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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OITNEN BUILDER DEITAR,iTION
<br />I h<.ty.rtrE un& Frlry ot Fqury dlr I doF liln rhc C..trro6 Li..M t,w f.r fi. aollowini l.e'n (Sr70!I J
<br />Itsi,B dd rrofBtbn Cod.) 4., (nt n Cod, *hkh EqliE . pami! ro coldrucl, !hq, iiFov., d.r.olat o, r@i, &y
<br />nruftre Fior ro nr iw. rEo 'quit6 rh. tppliar t r lkh psnn b fiL r 3isr.d sl!rd!,n rh.r lE o. sh. is li..ru.n p@dn
<br />ro rlE FDlirh6 ot E Cofr-rtrr Lk6!.d t e((t! r 9, (omn*i.s snh Sdlion llo0 of DivEion I oatn. aai'6 md
<br />Pmf..rir6 Co<lc) or $a h. d ltt ir q.rp( rhat&of, lrd $c bGb ftr tlE dlcg.d doFi,n A.y viohion ofs<(bn 70ll.t by.ny
<br />.op9@r for. p.rmi $6i*t rlE 49lror ro . d\ rl D.unr of mr mF rhE li\c hun<H dollc tliljol.
<br />oALlC f-6 oMs of rh. FoFry. q ey.ilployE u hh *116 B lh.n $k NrqEria t &dE*it-d ErtEiEi! Bti
<br />mrad.d .. o,Idal aor $1. {Se ?Olt. BBiEl rd Prol6ioN cod.: TrE C.Mdd. ti* t^ &€ r* +t'ly ro u otrE or
<br />rh. l,lFty *ho hil(l or inpmr6 thds( &d who &6 st ulat hidclt or helf .r rtmuSn hi! or lE ost.npblq
<br />Folid.d ttll lwh itrlFo\qEnred iflGidat ot ol[t dilrs!.It lD*da. rlE hiildi.S o. org.oEEr itsldwihhm]c
<br />nfdnqbin UE O{F Bcikb qil l*! in hlrbl ofFo!,B rid h. or ih. did nol hild.r imFrv.tn. FlFry ['r lL ltrrie ol
<br />l. 6 os6 otrh. rnpdr e c(lan.ly.ofrErns rirh lk.c.d .oddo6 k' odrul lh. Fojcl (Sii 7O!t. BG0B
<br />dld r,hfsbn Cod.: l nc ( onir*toir Li.d* l.w do6 or .o?ly ro s orrc ol FoFiy $ho boild. or inl,or6 indon.
<br />dd *ho oirEcl3 hr ruch Foj6E *ilh ! ( ontalo(.) lkaB.d pulrd ro rlE ( onfulor'i li@ L.u,}
<br />1 ,.\cnrpru .r SdkJn
<br />"", /o'-P E {Y4d-
<br />DECIAaaf]AT
<br />I hd.by rlfim undd pa'ah, of pdjrry on. ofrh. n'lbtri.8 iL(bnrnrE
<br />I h,r. lrd wilt m.inr.i. ! Cd'|rc!!. ol( 0l!6r ro SclalEu. fr world conrF$tion, 6 r6vid.d fr b, sdi!. ] 7m of rlE
<br />t jh', fti.. t r rh. FLll@cc of rh. ert for shrch
<br />'lE
<br />pdnir is rsu.d
<br />Ih.r..,v.1$illm.i.in*0116omp.Gd$niEur.E..cEquiBJbrS..lonl70Oofrh.lrhrr(ird..forrh.psfolru..ot
<br />(h. ${.1 fM $hkh thn Fmh i ie.d My rntd mr{tuion imlff. cffi !n poh} .untd e
<br />rol'S {umtq I lptr6
<br />flhL.-'n tr'", i",*p.r",,Mm.orrh.q ,l ro, *hrhrn'rp.'n is iss'.d. t ailnor 6,,plo,a.ypd$n in.nyDdE
<br />I s ar.}!roEsb(r r" rh. urAd tumFBd'.. hNi.f ('rlifomr.. md+rrhd ill rhould tEomc rlhEl lorh.
<br />uo 6' @qterirn Frnn6 of s.$io. !7m.filE trEr (it., I dEl[ nnh*nh NFply s ilh lhoE tmrn'o.s
<br />wARNlNc ltilc. lo su. svt6 snpdlton m\m[. a lnlr]ftrj. ,tt shrll sild o drthys ro ai6in.l Ftrfti! md
<br />civrl lin6 up kr oE hundrd thoustd &rud (r l Ul.00{). in rdd Fn lo rh. cd of .o'nFMr hn, d.,MB6 a Fo\ il.d for rh.
<br />S.dion :1076 of lh. Llbor Co<L. i.ra.d E&l ,uorrEy s
<br />o.n ,/0- /t2 - tQ n r,,-,,.-/n4ncL-
<br />DECIJaAI1A!
<br />I h.r.t y .IIm u'i.r Funy or Fju) rhi I D lie,sl u..ld Fn\ t.n of Ctlpts I lonlffii.s B'rh Sdioi 7000) oa Dv6'on !
<br />ot llE BtEir &d erefdnE Co&. td ny li.e n m tull fore dd.ftft!
<br />(aISIBTJCI]AN.LI;IPIN{jJqI;!(}
<br />I hchy !fifln trnds p.nalrl of psjury rhn rh6. n . Ndn(li'i ladin* .gftr lor llE Ff(lffi. or tlE rorl 6r \t!ih rha pan. it
<br />isncd (sc r0e7. ( iv. c.)
<br />AIIIII;AXI.I&C'.dAAII9N
<br />I Ld'y aafm uRls p€nah) o, pdjury on. ot rh. tn[i*ins delf ioni
<br />Dsnol ion Pmih-Ashcsror Norlicnrio. f-cd.ral Rquht ioN I lirl. 40. Prd6)
<br />R.q!t J lnt(ottdiildin
<br />I ( d,6 rh tr Ldd.l rsuhrsB rlrd,ne BlBo( r 4\ .l d. ft{ qplkabk ro th6 FnJ.(
<br />h4{k,",* , *,.,- *B lpelkri.n 'd,.r. rhd rrE.ht! intomni,n i'.n.s I 'sri ro.orqr, q nh trr cny 'd (-oud,
<br />l odiiu(6 sd sr& LaM ELdtrS ro h dDg conodi.( rn hdctt rurtF.iz.EFdddnd6f Uir Cnydn Cou trodql+oiih.
<br />rbntr mdrnrd nrcDdlr rtr 6!d(n oui"!.!,
<br />^ppn. o.,..ars1..,.n l4r( O,oo-&-. D.e 10-/o'/'5
<br />P@,,(q6.rp,r.o: fl" lqrJ lpviz
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Ene v
<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 />FINAL /o-)z-n tLc zt7
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />Flood Zone Certif.
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