BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE IDiSIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation I in/1ngRoof Sheathi thlrKllY t la--
<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 />Enqineer Final Report
<br />Flood Zone Cenif.
<br />A.ttm'FINAL /oh'hk /o -,/
<br />Certif icate ol Occupancy
<br />Notes, Bemarks, Etc. .
<br />J
<br />oWNF-l SUtLDEn Df,L( AITIIION
<br />I lmhy rilrm u.ng Fulry of Fllry ih:r I m .r.nr, fmm rlE CodraroF l.ift l,r ror
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<br />folhrh3 Er$n (Sc n,.l l t
<br />Burin.sr nd Prolc$ion Cdlc): Any Cily or G,unly Bhich rcq!t.\ , Frmir r, . nnrud, .lrd. imptDrc, d.mli\h or Rt'[r tny
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<br />h rrE FrvrbN or rrE Co.rrl-t l.i!n$d Lle lct prs 9. ConmrinS Eirh S..rhn ?fiD or Dilision .l or'h. au.in..r.nd
<br />Pmli$ions Codc ) o. rhcr h.orshc is d.mpr rh.Eiiorhind rh. hd$ lor rh. rllcScd.rcq)it,n An, vnndlhn .f Sdi()n 70:l I 5 hy lny
<br />sn lklnr itl.Fmi bFk rlE .t?lkrnr tu r civil Jxmlry.f rn 'E rhr. fiv. hnndEn doll{r l ll{f,))
<br />L is oerr 6r rh. l,mlEny. or my cnqrloFcr with *as* N rh.n sL $n{xnern'n. will do l,E wnt 0d ltt nnd@ ir mr
<br />i Gid.d o.oll.En fir 6L (St.7044, a!.isi rd Pmf.$bn! cd.: TIE ( odrdr t LilE Lrd(Bd !t lyt..no*Erol
<br />rh. Frtdy *ln hrllt m i.ImG rfidE !n *b d6 uh k)* himf,lf or hcElf or rhmulh ht o, lEr or. ctq,h}(r.
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<br />or cffptri,tr dE O*d Auilrd will hN dE hliL or F)viE t,i lI c iE dn nn hiu d in{.tE dE FIHy for dE FiFE of
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<br />rnd r\otlasoCod. Th. Conrdor'\ Lr.ne I js d(B mi rttly b .n o*F ol prcFn, *rs burld. o mf r*!s rno$n.
<br />lnd sh. conrffts lor luch rDjccrl wnh o ('oorrknln, liansd puhuln' tu th. ao rNloas Ltcns Llwr
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<br />I h!'.ht rlitr utrJcr Fmlrydl t{ru,t.rk ol rh. l(ni,str,r dilrn LrN
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<br />n.rc at e'll mrlli. ! (tdirrrr. o, cl'n*nr k' s.lr lnsuE rd wnk6 c.nrlEnsrion-s Inr)!d.d ror hr sdrbn 1100 ol rlt
<br />tahrr Cclc. fo. lrE Frfolmtrc or rlE *ork for *hth rlE rEmn i{ i$kJ
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<br />y, a\rolE rm rubF! rorh. !nts'$n!En{b. L*! .l Cllili'mir- rtui rye rhd if I il$uB t(oE 3uhr.r n,rlt
<br />sorr6 ..n{f,nsr i,. Fmrnmnr ol Salirn lr(r) of rhc ljlFr ('od.. I ilEll. rdhf,d h sn!,l, * hrhEImrii)n\
<br />WARNIN(; Frilurc t' <-ur. rorlcB .on{kn\didn.ov.m8. rr u.hwrul and lhnll slhj(r d.mpk,rcr k' aimiMl F@lli.\ md
<br />civil 6Er !p ro or nudrd rhour.d dollrn (tl(l),fil)), i
<br />Sslon 1076 oa rlr L.lu C.'d., i cE{ .,n dr(fty r rer,
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<br />L.ndcis Nrm
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<br />ATTI.II:ANITEIIJXAIIOd
<br />I horst rtrm ud.r Fnrhy of Frrury orc of llE follo*i.B d(lMr io.3:
<br />D.hlnb. P.rmnlArt tur t{difk.ri,n tunl R.Suhbnr llilk 40. P.d6)
<br />_R.!uiFd L.(!r or NoafErbd
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<br />..nify rh! I h.E rc.d rha! .ppla.rbn .,n rd. rhr E r6olt intumrio. ir .oGd I .rr lo 6tt y *ilh r[ Cny rn Cou'ry
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<br />LrEby llfrn udcr FMr, {l F lr, rhd I m lirn*rl un&r tfrvkir..f Ch.Pld I (ommrins wnh Sdi,n,frD) of Divirbn:l
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