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BUILDING- INSPECTOR RECORD SITE.WORK DATE ro/stG.COMMENTS O\\ NER EUII-T'F! T'ELCARAIIO:t I hq.by !mrn! und6 pcnlhy of pqur, lhal I m .r.mpt ftln th. ( ont.d.6' t.i.dk lr$ far rhc foln)*mE rden (sd 70.ll t I]6inB !,t Proa6i,n C.dc) A.r. Crly .r (oudr u'hich iqutr6 ! Frmn to conrrud. !hs. ihprore ddm&h or qtrt ur nruc1w.. Fior ro hs nrum., ako rq!r6 !h. appli.d for ru(h Frmn t. 6k a $sh.d rtdoEn thn h. or rhc 6 licoed ntrd'tun h rh. FUvi3i.6 orlh. (o.rr(lo.! LtcG.rj lj* (Cn ar6 e. Comnocinr $nh S.clion 7(DO of Division I ofrh. Burins lnd ereGsk'BCo&l or rh{ lEor rh. i!.ranF rha.6omrnd rrE tnsE tn rhc rlh.d.t@prb. A.} \relarionofs.nnnT0rl5 h) in\ lmUcinl for r n mn suhj(ls lhc aprlicui to r .ivil daht o f nor morc thM fi1 . hundr.d dolles { $5(ro) I.ao*Eoflh.ForEny.ormy.iq,lo)6rili$n366rhci$1.com0(dFn.trillrbrh.$t dnrn cdetnrl i .rxld or0lT6.,l for sl.(Sd 7044.88in< ed ftorsioN Cod. lh.Gdr.cloar LicaE litr do6 ror q'ply k' rnornd of !h. F{6} *rn t!'ld or in{n\E irEsa rn s ho (l8 sh $.* hrnrla or hdelf or rhrouFh hi! or h6 o\ n oph) c. Fovid.n rhal luch inF$tldi G mr i dtdl.. olk tu. sk l( hu6(, th. h'Hina or inFo\tror r $ld sithD on. )w ofsrlpLlion. lhc ()$,.6 B!ill.! RiI h!\! $. hlrda oltr.lin$ rh, lr or !& dd hr hriltl or i'r{mr. rh. rrllE r lor rh. FIFE of L s oqffi.rllE F]pql!. m.rclan.B co rdhr trin lir.N.d onrdoE ro $Nrud rtr Fnjd (S( 7orr. DGin< .rrl h'tosif, (id. Ih.Conrdor! l.icdr l.r* dod nor qrlyn, aro{ndoatrol'6iy}h. bu'ldror nntm\6rh6R)n, a.d s,ho.onlr6.lrlnsuchl,ojdrs*nh!(nnhclo4s)li. .d p!6@l b rh. (tddor! Licm{ LrE) I d.\opr trnd( s^iidr l).1. ('rtrd \toRKiR\'ao rPFNSArroN Df(].lnlrllatIhdcb!.mr und( p.n:h) orpsluD nEolrh. foli,tr'n3 'jRk.tons I h.r. lrl tr,ll EDIlin ! cdl,tEn. olcolmr b S.lf-lNur. ad s.rld comFMirn. s F.!i,.d for b!Sdion !7(xroarn Iibr ( o&. ttr thc pgfolruc. oaln! $* fu "nkh 'h. pdnn i! su.n I h3\.Md \nliainrrr ro n- .omF.6rno 'dur!ftc. s r.qurcd h sdrn 1r0O ot rh. L.hn Cod.. r{r lh. rErnn4. ol th. wo f.r $hi.h rhB rdnir ! isuql My workd c(mDqr.lfn inrurucc cMiq i.d pol'cy numb( 6c/." slatc Co,ne \ ', '. 11kq5xt\r,.,s nf zrf zar? I c.nilylh.l h lhc pcforunc. of ln. worl for whi.h thi Fmi r aBu.d. r 3hdln.t drpl.r&, F$n i..nr mmn6$ 6 u troG !!q<r to rh. *!n6'shFaarcn Lu! of cllifomn. rnd.sc rhd if I slsuld h.$r suhi.<r to rlr krt6.\mFsrionrnvni.tr!olsc(]io.1700ofrhcIi&r(od..Irhal.ronhNnhcomplysirhrho*pro\nn6 WARNINC ltilu. ro Eu. ro 6 onqtuioi c.r6+. b uil!*tuL !d 3hrll rubj.<r o @rLrr ro dtnirol FNlri! Md cuil th6 ur lo om hu,tu lh.urd (l)llEs (lloo,i)(lo). i..ddih. ro rh. cd ol roqrurion, .hme6 13 r,o\id.n f.. rh. r Codc. mro6r trdalr.rn.ri is le Z ?o17 I hcby amm ufld6 p.n.ht of pdjurr thd I dn ol rlr B6ilEr rid ftorBionr Codr. &d nr I inB $nh sdi,)i 7ux)l oll)r\iion 1 k"rl,?'lL"o 5for $un (.alslaucltaaJ.Elltlclcft(r l@ rrm undi Fun).fFir) rha lh6citrstrrDctnn bdins.sd) ror E p6r(ru. otllE *ol frnlhrhrh6Ff,i E ssucdls( !09'7. Cir (.) atfl,t(AtfDrg.A8alla! I .ry.J rrrm undd Fth) ol Fru4 oE of rhc rouotr 'nB &.|&dioB Ircmhion Pnm s-A.lEro3 Noxfiorrn F.d(tr| Rqlu ldionr ( t hl. .10. Pan6l R<u!.d Idt6 orNoli6cd$n I cd't thd rh. a.dqal r.suhrioB r.ladins 611110r rmnll &c nor q,riisbk ro thi! ror.(i n,n dd sr,r.rhd rh..Utr. innnf,dion s onRl larrfrr,comFlj-sirh0llCir rldiry codddhn. ad ha.6v .dhod. r.Flfrdn 6 oa rhir ( i! v and ('oun!! P.mi'* mn.rcrrn'r: fl. ,-h *(*n Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB FIoor Subf loor/VenUl nsulation Roof Sheathing Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handica p Req Deputy Final Report Engineer Final Report Flood Zone Certif I FINAL )/rt/,t @5 -,t {Xz.zt Certificate of Occu n Notes, Remarks Etc ---------------- ,B &P( turh$r.an,.