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BUILDING. INSPECTOR RECORD .t
<br />SITE-WORK DATE ID/SIG.COMMENTS (,\XN ER BU ILDER DEL('AR TION
<br />I ha.tt rtrm ud( FEiy of FjlO tld I d 6drqi tod rtr Coddr.6 l-itB Lr* tor rh. folL*io3 'B)n (s< 7011 5
<br />u6,n< rd Prorsion (.o<L): Any Cilr or Coudy *hkh r.qon6 . Fmi io 6drud, !is. BrFo!., .lsmllh or qnn e!
<br />sttule, Fior ro ir! ilcucq8bo r.qui6 rh. ipplicet for s.h Fflit ro lik. suncd nlrtur lhd h. or dE i! lic6a.d Fus$r
<br />ro rh. Fo\ ir66 or dE Coil.*rG.' Ltmr.d l,w (Ch{r6 9. ( ollllmn! $nh Sdhn ,000 ol Di\ nir. I oa rh. &!ind od
<br />Pmfdio.. co&) c lhn lE d lrE n dflp( r,E.iod &d rlE bGii ror rlr.U.s.d qdFion Any vi'Lri,n of S.rrDn 70-115.!- ey
<br />+plic.nllor.Fflnilslbjclrlh.lppli.rnitoacivilp.ohyolnotoo&'h!aljv.hu.dratdollur(1500)
<br />I. a 0*6 ofth. FFn), d ny dploli6 *nfi *'.86 B rh.n sk omFfldion. qill& rtl sat.!rl rh. *'Ilft B mr
<br />inlaH o. oll6.d aor El. (Sc 70.44. BuriE! Md PmleiioB cod. Th. (!nt,cr6i! r-i.@ lrw d.6 nor @ly io a o$.8 of
<br />rh.FoFry *ho tril.hd !rFo\6 thaq4,d *ho dE {rns! niBlro, hEllf o.llwush hn m lE o\n @IIlhyE-
<br />lro\ xr.d !h!t o.h liFDrqEr! r. d hor&l oroltdd k{ $L l[ ho!6r, tlE h]rrilt n nig$rlrH u ir, *rhin m ]d
<br />olconpkha ttE (xffi t {itla qill llE rh. hdn ofF.\ne rhr lE or J'c da mi hild or i{pr.r. ttr F Ft. fr'. E FnFeol
<br />l. a osffi otrh. F.Fry. d.rctuinru co r..rins trnh lic6!.{ conrrnlos lo sBrud rlE Foj.rr (56 7014. tl6!n6
<br />atd Pt,lslion Cod.: 11. Co.tr*toi! Li.cns. t,rw doa ndt applr h s .wn6 oapmD.ny sho tril& 6r improvd rhden,
<br />lnd \ ho .odnd. lor ro.h Fln! $ irh. (.nhcron3) k!$.l pucai ro rli Co rlor'r l iN l js )
<br />I a0.ldnpr rndd Sdn)n
<br />D.t. Oi rr
<br />\\oRlit Ra' ( otlP[Nsat'Iol
<br />DI(]rtlt^IqI
<br />, h6d! imrn und( F,alr! oiFru'\.n.oaihclollotrillll rk(L,!rtrff
<br />I ha\. dd q ill mint.in t (-dilic!r. of aoBd io S.lr-lNu. Lr *0*6 .onF$nion, a lhlid.d f by S..rnr61700 ofrh.
<br />litDr (ild.. lor th. Ffollw. o I th. qo f.r etth
<br />'hc Fnn ir iq<d
<br />I h.\. ind witl m.i.rain sorld .ont@rk,n iBu6tu.. 6 rdutr.d by s(rion :r 700 ordrc l.bor Cod.. to. lh. pdfmu.. of
<br />th. $orl nn which Ihii Fmn b iedl My rorld- .orqE8dnn iNrdc. ceid drl polky nunhd &.\/^",rtb-b-Fa*:A ./ t .
<br />./1,*.,n,* llttEt2 ,-* lfStf zo
<br />J-'..n,r,,t",,n,t. -to,.on.. otrhc *o nn which rhi! Ftrnr k isu.d, I shalr .or mploy .ny Fmn r uy mMK
<br />5 akrhdomslqdiolh.so 6'dinlEMio{ h$r of CrlilirDi.. ud!{Elhd if I truld b..on. $li.cl totrE
<br />N.Id'omFeiinF$ir.6ofs<lbnl7mofth.L,bo,C.d..lC.ll.inh{nhoidr$nhtL\spr.rsio6
<br />r4ARNlN(; FriloE lo sE. srl6' comFMion o\n g. t oihetul. &d shlll 3!6jd m dplotq ro dinind F ti. ad
<br />civ'l lid6 up 16 orc hundEd lho$dd dolls ($100,0001, in ddirion ro lfi..on of.onFarlion. d,m+6 d Froid.d aor lh.
<br /><;,:14
<br />( {ri.- inr6.r u<l dt'E-- s ,c
<br />t4-
<br />I hftt') .mm undd paahy of pflury rhd I M li.o$l uid6 Fr\ sio. oa(1!B6 9 (comn@rx w h sd6 70oil) of Divi.ion.l
<br />.f rh. llurinB md PreG.ii N (ii., id ny la.r ii in tuU roe rn .,T(r
<br />r - ?27
<br />t\l l7
<br />lo61qa 3tt,l
<br />q)!lla!]lna!J.!!laIiJgfd(a
<br />I hd.6y .rm undi Frn, of Fjur, lhd lhd. it ! otldruclion LldiIs !s*' foi lh. nshlrlld. of llE $ dl fr'r rtth lhir p6ni a
<br />iiu.rl (s< 3097. ( iv C ).
<br />ATTII(^NLD}:CIJAAIA!
<br />lhddr 6rllm und.r toalry dlpdjurt on. orth. nnb*in8 dslsaliuN
<br />Dne,hion Pd'lr' stEror Not'liotno f-.d.rrl R.suhkrN (1 iL,r0. Pd6l
<br />Rdlutr.d I drs of Notf{ltion
<br />I cdift rhd rh. f.ndi r.BUlrhB Esin E G!6k{ rmr.l r. mt @dr.bL to rhi! FDJ.rl
<br />I .dit, !h.r I hrv. r6d thn lDplt.rn'n &d srd. rhd th. rt[\. infnnndior ir cor.d I lsrd to 6mp! $nh dl Ciry ud C.untt
<br />odmm6.nd Sr.!.lrssEldd* ro tnill,
<br />uv\-
<br />md @ ardl[rn,.F6dndr6 of rh'r (-il) ad Cou"r) lo 6i6 qFn tlE
<br />nlxr.ffirk'n.dr lEn) ntr Np<dtr
<br />l,nf/*lrllk.nr or \g6r siBnlurc
<br />')."-r.bor,lJ r1
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorA/enVlnsulalion. /
<br />Roof Sheathing 7o[4/n FLfft. ft
<br />Shear Wall 47-'/o -?8-t9 Zc 2t.
<br />Framing /t ,'/ ",z-/ 2rl
<br />lnsulation/Energy t/-{-ta l2 c ,>tza e. > 2!)
<br />Qrywall ll,7/a/q a€n
<br />'ex)./lnt. Latn tlt zo )
<br />'lfrown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />F1lgod Zo2e Certif ^<)llTtut kru
<br />a\
<br />FINAL iltlt-,
<br />Certificate of Occu n
<br />T
<br />Set Backs
<br />tl
<br />Xlr/2,t&tlut'sl
<br />JuA)
<br />Notes, Remarks, Etc.
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