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' gutLotNc- tNSPEcroR REcoRD
<br />SITE.WORK DATE ID/SIG.COMMENTS O\\'N ER BU! LDf,R I'II,('AR TION
<br />I hq.t'y .mm undd Fdhy of pdiury lh.l I dr crmpl frlm lh. (nnlrdou l ttr l js lor rh. folhsinr ,tun tS< 70t1 5
<br />B6in6r and Proldtu. (id.): An, (-irt or Coult trfitn rc{un6 i lrnil lo .oldruct. .n6, imrdc ddRrlilt or rqsn m"
<br />edcruc. Fi{ lo ilr NUsq .ho ralri6 rh..p?lt! lor ruch rmn ro fik ! 3'sEd {t.l6! rhr lE or Jr . lic6s.n F,r6r
<br />ro rh. Fo\ ir$6 ol rlr (-o r-1(-! l.tded t^ ((tuF6 e. ( .nrffii4 $ irh Scrhn 70q) .f Drnirn r or lE Ba''B ,nd
<br />Prol*n'N (-od.) or llBr lE or sh. a .rmfl rhac6.n jd rh. tar. li, rh. .lk8.d .tdFion Any \iohrhnolsalnn 70.r I t.b,nl
<br />,pplicr ntr.Fiilsubj.Gln itplic..tk,.civrlpoAlryol.ornor.thanfiv.hundr.dtlollustl50O)
<br />l, 6 dsE.f rh. FotEtr. d 6y drpkD6 $nt tr.Bd s tlE $h onFdhn. $ill &r d! rvt td ih. iMr. it d
<br />inai.d m orad fd iL ls< 7O{,4. BsiE ed ftllgi'B Co<r. It Conr-d r l-tu* tr$ do6 d rtlv lo, otrc.f
<br />rn FtrFry Itu hill1r.r hprorEllEs( id trt dr6.u.h e.* hiMlf or hqsllol thmu8h hit hs o*n ophlG
<br />pr.rid.d rh.r luch idFovqdrs s n.t iilaxLd or o,rdd tu' er. It ho$ 6 a, rlE hildins or ilqn\ed i! $ld {ilhin onc tw
<br />of Nr{lki'tr rtE Ovr6 ttritlr *ill h.E rlE hrb oflr$ ru lhr. L .r .h. .lid ml tlild o. iqt$! {fic FtFlv f.r llE FrrEs or
<br />l- er o\ F.a rh. FnIEnr. m.r(lunr cly codret 'nr \ nh li(.6.n conrricro6 h codtud rlE F.Jt(l l s< 7ol'l llGrl6
<br />d filts!(n Cod. Ihc(ontarnn'rr,i.cns.titrdo6nolaptlvr,inosn6olp'oFnlrh.l,urrdsorihpn'r6rhddn.
<br />aid rhn..nrftkt.uchFordrsilh!(-onn,(n(s)licar.dnu6usnrrorh.(i'nr.clorsli.a*lr\)
<br />I an.rmF u.&r rq*lkrn
<br />D.t. ()nnd
<br />Itonxens' t'otrt cl:t'ls,l rttttt
<br />DECllX Tll)I
<br />I hd.l\ riln un&r tsill\ ofrsjor-\ oftofrh. tulh.{r.8 &(lordk,B
<br />I h!!. erl tr ill minr.r r cdificlr. ol Con5r lo s.lalGor. for $ L6 comFrdion. s Inn i(H tor q"sdrhn !700 of th.
<br />Lahor ('od., aorlh.pgtonn ccofrh.so for \rhi.h lhc pshil i! i.!Bl
<br />I h!r. rBl $ill rui.t.in \.rt6' .onFltrio. iMr!ft.. s r.qun.d ht sdi.. ulxr otlh. lrtnr Cod.. tu rh. Ffru. of
<br />th. "st ad triih fi! D.mn i' is.d My *dt6' mmpdsion 'lMn. .'ro ,n polrr= nudtt ,.
<br />I cgrlft rh.l in rh( FfolruN. of lh. *ort fn {hrh rhi. Fnrit tl isu.d l3htlr a, 6npht in) tq$n in..t muE
<br />$ shtt<om. bj6l lo lh. *ork6 .omFnstnrn hs r o, CalilodE. and tare I h, if I ihould h.{.m subjd lo rtE
<br />tr rld compdlslnrn provh(n. of sdtn,n lT0o of lhc litn, ( .d., r 3h6ll, fon h* ilh ondy wnh thok Pr.vntuN
<br />lt RNlnC raitur. !o Ror. sort6 conFMi'n .n\.rss. ir ubtrn,l d lhdl rubid u olhlf ro ciniMl Futb 6d
<br />r..d hnfrt.rl rlhu$d doll6ltltxr.(Xrl. in r.lilrn r. rlr c({ (f.om Fdrion. dan gB s rr.\il.d i, rh.
<br />Sdnn !076ofrh. t.l (-o&.
<br />'or6d dtt dro6i fG
<br />D.lc-
<br />-
<br /> pplidnl
<br />I ld,) ilm ulxla Fulr., ol Fiut ihr I 6 ltan'd undd F!\ itFn olol4ls 9 (omffi'ng tr ith srlirt 70m) 'r Dnirirn r
<br />ot th. But,.6.id Prefdh6 Codc. dd my li..e ir h tull forc ftd.ddr
<br />CONSTRU(]TION I T{DING AGTN(1'
<br />I H'J .mm ur&r lslhy ol Fq!,r lld lhsi ! t odMi!. t dhS tsd! for rn Fft'trlle. orrE {srl trqhkhlh! Fnn i
<br />iscd ls( !09r_ cn c )
<br />ATTUGNLTI(IdAAIIA!
<br />I hdd'y .lrm und6 l,.n6!ry ol pdjury .m of rh€ follN i.r dc.lrd hn.
<br />D.molnbn PmnsAstElor Nolilicat l)n F.:l6dl R.slhnrnstl l..l0. Pd6)
<br />R.q!ral Ldrq orMrltcdio.
<br />t.oi'ryrhar rh. Ltld.lr.sul6lnn: rcla li.r.rrsr* rdnorala,. nol amli.ihl.()rhis pmF
<br />l.drl\ rhd I lE\c'..d rhit rrDl $rhn nn srsr. rtur rh. ob.\. infondn n is cotr.d llsrcroNnPltsiihlll(irt.niCounrt
<br />ordiBfrB rrl Str. ljs! rck in{ ro tn
<br />.horc IFrion d FiFnt for irspcdio.
<br />!dtFri,. rqrer, n 6 .f rhir ( t, an Cou.r! !o dq uF. llE
<br />)
<br />\pplkrl or s.nl SlRnrrtrrc y
<br />,*r- n..",rn",,,%iZ;a</\u
<br />,,","8-(z-lt
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL / I /1-3 /t z/,o/
<br />Certif icate of O'ccup'a6cy
<br />NotesirRema/Ks, Etq,/ //
<br />2
<br />a7
<br />Erection Pads
<br />Pool Fence
<br />Flood Zone Certif.
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