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BUILDING- INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEL('AR TION <br />I h6.i,.frm uid6 po!I, ol pcrjurr lhd I m.rmF freh lh. Conlrr.lod LK.e lrw for rh. lolh*inB rNn {S{ 7orl.5 <br />Bd'n dd Profco. C.<L) Anv Cir,'d Coudt shih r.qund r Fmi ro oddd. .h6. imFore dml.tl or r.Fn &t <br />"rudu( Fi,r h trr isoft.. lto r.!ur6 rh. spplid fo.3uch Fnn h fik. risEd rrdffil rhi lE o. iE 6 lica6.d F,rd <br />ro rh. rovisiotr! ol tnc Contradofs L(cnld Lr$ (Chaprq 9. ( omnftint {nh S(rnrn 7000 or Divirion I of lh. Buti.6i Md <br />Pha{hni Cod.) or rh,r tE rh.n.rmF rhr.n.m,ld rh. bar6 aor rh. .ll.s.d .roF ion Anyviohirnofseli,nT0ll trrlanr' <br />rprlE.d f.r rFm{ sutid.rh. q'pl'(.nr r. !cirrlp.Eh! of mt mrc tlu li\. hu.dr.<l &lk3 (l5(l)) <br />l. $ osn6 of lh. pmFnr, or my mpnrlB {irh tr!8d s ln.ir $1. comPlat.l n'n. srll do rhc {rk ad rhc iodE ii ml <br />i.ldrddj or o lIq.d aor elc (s* 71N.4, Burins ud Prnfcsi]B ( od. I h. ( .dn rM-! Lkru l,* dB ml .prly lo u 0$6 ol <br />rh. rn'Fnv ! l$ tn'ld or i,pr.t6 !1E6,. in $ h. 116 lrt $nlt hiMll oi lFMll or rrmusfi nt m id oqn n lliLvc. <br />Fo\ rlcd rhd !u.h ,qmrtuB ft d -iod.d q trfiqd lr sl l( lF*6-, rlr hildr.s tr "lpror.lrd 6 $ld sihi. c E <br />ofco,rl',tJion.ltE Oe n6 Blikls *'illh.\.lt h(tn orl'uins lhd ncorshcddml hrild r imFo\. rh. lrttdy for iE FrrF$ of <br />,. 8 o\E otrhc FnFry, d 6.Urncly..ffd'.3 \r h h..$.il..drdo6 h coNtur tlE pmF tsc. 7OIr. &!l|B <br />..d h'fisi,n ( od. 1 n. Conlr.ctoi t I i.os. l-sw dod nor appl, r, M o{ i( oa proFn y s ho buidr or impto\ 6 rh6on. <br />rd trhl .on'6(rror !u.hFojds$irh. cM'aron.ll'.6a.dpuRumr krrh.Contr!.1.i3 Lic.* l,s) <br />I m.rmpr unJ6 Sdrr)n <br />Dire otrn.r: <br />t!!Bli}:al:1])ufErnu]0.N[Egall1la! <br />I hd.ht rfl-'irn tr d( Fnah] .I p6 rrn .nc .l rhc roll)n 'nx dch,d triB <br />I h.v. dd will minrlin . C6iifr.r. of coMl ro S.ll-lNr. lor {ula oBFtldhc s FoYdcd lor !y s6toi 1700 of llE <br />t lor C6dr ld rlE Fldlla. ol rh. m hrstihrlFFnh it i$al <br />I hdv. 0nd sill mainla,n wod6 cont Bntion iNurnncc. s rqrtcd br sdr ion .r 7(n ol rh. kh.r (nd.. for th. Ffol]ru.. o I <br />lhc tr ort for u hicn lhn ,.rni n s.d My { ork6i compsE l krn iNurmc. .mid dl Fli., numbcr r.: <br />I c<lit thlr m rlE Fformm. of <br />'h. <br />*ort 6. rhkh !hi! Fm ir iriEd.I sh.ll mr drhr..t Fsn itr) nmE <br />s 6!o tE om rut 6trollE$rt6 mipsBrion b$s ofcrlifohn.,nd ts6lhn ial )uld h..om..obj..l to llE <br />rodrq c.dF!*ri]I pm\ i!io6 ol S.<r i6n lu00 .f rh. l rh.r ('6d., l CEll. n'n h* ith mmplr Nilh thoe t'mvisioNw^tnl C: F.il!r. ro su. *!.ld' omFNdi.n o\€.S. i uLwtul. i.d rtEll 3ulr.rt M dploF lo aimiol rEllid avl <br />cirrl nn6 {p ro oE hu,xn.d rln6,'d &rlls (tloo.oftl. i. rrl 6n ro rt coi of ..iFerio.. dm+6 B Fo\id.d ao, rlE <br />Serion :1076 ofrh. Lltn Code hr6.r ud drorEy t f6 <br />UCEIIEO.(IINISACII)ADECIIIAItr,! <br />I hehr rfnrn u.d( pcnrty o f paiury rhd I m li.6!al trndd pletion ofCtifld 9 (comn]ocins unh s.3i.n 7ux))ofDni!tun r <br />of rh. lr6iB drd Prol.si,B CDd.- rd Fy li.@ ir <br />'n <br />full fdr.. &rl .lld <br />coNual(IllllMDllclcEr(f <br />I hd.b.! rl6n u.d.r FEI) olFjur! thr E k ! odDdion krlins 6strr f..lh. Ffolrlr,N of th. trdt f.. $tkh lnir Fmil i! <br />i.e.disd 1097.( ir c ). <br />APPLI('ANT DIi('I ARATI(,N <br />I hdr*', .fm untl6 Falrr ol pcjury on. of lh. aollo{ ing .Lrleil io.s <br />DdFl'r ion Pmn..A3b<do. Ndrrr{i,n [.ndi R+uld.B tl nl. r0, Pd6l <br />R.qun.r! Ldrd oaN.rifi .dn. <br />I cdih rhn rh. f.dcrll rc*uhlioG r.adina Et-l.s ,@\ 'l r. @i tl9lk.hL ro rhir rniid <br />I(6ribrhd I h.v. rcld rh! rppliaron s sror.rhdr rh. atsvc ,nlofld n\^ is..Fdr.I i316 to NnDly tr'llh all ( yihd(.ur) <br />ordinrn.6 ud sr.r. l a$s chr ins ro hlildr! cohn dn'n,ddhatb, rhtrr. r4i 6dl.rir6 o t this cnv dC.unrtomrduF)nrh. <br />abo\. nBrhncd rioFnr am i,llE(lhr pf1r]s <br />.\pDli(.nl or rrerl shnilu.r <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsulation/Ene rgy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />ltilason ry <br />Pool Fence <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />FINAL 6-11-t"l ,V-4lrrV <br />Certificate of Occu --\_7pancy <br />Notes, Remarks, Etc