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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS oWNER Btill-Dtil lrtll.(AlL,\TION
<br />I h.Ehy ,rtrm !.dcr ,)<nrlr, .l I'.lury thd I am cxcnrtr fmn rtu Conlr{.hi l-r.nrc lir !,r rh. rol!)win8 re!{n (Scc 70.11 5
<br />Bu\in.lr !d P,olcsion Gxlc) Any Ciry or Coudy *hrh Frtdks . Fnnr ti $.{M. .lr(. inwor!- &mlrfi or qxn rht
<br />{rurrur. ri, k, ni nsudi, iq, rcguiE( rlEalpli(od ntr suhJxmiltr riL a \tral {,i.ftnr rhd tror rlr is ltunsl |[Nu.r
<br />ro rhc pn,vnior .l lfu ConrrKhr'\ t-r.nscd ll* (Cli,flcr 9, Cdnrftn.in8 *nh Senon 70(I) of l)ivi\i,'. .r of rlf Bllin.s nnd
<br />Prclr\Fn! Cdk) or rh,! lr d ilE r cr.rrgr tlmfmm dl th. h.nt ntr th. dtscd cr.mplr,. Antfi,l,ritnof Sdir?0.115 hy a.t
<br />lltl(lnt nr r l'.m'n $hFrrr rlr lppli(0nr ro I rivil ll.Mlry ol mr nrnc rhxo fiv. h!.drcd doll,l I l5(D)
<br />-_1. .f,Erotih I'orEn:", i, mt.nulo)r. f,irh rr!.\r\rhcr r,r..onrEndi'.. $rlld' rlreqt!dih. irre. {
<br />i' cnlcd or .tlx'.d n, sh ( Sc_ 7(x,4. lrurircs $d PNfcsrhn\ Cdc l hc (hNrei{n\ l-rcn* ti* dr*\ nor lrrrly lo on owner .l
<br />rh. rn'Jrny Eh, l!rl&o. rtreB llm..d *ho d6 r*h rn* h,n\.lrur h.rslf or rhmulh ht or h.r owncmpk)t!.r.
<br />p'orltdl rnn, su.h in{n,ffin6 m iddll.it or oflcRrl fff qlc ll. h,kE, rh biklinS r irlnNtEnr ir stl *idin nx ,rdnf.orltri,tr. rlEOwrcr tluit*r $illhrtr rlE tn cn or pn,vmg thar lIor{rdd mr tuiU nr rqhE rtE F,IEny frtr rlt IorF,E.l
<br />I. !\orftrorrh. l,i,xny. rmcrctu\ncly(Tdr0.inrs *rh lr..al n,Inr&lo^ t' rrtd{tut rrr |'oFl (Sa 7(!.r.Iru(fts
<br />trnl ,t"16\ix(id.: Th. (i'nreloir l-ic.ni. tr*d,{\ to{ afrlyk, nu ftr .l nroFrl} r ho t'uildr nr imnmvcs rh.r!on.
<br />lntl rhr d)nrhdlnn \kh,xords sith !Conla n[\,lacnrd puru n,rh.(i, rr&r'\ L*tnc tj*)
<br />I ncknl unJcr Sdirin
<br />IIaA[}i8li]I1)UfljliSrUlA!
<br />Ir!(LA&lrQr
<br />I hrrrht rrltrmtrnLl.' p.trrlr) f l r^_r(r) (fcor rhe r('ll,,trirp,lcrl.nrirr
<br />-llBvc
<br />url sillnuinrsin s a'cdiri..r.of(,,n{nr t, Scll li\ur.lor sork!6 nVBoulon. ur I'ltidcd (t hyS.tri(trr1700olrhc
<br />lrbo.Cdc. fin rhc lrrfoirEft. ol rhc turl lq *hih rh.Fni r n\mJ
<br />t hr!€ r l will binrrin *ork F coqEnilrion rnsur.tuc, 11 rcqumn hy S(rn'n .1?(x) of rhc tjlbr CG.l.. for rhc I'c irnur. ol
<br />rh. ro* L, qh(h rhn lrrnd i( ir{xi it} *dl6a dmrE.si,n 'nrurrEc uri, url F,l.tnunftd @
<br />-l
<br />rcnilylhll inlhc ncrlorMm.ofrhc sork ntr *hichrhr Frmn ,\ ir\ucd,l sh.ll nor cnllloylnyF_6on in snrnritur
<br />{, m ri,lNor \!hFr n' rh. }$*6 (,nqE.erk,n b$ofc.lrrt n!. rnl agE rh?r 'fI \h,u5 h.frm ruhF r,llr
<br />*0*6. (,,rtrnsrir F)ri.i,n< or SN ion lrur of llE l,htr ( .dc. I slEll ndhsnh .\,illlly wir h rho( nNYisinF
<br />WARNIN(; frilu.c ro \rui. *n.kc^' $n{En\attrn .r'r.rus.
<br />'s
<br />onlNrrl. intl ihal! nrbFr atr cm0l')q ro sidinrl ,rnlia\.ftI(Ml fim{ un k, oft hundr.i lhoue,n ddh^ (slir,.lx$r. in diri'. rr rh. (N ol (o.Itnernn. d!m3.i r! rn,rild fi, lht
<br />S(rtr'n 1076ullhc lrhtr C,ilc. int.teslond Jlrorry\ lcc!
<br />DrL: Arpllol:
<br />LICT'NSED ( oNTRACT(IRl,rrrljxlllat
<br />I hcNhy rjtD trnd.r t^-'rlryof lxljury rhir I (n li.cnrd uktd lmvninn ol Ch,prd I (unntrtu,h8 *irh SNion TlxI)) ofl)rvr[n.]
<br />of rl*&Nrc(i PnnesinF(i'da. nrn my li..n{ n n, hi ll tuRr !ftl cllc(t
<br />gJrlirBll:IllrNtEdDlNc-&a[!.cl
<br />I hcEhy lfltm udrr lttuhyof F!!ry rhd ttm s. Lr)mftr$n tndin-g rS.ry nn rll. FforENc of ttr s.rk ritr *hich rhr Fmi 6
<br />nru.drsn lllrl. ( iv ( r
<br />lxndfl \ Nrh.
<br />a
<br />AITLI$NUTEIIJsAIIiTi
<br />lhdrtD !0nnuod.r Fnrlly rr pcrrtr! or ofrh.l(,lkui.t rldlnrarir6<
<br />lXnr,lirn P$nrir!A(lE{o\ Noriliuri,r Fglc.rl Rcguhri()nr ( l irl. "l1).l'an6l
<br />Rr\uncd I.lt., oI Ndlilf,dinr
<br />I .6r'fr rhrr 'lr fqtal rs!hr,n\ rsddint r\h{r( rcnr,!.I .r( ftn lpd.,tit b rhn ln,Fl
<br />I..nify rhd I h!r. rcaJ rhn!pfl{.ri,n I{.rrrhlrth.rh^trnl(rmri'n!cotr(rI1gr€roN.q,snh!UCny..d(iNnry
<br />odiu'r.s lnd Srrrc lisi
<br />rti,vc nEnr{ Ed pmttny
<br />tndrnr. dn hr.h! ruhrizc rLprcrnr nc\ofrhnCir
<br />!^1f ts /^/J,\Dli.r l nr,\t.nl Sirnn 1,,(;/;ft-'.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />Subf loor/VenVl nsulation
<br />Boof Sheathino
<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 <.n40 'Jr'.J61,Gv
<br />Certif icate of Occupancv
<br />Notes, Remarks, Etc
<br />SLAB Floor
<br />Pool Fence
<br />Flood Zone Certif .
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