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BUILDING. INSPECTOH RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS oWNIIR BUILODI' DI:LCARATION
<br />I h.r.ty rflirnr uktr. pcnrliy i)fFrrury rlx l dr crcnltlr imm rlE tnrta.l(n t.icnr l !{ for rh( f{,llo*m3 (i$. l S(( ?0 ] 1.5
<br />BuiN\\ .d Prnc$nn CiiLi Any Ciry or C,,uniy *hkh r.q!".\ a F.nn h.nNod. rlE. urrrovc. d(mlnh or q{tr n'i,
<br />nd(ur, pmr t, iN 6su!ftd. rko r.qur.\ thc !t'!limr tu nEh lErmil x' lilc r si!tud (drcmnr rhd h. .r +E is li.cnsl N^ldnr
<br />n, rhc ,B)!i\id$ oi rtr Contrcroir l-i..rrd Ll* l('lslrcr 9. aonnrcNirs wirh Sccri('. 70ixr u, l)i!hn. I or rh. Bu{inc$ rtrd
<br />Prut(\i({\ cod. r or rh.t hco, \ht icrcn{n rlxrctron lnn lhc h'$ tur rri dhscd.r.nryr Anyvirn,ri('oolSrrli)n?0ll.tht.nr-
<br />apll'u tur {Etrnn rubJdtr rlf, l''pli.anl lo r civtl p.n.!ry ol .ot .rtrc rhd lit hu lr.d rlolldr rfsu)r
<br />_l.i\ostrq,'lrh.flot4-.ny.,trnry.nrtnotlcrwirlrtrrrr\Jsihctr\,lc.on$i.rrtr{r.sill'l!rh.worki rhe {rrutu i\ ni
<br />'nr.'rlL\l .roncdl fo, slc rs.r 7l),9. Arnnc\( nnd l'rolcsbnsC(i[ rhcC'trrrrur.ir I i..n{ li*J,* nor 4nlyh!nosftrof
<br />Ihcp(,tiiy * lx, hnllt\ or nq'ror\ rL nL n qtu di\ \Nfi r.,t hm\cll ot lf,r{lf or r hx)+h til o, lf, r osn c,npl,)lcc\.
<br />pnrd.d rh u.h irnporcNnhtEri itrtc*droltlr li,.!L lUh)*.t(.rllhu JriF 'nqh)hnrnr '\
<br />qJld *irhhom )\r
<br />of.onubrbn. th. ( )wtur lluikLr willhivc rhc h$dctr ol[,vr18llui lIor shc drltrolttrild o. trnproE dN rn,pcny tur rlt tols{ ol
<br />I. xr o$n( ol rl[ Ix'tkny, nr cx.lu\ilc ly .onrkr.t snh li(cn\il .otuJ.rr\ r) cotri ru\ i rtu nn'I.r l Sr. 7( l!. llu{trc\{
<br />Itn.$inrCollc I hc (inrlr!.tr'\ l.i!cn\r l,Jw rloc\ Nrrptl y tr, movtrcr orfloNrly $h. huiLl\ or mptr'v$ rlrr.on
<br />rn,l trh. .onr'r.r\tu \urh fnrr.n sirhn Cotrtr.kr1\rli.. \.rll[r\urnr t'rhc(nnnr.rr'\ I nrtr{ l:'q I
<br />lr,'.r frrrltJ Srd(r
<br />8!; /z zt,
<br />I h(rchy rmflntr (n nrlry f|EryuryoNollhclolk,un!
<br />I haE and f,ill roinr.i. ! C.ni,i.rc ol Con*nt h Sclr.lnsm lir snrlEi d,nlFndirn. as ,ovd.rl ror by Sel iin l r00 or lh.
<br />tih, Codc. ror rhc FrIomN or rhc w,t kr whi.h rlE ndmn n '*En.
<br />I hrvc nnJ will trrinrri'r k rkrrs ..nrJ)cNrt i.n Nuhtr.c. rs rcqu n l hy Sc.riotr :l?ll) ul lk Lhn Colc, lnr rh. FIforrun.s of
<br />Ihc sort fitr wlri.h rh'r r,.mir ir i\sf,n.lly worksi (rrmnctrdi'n xrurdftc clrs 3,rl Frr!.un trm:
<br />-l.cnrlyrhrt
<br />nrrhcncn nrNc ofrh. worl for rhrh rhNIt ir A N\urd,I\hrllr, rnlloyrny rrv,n in rny ntnNr
<br />{) r\ r,i hccou \uhJcrr t,ihd workrs ..n!tunrarion lis\ol Crlin{nii. and ntN rhrril I \h)uld h.coif, \ublt.r t.ltf,
<br />sod.F &arl}lnlxri,r pn,r\nrn\ of Sdn,n l7(X).1rh lirtr C,{1.,I \tu|1. lod[sirh cdNfl, \'irh rh){ |[,rtriJn\
<br />rv,ll.illNc l:rnur b \-rrc \ ortcr\' (tnnpcnirM $rcr!. I unh*1ul. llrl ftrll \ubFcr an cqn Jcr r, rimhrl t--',riI$ lnd(i!il line up k, o* hn lEi rtbnunJ.lo
<br />sdr o 1076prrhc
<br />fhorcodc.
<br />inkrcj ! l
<br />o.,y Vt"{ /2, z a- ,,,
<br />lln6 lslm.(tn), n .d.l bn lo llf, (.!i ot.(n"r, Jutua.r u\ nr)v'dcd tur rh.
<br />I hcEhy !llirr undrr t^-.nally rrFrrurr rhd I rm li.ansl ond.r
<br />{r rtu Bu.im(sdxl PmL\$onr Codc.:un ry ltcn$ N in lull
<br />.r ( hi,!rrr 91contrkD(m! {rrh Sc.rin' 7l(xrrol D,!ni,,n.l
<br />coNuSlgrpNLlNDlNGiGLNla
<br />I Lrcti, !r,m ud( Fnalty or Frlry rha[lr6 t | .oriBlhn LnJios 4r*y tu rh. rE tu.lrjdr .l dr hrk nn shth rhii Fmn is
<br />iJshd(Scc l0r)7. Cir C I
<br />A.PfLICAILIECI.AMUITN
<br />I h.rdry lnim u8lc. F.alr, of Friur, or of rlr ftrk'ear8 dElmr in*:
<br />D.d,l.lion P.nnn!Asbcsbr M{ili.lian l.rlcrnl Rcgul4ionr tTirL.lO. Prn6)
<br />-RL!urcd
<br />hllcr of MIiff, ilhn
<br />r .drry ihd rl* ltdch| rcSu,riions r! dms .\h.no\ rcnDrrl nrc nor :fplt$lc (, rhN IruFl
<br />l.L'I \ rhJr II'J\u r.r'ltl \rtrDltrItr '$Jt4,r.."-,,,r \r. . r-,".,.t,.. i,, r,,,u.*,,
<br />irrlor uri'r i\(unccr lut(rb.onl|rly*irhrllCiryxndCou y
<br />$t lurhrrirc ! rtr.sohr'!c\ ol ihi Ci y iBl Co!trrt k, cntd qr rlt
<br />I ftIc n.n,r,m.i n..Fny r,{l,t /r. r,,\pDli(od 0r Agrnt silnllr 4,.,
<br />Pennikr nxnr(D.inlr--!<atrl
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Rool Sheathing
<br />Framinq
<br />ln su lat ion/En ergy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />tl
<br />FINAL 4bL,l*L
<br />Certificate ol Occu n
<br />Notes, Remarks, Etc
<br />\4J
<br />Set Backs
<br />Shear Wall
<br />Pool Fence
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