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BUILDING. INSPECTOR BECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNE IUTLDEI DEI'ATAAI()N
<br />I lrrt, rrm u'*r F,rny or Fi'ry rh{ I a.r..$ nnE lrl ConElB Liffi Lr* for dE folb*iu la.. {Sd 70ll 5 ,
<br />BBims nn Pretcsio. C.d.). ary Ciry or CGdy wlth Equd r ,6n io edntr. rld. in mw. &mlnh EF, iy
<br />MW. Fir b nr iru.re..k EquiEs tlE +plr&r tu rfth Fmir ro 6L. rir'Ed trd.6l rh.r ll r.,! ir li.or.d F@!r
<br />ro
<br />'lE Fovirions or rl! Conu!.rr'r Lkn-d L.w (Chrprs 9. ColtEBin! wih SBrhn 70O of Diviri,n I oI rlE BuiE$ ud
<br />Pmf.$ions Codc) or rh{ lr or rh. h cr.mpr tlrrcfioh nd rlE b.si{ ,or ihc alhrcd .rcmprb, Ary violalbn ols.di,n 701 L by mv
<br />{,pli..nl for . Fmit sbFlr ltl lpplkanl ro r civil I,.Mly of mt mE thu fi!. hundEd dollB (X500)
<br />-1.
<br />! osEof r,E lreFny. n my GnpbF.s p *t!6r!rlEnnE@.t n{h(*iud,rtEwdt.,ndErffiid
<br />ddn d d ofi.rEd fd .l (Sd.7ol l. BrsiBr ud Prold.B C.&: Ti. C.nrrr1.i ! Lire L.e dB
<br />'d .t?D b e *E or
<br />rlrFFr, who htil6 c ifhB dFd an *tb d.a uh *rt hirer d lEell d ltw{li nir ( lEr oB.rploy.<
<br />pr.vd.d rha ri nlgo\ord c d ndn d troffErd fri rL li lwE tlE t{iBirf r mFl)EEd 6 nld rahh E F
<br />ormrplcriatlEOvE Buitb *i! lrw dEh,&nof t,Dvi,E du ltdrlEdnld hlild nFG tu FDFry ftr EF po*of
<br />L n\ .*nd of rhc m,frny. trtrr urllurivcly contrklir8 wirh liccnsd .onl6.k,s h inxrtu.r r,{ fn,,Lir (Scc 7(}l.1, llu\i'.$
<br />rl l)lrisrinC'odd Th. (i,hk{rr! L,ccnsc Lrq J({i no( lpply lo an o*m, of I)n{En, *hr l,trilds or impn,v.r rh.Rtrr,
<br />aJ eho mnhdsntr rRh F)Fls rfh, Clnterlnr) l.lnan lulum b rh. (i'drrttr r LicN L!*)
<br />ri$'Ir \lllttrr3r1r\!.|glr-l.ljul
<br />IILIIABIIIQT
<br />I h.rcby !ffm undd Fndry ol tDrury oft of tll aouowin8 d.cLdions:
<br />.l tuw dn ril mindr. C.nil-Ed. olc6e ros.lf-lmml rdt'oq.nr.rhn.6Foyid.dfdbyStrbn.lTr)ortlE
<br />l+tr C.n , tor tlE FrfqllrN orr,r rqt fm "hth rlt Fmr ! i-rer.d
<br />l(h.,^*r, ^*r *,16 6n.Mb.@88..( Equi.d brsttrbn rnn or i b!.. oqt. rd rrE Frffior
<br />lr(*r o, *t
<br />"t'
<br />,tr. p.r- 6 ns.d My *116 mrFM.tr iNlim ffi !n Fiiy NniE e
<br />OLd huenc-a-t
<br />",',n" *,. LL? 4 12 7 f
<br />_l cnifr rlEi i. rrr FrnrtuN..f rlE mrk rd whi.h rhi Fnn i. issu.n. I .ll[n.trploymyF&niney.Ma
<br />er i.n,t.om $bF blll *rt6 of,p.nrrbn Lwrofcrlif.mn dd rsE tlul irI rlr ldbrorrrbF tolllqrt6' onFBrion pm!i!i.d at S<<r ion l7@ of rlE trlri C.d.. I 5lElL ftrhwnh 6nply wth lno- FDvniar.
<br />WAI'NING: FrituE b @ k t6 o,FNr.n om,! 6 unLptul ttn ndl sbirr x drploF b diEnl Forir.d(ivil riEr !p io or hurnEn rlrlui.rn dolfi (llm.Oxr), h rddnhn b rlE .r'{ o,.onFNri4 drta.r ( Fllild fd th
<br />S..lm .!076 or rlE Lnu Cod.. c
<br />".,., n((t (a"){L
<br />IIECIdSAIIAN
<br />LEEhy .ffim orlcr rEmlr, of Fr,,ry rhd I e lian.d unda Fovir6, ol (]r+16 9 l.onuErhS wilh SElhn 7ffD, of Dirnhn l
<br />nr
<br />'tE
<br />Buiiftss rn PmrK$nr Cod.. nn my l..M ir i" tull roc n.ficl
<br />6o 2 V7r
<br />1 ,)l E [2nto r:
<br />Ldcr'r Ntm:
<br />-
<br />l,ir. A&iBs
<br />-
<br />aEEUqTNL[eclA8AIlA!
<br />I hfthy uninn und.r Fnllly olltcrjury ooe of rlE lolt,win8 d.cls,ri,ns
<br />t).nlliri()n P.rnils- ch(os Nolilioliotr Fidcrrl RcBulnr i.,B l'l irlc {0, Pd6)
<br />R.qu.d trtr.r or *riftd$n
<br />-l
<br />(drflrh, tlr tucrl Rglbhs EFdrt r*E{rn m,dm d {ph.bh h rhF P'oFr
<br />6 orry rrra r rrr rra rrri. q,nls'nn !n {!rc rhd rlr.tnE inforr.rao. i. sm<r I .8r ro sd!|, wnn .ll cay.td couly
<br />FuN! crd skk t *r El,ru! ro l!'ldms.tudb( .,'d hr.ty.uhoM EFrdrr,Er orth,r ciry rd lbor, ro mra uFi tli
<br />;:::::il:J ,[w- .,. _^.uJ6lw
<br />P.niri m,Fi,,:- " av,Y, 9{nLL-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Beport
<br />Flood Zone Certif
<br />lt d
<br />FINAL tlpldt bfl,u61 tq
<br />Certilicate ol Occu n
<br />Notes, Remarks, Etc
<br />Rev. 08-07-2015
<br />o
<br />r ".^..'u* I '
<br />catslBus[l]NtENDllc.a0ldcr
<br />I lErchy .ilm !nd.r p.rulty .l Fqury rhn lhs. t . .tn{tuction bndin8 a8cry nr rlE FrlornlEe of lhc work f.r *hich rh! Ignn n
<br />irscd lsd. lO9?. Civ C t
<br />T-Bar
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