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BUILDING- INSPECTOR RECORD SITE.WORK DATE tD/srG.COMMENTS OwNER BUILITER DErraanaTloN I h6cb .flirm ui& Futy of Frury ild I n .xdF non tlE Conr-rod Lt.e L.* for tll aolloule lwrn (S< 701L Uuin6s EBI ProfBion Cod.)r Any Cily or Cou y which r.quic . ldtli ro co[rDcl, dtE. ihp.ov.. d.molth or lqâ‚¬n My n^duc Fs b n! iwe .lo (qun6 dE +pla&l tor *h FDil ro n! . 3i8r.d ficE $r lE or aE a lta!.d F ad ro rlE Fvirio6 of tu ComBroar LrsB.d t w (Ctupla 9, ColMdiIs vnh Sctit. 7O0O 6t D'vnbn ] of rlE BuilEt hd PmfsioN cod.) or thrr lE or dE ! crcnpl rhq.frod dd thc b.i. for llE .ll.8.d .r@p{ion. Any violdiod of Sdiot 7011., by ey lpPlk& ror. Fhn $bj6u rhc qDlr.d lo. @il pcon, of ml mE lhn liv. hu'*.d rbll6l t50o). .l s oqE ol[. Fopdtr, or ny cnpbyq with w.te s lhcn Fk codposllioi. will (l) th. "o nd tlE {rudw ir ml id6i.t d or otrdrd an sL (Sa.704.{. &siIB Dd PrDfBbB Co&. Ti. CoMoitr LkoE L.w &a i.{ +ply lo & o\rG of rh.FDFry -t t!il&d nr{r.crrEEE &n *ho &Eshw nielror[d*lf orrht uShhnotlEoMmployc pr,vid.d rhlr so.h mFoâ‚¬Ms G mr hraial or ofis.d aor sL. lt howo, lrt hlilnu o, inF6!6Gn n $ld wnhl. ... 'doaerpldia dE ()*E B{ild6 will hnr rlr hlda ofFor,lg dE lEdCE (M iDl hild d rlT.lw dt Flpdry tu tlt Fr!@of -l- 6 orE otth. Fopdy, @ crdBiv.ly .odrdii3 $irh li.s!.d codrr:loE to connrcl llE F$Je! (56. 7044. &!iB cn Prnt inCo&: Tt Conlrd.ir Li6. L.w <t6 ml tpplylo d6*E olFoFl, who tuild!ot inFo\6lhdoq !.C sho coln6d! for.!.h prij..lr wirh. co Bro(r) licdtr d puBul lo th. Cotn6.rol! Li.@ t s). I e cr@F uda scrs. D.t. oru.r \f, onxERs!:ontrr-Ns^noN DICIjAAIIMi I hâ‚¬r.by oflitu und6 p@lty ol pdjury od. o I rh. followin! ddlealrore I ht!. !d *ill tuinlin . Cdriftd. of Con6r ro sGll.IM lor m 6 oEFsi,n. a !@eid.d ht b, sqli,n 1700 of rlE lrbor co&, for rfi. Ffotuc ol rn wo* lot whkh fi. Fnir i isu.d. I rEt. rd tr 'll d6r.rr trsrlfi' (mo.G.ro. rM.. s ratulrd b' Sd.. lt?00 of ih. ttlor ( o&, lor ilE FfolllE. of ,hc w:r ra, "Fh$6F i t {flc, Ya"olr6 rcmF dDn,BUmGM6 dDo!'cynumba r.1* .Stat< {-uqd (**,^."0- 1Qtl5l-24?o - o-,". lo5'zszo I cdrt rhd i.lh. Fa.lrlld. of lh. *o.k tor *htrh rh! Frnn i5 su.d, l sn llml dploy dy F&n in rny nlle $ 6 lo b6om. lubj*t ro rh. s,{6' conD.rudion Lw! of Clliaomi( &d lsr thd if I 3hoold bdomc .uqd to 'lE*..16' snFqrh. F\irir6 of sario. 1?m of rh. l,tor Ccrc I st l! ft!l,'*nh 6mpl, r hh rno- FtrvirioB WARiiINC Fril!rc ro sc wrt6'onFsa'oo @rdrs. ! u.LrtuL dnd $.ll Dbel e qnrlolq to arnnd FdB -il .ivil nnd up lo on. hundEd IhoMd doll6 {1100.000), in .ddnion ro $.oa comp..elio6. doa!6 cr lrolid.d ior rh. tdrkr 10?6 olrh. L.bor (.ode i qln !d dronEr'! fc )('."tz't6'l'r o( r,r ( l \r!!Lll_t\ I hcby rmm unda p.6!ht ol pdjury rhd I m licdlr.d und6 FDvisioi of (tup16 9 (NMcinS snh sclbn 7000) of Divllion l of rh. DBirs Dd PnfdsB Co&. rd my li.@ i! in tull forc. an.lId. K":'irf;f,F 1r\CzL -."** Ofqye aqrn glliflBl1cllQNLrlDlac-&cl; cr I wjY I h.EUy.mm undd FuhyofFjlry d ths. ir. onsruclhn kndinB.rfty fo.lhc Ffol'lw. of lh. wl ftr *tich lfii! Fmi it iud (Sd !09?. Civ C.). Ldi- r N.m llddi Ad.t*: AITII(AILDECI.AAAIIAN I lEdy dftn und6 Dariy of paiury od ol0t lolh*inr ddhri ioE D.rmft6n Pm easb6ro! Norili.ni,n Fcddrl R.suliiod (Tdl..l0. Pd6) R.quircd ldr6 oat.lotilf,lrbn 1.61i&th.l lh. f.d6El r.sulaxo6 r.std'trs Nbdtu! r@v.la. not tprlicabl.lo lhs Pn'j.a I cari rhd I t6c .ad rhir .rplicdi.n !d rtt. lht E .toqnhdi'n a .ff I rgrc lo comply vnh !I Cny d Couly orddrn.6 Md skr. tr$ rclding to hilding ,urhori/. r.F6ddiv6 ofrhi! City bdCouillro o16 upon rrE rh'E m@ri(,i.d pNFl, aor r(:(ppri(.nr n \*nr \kn.ru \-ir< i.m.rpnhr, ,". \z-t('(? Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subfloor^/envlnsulation / Roof Sheathinq ,l 7-// )/1? t,:zi2/./ Shear Wall Framing lnsulation/Energy Drwall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Report Engineer Final Report Flood Zone Certif t, FTNAL /V/za//'/rt-dr///L/ Certificate of Occupancy Noles, Remarks, Etc