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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE rD/srG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln s u latio n/Enerq y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lt4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL 1-tt-rg J).d={fv\
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />OWNI:R BTIII,DF,R DEL{'ARAT(}N
<br />I hdq .lIm ufttd FEfty .f pqoN lhd I n .rcqi fiom ln. Codtdm l-i(.e lrt nr tt tulh*inr l@i (S< Trll I
<br />llNifl6! .nd hofBron Codc) An, (
<br />'ry ot (ounry thkh r.qutrd a Fni k' .onnru(. and. id{m\e &nol6h l@.nY!
<br />sirucrw.. FFrro its ir$e.. rJe .alun6 th. lpplicer for 3uch Fml lo lilc t lirn.d rdffil rhd lE ot sh. ! ltdEd pur.. r
<br />b !h. Ir()lirioro of rlE ( odreto.s Lrdsd lr* (Chafld 9, commd.ins qnh Sfrrnn TOOO of Div$bn I ol th. tstlns and
<br />Pn,fsNns Co&l orlhlr lE or rh. ic.rnbp{ rh6.fton en rh. ba,it lor rhc llks.d crdphon Anylioltli,rnofSdlDnT0rl5bt.nv
<br />dptl'cd (r r Fnn sbld! rh. .rolx.nt t' ! or rl p.Eh) of Nl mor. thd 6\. hu.&.d di.UB (ttl)O)
<br />l. d osN of lh. FlFry. r ny 6nrrl,oe $ih ra*6 s thcir 5k $mposiiotr rill d. tlE $ ledrlEnu1@irFr
<br />inrExki or ofrdld fo, sL lsc 7044. Bui.* &d PiotsoB Co& Th. ( odd.a. Uc6e t!$ &d ml +ply to a o$E ot
<br />rlE Frpdy wlb tlilll or imFov6 rtEotr ad wh6 dB sch $( hi@lf nr n*lt or lhroush hn o. hd om cmPloyc,
<br />FDri.kn rl'd kh mFbrq1Ifu G d -non d oroiled nx rl. ra hossq, lrt hlfiiq. r r4.*drd i $ld trlt- rE )e
<br />olNtrt9lclio( lh. O*dd Bddo "dl lEv. rh. hrlal ofFovins thd lE or d'. d'd d tuiE or imF!1t $. F Fq nr Ir F[Po* ol
<br />!, Bounsoflh.FrEly. Mr dclciv.lyconlrrclins u'ith licosd cont!(1o6 h .oN'rud rh. roi.cl is6. 704{. aNrn6
<br />..d Ptalsi{ ( on : I h. Cont.acror'. l-i.6* ll* d.E mr 4pl! b M or.d ol rropd!_ * h. tnn.L! or impror6 ihdo,..
<br />and sho (ir6ct. tn !!.h l'.jd. *il h r Co fr1o(r lrc6s.d puc@r lo lh. (-of,tr&1.is l.Kce l,s )
<br />lrnc\cn, und6 S(rnrr
<br />lt.t. Orrd
<br />\\oRKtiRs contFEJ,is,riloNllgiaallar
<br />I hd.t^ dllrm u.dd ndulN.f F,u^ orc ofrhc n,li'*Dx &{le x'tu
<br />I h!r. lrl srll tunr.in r(dif(!r.of(oler to S.lf'l6ur. tn sorl6 odrEMF., s Fovird l by sdirn uoo of lt€
<br />llbor Codc. fo rhc psfolr@.. of ih. $od ror *nEh th. Ftnir i isu.d
<br />Ih,\.ddwillmi .rf,ortd cotrrFslion ,BUru.. 6 r.quucd b! sdi'n !700 ot E l,tior (_od..lor rh.Faonldcof
<br />rh. work for *hich rnL p6hn ie ise.d. My worl6 oiFatio. r6u4! .eK ed polay nudbd er
<br />I caliry rhd i. rh. pqfotrffi. of lh.*ork tD, $hich rhn pdnrn is isu.d.l !h.llnot dnlloy any F$n in an! mons
<br />$ B to h.r{E sbj.rr ro rh. *DlId .omFdirn h$. ol(-r,rf.mi dn cG rh, ill Jtud b<om sbi.r' lo l&
<br />sorrd' NmFsrio. ,rovntuB of Sdion I700 .f th. ljt{r Codc, t sltsll. aodhwnh comply wnh tlrs Forn[a
<br />$aRNlNC l.ih,. b sw wrn' smFdi,. 0\6+. ir !n,,$tuL dri {6ll rubj.tr s mPloyr lo siniul F4xB md
<br />.Nil nn6 up k) onc nun&Gd lhoNnd dollm (m,000), in,.lrltrio. ro lh. ('rt of (mprNri... d.ro36 3 p.o\dcd for In
<br />sdrn n)16 otrh.l,tff (ir]. int6d
<br />/,h"rilq
<br />I hmhy rmnn u.da Fdly. t p.rlury I txoflson ol( hiIrd 9(( anno.ing s hSdirn 70(xr)oll)rrtrtr,n I
<br />ol rh. Ildns dd t\rfdhN CGI€, sll m, lrc ir in aull ,'na ad.fid
<br />t3 t,
<br />17- 7t- t1
<br />I hd.s-v.mm undd F.ahrof ,.rlury l
<br />EU.ri IS.i :ro97. (iY C )
<br />rh6.'sico.stu.1hn Lndin8i*mcy ntrrh.psfomG.of rh.$o tushrhrh6tanri !
<br />ATTII(ANLD.ECUAAIIAI
<br />I ho$y afm u.iLr p.f,aky of FrJury otrc of rh. lollowina ddhltr 'o.3t).fr,lnio. P6mia-A3b6ror tior ili(.r ion Ld.rrl lccuhr FN (l (lc ,10. Pd6 )
<br />R.quir..l lnts of Nolificlrirn
<br />d' *nh allCr!.nd C.unt)
<br />n, d (i)unty n, o16 uB,nrlE
<br />-7 -@'n
<br />D,'", 7- 7p- t-l_
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