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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEi BUILDAR DBL(]iIATION
<br />I hqdy !,Im u.dd FsIy of Frury rh, I n d.sq 6oE ih Collrrr@ Ltd Llw 6rdE folbwins l$n (Sa70!1.5
<br />BuiB .!d PrcfBir. Cod.l Ary Cn, o. Coldy $tin Eq!i6 r Fmi to odnEl. .Is, irFott il@lith or rqr ey
<br />'rnm,c Ft ro iri t leq.IF r.$GrlE @lid for Mh Fnd ro 6L.,si.d niaEr thdlEo,d.ilid.d Fnar
<br />b lh. ForitEc ol tlE Con -ld r L.o!.d t w (Ch4.a 9. CoMci.S *nh SGio. ?0m of Divirbtr I oa llE BBi,r rd
<br />PDf<b6 Co&) c old lE or rlE i ao,pt dE6om ..d rlE t-t tu tlE .lLg.d adFio!. AIy viohion of sdDn 701 I J by ey
<br />rr?licdfor.pdhitsbjdtrlE.rtlidt6..ivilFlnyolrc!mElhefivchu.dcd*'U@(1500).
<br />l, a omd of rh. FoFr,, or m, oplotc "ith *186 d rh.ir $1. $mpdMiotr will & tlE *!* Ed 0E nnEl@ ! ml
<br />inraxLd or orE.d fo. $1. (Sa.?04.1, Bsnr6 ud Eol6io6 Cod.: Th. Conrrl( 3 l-ic.@ bw (bd nor pply !6 e o{@ of
<br />ttc Frpqly who hi!:! or iFrmE tlEBn. !d vlF {,06 Mh K& hi@lf or h€ylt or lhDusr hir oi hd 6s .6pht6.
<br />povitu$al $ch inF.vdmr! m ml i.rod.d or or@d for sl. l[ fiow*6, th. hildin8 or nnFovoml i! $ld wilhin on. ]€r
<br />of @trpk io,\ th. (\rs Buil& will h,vc rlE hnla otFoviu tha h. or !h. dit mr hild or ir'rror lhc FlFty fo. dr BtrF* ol
<br />l. a6*c ofd. Fspqtt, m.r.bnrl, codratrg vih li.du.d co rdo6'o sDfud tlE FDirl (S€.70.1t. 8816
<br />sd EDkih Cod. Tt. Conrrrlorr Lic.g L.v dc mr .pply ro e o*n6 olFopdy stlo buildr or ispmc rhqotr
<br />&d *ho codrxr. tu 3Gi Fnill! snh t CoMo,(, ltoid F6d b ilE Coffi t Ltqe L.s)
<br />I m.\dpr undd lidrb.
<br />D.r. ()in.r
<br />rlalil;a.s:(anlfllsarlatoIOrlSAIa!
<br />I h(.b!.mrm undd p<n,lrr rrFrur).n..frhc follo$in8 d(l{o'Ntrs
<br />I havc dd *ill mainr.in a Cdrficdr. of colEat b S.lf-lNu!. for world comp.Mr rcn, 6 Foudd ror by S<lion 1700 ot rhc
<br />bbor Co&. for rh. ldtums.. ofrh. *orl ior which rn p6nil i! is!.d
<br />J!{ ha'. srd *'ll tuiit.ii *ork6 compqEdion i6u&cc, s Eqonql by s4rion ! 700 of (n. L$or codc, ror lh. Fforoc. or
<br />lhc work tor which rhi! panil ir is.d M, wo1t6 6sFuio. iBurec cair !i polky nunbq e
<br />.*., [L:,.--.. I ^{-1
<br />,.,,,, n*o, -f&-t)!]4{fS ?AL
<br />_ I cdriry rhd s th. Flo,)1e. of rlE *o,t for * h.h
<br />'hn Fnd ir sod! I rh.ll mr aploy ey Frn 6 6y nle
<br />s a ro tEoE sbid lo th. *0116'oEFEr6n L$ otcd,rodia !d {r lni it I ttouU b<o4 ebd to rrE
<br />mrla' @nFs.lion prorsbN of Sclrn l?m of rh. L.bd Co&. I !n lL fonhlnh @Ep!) vnh 'or FDvbi.N
<br />WARNING F&lua ro s@ ErLd' conp.u{ion .o!6.9c E ulr*tuL .[l dEll sb]d u dlloF to sini..l FdlE !d
<br />c l fu6 up lo oi. huod,.n rho@d dolh6 (tt00.0o0). ir aldnion ro rh. cod of .onFNrion. &!E36 B Fovd.d for th.
<br />z'
<br />DMll lR TlOrt
<br />I horby .tfm undd poul', of pdjury thd I m I.a'!.d @dd F!vti,. oachip. 9 (coffid,B wnh Srlior 7000) ol Diuilion I
<br />or rh. BBiB &d PrcfdioE Cod.. drd dy lic@ n in tuU foE r.d.ller
<br />Lir@crrs ( - /d ro11L44
<br />-*, o lrc {, ,
<br />-
<br />r-,^..,, (..,1"o, fot
<br />qo!,lrB.ttclto!.rElulclqllcr
<br />I hor$y .lI@ uldd paut, ot Frjury rhd rlEr is ! @onrucrbn L.dra .B*y f.r lh. Ffolrffi. of tL wrl 6r *tti:t lhi, p6fra i
<br />i*!.d (S*. 1097. Civ. C.)
<br />Lid6 ! Nm.
<br />tad6t Ad&B
<br />AITIISANI.DECTdSAIIA!
<br />I h.rby .&n !.<h FuXy ot Fiuy oE of rE fo[,wi.a .hcl,raio6:
<br />Dsmtnion P6i!-&tdor Norificdion F.ds.] RcguldbN (Ttl.,l0. P.n6)
<br />_R.qu4d Lard of NdrrE io.
<br />I 6ii rld rh. Lljs.l r.suldioE .tsdrs atdo3 r@r.l & mr @pl.!hL rc rhi! Folr
<br />1@I .diry rh! I ta. @d rhir .pplicio. dd rhd rh. .t v. iDaodnii,n i.016r. I .s@ ro cooply * nh .U Cny a.d Co@ry
<br />odinm6 md slc.1.$r.hr{ ro tlild iotr &d hd.t y !oltsr,. ,.!.Mrriv6 o f lhis C"aW:6b\. ndrion.l ptup.dy lo, iBp.dnJn
<br />rpp cn r 0r.\PH siqnriu,r
<br />("
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drpvall
<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 ,L n u[{vt
<br />Certificate of Occupancy I
<br />Notes, Remarks, Etc.
<br />a r.-a Gt'I
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