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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS (r6-B!ildn D<lDlion
<br />I hd.by imrm u.d, p. hy ol p.lury rhrr l .n .t.npr ao,n rh. Conrrcro l-@n!. 1.* for tlE followru rdoi (s ?0] 1 .5 Bu'n6!
<br />.d Profgrion ( od.)r An) Cny or Counry uhi.h EqriB. Fmit ro odrlrl..n6, inFoE, d.mlirh o. Epar Dy iMd.. Fi, r. in
<br />t!uB., .b. r.quiB ilE .ppli.rd lo. !u.h p.mn ro i!. . lisn d .rm rhlr lE o, rhc a l!..md td@r ro rlE Fovir,oB of rh.
<br />Conlftror'r l-'c.Bdl ll* (Ch.prn e. ('onn.ftrJ wnh Sdion ?mo ofO'vEDn I olrh. BNr.6t.,n ProtBrbB Cod.) o.lhd h. or
<br />dr n ddpr ltE fion .nd lrr Lrn fot llE .llq.d .rmDl bn .Ary rhLl b. or S<lion r0l l J by uy tp?lk. lor. p.Bn $bjdr tlE
<br />lpplrrd ro icivilpcutrofmr mB rh.. fiv. huMr.d doll6(l5ur)
<br />l.!of,ForrlEFoFny.or6ycnpbyGulh*.a6!ttirhhonltEdrbn.uiudotlE*orr..dtlEttM@imrid.!nd
<br />or ofisln for !1. i S* 7O4a. aurcr dd Prof.,.is Co& Th. Codr.doi r Lce l.* d6 rcr .rpl, ro .n o*e ol rh. pmp.n,
<br />eho tDilrlt or improvd lh.r.on, rnd who dod rwh q.rl hihklf o. h.6clfor th,ouih hir or hc, own .nploy.6. p.ovitcd lh.t !u.h
<br />inp.o!.rMg E d inr.ri.d or or6.tl lor sk ll lblcvd, rlr bqildi.s or inFonftll a $ld *hhi. om y{ ol.oooLrio( r,E
<br />O*ffi.D{ild6 *ill h.w llE hrd.n of proviB rh.r h. n 3h. m' tdrd or imFot. for rh. purF* of .)
<br />_ I. aorFof th. FoIEd,. rm .i.lutir.ly .ontdi.a *nh lk.Ed cMtdoR ro coErrud rlE Foj{t ( S< 7(xa, Buin63lxl
<br />Pml*ion Cod. Thc Cont do, ,i l-M, tr* dc d rpply io rn ow of propdy who b{lldr or nrrot6 rhaen . md who
<br />onr.dr for ru.h prordr *nh. conh.ro(r l'c.nt.d puEunr ro rh. conhdoar L'c.n.. trq )
<br />I .n.icmpr und6 S<rhn
<br />laa[};B,L(l,utEls -rot-ox1.laaallar
<br />I h.r.hr afin trfris n. hv otr).rj'rromof rh. li)ll,,q'n!d..hrrrtrns
<br />I h.\. dd s r,l n.'.r.i. i Cd 'fi..r. of Co6.nr ro Sclf l Bur. for erldr' comp.nrt 'on.
<br />!r prov'i.d for by Ser bn :l?.xr of rh.
<br />l,bo,Cod.. rorlt Fforrunc.of lh. wort for whichlfi.p.mil it Lru.d.
<br />/ iE*."a *,rr-,... *,tar @mr.Br En 'n!uEN.. I r.(l!tr.d by Sd
<br />'on
<br />r Too of rh. Lbor codq ro' rh. p.rlomun.. or rh.
<br />r.,l f., trh'chrlrsnrtr E 'su.J Mr tro,l^6i' .dn,mnsr r,n 'nrd'rtErn'd md ml'.
<br />c.nd /+1,.<n L uL Zv r r d-
<br />Pck\Ndmb< u,rc {Szt 2 7 3 oc:,t ,**,
<br />{Tt!i kr.n m.d mr b...mpld.d if rh. Fni B fo. oB hrndr.d doll6 ltluol or ld)L
<br />I cdiay lhrl in llE F omm. of
<br />'h.
<br />so.l for phin
<br />'hn Fmn n isu.d.l
<br />onp.n.rbn Lws ulCrlrtorn...nd.!r
<br />7o0 oflhe I alnn (inl(., th.ll. l(nhwrh
<br />,+x'u,. qdli6 omFut.nolrrg. ! urLpful. rnd lhrll io oif,inrl p. ki6rnd.ivil
<br />'housrd
<br />doll6 I I I m-o."{).'n rdd,r n to ih. c.( o,irr d.drd a pro\ id.il ro' rh. S.dior 1076 of
<br />th.l..hor ( od.. 'hr.r6t rnd rno,n.y s fc
<br />Ltc[ltlL(rtrIf,^(1l,8s.Dt:(ldBAr.lo!
<br />I hs.hy.rlirm undd pcn.hr.fFjury rh.! , @ I'c.nrd und.r povahn of( h+ro 9 (Nm6.n<inA *irh Sftrnr.7000) of I),\isrn 1of
<br />rh.llui6! 'nd Prof6:.6Cod., rrd ht lic.N. L in flll forc. tnd (IIft!
<br />D. tZ )o /4 A
<br />( ()\s IRt ( I to\ I I \DI\(; ,\Ct.\( \
<br />I h.r.h, !,lim und.r p.dl'rotnojury rhil I h.rc ! . coBlru(rFn lcndrq !3.ocy lor rh. p.rfomunc.olrt.
<br />L3u.d(s( 1097. CiY ( )
<br />l-..dd ! Addr.s
<br />afrusalE!.-pIcrdaaltaN
<br />Dcmkion P.milr-Art tlo! Notilic.lbn F.ddl i.rul.lioB (Tnb 40. P.n6)
<br />f, .quir.d lnrs o, Ndi6.di.r
<br />I (.niry rhtl rh. f.d.r.l r(tulrrdns rqrrd'n!.pplicrbl.lo rhs p,ojst
<br />lc.n,& rhlr I h!r. r.rdrh's!r cord Lrre h.on,nl! nirh,ll( ir! inJ ( ounr!
<br />onl'nrn..s a.d Sr!r.lrqs r.la r.pr6.nl!liv.r oflhi!( i'y rnd Counly !o .nr6 upon lhc
<br />^,,1--/--r /o /a
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUlnsul
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />f?ntn11- 9*t *,2
<br />FINAL +/ulr-'vp/'Ot ,--6\J
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />MlwP51\P6mil-l.specion Fo.ms\Butld.9.lnspsclon Ro.ord.doc 03 31 06
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