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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS O*M.60ildn D.(l$rhon
<br />Ihr.hy 'mrfr undq p.uhyofp.quryth.t I.m.k.nfl lorfrrh.co.rldoB l.E.tu trw lor rhc lo iow,ns r.sn.1r.c ?0r 1.5 Buin.r.
<br />.rd Prcfosion Cod.) Afly Cny or Coury shich EquiE r p.mil r. oBiru.1, rh6, inprov., d.mlilh or r.p.s x, irudm. Fid ro ir
<br />nruE . .Lso rcq,n6 rh. rpplio! Lr 3kh p6hit lo fl. r nsEd n6E'n rhd lE or ilE k li.rud p66t,ro rlE pnlnhtu orrh.
<br />(-onrrdd i Lr.E d l.e lcllrprd c. Cooffirry *nt Sd.n 70@ oa O'!a.n i ol rh. B6'ndr nd Prof6t.B ( oi., or rhrt lE tr
<br />rh. a .Gopr rhn lioo .id rh. b.rn ror rlE tlk3d .(dprion Ary rioltrin of sd b. 701 I 5 b) mr +rlior ror . Fnn tubj..rt t,E
<br />1
<br />D!l'c.nrror.i!rl p.Mh, olmr mErhn nt. hEnr.d d,lbB ( 15ln,.
<br />[n'
<br />1. & ownq or rh. pmp.ny. or ny .rphy?6 with wlg6 r rh.n sl. conp.Ndioi. will d. rh. rork .nd llE rlto.ldc n nor inlc.d.d
<br />or o,f.r.d for el. (S* Toaa, 86,63.id Prol6sbnr Corl. nEContrrdortl.'cceLr*dctur.pplyrornowofrh.pDFny
<br />* ls toild! or iFp$6 lh..@n. !d *ln &B sEh uo* hi@lr or heltor rlroud hir or hd .x n .iplo)6. ,m iLd rnd sh
<br />eFor.mc'll. e El rn.lncd or olIncrl for -k. li hor6r. rlE hlildi,t o. inpbr.,Ed ii $kl *irha oG ,@ or.ooplctiol llE
<br />o*6-Bodd6 eillh.r. rlE hmt n oa p.oriq rh.r lE or.L mr hild or improw lor E pu.po* oark)
<br />, I..sow..rofrh.rmpcny.!m.rcluri\.lyconrradinBsirhlic.B.dconlh.r.nb.oBkucrrh.pn'j.cr(S( 70.1t, Ilulin6r ud
<br />Prof.ltion(od.'r'h.(onlfldoisl-r.n..l:wdodmrrpplyro!noMdofptopdv*hobo'ld3or'hprov6rhd@n.lndwho
<br />.ont.deforluch prolcB *[h. ('onrn.ro(, hc.nr.d pucunr rorh.connrlror I Lr.eb* )
<br />I itr,... n{ u'\ld L.!r' .n Ir A l,( L{ rh.\ '.,!,n
<br />,,^', 4l, I t t- ,"-,G,gr!-'o !e (ct l"?-
<br />laaEEB:iraMtE!-s flllli"D!(rdS ra!
<br />I ho.h) rffim u.dn p.uhyofF)ur' oN.f rh. folhli.t dftLr.rioB
<br />I h.!..!d *ill uiln.6 . C.niff,.lc olcoMnr lo Sdr-|ru. ror Eri6 .omp.dr.tr x p..v!.d for b, sd.n rrmotih.
<br />t.bo, Con.. for tIE Ffol1rr. oa rh. so* 6r eticn th. p.mn ir i$u.d.
<br />I h.v..nd hillmrrnr'n Mrk.r rcqur.d by S.croi:lTooofrh. Lbor( od., fo. th. F.aorronc. ofrh.
<br />*6rL for wh'ch tfitr Fm( a rs!.d My *orldt @mp..{r o. ffuruc. trir nld policy numbc !r.
<br />Policy Numh.r f$n.!:
<br />(Thir Krioo !..d oor bc.onpla.<l if rhc pm is for Orc hun.lr.d dolls I II 00| or Ls)ztb
<br />l' I ldrfy rllt h th. FrolrM. of tlr *oA rn rh(h thi. pdmn i! i$u.rl. I !h.ll @t at,lo, &, F&n in Ey nffi e E to
<br />bc.m sbrd! to tlE 6.tdt omFMrbn lw3 oa C.l'for.a .nd llre th.t lr I rhould beoc e6r<1to ttt *dt6i
<br />r;' I'i\!" "*;;.:*"s"i"dl,pH-Oe L c.t (l"?tl
<br />WARNINC Fr'lucro cur.*orld!.omp.Nl6.mvdt3.Bu.Lwful..ndlhlllsuhJertn.mplorcrroorinrlp. hiB.ndci\1|
<br />fin6 !p !o or tulnrd lh.usd dolLB (t l00,0ur),r tdd i). ro rh. cd of (onp.urior {t Dr6 & pmrikn tor r& sldirn 1076 of
<br />rh.l.bor Cod., rrrd.d.nolB ! lc
<br />lJ(!tsELgrNt&t(]aSi0rtl Il[rt!2ll
<br />I ha.hr rfllnn undd p.tuhy dfp.rturv rhrr I .{ lic.N.d und.r pmv6ion ol( haCr( I (conxn.n.nrt \eirh Sc.tion 70lrl)) ol l)i\ision 1.1'
<br />rhc lj6'nc!rrnd Pkna$k,n\ (i .. lnd fl\ li..ns. is i. lnll nn(. i d.,li.r
<br />(alEIAlJgItq!-LElDIlSlq[x(I
<br />I hd.br.rh ulid p. hy of Fjury lh.r rh6. b r 6Brdir. hdE3 r3try for rrE Ff.lmft. oltlr sdr f6r *hicn thi! F6ir it
<br />au.d (sd :1097. ( '! (' )
<br />AIfTI(AXI:ji-DECIdBAUAN
<br />D<mli hn Pmnl^rbor@ Norifr.tr. Fcdd.l &.suLt.o (T't L 40- Pm 6)
<br />R.quird t rld orNorilsr.t
<br />Ic.niay rhi lh. nd..llrcsuhrn,ns rm\.lR nol +pli.tbl.ro rhi5 projcd.
<br />tE.bov. infom.riro ir.or..l. I .ere to.onply *ith rll( ny rnd Co@ry?kL,rt rhd r M.cdtd rhs
<br />ordor6.rd S'r.r. uur rchnrs ro boild orrhs (-'rv !nd ( ouir\ ro.nrd uflin rh.
<br />.hr\. m.ri9r.n p.op.dy for iBp.dion
<br />^rr,*."(.r*,n \c-'-'1
<br />t/r Ls-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenVlnsul
<br />Roof Sheathing
<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 />Engineer Final Report
<br />Flood Zone Certif.
<br />FINAL a (l 'Ll &/AvueA bt r*ae)
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />M \WP51\Poml-lnsp€chon Fo.n8\&JrldnE]isp6c0@ Reord dc 03.31 06
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