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BUILDING. INSPECTOR RECORD
<br />SITE-WORK ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfl oorNent/lnsulation
<br />Roof Sheathin
<br />Shear Wall
<br />Framing
<br />lnsulatlon/En
<br />D I
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Requirements
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certificate
<br />FINAL
<br />Certlficate of Occupancy
<br />Notes, Remarks, Etc.,667
<br />Om6.B!ild.. Dclrai@
<br />I h@!y .6im u!d6 Fulry of pdjury th{ I e qdpt rorB lh. Coinr.ron' Licfl. Lr* fd rhc follai.s Bd (.*.?01 L5 B6in6r
<br />ed Prf@i@ Cod.): tuy Cit, tr C@!ty *hid Equia r pdirir ro c6.rruct, dl{ ihp.wq danolhh or rcpri. &y t!!ctq.. Fior ro iB
<br />it'Ue, .t!o Equt6 ih..ppliat fa tld pdnn lo fil..rirr.d riltaMr tn.r hc o.bc i.li6.!d plEur ro ft. r.diri@ of $c
<br />C6t dd,' Li.at {t rr (CbE(6 9, co.r!l6.inr $li S.<ri6 7ooo of Diriiid 3 of ih. Bui.e 6d !rcfdid C.d.) ( rhil hG d
<br />,h. ir .r.flpt tt*iim ed th. bldr fa it. .ll.t d qanprid .A.y viol.don of S.crld 7031. J !y 5y .pflisl fd . Fmn sbj..rr rh.
<br />lpplict lo r ciil l(rdt ofrcr mF 6m liE hundrcd doll,sr (3500).
<br />_L r ffi of l|l. FoFt , t d, arylqy€ xirt v.sB a Odr @l..enFlrd..\ *ill& lt. rdt Dd th. ruucrq. h nor inrod.d
<br />6 ofisld fd d. ( s...ro{, BEin .r ed Prof..rioit Co& Tt Coirrl.r.r! UcaE k* do.. nd lpply io rtr ornd otlhc p.oFny
<br />who hlildt or i !68. thcd, sd *16 <lc *t *orL l @lf d h*,f nrnrqsh nb d tq om 6plorr€, prcvid.d lh.r ruh
<br />imFotllHr 6.ot iltodd 6 ofidld fatd.. Il, hd.E. ii. hildinr 6t prormt it told wi6in * yd of .mpl.ridr rh.
<br />O*n6-Bdldn *ill h.E tt. blde ofprc !r ih.l L 6.ho.ot boil.l6 irp.qrc fd tt. Dil.po. ofr.l!).
<br />_1, s omq of ln. For-t . a qcluiv.ly cdnrrrlna r ln li.4.d 6t*6 io .6tE!cr thc Foj6t ( S.c. ,0a., Buinq ed
<br />Profsi@ Codq Th. Cafir.ror! Ucltt. Lr* <b.' not ipply lo o oMd of prqqly *ho bsil& a imp@vB lhffi , .Dd who
<br />contEtt fd iuch ptuj.dt *ir,h . Contdd(3) liei!.d p{doet to $. C6rr*td'r Uc4. rrr.).
<br />_l M .rcmp undr S.crion .8. & P.C. lo tht Eaon.
<br />lVOir(ERS COMTENSATTON D.Cr
<br />^ttlTIONI ta!!t.fiim u dFdq of Fjlry n. of lh. follwi.r del&rlioi
<br />_l hrv. rd will ruinnir. @ri6or. ol Cdmt |o S.lt-r!tuE fq wdkd' ffipadio, s Fovidcd for by Sccd@ !7Oo ofd.
<br />L.ld cod., fddF pofdrlllr of$. ?61fdrhlch th. Fmn ir i!!Gd
<br />_I h.E .id will mial.in {dta' cdrFBiliG i tmc., a r.gliEd B s.Giin37oo of l!. ulor Codc, fo &. rsfomn . of tn.
<br />roll td whid lhir pmitn ised My ?o*a' cfip6tld6 i,l!lm.! nir &d poli.y tumbr.rt:
<br />PolicyNumb.i Axpird:
<br />Gr'it tCtd i.d r.. bc GodDldcd lf li. Fmit lt fr Onc n@&!d dollrl (3100) d la)
<br />y'-tiry o'" ln 1,. por*cc o(dE rdt ta rhi6 dL F,nir ir itn 4 I rh.ll no. alPloy .ry p6!6 in u, luE $ s ro&E! |ubjct lo 016 mr.tt ' csrD<n rid Ln of Crlifomlr' tlld .snr 0|n il Lhould D.co.rc ,{bjccr lo rhc a6tcn'
<br />cdrpd!{io! p*jrioo, of Slcdd 3700 of tc Ltor Cod., I thtll, tdlhpitb cmply enh 08.
<br />/2
<br />WAINIIiG: r.ituE to tee i(t.,r' cdrp.nt{i6 @las! ir bl.rtul Ed !h.ll objcd m dplqr !o cinii.l paulri6 dd .ivil
<br />f66 op o 6. tor<hd 6@r&d dCl- (t l0o,00o),in lddidd to ln. co.r of cmp.!.rio. &u$r B Fwi(H fd rhc s.ctid !076 of
<br />$G Lrbd Codc, itrrdsr .sd dqnq t fd
<br />Llcf rYsED coNriacaoRs DEcr {R t'toN
<br />I ha.!y .min lnda pdtdry of Fju/ lhrl I n Uc('ltcd '6d€ Fovirioo of Ctrpt.r 9 (@cins ,i$ S.ction Tooo) of Divi.i6 3 of
<br />th. Eqird ..d Prcrddoor Cod., rd lry li@e L ln full foq &d .trcr
<br />UtuCl-,_UeeNunb_
<br />D".N ,f-zzt,/o,/
<br />.ONSTRUCTION T hDIIYG AGENCY
<br />I ha.ry .fiim ud.r Fdly of Fjlry th.l 6@ i, . conrrudlo l6dir8 .8oc, f{ th. p.raru.. of th. *qt f( vhich rhi' Fmir it
<br />ir.u.d (Scc- 309?, Clv, c.).
<br />A'PI ICrIYIIS DXCI-AIATION
<br />Da!Eli{6ldlDlt-^.b.tmNo66ed6Fd6rlRqrl.riod(t .r0,PrrO
<br />_ RlqdEd kn6 oflfod0crdo
<br />_l c.dry ltd d$ f.&rl qddo, Erft&n3 .bdl6 cmd e lor epliobl. b Ui. Fjer
<br />J,f6dt dd I h&!
<br />'ad
<br />Olr Sli.d6 id .r& 6.l dE .tov. lnfdlir.idl t co.Er r rqt. lo qryty $th rtl Cir, txt Cobly
<br />cdnDc...nd sir.Il*, ddB lo biildas coirh.lidl' ad tdD, ardst! lt ..rq,rdtr' or6i, Chy.!d Coi-lr io orr upor rtr
<br />.tol. nEndon dFop.rtyftrt pcdim Frp6.1
<br />-I
<br />I-
<br />III
<br />I
<br />I DATE
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