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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OiTNEF BUIIl)Ei I'EL(ARATIO'I
<br />I hn try lllm undd Fahy of rrjuy rhd I .r cr.Dl tum rhc Co rrd.6 l,ic@ tru to. rh. f.ll6*ins raqt. (s(.7011 !
<br />R$ind .,n Phadrn (irk, n! cnt or (nud! snrh r.qu6 r Fni ki @drud. .lrq. in+rore &mlirh or EF o!
<br />irrucrue rio, k, ils i$uh-^c. abo rcaurB rh. .pplicun for such Fflni o lilc ! ri$Ed sralmFr lhd h. or $. i! lic.ro.d pu$Mt
<br />lo rlE F$i!h6 ol'lr Conrdoir Lt.N.d ll{ {(tuFs e. (tmrffiin* \nh Sdion 7l)0o olDirkhr I of lh. B6iB ed
<br />PrcfBnrn! Codc) or rhar lt or rn i! crmpt rh6.1io bdrhctesirlnrhcille.d.tdprion.Anyriolirio.ofsdnon70llItbyiny
<br />.t'plicdi for . Fni at!d. th. .pdkd !o . oril p.Eh\ or mr frrrc in . fi\ . hun&.n &,Ia (u001
<br />l. a 6sc of lrE FiFnr, o. ry Enplo\6 s'nh u186 ! rl'cn i,E @dpoatior- *ill & 0!. *dl.d rlt ind@ 6 n{
<br />idsr&l or ofr6.n 6r sL (sc 7044, Buils hd ProfBr6B ('od. TIE codrnn.r t-k.@ trw.hd d 4'Ply lo e o$a of
<br />rh. FoFry rvr. hlitl or trntrct6llEotr !d sh. dEsh u! hirollor helfor lhrciah hir o.lEo*n 6nphy6,
<br />tr.!i:Ld rhlr 3Bh inFDt€Ed3 r. tur hcrt d s ofu tu.l. l[ ho*6q, tlr hildin* ft inqlriEr ! sld *ihh c,a
<br />of.rnl9Liioc $c Osns Bui6n will h!( rtE hvdo ol Frvins rti hG or $c dij (n h'ild s iBFlw 0E Fr,pqry tor ltE FrrDs ol
<br />L a orE.,rlE FsrErt. & dclsn.ll conrditB *nh lcced conr1B to sdrucr rh. t'aF (Sc ?0.1{. Bcir
<br />Dd Prok ib (-odc: Tn.(irnrdorr Li.as l-.* ilo6 nor rytl, h MorM ofFoPdl, $n. blildr or impNv6
<br />'h6mn,lnJ *h! oddt tor kh F.J.dr *irh . Codr&lo(.) lt6E d I,ll!.@r ro th. (it'nrdoi! l,t@ lru )
<br />Itxn L\.nrtn trnd.' Sr{hotr
<br />Ir.r. onner
<br />\roRxriu (1)nrrENs^ i i()r
<br />Dn(.L &!jl(lx
<br />I hoch\ aflnn, utrd6 rFalr! olFjun on. ollh( f(nh{ nr d(lnrar(\s
<br />I ha\cdd*illmrintain.(cniar.arcoI( otEorro S.lf-lNur. tr *0116r'comp..s n.N lllvid.d for hy Sccrn'n l7u, olrh.
<br />l,&tr Code for rlE Fftll]rle. orilE $Gt aor entn rlE Fn, i! B!.d
<br />I harcand*illm,inu'n uo 6' coorEdlir ilM.tc- sr r.q!rcd t\ srlion 17(Ir orlh. Iibor ( .rk. fu rh. FloI11@. or
<br />rh. *ork lor trhrh lni! rarn( a Nu.d Nr) sort6'omraE ion iNur 4-cc ia rd Fnrcynlmhd,.:
<br />C,,,ri.A)s,(o OFTlte'tOtzlf
<br />'v/e>soSagblo I
<br />I cslili lh{ i. lh. Ffornrffi. of rh. uril f.. tr h(h rhi F i! ir is.d. I
<br />$ a ro trtom tubial kJ rh. $ 0*6 comFsnr hs. of ( rlifom'i,s{rt6' coqEuriof, pr.ririrB of sdn,niTurolrh. bbor c.d.
<br />rn olt,\( r. oh'nal Frh6 $d
<br />.i l nnc\ ul i) on. htrtrdr.d ihotr! d rlollrs Itl(,1).{roi)fp. urnr ditr'rg.s rs fn\ rd aor rhr
<br />I hc.6r ,mm u &r F rX) rl FJur! rh.r hGel u.dF lrotrirn or(tuprd e (.06'l@'.9 *hh Sarbn 7(r)l oll)h '3i..1ol lh. lrusinN rrd PmfNbE Co'jc. en h! li(.N ii in full aoR ed cfli\l
<br />(M.nh.-&*u
<br />,."'-.,",{e:m &>q Pqr'o'v
<br />ul)t-L8u_l!!!l_Lt:!!L\(-;-1!!! \!
<br />I h@try .nm lndd Fnlht of Frjur, $d th6. i. r Nrutuda.. h.dm8 r$@y frr rh. prfome. of rhc $uI tur tr hi.h rhir Fmi E
<br />isu.n (S< 1007,Cir ( )
<br />I hai'.v arm !.dd p.n!h) oi Fiury oN .t lh. aollo$ inf &(lu,lhns
<br />Itmhio. PanieAJh.il NoriaElrion l.ndal ietrl.rioN ( Inb {,
<br />R.qutr.lj l..ilF or
<br />^ld,fi.tbi
<br />I cdi! rhd rh. f.d.r!l ,qohrir'B r+i
<br />I cclift !h, I lE\.6drh6+pl d str.rhd rh..t!\. rnn!6cotr.d I.!16lo6np! wnh.llCir,.nd (b! t
<br />ordrnn.6 Md sr.r. ti( s r.ldr . EF6ddn6 of rhir( n, rnd (tun't h di
<br />ilrtr. nrornnkl t)r)|rn\
<br />P.rnile Mme tprin',,(,9*eur(-1,Zotf
<br />Set Backs
<br />Erection Pads
<br />SLAB Floor
<br />SubfloorA/enUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywa ll
<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 z/n/z -Iv6f., )
<br />Certificate of Occupancy / r
<br />Notes, Remarks, Etc.
<br />2-
<br />""-
<br />frFr/r,
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />Flood Zone Certif.
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