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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS OWNET BUILDER DUI'ARAAIOI <br />I hs.ty irm oDJd pa.hy of Fju.y lhd I d ddpt tnn rlE (onltrcloR Lic.n* Llu lii th. lotlowhg r@n (st 70.11 5 <br />BBin6s dd P.ordrion Cod.) An, Cny or Counry $hich r.qund ! pahn b codrud, .lts, ihFovq d.mohh or l4.n 4v <br />3trucrue Fbr lo ir! s@.c rko EquiE $c Apltul lor $h pdni ro tu . sbn d {.IdMl Od lE or JE it licar.d Frull <br />ro rlE Fivii66 of 0E Co!tr&b r Litnrn b* ((1rpl6 9. Coffius *nh Sdbn 7000 of DtaDn I of th. BrilB rd <br />PrelBioN Co&) or rh.r h. d JE 6 ddnd lh.!6!h rn $. b..ir for rh. dk8.d dartrEn. Ary vioLt bn of Saib! 701 I 5 b) &v <br />rprl(! for.FniruqdsllE.lrltelloiorrlFuhyofmtmr.theliv.bu.d.<tdollB($00) <br />-1. <br />6 oMs otrhc propqrn or my mployB wirfi ursB s rhcn sn. omFslrion. vill & llt sdr a{ dL 3llElw ir ml <br />iflod.d o.olId.d aor $t (sE.7o{4. auit6 od P,ofishB co&:]lE aornBdrt tj.qE tr*.b6ml +plylo 0o{E of <br />rlE F!Fr)' *lb h,ild or irqDtq tlEEtr rd rt dc $dr wll h'Mrfo. ha-lf ot rl@usi hn d h6.m.oobv6 <br />lr.!id.d fid sh uqo\sE , & bi idad.d d olE rd 6. st. lt ho*w. dE hrildnB d i,!.oqEr ir -ld winn orc Jd <br />of conpl'ibr irE o*M B{il& will h.rt tlE hdtn ofFotiiE $i lE - tE .,id rcl hnB or n4.bE {E FoFry 6t ttE F,Fr of <br />L s ow of rlE FtrDary. u.i(l6iv.ly codrrlins win IcdE d co'rd.l6B ro odtud llE Frjct (Sc 7044, 866 <br />&n Eoasboco& Tn. Co n.ln3l-ic@t s dG @r tprly ro E owE of FoFry *ho 6oild! or inPrcr6 rlEon. <br />..d *ho o'ftl' rd sn FF3 wirh . Coffior(r) ltd!.d FllrJd to rcqrr..rdi Lilg llv) <br />I nqdo und6 Sdrion-, B. & P.C. for ihi! r6on. <br />r,". lQ - r- 1 : i o-"* yl t*- -, - '-- <br />q Orx F Rs' ( ollPENs^TIon <br />EECIJBAEA! <br />I hdr-by orm und.r FBh, ol Fjlry orc or$. tollo*lis d..h.nioB: <br />-l <br />hlvc ,rl will mlintsin . Ccnifuol. ol Congr lo S.lr lGUr. for htl.tr @mpdornrn, s Fvid.d lor bv Sclion 1700 o I th. <br />llbor Codc. Ior rhc p6h.]@.. of $. $$t tot *tih th. raln i! i$u.d <br />-l <br />t$r dd $ ill m.! .jn wo*(r' coFFs,rb. idre.. 6 r.quiEd !y Sqlb. :l7ur of E L$or ( o&. for tlr Floffi or <br />rh. mrt for whkh rit DGmn i! i&.d My *utst omFdion iNute..ei, tn Flty nuEb- t.: <br />P6lqN@bd:-ErPc <br />-l <br />cqlrry 6il o rh. Ffoffi. of llE trott for shth lhn Fmd it ea! I shlll hl dploy sv pqsn i! uvlllem <br />b s to h<om. st at ro rh. ed6' .ompdMion L*. .acdiaohi4 !d +E rhn ir I thuld b.coe .uq.d h tlE <br />m*d' oDpqslion pDvBioN oas..1ion l?00 of th. L.hor Codc I 3h,ll. fonnwnh comply wnh tbr pbvnioN. <br />WARNING: Flilr. !o w. *orla' sdFsiion co\are. it uLwtuL &d !n ll ubi( e aphF ft' cimi..l F!li. !d <br />cirrl lu6 up ro oE hu,N lhourd &lbr. (tlm,om), in ddnion lo llE coi of comFNlion. dh.sd a F.YiLd nn rlE <br />s6ro. 1076 of rlE t bd co& Illad.td.ndrry r 16 <br />'r<- <br />DISJAAIIO! <br />I hott, rrm u.& Frty or pdjqy Oi I d li.sE d u!& FDvibs of Cl'.f,a 9 lsltllffiitg wil[ Sd:rb! 7mO) 6r Dirnbn ] <br />of rh. Bdi.d !i ltofdioB cod.,.'d Ey lt4 i' b tull 6R rn.lIal. <br />Licte Numb. <br />coltlal]cualil.EBudc-acllsr <br />I hfthy atfm uodd rEaalry o a pcrlury rh& th6. ir . c{tr(ruclion Lndi.s !*dcy aor lh€ pqfomdc. of ih. qort fot whi.h rh6 li.rmir i! <br />isiudl (s-. 10e7. ('iv. c ) <br />aflltlalr.lEclAaalla! <br />I ho*y rfm und6 Fuhy of Fjury oE of th€ foUo*'i.s d.clqiliof,3 <br />l}mlnion PaTnlArhdc llolifttrb. F€.ld.l R.Uulroc Gnb 40. Pm6) <br />R.quir.d ldt6 of Nonftailn <br />-l <br />cdrify thn rh. LJasl rqulalioE n*rdins BtBt,r iomv.l e. fl,| applranL b rhr ptuJ.d. <br />I cdiry rhr I h^. Ed lhir !r'pla.ls. !d rd. rht lh. !!.tt infortib. i! @'d. I .tr lo omd) * nh . Cnvud Counr <br />odi,B6 rrd Srd. l,s EhilE ro hiildog co.ridi'^ rn fia*r .dlDtu. Ep.ernn6 of th! Cny dd Coutlv lo d6 r4on tlE <br />.bow ddlbn d prDrary aor Dlpdion pBro6. <br />^pprdnr <br />or <br />^!ar <br />srsMrrrc: X 0o.,* -' u '-.- D,E l?. 2 'l - t g <br />PmtucEc lprhl,l <br />Set Backs <br />Forms/Steel/Holdowns <br />Erectron Pads <br />UFER Ground <br />SLAB Floor <br />Subfloor/VenUl nsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />ln s u lation/Enerq 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 />Engineer Final Report <br />Flood Zone Certif <br />FINAL rllfl tF lo Bn*fi :2t ) <br />Certificate of Occupancy U I <br />Notes, Remarks, Etc <br />t'.1.. lo . 21- t? appr-*,_\a_ I---a2l l('l NSEDcoh r x-acntn <br />[------r------ <br />I