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BUILDING- INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS OwNFI BUILDER DEI]C'AIATION I hd.h! dffrn und6 pddl, of Fj!ry thd I m GrmF erm rh. conlricloB l-i..na Llw lor rh. following r@n (se.70] 1 .5 Bsi,6 rrn Protsion (o&): Ary Cir, or Counry ufikh r.qun6 . rEna ro onntucr. .tq. drFove d.nolah or EFr Dy lrncrE Fir ro ns isle...lo E$!n6 rE @rlaer for sch Fmn b tu.3{i.dumr lhrlEorat.ltG.d Flld ro rh. FolbhB oa rlE Contr.r6'r l-icnt d Llq t(t!.F6 9. Conffii.s wnh sd6n 7000 of Divtion I of tlt BN'rs .td P,ol*iom Cott ) or rh h. or sh. i! dmpr rlE ltud ed rh. bcis lor th. rlLg.d ddFior. Any viol,lion of Sdbn 701I 5 by uy rrplicDt lor. Fbn llbjFB th. rpp,icsl to. civil p.Ehy oanot mr. thd firc hun&cd dollo. (5500) l. 6 NE ofilE FoFry, d my drpb'6 snh r'.s6 s 0En sL odpq!.btr sil do $. f,cI rn dE *urc i (, undrd.d s ofiq.d for sk (56.70,14. &!iIB dd Phfa$G Co&: Tn Cot ncrd r Lt@ L.w {b6 nr{ 4r!, ro u o*ffi of rh. Fofrdy tr rb hril& or i,E .E rhcor ud ph. d6 sch sorl hid.lr or h*lf or 'hrco8h hit o. hg own @rlolt4 FoviLdlnlt s(h irsDvitu fttun i a!d.d oGld litr$L lt,lDW.llEhtitrns dnio.olt|rd ir 5ld wnhh on. )d olcdrpldi^ th.O*E B{itja wil lrw tlE hsdn ofFori8 lhi lE or rlE dn d hild d iq.otr di FoFry t]r tlE F Feof -1,6own6 or$cFrdr. @.r.lui!.ly conk.dinu *trh licmal.onlmcloE to codqtud ln r.r*l (sd 70{4, ltuus !d PrDftsir Cod.: Th. conhcbf r l-icd. L.w do6 not .pply ro n om6 o f FoFly wfio bu il& or improvd ihdm.. 6d $h. odd. for sd Flldr $irh i Co rxro(r)ltaE d pt,ud ro rh. ( orrndd ! l-a@ tjw) I m.rmtx u.d6 Sdt D.l. Ornd ]}r,t8s}:ss:cauir!rarta!DtctaSalla! I hd.bt .mrn und6 FElry of FJur) oE of rh. follo$ rs &rlm'NE I fi,v. dn will minllh . Cdiificll. otcoMl to S.l llNur. tor srkdt conDa,.lion. s provid.d for by sdiion l?0o olrh. llbor codc fo. ilE Ffo.rffi. of dE unt rtr rtih llE FBn i isu.d -l h.v. !d *'ll mintlin Mrlda co,V<G{ion iNurift., s r.quid by Sdio! I700 of rh. hbor Co&. ao. rlE Ffolrffi. of rhc \ k n \h,uh lhtr tunnr is t-.omr.sa'i.n '6uranc.erE Md [Dli.y nun,lE d. \<,-ca.iL.rLoo"l -t-(\ -l cdtiryfi.! i. th. Faol]Mcc of th. rotk for *hkh this Fmn i! isuql I rhlll mr dploy xy p<en ifl dy o'JG $ Bro b.$m$tirr ro rL*ol(d con{EEib. Ltr of C.liaomia sn +r dlr if I dEuld h6oe 3uttd '. 'lE*s*6 orpqErrn Forbb6 of Sd1.n ! 70o ol tlE llt.{ Cod.. I lhdL fdfi*nt @rpt vnn lho. F.lihB $ARIING l-alre to c@ $!rt6 .on'poEd$n ordsc ir unh$'tuL tnd .ldl 3!bit s mphF to onn@l Fult- ^td.ivil lif,6 up io onc hundr.d ltoEed dollm (i!Oo,utJ). in addnnrn $ rh..on of conFMlion, dulsd a pr.vi,l.d aor rh. serion 10?6 oalh. Ijbr (-dlc. int66l Md in.nEy , t)., 2,- ('t-\\ DECI.AEAIIO! I ha!5y 5llm undd Friy o f FJury rh.l I m li.alcl und6 F.rnion of Chlplq 9 {co@dc,nt *nh s..rion 7)00) or Divkb" I of th. Auind Dd Pmtdba Co&. id 6y la6* i. in fuI foN in .rct C-t o -7S <&{ 5-(r-i" ,"",'."'.^S.^.- I h6.by lrum u.rl* F,lty oa psjory lhlr lhd i! a .onnrudb. Lndins .gd.y lor rh. Ffolll1e. oaltâ‚¬ ert hr "'ltich rhn Fmh i 6u.d (56 1097. Civ C) AITUI;AtrLDESJAAIrO! I hd*y !trm ur,6 p.n!l', or Fir' oE ol rhc li'lhr i.8 d*lrairB: Itmol ion P.m $A3h6l6 Norin.almn F.ddal R.glld ioN (1 tl. 40. Pd6) -Rcqut.d L.1l6 otNorifrrhn I .d'& rhd rh. a.ld.l r.sublnN r.a&di.'a BlElor rcerd r. nor ipplk,blc 'o rhB pmF -l csr ify rhd I hlvc md lhn lppldrn'n .d id. rhd rh. .bov. innnm.lion B .on<l I .sc ro comdy wnh dl ( ily ard Counly odll@6 dftl sr.r. L&! EldiB r. hriLlin3 h6.6r'tdtnriE rcF6andr 6 oathB cn, rd Couly lo nnd urb. rlE !t r. l6rmndj propdy for 6p.clm r{rFs t-t\.r\ --*:l*li--A: Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Roof Sheathing Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coal Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif I?oUgH- ldL\t7,}\1111{J) FINAL rl -+-tl \M,x) Certificate of Occupancy v \_/ Notes, Remarks, Etc. Subf loor/VenUl nsulation n-1-