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BUILDING- INSPECTOR BECORD
<br />DATE ID/SIG.COMMENTS OWNER BTIILDIIR DIiLCARATION
<br />I hrchy rflnn u0dcr nctr{lry ol pciury rhur I !m cxcmnr lirnn lh1 Conracr{K l-i.cn\d lrw ror rhc blbwins rc.or iss.?0.11.5
<br />Irusir$s rnd Pmfcsi,,n C{xlc): Any Ciry or nr t ehich rcqutcs r lrnn t, .ofnrud. alrcr. iNnrov.. dc.'ohh or Eprn rny
<br />{fl.rurc. tri{trro irs i\iurtr... rho rcquir.s rh.,rdi.d r lar nkh lEnnil ro rilcn sisncrl{ cmnl rhar hcor sh. is li.cn!.d Nsu,trr
<br />lo rhc arovhions oi rhc Conlracrols Liccn{n ljw (Chlplcr 9. Conrnrncin! *irh sd.rion 7uJ0 ol Divhion 3 ol rhc hNincs "ndPn,fcsiotr\Code)orrhrh.orrhci\.rcmprrh.rclm$rndrhchNnl rhcrll+cdcxcmDriotr.Anrvn,llriq.fs.crxn70ll5hr_rtry
<br />rmlutrr lnr aFrnrir \uhtcdsrhc itpli.anl ro !.ivilpctrllryo{ nor nrrclhitr lirc hunJrdldolla'\ (S5(X))
<br />_1.as o*ncr of rhc lr,Fny. {tr ry cd'lnoyc.\ *iih v+cs r\ rhct *lc ..'nNN lotr. ll do lhc wort ud lhc {turh n n r
<br />ic Lrl oronar.d fn sL (Sr.7M4. au(irE\srnd Profcsi(rNC, c TIE('onrrrcrois I iccns.ljsdoc\norrnPl,brtrown$.1
<br />rtu nmpcny who buink or nnproks rhcF)n, rfrl qk, doc\ nrh trtrk himtclf ot h.nc lf rrhoughhkorhcrownc r,n.rcc!.
<br />Irorid.d rh nEh irnnn'vcnrnh irc nor inr0xhd or o,lbm,l lnr eL lr.howcrtr.rh.l iklir8orim,'Fumd t$ld *irhi",,nr
<br />'totron{krn,.. rhc Oend auiud will havc rtr htrdc oflrovinB rlllr hc.rrhc dil mr l[iklor i'nlrolt rh. pn)r.nt lor IIE PUIF,{of
<br />L Nowrr olrhc t'tuNnr. unr cxcl$nclr co rrlirs$irhli..n\c,lontrtnn,connndrlkpr)ic.r(S..7()rl.[t\i'rr\!
<br />Nl l,Id6sio!Codc:'l'lrConrrrktrsLiccis.t-rtrdoc\norrtrd)roni.sncr!lDr,t,crrywhohDlki\ori'!rovcsthcicon.
<br />rnd Lvho.or((ftr{r.hImjc.l(*irhr(iinnacl.(rll.ctrr.,lntr'ruarrhrhc(inrrn.Ln\l-i.ci{l-a*)
<br />,^'.{5ttsftffiffint/r/
<br />Dl;l! IltroN
<br />I hrr.htrlltrutrdrr JIfrlryotltrirryon.ol rh. nilkNi'rg J..lrntnN
<br />-lhivc
<br />lnd $illruiruhfl CcnificarcolConsnrt' s.llln\orc f{r workc6' .onlEnsarhn. !s ntovidcd lor hysc.rn{lTmofrhc
<br />trhor c'odc. for lh( |.rfonmmc oi thc work ri,r s hth thc Frnril is irsud
<br />rhcwolkrar*hichrh\IrnnirisnsucdMy$ort.^.onrrcnsrri(nrifsufutr.c(rfi.irnrlFlicynunficrrrc
<br />l"rry Nunrh.r
<br />I r.nilyrlnrn,rhc rurfonnrtr.. f rhc work rr which rhis Ni,nx is nnrcn.l dr.ll tror .mploy an, ,c6oi in rnynr.trtur
<br />$ Ntoh..onr suhld b rhe*(rkcm comri.nsllion lawr or Cllililrnir. ridr8rcc rhd ill sk)uld hcconE shicd hth.
<br />*orkcrs, compcnlilion pnvnion\ ofSccrion]7m olhe lf,titr Gxlc.l \hnll ronh\irh.ornnli" *ith rh)e Pri,vi\ion\
<br />wAnNN(; Frilurc ro K!ru witrk.r\, cd rr.n\ari(,n.ov.n'sr i\ utrl.wlul. md \hrll suhFl rn cnlpk,yrr r) dinn rll(u'nk\ lnd
<br />)f comnrn{rnr. di x'Acs as Drovidcd lor rhc
<br />,,.,.7-atr - /tr a eaIZ19
<br />DECI.ABAII!}N
<br />Ihcrcbynflird utr,lcr n tulry olr.qury rh l mr liNn*l nMcr [ovi{ion oI Chlprcr 9 (co rmncing tirh S.tti)n 7UX)) oI Divi\ion :]
<br />oi rhc llu\incs 0.d ProlesionsCode- ud my licrn* n in rull ntrd drl cffc.r
<br />laNrlalll&lLllilJlNl;.-dliENrl
<br />is{rcd (Scc ll)9?.(iv ( )
<br />l-c rlri! Adnrc\\
<br />]Itfl,rc Nfllu(r -BA[lot
<br />Ih!'.nyrlllnnutrtlcrItnrlrrol p.'turr.n.ol rhrk,lk)wtr,9 c.lxrxrid,!
<br />t)cnn,lri!tr t'cflnlls A\tn.{o\ Norilicrri,r |.n.rrl R.guLxrnrN { l'rt.11r. Pri16)
<br />Rc!utcd Ldrcr ol Noriricnri,n,
<br />I.('r,lyrhnrrli.lc.,ilrcAnliriofl\rcA lrn! rsh(n.r r.n\1lrr. i,.rxnp i.rhlr t, rhn t()Jr.r
<br />I .r'1 l1 rhxl I li\c 'c rr irlitrniri,tr, \.on..r Ir('cck,.oir|t\irIillCiryxtr,l(,rn v
<br />on nxnr.\ rkl Srn.l r\\,r x byaurhoriTc rcnrc\rnrrrivc! orrhi\ Cny aM County h ctrlcr npotr rlE
<br />{tmvc nrcnriorcd propcn} itr
<br />/lrpli(oor or ,\A.trr SiAnnr 3- at*
<br />Set Backs
<br />Forms/Steel/Holdowns l0-.{-ta -D,.9*(qq)
<br />Erection Pads
<br />UFER Ground
<br />Sublloor/Vent/l nsu lation
<br />Roof Sheathinq 4
<br />Framinq 2 to-'t- t6 )-S-*(AD
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lr/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Cenif .
<br />FINAL fzE-)1y' ./*.{rA .ro
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc
<br />SITE-WORK
<br />\
<br />SLAB Floor
<br />Shear Wall
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