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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS OWN ER BTII I-D}:R DEL(-A R TION <br />I h6clD lmm undd p6dly of pgjury lhlI I en .!dpl f(,m lh. C.nridoR Lrry k$ for th. follor i4 rdrn (^* 70:\ r J <br />llusind atd Profdion Coj.): Any (''r, or (.unrr_ trhrh Equn6 r pdint ro corddcl..l'8, ihFore &mlah {' rqatr &} <br />.rructu( Fior lo il' isu4., 6h. r.(ltr,6 ih. rrtlrer lDr srh Fnnn ro fik . sr8i.d iaomr thn lE o, nE ! l'.aqi poNan <br />k, rh. F\v6rE ol E Co.lr*lor3 Licor.d l.u lch.pls 9, ('oFn('iry qnh S<rirn 7m0 of Dvision ! ofrh. &!'nN ud <br />Pmtdi,n. Co<|.)o' rhlr IEo.3h. k adnIl lhd.non !,1 th. la6 for rh. .lke.d ddF|ion A.) riounnn ot sd!.. 7o:r Mr &l <br />r!?lic. ror ! Fnil !ubj..ls lh. lpplicii lo . gv'l ,.Mh) or ftir mr.lh& fir. huith.d d.lls { 1500, <br />l. s Ne ofth. FoFrt. m ny dplotc tr'nh *.t6 6 tlEt bk (mFEdbG wiu do rlE r6t rrl tlE 3dR i! d <br />rrdrd.d or off6.d lG sL (S< 7orl. SuitB &i ProfsE6 Co& Tl! CodBtM'r LiaB t * &6 ml rglr lo x o*E of <br />rlE FDFry vho trill! or inp.orB ttEa.n who dE rrlt f,dt tirelf or n*ltor Ewh hn or h6 ort.mpk\,6. <br />p.oriLd rhll a.h rsDlqEd! c ml irqtqi v olEqj ftr nt lr, b*ss, dE ttiLtlB o. it4.lraEr L lld *nh6 (E yg <br />of(orpkia tlE O*E BuiB6 sill h.E rlE hr&r ofFwru fir lE m t dn d tuld or i!rylr $c FoFry lor tlE FIFE or <br />L s o*'K of lh. propsly. m sclusiv.lt .odr&1'n! tr ilh lrcosd conlr&1ou k, ..dtud rlE Fold (Se 7(}l.l, lusr6r <br />dii lhiisiin Cod.: Th.comktni Lic.nr. L.* do6 nor.ptlyh.6 onn6 of prop.rl y sho huilds or mprovd rhddr., <br />and who contmds tor such Foj.(1s snh r ao.nr&1oni) licoEd Du6unr b th. contadors Lic . liw) <br />linc\ctrr trnder S(lion <br />_r!Blil:&r:1!uf[rr rI9! <br />DT(].AAAIIA! <br />I hr.hy altnn u'dd FrhtofpdJU^ on. ofrh.lnlkrwnr JftLlmnrns <br />I h.r. ei u ill i!i.rd. . Cdia*d. .a(b|M! h S.lflBur. tu \ 0116' .omDdM ion. d D.ori.d for hy S<t i{,n 1700 ol rh< <br />l rhrr Cod.. tor rh. pdfolfu. o f rh. I.rL fd *hrh r h. pEnn 6 su.d <br />I h,r. md $ill ni iin *ort6 .omp.6rhn itu&.. B Equd tr Sarior l?00 of rl! t,Lr Co&. lor th. Ffotlffi. of <br />fi. *$ fn {nkh thir Fmn i i*EI My $mt6 mhFEiion iBulftc 6ir !n pol.ynuhbq & <br />(JtrN {h;.19,5r C-s\ _.S-.5 <br />,,n,.\ \u E BPuw c g\nq o+o r\ftrcs r.\.)n <br />Iccnrryrhst in th. pdfolmm. olrt uo nr tr hlch ths Fhi a $G{ I sh,ll mr drlot yFenino,md6 <br />h E ro b.$ft 3ubjcr ro rh. $ortd' cdh!.ndi.n L$3 of ( .[fomh. Md +E rhd if I shuld b..oE rutrd k <br />'h.w 6 compdsiion Fviiom of S<r6n !70{ofrhc lrtn (iiL,IJoll, forlh$ itfi ondy vnh thos pruvloN <br />WARNING: F.ilor. ro sur. *oit6 .ofrFBdi.n corq!8. i! unbstul. ed shall subjet m mplold ro d,nffl IEah6 md <br />cnil nn6 up to on. hundrcd rholsnd d{rlls (tl0r),(xxr), in .ddnnh lo rhc cosl of con!.@rio.. Llamas6 d t orid.n nn lh. <br />Sdtion :1076 otrh. bbor CoJ., inrdd ed na.rEy s liG. <br />,,rf l,)-ltAntA^Ar Id tuto <br />I hs.ny afim und6 Fnalty ot p.rjuy lhd I m ltrasl unds Fo\ ir'on orch4{d 9 (comm.in8 snh s41ion 7ux) ) of Divirirn I <br />.f rlE B*i.6 ed PmfdioB Cod.. arl ny lic* B in tuU forc. .rn .,Tcl <br /><-).I .rn\.( l.s! <br />l[R " s ?n1o <br />\ee71.*- <br />\F-6{<=4. <br />g)!flau(atoNl.fdDttclcfxcI <br />I halby .mm ud6 FlXy or Fju) thi lha. a . otdrudnn bdirE tsfty for rlE pafollrm ot <br />'hc <br />asl n r *tth th! Fnr ! <br />isd(56.109?, Civ. C.) <br />ASSLICAII.DIqdAAIIAX <br />I ndtb atrm u.do p.iahy oa Fjury orc of rh. follo$i.B ddl,rd n,nr: <br />Dsnolilion Pmils-Asb6ros Not'licdn,o f_ql(al Rqul.ltuni('l l.40. PM6) <br />R.quircd L.lt6 of Norii.arion <br />I rdifr rhd th. f.d6al r+uhlioN r.gsdins ctEtos rmov.l e. rcl lpplicabl. to lhi. pmjd <br />*ii-itr,t't t t'u,..-a th. applE t n exj rct. rld rh. dbE 'ntofln, ii,. a! .oEd l,ararommplysIh.ll(-'tylnd(i,unlr <br />ordr,M6 tud srar. t$s Elar{g ro buildine coeo.rx'( di ho.lry rdhr t r.Fslsln6 otlhis ciry ud counry ro drd uF,n rlr <br />6b\. mdrion<d popdy for irepatFn puFs <br />ippric.nr or t8mr sktr.ru <br />@ <br />,,1t'lA\;) i I ?n1[t <br />Set Backs <br />Forms/Steel/Holdowns <br />Erectron Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUl nsulation <br />Roof Sheathing <br />Shear Wall <br />Framing 'trt /.9 ,**L eil+tt <br />ln s u lation/E ne rqy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Flood Zone Certif. <br />FINAL {/r,4,{ 9.">)ui.:a* <br />Certif icate of Occupancy- <br />Notes, Remarks, Etc <br />I <br />I <br />Engineer Final Report