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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS O\[NER BUII-Df, R D'I,('ARATloN
<br />I hdch! .mm und6 p.tuh! of FjuN lhd I m .rop frcd ltr ( odrer.6' l-k@ lr$ nv rh. LlL$m8 .s)n (s< 70ll 5
<br />Busind &d Prolsion Co&I Any (-ilr or (budy $hkh r.qui.6 ! rEnl lo co[{rud. .h6. imFnv. d.Flnh 6r Etstr M)
<br />$tudra Fbr kr it3 isue(, rhll ratlrN rh. rpplkdr for u(h p.nnir 6 fik E sB..rl idmr rnd lE or nE k [(ds.'l pled
<br />kr rh. F vrionr of rh. (inr8dori L'.dkl Iis (ChlDrd I, Conncrcing *ih S..ri.n 7(100 .f Dirish. :1 oarh. B{sin* ..d
<br />lmfsil.r ('odc).r rh h.o!sh.6.rmfl rh6.n.h od rhc haln tu rh. rll.g.d ndFhn An,vioLtionofs.(1hn70115 b! !n)
<br />.rrli.anl for r r.mn loqdrrrh. rpplic.nr to o(cilp.n!hyofno' mor. rhe fiv. hun'jrd dollo!ll500l
<br />l- a o\a otrh. FoFnr. or mr opkry< u
<br />'rh
<br />tr,16e rh.i, Fk smF&iion. \nl rh th. $orl md rh.5d@ Lr u'l
<br />idorld or0lT6.rl aor ek(s( 70.r,r. Bci,B ud Prntstuc (-on Ih.(odrnrorsIE@t u d.6.or.fi,rromouE of
<br />rh. trl Ftv trlh }tiLI' d inp$!6 Eon. arl ulb ttE sh q{.t hinrlaor hdrlf or r}Nu3h hL! u h( os, mrb\c.
<br />p(nd.J lhdr such nFoldFnr @ mr intsdci.r ofisd fttrsL.lt bs(,
<br />'rE
<br />tuldillg o. trrF.\sd i!$H tri'hinom\a
<br />of.onpk!!n, rh.(^\nn ItnE r *illhav.$chrd.n olF,f.r rhd h.or sh. di R hrH or ui4n!. fi. pmFlr_ for lrE lrqrE of
<br />l, N o*n6 oflh.Imp6r). m qrlutr.lt.o(rdin8 *irh lic.s! c6 rdd fu onrtud rlE Fold (56 7O1l.lls,'K
<br />and h!(sDn ( on. t h. (t'nlretor s t. ic.N Lrs &16 mt rtpl! ro e oq n6 o a prop.nl tr ho t{rldr or imlror 6 rhqdn.
<br />and uto conlEcls nn rurh pr ojdrs s,nh a ( ontmclo(r) ltd3.d punulll lo rhc Conrrlclors I t@ l,$ )
<br />I n.rmfl 6d6 S(rion
<br />_E!AIiI&U(O fflrArlAt
<br />DI;Ofl8AII(l!
<br />I lE.l'r amnn trnd( r.nih' ofrsjur).ncofrhc nnktrvinr d(li,.ri('ns
<br />I h.\. dn e rll Mimain 6 ( dilk.t. of ( ors' l. klf-lM. f.r {orld NnFM n., a F.\ il.d for by S.cl i,n uU) ot lhc
<br />tlhor Coda lor th. Ffollre. of rh. tro* 16r u{th rlE Fin ir is.d
<br />l*"'. ",0 *,, .",","'" *.,*o c.mp.6alKn rNU,atuG. 6 rcqutal by Sar ioi IT(]O of lh. lihor ( o{,., ror rh. Ffomm. oa
<br />lh. tr!* fd snich rhi! Fnil a isEd My *orld .omFlrdio. iNurdc. cffi dnd F,li.y.uhbd @
<br />.^ [.r? ttt lurs t c
<br />**, *.*' I-nt\-.J fu13.\t ,.,,,- \- \- [g
<br />I cfi,ry rhri nrb. rEfomnc. of rh. *ork fo. wiich rh8 Fnn is su.d. l3hrll nor dnploy dnt F$. in any mur
<br />$ ah tEem sutrd ro rh. tro*6 comFsi,n laq! of (-!lilomir. md 4r lnd 'rI rhould t6om. suhjdl l. rh.
<br />uolt6'mmFdionFovthEofSdhrl?(x)olrh.L.k{Co.}.lshlll.fonh$rhcomDly*irfilhoepro\nrm
<br />WARNING Flilur. to sE *nrl6'snFsdirn @rog. ii u.hrtul. dd.h.!lsol'jdr m 6phln ro sirrirll FRh6 iod
<br />.ivil 6n.r up ro on. hundr.d rhoa.d dolld {tr0o.000). tu .d<tnion ro rh. (.i.f (.mtENrio( &mg6 N Fo\id.d lor ltE
<br />S(rrrr lLrTa.f rlrl.lrtr( od..tr .'.arrnddh'tr.\'\
<br />11
<br />DEIIASAIIO!
<br />t hRby omm uodd Fnslry or prjury thc I M lic.G.d und- !rc\ bion oa( lupl6 9 ( connminB tr ilh s.d ion 7([0) of DNitrhi .r
<br />of rh. Busine dd PtufdioB Cod.. &d h! lic@ ir D lull fo'c. nd.lTd
<br />g Qlfilt u
<br />€-ro: t1 .--*. { Otto^ U&.^ }r*11
<br />eatilf,!.rcrloNtlrlDltcl(iEl(}
<br />I hd.br alltrm und6 Fn lrt of tEjury th.i th@ iu . co'dndi.n lcndins +dy tor llE Flolrlrffi. .t lh. *oa f.r trtrh
<br />'hi!
<br />pdhi i!
<br />ilsu.d (s< 1097.C,v ( )
<br />afrucrltD[cl,aaAlla!
<br />I hort! ,trm un<ls Dollly ot rErr' on. ol lh. follor inrE d.(lsal Drri
<br />D.ml rn PdmiF-AttBro! Narficd'on l'.dd!l Rcsur.ti.n! r I nl..ltr.Idar
<br />R.qun.d l.dr6 of Ndifi cdirn
<br />I rdrly rhsr rhc r.ddrl r.sularioB rc!&dinN at-()3 roo\rld..or imlic{hlc ro rni! ri.i.d
<br />I ccrih lhd I hd. Ead rh6.rrlicnnrn !,n nrr.rhd rh€ itnvc irfomdnrtr BcoBt. lasrct. cooply*hh all Cilt.nd (-ounty
<br />ordi.!rc ed Sr.r. L.!i rchilB ro tuildins sn!rucliotr rrl hs.tr .urhtu. Gri6dr.rtr 6 o f tn$ Cny rnd ( ounl! !o dls upo. tlt
<br />$.r. mri!..d FnFr) rn cFdnn l|qrc /1
<br />Appnrtrror^sa,si8r,o( -L A2 o.,. S-r0^.?
<br />";.*-.;,""; q\b o{G^L
<br />Set Backs
<br />Forms/Steel/Holdowns ltlr
<br />Erection Pads \l\\t)
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation I
<br />Roof Sheathing irJ r
<br />Shear Wall 0 tfl l
<br />Framing ID )t'J I \J \1{.
<br />lnsulation/Energy IJ 41 I I rJ 1t-t
<br />Drywall
<br />Ext./lnt. Lath
<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 z7-Zq
<br />Certificate of Occu r Ipancy
<br />l.foteg, Remarks, Etc
<br />nc
<br />7, ,-)
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<br />i{r;I t+
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<br />Brown Coat I
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<br />I I
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