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BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS oWNER BI]ILDER DTT{' IATION I hr."! amm rndd Fnalr) of p.tlury rhd I m .rmpr fion rh. ( o.trido6 l.(.M trs for rhc n l.l$ in* rftr. (ri< ,01 1 5 ItB'rs nd Pmfsio. CcL) Any(il) or ('oufly utlci r<au;6 r pqnir u.o^rtud, tlrd, imFoE d.nolish or t IBn ery tucr ur., ,i.irr llr ns isuecc. alnr r.{016 rh. aa4ker for !(h Frsn tu 61. ! n8n€d idm hn }E or rhc E l!.o<d pulfu r. rh. Fn\sFa oarL Contxrori l-i.d*l lr* (ChE{q 9, Connd.inp lith Sfrti.. 7o(rc ol Dirlrio. I of rh. Bu!io6! ind PrcLsioB ( od.) or rhnl h. or shc is cr.mpl lhftfiom and lh. t6is lor ific llLs.d snpxon An) \El,iionolsdion 701I 5 b\.nt @phcsnl tu a Fnrn $bjd. lh. .9thc!nl ro ! .il,l rEuhy o t ml mr. lrd 6\ . hun [.d &llm (1,100) l, 6 otrn olrh. Fotlnr. or mr mtioJc Enh r+6 6 rhcir $k comFM'on. nill & trE nni an rt. chrid. i' m! nndrLd oroffB.d lorsL(s6.704a. B6in6r and ltrfsionr ( odc t1I.conrd.i.l.r.M ti$ $6nor q,ply 'o inorlsor rh.F.p.ny u rn hirdr or in9.or6 dft n. &n s hl dE kh !r*I him*lf ot t.*lf or 'tnu8h hn or hs or, dpl'yc, pr.v'd.d rhlr such nn['orarrs r. nn mrddcl d olrdqj for {L l I, to\ d(. rlE tx dm* or mFh .lrd a $Ll N iih!. .N \s otcorq,kkE rlE I )qE Bu ds rill h.\. rtl hdo of F!\q! rhi h. (x slE drl mr t kior iflrFor. rhc Frtd! f rh. FIFEoI l.6oM6of lh. ropdy. M.rclusrv.b codra.linB rith licdsJ cornr!.16 ro drtultud rlt F!r.d (S( 7orl. nBiB .{r E!fursi{ ( .dc t hc corrr*rois l. '.d* l-ru da nor q?r! ro d o$ nd .I ImFi y \ h. buildr o. irDr,.o\ 6 lh(Nn. a.d who.oflnBforsuchFoj.d!$nh.(nnhdonrllicdr.dpru@tort<(b.nra.rtr'rl.i@lle) l.m.\mpl undd Sdtu. ua8trt:8s:(j)ruElsaua! DTSd&IIIO! I h6. amm und6 twl'r of Dajun on.oith. nnhrinr d(lealnrnr I hlr. s'd \ ill urrd ! Ccd ific.t. ol ( onsr rn sd r-lEur. for *orkdr' cotruadion. 6 rovidcd for t ] sdlion .l7lx) o f rh. libo. Codc au lh. pqfotu. of rh. {qI r.r stth llE Fii i! i.u.d t n r.ind*rll m.rnr.in trott6'conFslrFn '6ureq6 Eq!ftd h sdih.r7m olrh. bh.r Codc, for th. pcrotuc. ol thc srrl lG u hkh rht Fnil is isdj My uorld coDpnerion inr!r4.c 6i6 ml lFlirt nuf,hn a.: I cslilylhll in lhc rrforlrre. of lhc wort for uh(h lhB psn * i$tr.d,I.hall not mrlnr.nt p..rrn inm' rons e fr ro tetu rubj<lto th. *od6 (onFMhn L$!.l(.lfom!. r {crh, 'tl slFulC lEom stii! rorlE so,k6' .onFnenrn provBioB of Sdion I7(xl nflh.l.boi ( Gla t slEll- aonhsnh lomply tr nh rho* l'or nnrB \rAR tNC ltiluE ro sw rortd' snFldi,n anr,s. n unb*tu|. anl JEII rubJd m mpL\s lo ciminll FBhi6 'nd$il fin6 up to oE hundr.d rhousand dollEs (lloo,otD), 'n add !'. b rh. (sl of com0.Nro.. dmasd d Fo\xi.d lor !h. Satrn :r(176 olrh.Ilbor ( odc. !nr6!t r.d,rotl ! lG uc[lt[D-caNraa(Iaa DESAAAIIO! I h6cby sfim und6 pdllryofpdjrry rhd I m h.s.d undd provtion of(-h.pt6 9l$mmftrns ]nh s..rrn 7000) ol I)niskrn l or lh. ttuslK Md PmacirB Co&. rrl ny li@ n u lull tora !d.ltfr! ca!$alculll.luDlllilcrd(I I ffiy .rm ur& psdr' or tEjltr lhd llEc i ! ol*nrli.n lddilE rsd) tor lh. Fftnrr@. .f rh. sorl tu trnth lhi' ,Eii ! i$u.<l (s< .1097. ( r ( ) Afft t(ANfDEllJSArIQ! I ho$ lrm unds ra.hr or FJur orc of rrr lollou ins drldd i,n!: l).mohn,n P.mit!.Asb6lG Norifi carnrn [.d@l Rqullrions (Iirlc,l0, Prn6) Rapn.ti Ldrd oaNorifi cnk'n I cdifr rhar rh. fiidd r.lulariinr Errdin* ct6nx Gn.r al nr. .or mpl(ablc n, rhll rmlcfi I cdl,fy rhnr I blvc rdd rhi t ,pli.ih{n dd .rarc rhrr th. .br. ,nn,mdrn ir on61 I aAra t' .onply \ dh tll (-dy t.d ('ounr) .rdnm6 rnd sr.i. lr*! EldirB ro tErldin! codtudiotr Erl hdb a(lF.i- r.FMndn 6 or rhi! Ci y md counrr" lo 6td ulr)n th. ahrr hdrion.d prcr.ny ror iBp..rion pdFs plllicinr or,\Eetrt Signrlure Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor S u bf loorfuenU ln s u latio n Roof Sheathing '7/r'/t))D +tkJll Shear Wall Framinq lnsulation/Energy Drywall Ext./lnt. Lath [\,4asonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL Gertificate of Occu nc Notes, Remarks, Etc I I II I Brown Coat I I I I I I ={,lrVl ?ru,z'btr \