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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEL(IT TION
<br />I rrkby ,rrh uodcr pcnalr, .f pc4ry $d I m celll,r iiom rlE Conrrrrm Ltos L.* lor r,E folhqi.3 6sn (JRl..-r0ll.l
<br />gusim$ ! PmLsi,n Cdi.): An, Cirt or CM, shkh r{uiH r lvnir h *Drtrr, .lo, uror,w. &frrnh o EFtr y
<br />nturw. F$ t, ik Gr]e.. rl$ ErtriEt r,E {,pltaor for sEh F.mi b nk r rirErl ncffil rl ,r r {i i! li.nql I',rEr
<br />to rh. F)viftni or th Cdtkrd\ Lio*d Ljw (Chr cr 9, Conmrri! $tn sdrbn r(ID of Diriihn ] or$. BuriEs .nd
<br />Pnncr\int Codd or rlFl h m nE is .rcq rlEiioh &n dE h.ri fo.lh. ttL8.d.r.nF6n A.yvhLthorsdlbn't011tb,rny
<br />.tflicrn'l.rtFnn$bj.rkdr.t?ticriror.ivilp.MlyoldmErh,,liv.n!d,.ddoltr.(!5fri1
<br />_1, .r orar of rrE FlFny, q ny dFblEr wirh r.!6 as
<br />'lEn
<br />el. @rIEnr.ri'., rill & dE qlt.!n EGErw ini
<br />itxoi.d {r oarcEn for sL (Sc.7O{4. EuriB rn PrDf6riiE Co&: Ah. Cdr&d 3 LiEk l,* .tEr d Sl, ti rn ow6 of
<br />rF|Ely *rr ttrill d iqw6 tlEsc ln who dcs edr urd hilEf d h.slf tr rhhuah hi. d ls os civloFn.
<br />nmriLd ftd rNh id{mw r & d -rdld.d oitold for rl ll hotE, ttE llitluB d nrttlEmd s -A *thin * yE
<br />olorr{'l.tia tlE oeE BuiLh. wi nE lll h!rk! olFrEE d lE m s,r dn d hi! d -lFtr tlE pq,qty tril,r FrFiof
<br />L.ro*Eor Elfi,tdy,m.rcbsiklrcodrrrin3*niliurioirrrBlosn<utrlEIFFi(S<'r(i,l.l|llrs
<br />in IHR\in A'd. Th. CodEroit Lirn{ Lr* d.E Dr rpfly n: u o*E o, p.oFny *b boildr or ifrpmr! rllion.
<br />z.d rrrt otui ror ikh FJc.r. *itn. Ca'{rxon, Er.r.d puErrr to rlE Conr-ii\ u.w t *)
<br />llASf,EIltgNdIBiIAIIq!
<br />DEqrSAlIr,r!
<br />I llrtt{flirm unlcr Full,olrErruryoE of rlE tollo*irs &chr h6
<br />I hrE ud *ill minrrD r C.nifEl. ot Cotrrnr ro SdflNrc rr q,t.B orrlne, b.. .r Frvild anr by Sarnn l7(x) or rhe
<br />Ilhin ('qlc.,orr,r pcnormB of llE wo for *hij tlE Fmil n issu.n
<br />l hrE .nd wrll mrrrin sork.6 $rqrB irni ril]e..a rqlt.d by Sdion]Tlr of rlE ljtxx Crld., flr rh. Ff(llllm. ol
<br />lh. u.rk lor uhth thn Fmn n LrrEd. My wdk re' conp.Nrirn insmm..arr arn F,tiy numtE cr
<br />l.cdilirtur rh. |rrformmc ofrh. w.rk a.r uhihrhis pc,nn is ksu.d,I shrll not.q)Ly.ny p.hon in dny 'Mnn.r{, Nt,b(sn* ohrcd n, rnc v,icl conwtrslion hwsoaclliiomi!, od asrcc rhllif I shuld bcoE snFr lo rh.
<br />workc^ drl{.nrlrion tmvirioB of Sftrr. lTm of rh. tibor Cod.,I shll. fonhwirh tr.llly eirh lh,r F)vnbrr.
<br />WARNINC: lilurc ro s.-urc workcn con[Enslion covsasc ir utrhwlul. !d shrll rul,icr !n 6ploF to dininrl rErulli.s lnd
<br />civil fim\ $ t, od lodlEd rtnuqtrd dolls^ (t100.00)). h ldrlirion t th. co( ofcon{Ensrn)n. dumsc! !r I'oid.n nn tlt
<br />Sat ion :1076 ol !h. trtu Crn . inrcas rn armyt fc6.
<br />LICENSEI' CONTRACIIoR
<br />DECIjAATOd
<br />I ltEhy rffrm on&r FMlly of Frrury lhc I u liuEd urn6 p'lvirbn of Ctupls 9 ls,nmtri,8 wirn Sdi.n ,omr or Div6iJn -1
<br />ol trE auiE$ t n PmksioN Cod., In ny k.n* i! in tull roc !n.fid
<br />cosgf,ltgll)Nt BD[lG-AGIatf
<br />I trEl', rrfm uE.r rlfixt.fFjiry rhl rtEE a!.6dMir. Hi.8.!*, ror rrr Ffbrllft. ol rh qrt lbr rn.h rhii Fni ir
<br />'r.ad
<br />(se .1091. ci!. c ).
<br />AE'.II]ANIDECTJXAIIO!
<br />I hon,dlmo L. rEn.ltyorFrruty orc orrlr rolb*in3 4.lurlh.s
<br />O.Bniti,n PrrmnrArbc(m fidia(dbn tu6rl R.Sulai,ns (Tnh.l0. Pd6)
<br />R.quiEd L. cr of lkirdion
<br />lrd,lr rhrrrh. Ldrralrcgulnrons rcgarding ahdos r.fr,slrr r xpplf,rbL t, rhtr Ilfl,F1
<br />_l ..nd, rhd I Mk rcld rhil q'lsr ion ltn srd. rhar th. abovc inlonarion is cor.d I !3E ro coqly *irn .I Cny rn Coury
<br />onlmNr rd Srrr. tj*s rhrnu r. bdildi.8 .onsMior\ .rl h.r.by .utbri4 r.FcsrdiB or rhi! Ciry md Cou.ry io .nrd uF,n rL
<br />.bov. mnri,md tnrFny rr insF.ri,n tuFes.
<br />,\pt,ln.n rrA!ulsirnnnr.c
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loorivenVl nsulation
<br />Roof Sheathino 7/71174 DlM rL&k7
<br />Shear Wall lt
<br />Framing
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Beport
<br />Engineer Final Report
<br />Flood Zone Certil
<br />FINAL Zlttln NGQa)
<br />Certilicate ol Occu pancy
<br />Notes, Remarks, Etc
<br />Rev 0B'07-2015
<br />-_l acEnF un&r Sarid
<br />UFER Ground
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