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BUILDING. INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER Dt:LCAITATION <br />I hq.by itlm uidd F.rlt, ol Frllry rhd I m .rmpl tum lt. Co,'ln.1o6 l ic(e t $ lor rh. follD*lu r6n (5<.703 I 5 <br />I]6hd r.d Prof*ion Codc) Any Cily or Counry *h'ch Equn6 r Fni! ro codrucl. !llr. nlpnv.. &f,olilh r E?an M, <br />sNdue ,rhr to n! ilslee als r.qun6 lh. rpglicd for 3u.h Fmn lo 6k s sisndj rlltoal lhd h. or th. ir li..nrrl PuRu.,ri <br />ro rh. t,.!i!&B oa E contEroii Lkcrrd Llw (Chlpls I, Comhtritrr rilh s.dion ?00o oI llrriri,n I olrrt Butio< tnd <br />lY.l<i.B C.&) or rhlt tE or dE B.r6nfl lha.6ontnd lh. ta3B lor rh. .lk*.d .raFirr Any rDu irnofsBiio^70.rI t q(tny <br />q,r,lEer tor r pqm sbjftrs lh. .p?li.mr to . civil Fohy oa mr m.. rh.. fir. hundr.rt <loll&. (ttm) <br />l. 6 osG of rlE p.ordry. or ny dtplo]6 wilh rrs6 6 riti. $L ompanirn, $iU & llE rfll td llt ide ir mr <br />lid*ldj q ofrq.d fo. !.L (Sc 7044, asiB dd PrDf6i,o6 Cod.: TIE Codr*t( 3 Lr.e h* dE d {tly to u.sE.t <br />rlE F,Fry rts hril& d inporEllE@ td uho dE sh wI hrell or h.*laot rlNur.h hit or ha o*n d0lot€, <br />F.!!d.d rhd sh rqorglEa G rd ndn d morH trel lt lb*6r, rh. b([t!B or nFoffi ir $U rrhd * !- <br />rlolplar!\ tlE (xc &rildd wil l6E tlE h!&r o,FotitE fir lE d J,c dd br hrild c ntm* dE [n'IEr] tu 0. F po.. ot <br />L s o$M olrlE F!Fy. m qcl8iv.ly rclu*rll€ \ nfi Ucq!.d tdrdod ro odM llE ,mF.l (S< 7ora, adl6 <br />.,rj hlbin Co&: Th. Co.t.io.3 Li..e b*.k!6 mr.!oly r. M osna orFop.nr rhd b(ildr or inpmrd tfidor. <br />sd who offi! for sh FoFr! *nh ! Co'in ro(r) li.r!.d Intl:d to th. ( .tu(d t Ltae lr*J <br />I dn.rmB und6 Sdon <br />D.t. _ 0r.6 <br />l{onl<rqs'cotrlpi\s ildi <br />DEC|dAAIIA! <br />I hd.6y .rm ui.!d Frlry of Fjury oE of llE folloEilg d6l&IioB: <br />I h,r. drl $ill mi.uin . Catiararc of CotMr ro S.lf-lNur. aor *r&d .onFdb.. 6 FuiLd for by ^*l on ]7tu ol lh. <br />I lbor Codc lor $. pcforljrm. oarhc wrt aor *tkn rh. Fnn b isu.{. <br />l hr\. rnd $,ll rdtrtri'n\orls.omp.nsarionrnrtranc!.asr.,tur.'lNS(rr)nrTixrrfiltl..lit(oJ..n{rh.tEln,nL'n!c.r <br />rhc $'l r' \hL h rh'r ffi ntr s Latd€d il\ s.rh6'.otr,m'un'R-'r!. utr'ki .u'!l r li\\ trtrn't{ .rc <br />t'42,,1&..1 &*,rb {r+,n*,_,- <br />rl,(.,,n.,a1 LtbaF,*QT- t/ub,.,*',3-/ -E <br />I ccn'ly thar io rhc pofom&.. ofrh.{orl for shich this pdnn is h,ued, I shau nol onpn,y any rdron rn tny m4f,.6 <br />s' I ro h..ohc subjd to rh. *0116' compcnralior la{s ol(alifomi!. ud a{R lhd il I rh'uld b.{om. robjcl to llE <br />*orkd' ..mpne'io. porisioB oasdlion I700 o f lh. hlsr Co!., I shlll. tunh$'lh (nnplt * ilh tt e lrolili.N <br />WARNINC l;.ilur€ lo su. *ork6' coopdsllnrn .ovfts. ts unl.*ful. Md shdll rubjer u @pL}s lo m,Ml l-Bhs dnd <br />.'vn nncs uf' lo onr nundr.J rhouend dolles (tlo0,omr m rd.ltr./o rh. sr nr(mFNrnn. d.trrad a rn\ikn r.v,h. <br />fuuts(tion 1076 olrhclab.rCodc, inrdd Md alo.e*t aG <br />r.rt r r. r,i r rl.i i/-r riri r rlr <br />trtr l_tRI I (r\ <br />I hdlt y !lr@ udd Frny ol Fiury lhd I m liilE d ud.. Fovirbr of CtuFs I t@ffii.B * nn sdioo 7o0o) ot l)lvirhl l <br />ol dE auitE ud PrDlBioG Code dd my li.a ir i. tuU aorc -d .,Id <br />t-7 <br />I lEdry drm o& pa.ty of Fiury thr llEr L r o'dndnn bdits tdy l dE Ff(tE. olllE wl6r sith lhB FD. a <br />i*d (sa 1097. civ. c ).Lo& r Nw <br />Aftu(aNfDl:gJaalla! <br />I hsrt'! .trm und( Fn!t, of pdjury om o{llE tollosr8 d.cla, io( <br />l).tuhNn P6mili-Atbdoi Noi6di.n F.dsal R.8llarirB ( lnt t0, P[l6) <br />R.rr!!.d l.ll< of Mnifi .{ion <br />.h'v. nrflliondl nftrp.ny lor inspcdion <br />dd Cdu.ryb dn6 ulr nrh. <br />E >o-,t,1DIli(rnl or ,'\t€nt Silnilurr W*S <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 />Fram ing <br />lnsulation/Energy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coal <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif --,arrrEhEArrrr..- <br />^ ,)nlo <br />FINAL 5Li I r "'- <br />Certificate of Occu n 290,556, 667 <br />Notes Remarks Etc <br />8.43 <br />u,,8'3o't1 <br />I <br />I