ntuduF. FIn ro ik i$urn..,l$ EquiEr rlr sl'pltd ntr.uch Fn ro lik. \is(n rrd.ft.r rhr lrnt rlr k l&nsd InNaln
<br />t, rlE FovrDnr of irE c(nrhtn s l.i.rncd l,r lci.prs 9. conmftrt unh S(rnn 7(x[ of l)i]i.i)n .l orrlE Butts rid
<br />lt(n \sx,nr C.xLro' rh2r lE or rlE n cr.npr rhd.fiom rll ih. hdin for rh..ll(Tcd .rcqrrr AnytirLri,norS.dhn ?o:l I J byany
<br />lptlica ntr u pcnni suhj(rrlh. lppliclnl x,1cililFn{hyol nor frtrcrhln hv. hlndkd loll.fi(1501))
<br />_1. * o*E ntrh F Fnt. d my.n0bFr snh w.8.r I rlEir sL.o.riEnrarb.. *ill & rh. {ut.nl
<br />'lE
<br />(rutt ii mr
<br />id.id.n d .r.Ed fr rL l Sa ,ol,{. Au.iBt rid PFa.(irn Co& Th. coddn . La!re t $ d..r ml 3,ily r. d o$er or
<br />rlE Foldy *b tnilil {' irthh th.ftr. an rb &- u h qrrl himrlf or lEElf or rlftuSh his or lw or n .qthFc..
<br />p^,vidcd rh.r ru.h iq'mEmnr N ml hrcBLn n ofi.'d n ub lt h,ktd, rrE hiBin8 or itrmErd r v,ld Pihin om Fr
<br />.rr.qJhii . rtr owmr Buiu.a qill h€E rh. trrd.n ol In,vini fi!] lE or {E did mr |{iU r intmE rh. ImFny for lhc nuqrt of
<br />l. $ or E of rhc lrolrny. m clctu\itl! .orirrctini e ih lf,cn<J .onneroF ro .nn{ru(1 rlr ItDj.! tS( ?l}1,1. Bunftri
<br />!d Pnftsi,n Cqk Th. (nnrdtn\ l-i...!. t-.* dftr nn .pnly h .. owmr af prcFn, r b bnitdt or mpirrB rhcrdrn.
<br />6trd *ho conrmds rbr iu(h pm]ccls *irh ! (irnrr-hn r) liccn!.d pu^u!n' n) rrE ConlrNl,tri Ltcnr l,* )
<br />l.h.lrnrpr unhr S(rrnr
<br />DIICI.II&AIO!
<br />I hercbv Jlltrn trklcr p(trrt! 'n tNtn o'i .l rlr lnlk)str,! (1..Ir]rxnr\
<br />I hrw .,i rill mi ri,. CdifEr.l Core.r ro S.lr-lNrc for *r,tai 6np.Min .r Ftrvl,.d tor i,y Sdrho l7m ordE
<br />1,b.. Cod.. td rlE Ffljnre.filE r.rt ld whkh tlE Fml ir i$u.d.
<br />-l harc rnl *ill nuinhin work.r' .o,{rn\rr ii'n in\ur!tu., !r Elutr.d hy ssrion l'7(xr of lh. l-lxr G}d.. rd rh. Fflnrtut ol
<br />!,8 ruk nn *hth rhirFrnril ir irMI Mt *trr6'oryf,ntdi'. in.u,tn. otr, tiF'ltynudE ft
<br />I di(y thrt in rhc lErr(tr.mBr.f tlr *orr lq *hih thn lrrnn n n\k . I (h.lt ft, c.r?hy rny n .w'n in rnv lmftr
<br />v, .t ro ri.$m tubjd n, rh rortci d'ntxnsrrn lr*t ol( nlrf(rnii..nl.3N rhd if I lbuld 1,..1,m shFt b llE
<br />tr ollcc' .lrqEflsl hn pn,Yiti,'nt of Sdrhn .l7(]ll or rk lrh, C,xl.. I $.11. n'd h$nh sn{'ly $irh rtbt Pn,lnbns
<br />WARNIN(; Ftrilue kJ quE sork.n ..nvrn\urion covcrugc ir unla$lul. trtot rhrll $brdr .n cn{krrr lo aiminll FNlri: md'
<br />cival fi.cr !p b oE hundr.d lhousi dollor (Sl(f,).Ur),. ir .ddiri'l
<br />S&rb. 1076 or rh. tihr C.d.. br.N rrn dNE, \ far
<br />D.r.: ^pellont
<br /><!
<br />UCEllEDljTNIlAl:Il)B
<br />DEIIJIAIIO!
<br />I tmby rlii,n unLt Fuh, o, rEr!,y thd I rm l,e.r.d !n ld Fnvnion .r (tu, s 9 r@nftting *ah sd bn ,mO) or Diirion l
<br />r rl. BuiBr .d Pn'r6ri6 Cde !n m, lt.nE n in rull 106 nl .lrdl
<br />cn!Iilxl]1:Ixr$EDl!q.&c[0lr
<br />I tERt'y rlrirm und.r Fodry of pojury I hd rrFrc ir r s.{ru.1i'n Lndin8 tscroy for rh.lElir@m oltlr wrk lor *trth rfi Fmn ii
<br />i!(sn (sd 109). civ. c )
<br />lrrd.r'r Nre
<br />ITELITABLITECIISAIIO!
<br />I hd$! .rnn unln Fdh y .r Frirry oF .l rlE lirlloq ins ilN hdionr
<br />I).mlirbn Pdmik A1h6rr Norifrarrn ltd.r.l R.EubtDn! (Tirh.l1,. Pd6r
<br />Rc(tutr.1l I rrrcrrr N!r(n nir
<br />-l
<br />dily rhd rlt rargll rcsuLtio$ Esudrry rsh.str rmrli m ft, !ml..bk h lhir F.r<r
<br />! (li"xnr.\ tr!lsr,i.l.xq\ kL,r'r[ ro hoil,t,m ! ! rrnn.r trtrrlrn^ rqnr$ trr\ol rhrsciry kl(irnryrr.nd u,xrrhr
<br />,h^c nEtrrxnnl proncnrnn i',yirri,r purFM{
<br />^pptionr
<br />or
<br />^Ear
<br />skDruF d
<br />-,-'tLP.mirftn,m lerlnr': / ,/ (Atttt/aottr;?4,)"/f/*q
<br />Sel Backs
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVlnsulation
<br />Rool Sheathino 4ilq14 {Lrh4A.{".b)
<br />Shear Wall vr
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />l\rlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />alqlLq'UrLr)I ]u ICertilicate of Occupancy
<br />Notes, Remarks, Etc
<br />ID/SIG.
<br />Forms/Steel/Holdowns
<br />SLAB Floor
<br />FINAL
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