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BUILDING. INSPECTOR RECOBD
<br />SITE-WORK DATE OWNEX BUILDII DEI-CAT TT('N
<br />I h.Eny irrf, und.r FMlry i)r Frrrry rhar I m cr.q,t rmm rlE A rd6 Li.nr t * fir llE nnh*dg Eu,n iS.< 70ll 5
<br />Busin$\ ,ftj Pr.r.$n,. Cd.): Any Ciry or County wnkh r.qun.s u Fmir ro otrnMt- dlrd- impn,vc, d.nrrl'\h or rtEi lny
<br />ndu., Ffih ns n.lEN..ts Equn6 tlr.ppltut ln ruh Fmil t.litrsisErl {d.ftni rhdlEo.rlEklf,!.d t *, ,
<br />ro rhc r.dioN oa rlt Conrtuktrt L(.n€d t!* (Ch.p'd 9, ConmNinB wih Sccrhn ?0m of Oiirion I or 'lE Burm$ ind
<br />h,rc(bns c(rl.) or lhrl lE c rh. is crcmrl lltarion.d rlE bern lo, rlt 'llcsd .r.'rfrion Aryviohti,nofsarionT0ll5 hyrn,
<br />{'plkrnt for r Fmt bFig'rE.rg,f,.nrro.dvdp.MhrormimRthlnfir.hldr.nnollgs($m)
<br />-1.t!ow.ofrlEF,Fny.mnt.q
<br />oF!wnherr6rsrlrt-Lonp.ndb..will(,()$.q.,nllr*nirEin
<br />id.'ikd or otld.d aq ql (sd.7l).l.r, aurmlr.ld Pml*ri,.. C'd.: Th. Ct rsm! l-ilE L.$ da d rpplr ro m osEr ol
<br />lh. pn,rEny *lx, tii(! or ir['mw: tlEotr anl who d.r! uh wnk himclr or h$*lr or rhn,u8h hn o. h.r o,n cinloyes,
<br />FoviLd rh.r uh Lryhwdr c mt ir.rldai olk for {h It tnrw. ir hildill. ir itrFErd n b! *rhh m }ar
<br />oro,riiLib( th. Oem auiEr tthErlEhntnofFvs!rl{lrdrrr'lntr)ll[ild IIIFE llE F,Id, r E FIFEof
<br />*'ln o trls nn 3Et rmj.llr riih ' Codrskn3) li.n€d purlud ro rrE co Blor'r fi.nE ljr)
<br />:"'\4i$lis
<br />I hd.hy omrm un.hr n Mlty ol ,'ciiury om .I rlE nnb* rp dcclulllnr
<br />-l
<br />h.r.,n s' mrt.in. Ccnirrd. ofcor ro S.lr.ln$E lor wt6 6n!!dirn. ar FtviLd lor by Sclhn l7G) of rll
<br />Labor Cd.. tu rh. IErforur of rlE *rt lor entn $c rErDl it i*u.n
<br />_l llat sd *ill minr{in srls .otriEnrdi,n innrrE_c. rr r.quid hy SKri,n lr0o ol
<br />'lE
<br />lrs. An . for rtE |trturllm or
<br />rtc *ork f *hih rht rErmi' ir irshl M,work6 onFndion 'nruotu..rrir xi lirlty numt'.r rc
<br />-lo'llly rhrr trrrh! tf,nnnutr.r or rh. sorL ntr $h'.1' rl,i\IIrntrr tr N{'(1. lnrnlltror.nrn.ynny |Ern,' n'rny n'rtnrI
<br />r' .s n, h(onE subFr k, ltE untr( d'qEndion hs\ ofc.lilorn .aj .*r
<br />,mvnbos oaS&1irn lTlx)olr,E lilnr ('dL. I drll. nnhr
<br />WARNINC l.xrrurc n) ecur. uorkrr\ ronrltr \rrn .o\.ra!. '\ u er,|rlo$r nr rtrn xl lrfullf,s t
<br />.ivil llnc! up t' oB hurlEd rlx,usll dollrl lll(l).(rlD. in a rion. d,ru*$ 8 fDvir.ri Itr rlr
<br />:.: ifliil Coir., inrft{r lr omy s fdr .t
<br />r6
<br />I]ECIASAIII]N
<br />I h.rrny irrn unLr F.rlr, of Fily rh! I m lftnsj u.&r F,riihn .f Ch.prd 9 (oftri.s rirh Sdir. ,uL of DNtrhn l
<br />ol rh.Buii *and Prot{rtni Cod., dn my h.tr< r in tull adr dtd.dar
<br />ra!flal(Iuu.LEuulti.Acrlcr
<br />I h€Ehy rmrm un&r Fmh, .r FJtry rh:r rh.E n r con{turni L.dinB r8.my litr rlt lErformm. or rh. *nk ft, *nah
<br />'hn Frnn ir
<br />nsu.d {s{.lr)9?, civ a.)
<br />t nd.i ( Nlm
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<br />AIILICANLIITCIASAIIA!
<br />I honr,v.trm ond.r FEh, or Frir, oE or rh. ft,rr,w in8 d.rl,rrri'n!
<br />Dcfrnri'n Pcrnrirr.Artcsros Notificlrn'n ltdcrll Rcs!hrions (f irl.4, PM6)
<br />-R.quircn
<br />lln.r or &rifE lin
<br />l..difyrh! rh. f.rLnl rtuhrbnr E8rdmt r.t$!xrcmrrlrc fln qDli,hLro rhn pmr.d
<br />-l
<br />ccnrlyrhol lhalc rcld lhi!"pplic(n,nrd
<br />.rdin.E-.c\ lnd sr.r. L,* ahu{ t,t iLlin3d
<br />;;h" .".""., tusrarod,mprywi,hrrci,ydnd(i,u,y
<br />r.,rcrnrdNlrofl Cir, rd Cou.r, k, drd !rb.rh.
<br />rthE rntrmd |IslEny tm htFdhn InrFB
<br />ADrl..nl e Ardr sk'toE iA'
<br />P.mltF rm.(D.ln0:
<br />,,,, ta{ I t lt d
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenUl nsulation
<br />Roof Sheathinq
<br />Framinq 4/4/s &rpP'./.f2"
<br />lnsulation/Ene rgy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL
<br />"/rL///@4@^/e--
<br />Certilicate ot Occupancy
<br />Notes, Remarks, Etc.
<br />ID/SIG.COMMENTS
<br />Shear Wall
<br />Ext./lnt. Lath
<br />1..\osm."rrh(nn'Fdy. r.r.lunrcly..6u d nr8 w h li.ortj .otrtrrct,^ i ' .r'nntud rll I,oJ(i lS( 7(Er. Au!rc$
<br />trnd t\l'ls\ir(i e: lh.Coitrlcktr r l-i..n$ l.uwih\ tror lftltr) !trnwnq,'l propcny*ho huilds or nnprcrcr rh.ru!tr.
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