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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII.DER DEI,CANATIoN
<br />I hs.by nmnn undc p.nrliy oa psjury thd Im.!.mU fi. rh. C.nl,acrnR lrcdi. Iss fo, th. fnllo$'nN E&n (s<70rL5
<br />AB'n< !d Prof*ion Cod.): Any C'r! or Coudy $hEh r.qM€ . Fni ro Lonrtud, dr.l imFo\c, J6ml6h or r.!.n e,
<br />itrucluc, prrrro ir3 NuN., aL. r.{rn6 th. E tli@r for lucn panit ro ff l. . si8n.d sddndl lhrl h. o, sh. i\ tudrcd pu&r,
<br />ro rhc p.nrisi,'N ot rh. ( onrturoi3 l-i.n*d lrs (ChErs 9, com...i.! $irt s(rion 7fix) of Dhishn ] of th. asins,nd
<br />Pmisiont Codc).. rhlr lE or rh. ir dmpl rh6.nom ud rh( hais lor rh. rlLx.d .tdlirio. A.r v,olrihn oasd h. 70r I 5 by rnr'
<br />opplicanl ror a Fmir subjcrsrhc rpplicinr lo ucivilp.ntrnyofnot mlrc rhnn fir. hundrend.llds(l50rr,
<br />l,Iown6ufrh.Forny.ornry.mploy6$ithq0!6alh.nsL.omp.trerhtr.s.hrh.*otlddnEnnt1u.bnot
<br />i' drLd or ofi(.d lor sk (Sd 7ol.l. BailB ud Froldnrdi Cr& I k Contrdoar l.rd* L6$ d.6 ,o' qryll lo .n o\rE of
<br />rh. Fntdy sl6 hril6 or in rsr6 d66( &d \rll' .t € sh snit hirNclf or h.rulf or lhmqh hir or hq or( drtl.rc6,
<br />p.ovi(H lhrl s!.h impro\ds m ml inknLi or oiT6.n aor sk l[ ho\ 66. llE hrildhs o qro\ orEil a $ld $nhi. on. td
<br />oaconlPl.lir( lh.(n nd A{iB6 rill h.\. l,E hrd6 ofFor nls th, ,E or shc dd ml trild or eror c lh. Flport rn rh. porpoe or
<br />l, &r o\$s oirhc prorgly, m.rclBiwlyconrrl(lin! \qrh licor.! contict)a r. ..mrn.l lh. l,oj(t (s( ?ol,l.ll!\ins
<br />rd PFGSM (-.d.: Ti. ( .nrehr's Licns. l-.$ do6 ror .ppl]- ro os ns ot oroncnr s ho hlnds or if,ro 6 !hd@.,
<br />and who $nr6ds to. slch poj*rs sirh d ( ool,.ct.( il liec.d purc 6d r. rh. ('ontodois Lic.6sc l-.\()
<br />I un.\c'nDr undcr Sdlur
<br />D.le Otrrd
<br />\YORXEn-S aOntPl:NSAl tol{
<br />Dl;(tAttru0!
<br />I hd.br.mnn unds potrlty of pgJury onc ofrfi.ldnN ng d(leilnr6
<br />I hrvc ed $ ill main{ain s adifi(.i. of conHI ro Sdla-lNtrr. for sorl6 conrpsNtioa, .r Ir,\ id.d for .,r( s.cl n'n r 70o oaih.
<br />l.bo, Codq lo. lh. pdfo.rlec oarh. s.,I atu !n.n rhc Frrn ir e.rl
<br />Its\..dtrillmni ahtro c conr.Balron iGurim...r r.!ur.d tD sNrio.l7([r ofrh. tjhor (nd.. a rnc Ffolrlffi.of
<br />rh. *o,k lorshichlnGdm i! i$!.d My wortd .o'ntaq6ri.n inslram. (rni6 0rd Fliry nurnh( &:
<br />Pol.rlNunrbo lirfnd
<br />I c.nil, thd in rh. Filormaft.ofth. $o,t aor {lrich rhi3 Fm is 6su.!,I n8llnor dplo! inr tcv,n in,r! trrd6
<br />s Nro b..on. su\$r ro th. Eo*ft comp.nrarion ltr\a or( alifomi.,0nd a8E rhd ifI should tE om. subi(l to'hc
<br />sarlc onrEsrion rnir$c 6f sd on !1rO ot rlE l lhr Codc I snilr. fdhq nh o,ntl! \rirn
<br />'hos
<br />pmr tr$hr
<br />wAltNlNC Irilur. ro Ruc *ork6 .onpmrlion c.\ds*. ir unla\litrI. Ond shnll iubrcr d frpnrtr io dmin.l t@hi6 tnd
<br />.nil nn6 up ro.n. h!d,.d rlbunn d. 6s lll m.o(x)). r..ddilkrn lo rh.r.omp.nsirn.n. Jrm.!.s .1 ,r\ trl.i fM th.
<br />cMi inra6l ad arrorrcr's fNr
<br />DE(]IAAIIII!
<br />I h.rcby 6nm undd r.nalry o a pdJ ry rhar I i,n lirdsl uhdd lrorhnrn o l ch0pr6 9 lcommncins s il h Sr-.r ion Turu ) o t Divtio, l
<br />sa
<br />(ottra!(ro!-L[Nlactc[!q
<br />I ha.by .,Im und6 Folrt ol pajurt lnd rhq. ir r o.rnrlbr lodiry .stry tor lh. FfonMc of fic soll lor $nich Ihir Fnl b
<br />issu.d (s( 1097, civ. c )ts.Lr'sNm.
<br />ATTLI(ANfDE(UAAIPT
<br />I hn6y rmm utr(lr Fulrr ol p6Jqr, onc ln aollotrinsd(l{ tbm:
<br />D.ntulntun Pdmns-Asb6rG Nolif(.r{n f.ddrl R+ularions (Tir lr {tr. Pd6l
<br />R.quir.d lnt6 of Nolifnlion
<br />-I.ari&rh
<br />rh. fcd.rl rc8uldioN Es&dins eb6tor lffir.l e ml +!lkobl. h lhi prFl
<br />l .qrily rhd I lh. Ed rhb .rplicdim .rd 3rd. rhd lhc !b$ inforniioi i! .or.d l .!rE to omply snh .I Cn) and Cour y
<br />orJinaksa trd. lAsr.l.lrir to hrildn[aurho'iz.r.Fenhrn6.lr
<br />l.:{ i_l \ ,
<br />rlu. msroicd Iln)l{n)
<br />,lppli(rnl or ABml SiBd ->::'4i=/i,4"
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall I \JI
<br />Framing
<br />lns u lation/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 />FINAL Q/e-z/ tt -1-a-7 -an^-4)
<br />Certificate of Occupancy 'l /UV tt.,'
<br />Notes, Remarks, Etc or rh.lls'ns aftj Pretspns Cod.. od mr licar Ls
<br />'n
<br />rur
<br />ai.L,os3
<br />4-i+sfia X
<br />Erection Pads
<br />x/rv-.0/ )
<br />I
<br />I
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