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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS O\ NT:R BIIII,DER DETTARA'IION
<br />Ihc.l,' rflim lndq F,ullr. ot FJury lhd I mamor 6.mtlE(n rd6 tt.e l:$ ntrr|rLlh$ilsE&n(s{70ll5
<br />llusin6! .nd Pr.fdhn ( oJ.) Any cir, or Coudy which ,.rlun6 i rEn( k, conntod, ahs, idprovc. &rol'rh o rrtr dy
<br />rirucruc- lrv lo n! isuMc. .l$ Equn6lh. drpli.d aor .uch p.mn b fiL. li8ncd fi.lm hd lE or JE a li..rE n nnd
<br />lo lh. Fovbiotu of rlE (i.ik'ori Lkm.al lrn (o!F6 9. Conmftinr \nh Sd$o 7(J00 of Dntirn I ol th. BG'ts ed
<br />Pm [ei,'6 Codr) or thil n or sh. is d.mDt lhEefrom dd rh. hair for rnc alk*ql .rm i.n. An, viobln'n of S6rirh 70 r I I hy my
<br />qplic. f.raFm brek rhc rptlic..r ro rovtF{llt.rel nEih6lir. hund.d dolla! (1500)
<br />L .r o{n6 olrh. FlFny, or d} cmglo}6 wirh wlsd s lh.ir yrL Nmp.Nlion, will &, th. worl ed fi. filte b mr
<br />lraxldl m ord.n fd rl. {sd 7044. &anB.,<t ProaBioB co<l: l1E Codr-id'. t.s.@ l,$ d€ tur +?lr r.6 ouE or
<br />r& Firrr)* $t$ hILLor dti!€ rlE@ ' *tb d(E *n $lt hi@lf or hd*lfor rtftugh hi. or hq o*n mfklt€,
<br />prolidd lhll such iiFovdhl! e et iold.Ld or.lls.d for sh ll l['u68. lh. h]ildins or impmvffil ir nE $nhh on. )r
<br />ofcotrptriotr r tJu'E &il& rill lnr dE hrild! of Fo\ins $i lE d A. did d hrild 6 nr{ran tlE FoFty tu 'lt F,Fiof
<br />l. 6.$G ofl,t F!psl!. d.i(lBir.ly .o'ir*lrr3 q irt li.sB.d.o.lrdoR ro Nrdtud rlE EtrF IS( 701,1. ttai!6
<br />!n ftotsi cod.: Tt. (-o.ttrktr'. Lt.e t r-dc tur 4?ly lo d o$nq of FoFri. qho toild! !r inpror6 rh6en.
<br />a.d s,ho conrEr3 fo! ruch prq.dr wnh. Conr,rdo{s) licF!.d puBlmr to rh. aonr..tois l-i..M rra)
<br />I 0 cEnpl unrla Sslnn
<br />l)ir. orn6 IllxlifBi:(g ftlLular
<br />urcl,aaaua!
<br />I hdcb! rmmunJd pd.ht oi Fjrl oft oI rh. rollNlnt d(ITdtunt
<br />I nr!. Md $ r ll m.inrain , cd'fi.r!. oaconhr lo s.lf l6ur. tor { orlft dnnFMtn,n. a proud.d for t}S<xon r7m ofrh.
<br />I rh.r (i[l( aor rh. pifolrM.. o f rh. ron lor q hich rhc Frnil is d!u.J
<br />I h3\ c .nd will nrimain wo*6 .onFNdion icu6B., a rcquir.d bt sdrioo 37u) oa$. l.h.r Cod.. 6r rh. Ffom4. of
<br />lhc *ort tin *hi(h this Fmit is is.d My sorl6 onFMion iNdre..ni, ei polky.unb.r d.
<br />I cdify $d in rh. pdfornec of !h. worl lor * hi.h On Frhit i! isud. I !U nor dploy any Frsn in uy man6
<br />. a lo bqw tulir..l lo rlE svt6'o,'FMi.. hrs ofc.lifomr .,ld.AE rhrl itl nbuB h.(oE rtt d lo rlE
<br />$o,t6 comFE l iotr pmrnFE o, S.dion 1rO0 of rh. llhrr ( cle I dEll, fonlll nfi @ndt *'nh rbs F.vti.B
<br />\'IARIING: Failur. to sr. srld cooFrsdion co!6.s. iq unhwtul. a.d lhrll ,!bjd e dplolq ro siniid pnuhi6 ed
<br />cnil lh6 !p ro oG hu.d.d ,F@d &!lb! (1100.0@). in .ddnEn ro th. cor ol conrEEd'oi. d&r.s6 a Forij d for rlE
<br />scrion 1016 ofrh.Lrt rQdc,i ad aldlr.nEy r lG
<br />Ll(ErtElrutrrr6rfira
<br />DECtdSALlll!
<br />I h6d,! rrm uBLr F!h, of Fjury fid I m [G!.d udi F\!hn dlourid 9 (omnft'ng $ith S..ri,. 70()O] oa Dn iion .t
<br />of !h. tl8i6 lir PIof*i,B ( od.. rd nr ltEE u h tull fore,n dItd
<br />(atilaucr[t!-Llloltc.A(iEN(r
<br />I h(q .mm ud.r Fn !y ol F]tq $.r rlE. is . $dnr.rio, l6ld!l* ledy tu rlE pdfolrr@. oat,E $dt 5r enth rnir FDi a
<br />isrql {sd lm?. civ c.)
<br />AIIIICABLDECITBAIIII!
<br />I hdcby !trm uf,d6 Fndft, of pdjury o.. oI rh. follo*ing dch..! iom:
<br />Ddmltirn P.mnlkbcaoi Nd,tqlio. F.da.l R.subbd ('tnL 40. P&t6l
<br />R.quirql Ld'q oa t{oiificaion
<br />I cor'f} Ihd rlE f.ddrl rcsuhr nn, rqfd'ry alErG rmn rl a. mr q,?l..hL ro rhs tiq.d
<br />Icdiqrh,I hh. r@d rh! rppli.rbd ii $.r. rh.r rh.do!. infonr.ion b(M!(l Irgcloo dy $ nh lll Cny.id Coury
<br />drliM(6 ltl Sl.r. Ls: rdrr4 lo h,ikli.s .oreudbtr sn h6$t .urhoriz EF*un€ of lhir Cny !d Couly lo dna utFn dr
<br />3bor. n6lion.d pmFny for iNp.di.n prln6.
<br />,\IDli..nl or tE6l SiEn.nrrr
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Fram ing
<br />lnsulation/Energy
<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 lllTdta .lMrAt*)a'?")
<br />Certificate of Occu n
<br />Notes, Remarks, Etc
<br />Subf loor/VenVl nsulation
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