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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />fool Fence
<br />'T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL ,-7-/7 JAoS.b g9
<br />Certificate of Occu pancy
<br />Notes Remarks Etc
<br />_,
<br />o\t NI.R BUII.DEI' DEI,('ARA I('N
<br />t hmb rflrm und6 Fnsly of pdjuly lhd I dr d.m/ n m !h. Codr.cloD l.ic4. l,a$ lor rh. folb$ inB r.arin { Sa 7031 5
<br />B6ir6! rd Profdio. Co<|.) An, Cil, or Couory uhah r.qur6 r Fm( h $mrd. !116. imrolq d.!frnirfi .' lw.t ey
<br />rtoddq I'h. to rrs i$uec.. ile Eqund rh. .pplird lor.tr.h lFrnn h fil. . !i*n.d ,drdnd that h. or th. n I'.d&d !u6u!,1
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<br />l, 6 osr6 oalhc t'orEly, or my .mployG tr ith wigd 6 lh.ir slc snrFlolio.- \rill &, lh. tr sk d{ lh. inrl& ir ml
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<br />lh. Fqsy $ho buil& or i,tp 016 tha@n. a,n $ fio &6 st $!rl hiro.lf or hellor rhreush na ot hn otrn .mplo) c,
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<br />md $ho 6drai! fo, sh Fol.dr { nh i (-o do(!llt.G.nptlt:d!orh.(o rdoisLE@ln\)
<br />I dn.tdpr un<jo S(tion
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<br />T!(IAIAIIO!
<br />I h6.b' rmin undd FBh! olFjuryoft otrh. foll,,sin8 dal&rnnB
<br />I hi@ o:d s ill ma$r.in d c.nificar. oa( .nsr n, s.la.lnutrr. f.r \orlds con'p€ns n'n.6 Dmvidrd torbysdii.n 170oofrh.
<br />trbor ( od.. fo rhc Ffolrr@( ol rhc r.rl tu $ hkh rh. Fnnn B $n.d
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<br />Po,cyNumhr - 7& wF q t 9L!3
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<br />crir ad FIE! nu'ntEr &.:
<br />p I t7
<br />I c.niryihd in th. pdaolMnc. ofth. work for rhich lhir pshil t L!su.<l.l.hallnol dploy tny F.on in !., mMnd
<br />n c lo b.r!E rubj.n lo rh. $.rtd' .omp.,Edion Lu! .fcllifomi,. rnd +c lhi if I nhud IRTE lbiEl lo llt
<br />$od6 ooFBaioi Fovah6 of S.(ion lT0o ol rnc l,trtr (-o&, l ihrll, fonhEnh compb * ilh lhos r.or ni{n.
<br />WARNING: F.ilur.lo su. wrtd conpssllhi covEr[. i! unhuful &d 3htll subjdl dnplot€r lo unninal r@L{. ed
<br />cn fin6 up lo oE huriEd lhoed dou6 (ll0o.0001. h lddnFn r. rlr.d of ..hFMti... &'rBB 6 Fo\rjd h, dt
<br />S*rion 10?6 ofrh. L.t Cod.. hr6.n &d onq! fd.> Jaza*--f.--
<br />L( ENSIt)(',(rt lR\( IORui(]iiut9!
<br />! h6cbt rmm !nd.r Fn.nr.fFjuryrhal I dr lica!.d und6 p..\,rion ot(1apr6 q ((h'nd.'ns $ irh s.!rion rux)l olDnirhn l
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<br />I hortr .Ifm und6 Fuhy ot Fjury rhi rh6! i' . oirtucrb. L.<loA .gtrt f.r rh. Ffollffi. ol llE $.rt ror rhrh lhi! FDi it
<br />irs.d {Sc.1097, Civ C.).
<br />afII,r(,rlfDlsSBAUa!
<br />lhdd, rltm un&r rF hy or p<juD onc or rh. rolhtr
<br />'nB d6lut' i)nr:
<br />l).molirhn Pdnrirr-Ast€tos Notilicdnrn F.d(!l R.8ukrnN(lirl.4tr, Panal
<br />_R.qun€d L.fi < olfloriftdbn
<br />_l .airy rhr tu f.d6rl Egul ioa ESrdiiS !5.noi rm!.j d. ml aplt.bL lo lhil p.oj.ti
<br />I..rifyrnr I h'. Ed fii +dktrbn tn nrc $r dE &orc i.foi i,n iisr.<1 Ir[,crooodt$ihrllcir,lrvlCoulry
<br />orJinanc6and Shr.t ssr.lartr8 lo brildrns(urd h6.t ) rulhon,. r.r,Bda'!6 oflhi Cn, nnd Counrtk, o B lrondE
<br />ah,rcMrioo.d rmpdy lor iBll<lion
<br />Appllcdtrl or Asfll Silnrlurr::.
<br />rtmirc nrmttprrnrt: \
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<br />Flood Zone Certif.
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