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BUILDING. INSPECTOR RECORD
<br />rD/stG.COMMENTSSITE.WORK DATE
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB F|oor
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<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 />I
<br />,Krtri tx w( *!l['luFINALl')-
<br />Gertificate of Occupancy
<br />Notes, Remarks, Etc.
<br />OrE-BuiBq DeL6tio.
<br />Inr.by.firDu!&.pdltyofpqjuryrh!Iuq.oplfomUECof,lrtl''Li..netrwfor*!.tollowinS@o!GE.70l1.5Bltinat
<br />..d Pof63ior co&): Any City or Colity which .c{un6 r psnit ro oo,!Luc! .ltd. ihProw, d.molith or r.Pln &y ltrucra.. Prior ro iri
<br />inune, !l.o .cqri 6 rh! +pliq for a.h lqnir ro 61. . r'8..! lur.lMr th.r h. or !h. ir li@ .! pur.u ro,!. poviliod ofthc
<br />Conulclor.Lie.dLtw(Chlprd9,Conturcirg*irhS.dion7000ofDivsion,of!h.aurin4!.dPof4ioECod.)orth.lh.or
<br />ih. it cxcnpl $ccfron lid tbc h.rn fo. th. .ll.tcd *mpdo! .Ary viol.do! of S..tion 701I 5 by My .ppuoit fot ! p.dnil rubj.clr th€
<br />.rpli6it to . .ivil p.{hy of ior rc'. tl'ri fiv. hunnr.d dolha (1500).
<br />I. ., oM.' of rh. prop.ny, or 6y .mrloys wiri sga !! ti.t iol. conp.nrtioa wiu do th. srk rnd thc rtruclrc it ior jnt.rd.d
<br />orof.Gdfor$1.(se70.4,Builr!.dProf.$bDtC.dqTn.Cotrt.cr.r'tLicc.Lrwdo6norrpplytor.oEdofth.trop.iy
<br />eho b{ dr or improvd tls6,\.rd vho dc tuch work fiid.lf or hcFlfor rt&!8h hit or hq om.hployd. p,ovid.d dlt tucl
<br />'np,ovoars x. nor ntad?d o, otra.d fo.{1..l[ ho*vq, !h.building orihlrov?n. ntoB {irhit o.. yd of@6pl.iion, th.
<br />oMa-Eylrd will hw llE bldo of p,ovha $rl h. or rh. rcr t{,ld or hproE for tI. tupot. of uh)
<br />W(/,****o *r, .m acluiv.ly conhdjns wid, lie .d @nr..br ro o ,.ua !h. prcj.c. ( s@ ?044 Bqhs.d
<br />fP6rd6n Codo Th. Corr.@r'r U@tuG hw do6 d rprly r. m ow ol piopary who buildr or ihproE .hs6! , .d wno
<br />conr,rcrt fo, iuch Foj..r siri r com..tdG) li@.d pu6ult 10 li.Lr* )
<br />_l .m .ropt undq S@lio.
<br />I hs.by rft n unda p.dry of pdlury onc
<br />_I hNc ..d will Ein[in . C.nifiEt of Coear to Sllf-tsur. for e!td' @mp.@ti.4 a ProlA.d fo( by Serion ]700 of $c
<br />hhor c!d., fo, nl. ,.rforuM of th. wo.t for Btich !h. dmn n hru.d
<br />_l h.v..nd sill mr, .ir eo,Lqr' @np.6.rion i6urnc." .t r.qut.d by Sc.t n 3700old.bbot C.dq fordE psfotmi@ of$c
<br />woir for ehich thi! pqon t (tucd My worlca' 6lnp.MIi6, iao te 6id ed policy NDbs .ic:
<br />| \r2'yra *, * ^^pr.ad i( rh. pa,r i'
<br />Vz\-caritu ttrr t rtc pe,totae ol Oc worr for
<br />I b..ucrbJ..,t. do MrLa' omp.Mrion hs
<br />to. O& hundrcd dollet {$l0o) or l.$)
<br />whicb thii p.rhn i! i!!u?d. I shlll oor loy p!tron in my llrfid !o E !o
<br />@npdirtion poviiioni of S..tiotr l70o oftl. r.bor
<br />o*Q -Q-'>*lti 1
<br />wA&uNGr !.ilur.b r.c!r. workd' @-p.Barior 6va!8. B rhril.ubjer.n mplorq to qjailql p.Dlti6 itrd civil
<br />fin6 np io or. hundc! rhourud dolls! (1100,000),in.ddhio.ro
<br />rh. t:6or Cod., i crar lnd.rbm.y ! la.
<br />d:ru9., a provid.d tor E Selion 1076 of
<br />UCEN$D.COIBACIOBIIICLAB^IIAX
<br />I ho.by .fiim und.r pdlty of plrdy lhr I 6 It!d.! uido previlb! of Chlpl6 9 (@m.ncb8 with Sdiotr 7000) of Divi5ior 3 of
<br />thc Burind, .nd Profo,ioE Codr, rnd ny lieNc L in tull fo,e md .tr ct
<br />CONSTXUCTION LENDiiIG AGENCY
<br />I h.r.5y rtrm undsp.Ehy ofp.ilurt th.r tndc ir.6 rrudion l.idiD8 tsa., tor th. pqformi* of tle eorl fo, which 6i! pqhn i!
<br />i$u.d (sa. 3097, Civ. C ).
<br />dIIIICANI]II..DECI"AEAIION
<br />DGDolition P.,miB-Arb.so, Norifslior f6d.nl l.lSuhtiou Gnb 1o, Pln 6)
<br />_ Raur.! 9a of Notifi6tbi
<br />'rb?Ko^ * rr-.t ,*ulxbD r.sidins ub€d rdorl u. lot +pli6!L 0o thn P.oj.4
<br />_ I *niry d'!t I hlw rad thc tbov. i,fohtrior n conca I !4r.. to @mply shh .ll Ciry !d Coury
<br />.nd kmby rsdDriz! r.prs.t tis of thit Cily od C.uny to 6td ur.n th.
<br />I
<br />fUfirl ,JTI
<br />orm!\BuildinC-l pocrionR6cord.doc 03.31.06
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