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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS o\+Ntta ttjtt,DtR DttLcARrr!()N
<br />I hs.t^ an'rm und.r Dcnlhy ,'r Fluh- rhn I d .rofl from lh. Cotudo6' I tm* lr\ ro. rh. foU{tr'nr rffi,n (s( 7U!l I
<br />Bcmd d lYofB.n Cod.) An) (rtorCoudt shkh r.{ur6 r pqmir h.odtud. !hs. impror..Lmlih or r4Eir Mr
<br />slrucrs.. I'u ro irs islec. lLqr r.rtuiE lhc 4pli.dl tor tu.h Fnn t. nl. i rfn.al {.har rhd lE or rh. ! I'coEd Pu6ud
<br />kr rh. Folarioro offi. contoctn r l-i.6s.d t w ((-finF6 e, ComnEncins {ilh sNln'n 7000 oaDivi.bn I otlh. BNincss and
<br />ProlsnrB ( od.l or lhal tE or sh. Ls.r.,npt lhr€rrom d lh. ha3ie Io, th. alk[.{.ronUn]n Anyviolntionols.dion7031tbymy
<br />.rpliclnr ntr . Ftrir s!bj6r3 rh. q4li(er ro r civil p@h y or nor frr. rha nr. hun.lr.J &llm ( t500 )
<br />I. B otrc of . FoFiy, o, mr mplorG snh r!*6 s fi.n sL omFsdhr- *il & dE sqt lrl {E rtulE 6 mr
<br />idd'&l m ol[a.d aor slc (Sa 7lx!. guilB dd EDfd{'6 Cd. Irr CoffiM't l-r.e hs .ki6 mr .al?ly ta u otrc of
<br />rh. Fqdy lhl hrikhor rp.!6 rn.lrG dn $h &Eshs hiMlf or h*ltor ihnush h! n ha o$ mpLr6.
<br />FDvai.d rld ruch imFovffiB e d, inrd&l or olldrd tu $L lf, ho*6€. tlE hoilihg or inF.olEE{ n $U *nhm ok }@
<br />ol co,r9krirn, rlE (nrn6 Blikln will h.w tlE h{dn ofFrsns lhd tt or 3h. dil mt tor! or mFoE tn. F.pory for lh. Iltrpo* of
<br />l. B ouE of rhc Fopqry. an.rcl6'dv $dd'nS *nh li.dB.d otudoR lo odru.1 llE Fojrl (S< 7O{,1, 8cn*
<br />.,ri tblisn cod.: Th. Co.lrdort l,'c.e liu' &E mr q,?ly lo e otrnd .r lroFd! $ ho buil.tr or inProl6 rhsotr-
<br />aid shr sdBl! lor ecb Flcdr*nh r CoMo(t) l(da.rl po,lld rorh.Codrdor! li.B Lrr)
<br />I m.\dlll !n!d seton
<br />D.l. ()nn.r
<br />laati};Bl:(aufi;Nsa1l!&
<br />D}:CIJXTIIO!
<br />I hd.l'v rmnn undd ldElry ol D6jur y rn.olrh.lolldvinx &rlearirN
<br />I h,r rn *ill n@l'in. ('drfrd. of (nMr ro s.lf-lBd. lor $ut6 comFliion. s Fornhj tr ur" aotr'n ,,r* ot,*
<br />t:bor Codc ttr rL p6r(,r:@. of 'lt ro.I for $tth tlr Fmr n au.d
<br />I h6v. .nd will h.i ain r 0116 coopdllion iBunn.., s rcqurcd by S<ri,rn ]7m of th. t b.t Cod.. tu th. palome. ol
<br />!h. qo ntr *hich lhi! pcnnil n isuol. My wort6 conFltd ion iBurucc c,rd od Frli{, numbd &.
<br />I Gr,ry rn r i. rh. Ffolrja. of rh. &rr for *hkh rhr Fmn 6 ir$.d. I rlEll d mploy d, Fen in d! meE
<br />$ 6 ro b.<.re st&tr 6 th. mlia' tump.Mion bB or Cdiaomi( !d .sE ltt
<br />'a
<br />I thruld b..om iut al ro rlE
<br />*orld' comFnsio.povihEolsdion lro0 ofrh.l.br Co&.1iEll. tonhs h.onlly *nhrnos ptuvntunr
<br />WARNINC: f.ilurc ro su. $.rld' .omFG:Iio. cov6rs. ir ul,waul. od sh.ll rubjrl u dploF 1,, dimrd Fmtb ud
<br />.ivil fin6 up k' otu hu.dr.d lhousd dollm (t100.000), in lddiion to th. cost ofcomFN.lioo, d,Dsd a I'rovid.d lor lh.
<br />Serdn 1076 oflh. kbor Cdj., inr6d Md .lrorEy s to6
<br />ucE$lDjqNrB s)a
<br />D}iSJAAIIO!
<br />I H,y !,Im udd FEIy of Fjury rhd I @ licdsl un!.t F{v6io. ot CIEpla e {co'nrlfr ms u irh s.o.i 7000} ol Dn isnrn 1
<br />of rhc lruinN Md PrcfsioN Cod.. nd my lt.B ts in [rU forc. dd.lrd
<br />caliral]cllolLlilDaglc[ra
<br />I h6.by s(Itr unrLr FDhy of pdjury rh,
<br />'hd. b s olurucib. IrnlinS retry for ttu,snrlrr],d oflh. m tu *nitn rhis Fmil ir
<br />isru.tl (se 1cre7,Civ. C ).
<br />L.nJd ! Ndn.
<br />AIIII(AtrIIIESJEAIIAE
<br />I hddylfm!n&. D.n.ly ofD.rjlo ('Eoath. tollo*ior d.(l,r FE
<br />o.nohbn P6nir!-Asb6ror Norific.rtur td@l R.sulirxrn! (Iirl.40. Pan6)
<br />R.qun.d &rl6 oaNolifi carnrn
<br />I cdlrf, thd rh. Ld6d rcsuhrRN Esadi.s ab€n,r 16 r e. nor rpr,lilhl. tu rhs pnrFl
<br />I csl,fy rn I h.r. rqj rhE ,rnl( .n ni drt. i infotusn 6cnrd ! 5arE ro omp'i rilh oll('n).nd ( ounr!
<br />ordrlleB dsror. hqs rcliin* ro t{'ld'n8 turlI.iz r.D..dd r 6 oarhis Ciy and Counr) !, dr6 urr. dE
<br />!bo\. hdron.! IroFny aor iNrEden pu.rDs
<br />1"" I\ ,li.Nnr Urnr si,l trrtrru:A
<br />Eg,"^s,-Ro,-^.
<br />,a rf
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln s u latio n/Energ y
<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 />E ngineer Final Report
<br />Flood Zone Certif
<br />tl,t
<br />FINAL 7/9il t+tl,Ut51'
<br />Certificate of Occupancy ,l
<br />Notes, Remarks, Etc
<br />n*-ir.",,*" rl,,i,r),.2F
<br />I
<br />Subf loor/VenUlnsulation
<br />I
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