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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulalion/Energy
<br />Drywall
<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 />It
<br />FINAL 'aWo\U
<br />Certificate of Occupancy t,
<br />Noles, Remarks, Etc
<br />OW SX BUILDfX DEI'ANATION
<br />I lE ty !,Im un<16 p6ahy of FJUry rhn I e ddri 6om thc Collrrlon l-.dg Lrw tor rhc folbwi!8 r6a' (Se 7031.t
<br />BBi.€t ud Prof*ion co&): Ary Ciry or Cout, *hth rcquiE . Fmh ro odruct, !n6, inprorq ddnollh or lF.n dy
<br />ltlduq piir to irr i{u*., .b. r.quiE rn pdkd for luch Fhn lo frk ! ti$.d lr6rddr rhd hc or slE i! lic.nr.d plr$&r
<br />ro rh. FlvtioN of 0E conldor.t Lt6!.d t s (Cn4l€ 9. Com.Eing snh Selion ?000 of Divitbr 3 of llE Bui,B ed
<br />ProfsbN Cod.) rhd lE q iE n dst9r lhq.6on ed rlr hci, fo, lh. ilLs.d qonFior 4,, rbhbn ofsdbr 701 I t 6y oy
<br />irpli@' for!FnI ebrcr5rlE @li.. ro r ciail Fdy oarcr mF 'hx fiv. nurH &llr! (1500)
<br />I. a ou< ofrhc Fopdry, or my mployd vilh f,.s6 a rhar eh omFaeio.. $in d. dE wo rn dE rrude i Nr
<br />inbd.d or o,Td.i lor eL (se.7lx4. B$in6 Md hna*ioN cod.: Tn. Conlr..lols Licdc l,w do6 nol dpPly lo & ownd ol
<br />rh. FoFty *b bil& d irFo6 rh6on. et *ho d6 $ch wi hitr.lf or ha*laor thrcu8h hi o. hs om mplorr6.
<br />Folii.d fir tuh hFovffi m mt idc'd.d M ofrad ny xL lf. horw, dE hlildla or i,$.o@ it 5U *nhr oE
<br />'rolcdrDldDr! rl! ()$E E{iB6 *ill h.* tlE h,&! ofFovq rhi lE d ,r. drd or hild or DgDr. fi. FDFiy for dE p,FE ol
<br />tL).
<br />lL * o-o or,," rop-y. - dch!'rrty co,n.* 6r srh li.sB.d .onffioo ro o.dfld rtr FDJer (sa. 7044, sut.
<br />dd hlfsih Cod.: Th. Contr&roir Lica3. kw do6 nor.pDlylo u ow.q ofFropdry who build! or irpovG th6-n.
<br />sd who .omid! for Mh Foj61r *th r Conrdo(t) li.d!.d pcMr ro rhl Cont.clol! LicN bw).
<br />I @.rmF ldtq S<rion l!*", La4'21
<br />I hdcby.IfinD und6 pdalty of psjury otr. olrfic follo*mr d6
<br />I h.v. rd will Di.rlir . CdlilEar olcoMr ro S.lf-lBr for wrld @nFEdba a FoerLd lo. by Sdbi l70O of th.
<br />t !6 c6da for $. Ffoltlt,E ot0r sdl fd shit EFDn !bsu.d
<br />-l hlrc .!d wrll n.hrar wort6 conFE ion naure.. a Equr.d br s61ion 1700 of rb. t hor cod., for rh. FfolM. of
<br />rhc wort for wnth thn patnit n ierd My work6 onpdlnior ia(e. @6 &d Flty trmb.r a.l
<br />PolE, Nuba Eipic.
<br />-
<br />llr/,^,rr r* . ru *^*. orrlt *ork ro, whrn fia! Fnt n ae.(! I thrll rcr @pb, !y Fe. iD Dy htJ@
<br />' s s ro bcom iubjcr ro tb. mrl6 @mp@!dr. hB of C.hf.Er4 .d reG rhd if I nDuld tdod sUFl lo llE
<br />wolt6'@mp@sriof,FovilioNofSdioilT00of$.tlborC..k,lddl.fonhwithcodplywilhll[kpDvisiod.
<br />WARNINC: tnlE lo ffi *uI6 onFsnior ovsr*G L uLvtul. $d .ldl sbjcr u dploF to qain l FulE .d
<br />civil frr6 up ro oE hurdEd rhou&d dou6 (11m.000). in !.dnion lo tiE or ol co.ir@.rio!. d.orig6 ! For,.Ld tu tt
<br />Sdbn t076 ofrlE L.Ior Code idqcr
<br />D.,.: 2'y'>1 12/
<br />I h@by rilnn und6 pdBlry oapdjury rhi , d [car.d olch.rls 9 (comdcrns s(h S..h.70011) ofDivilioo l
<br />or th. BEins Dd PoaeioB ( od.. ,d my li.@ t h 6rl, 6.e ed clld'
<br />CqN[8lCIABIEdDIdc.AAIdft
<br />I hal!, fim ur& Frlry ol Frury rhl rtd ir . odructbn l@dils .scy for th. Fffttre oftlE m* 6r $nii dE Foi i
<br />isrd (56 1097. Civ C.)
<br />AIELISABI.DECSAAIU!
<br />I horny.ftm uo(b Futy of Fju.r c or E lb!o*6r (blr.tbN:
<br />Dqrclirbn P66dr^ibdor Norili..rbn F.ddrl Rclut rio lTnb40, Pet6,
<br />-R.qui..d
<br />kilaolNodn nio.
<br />.J I cdiry $r rlE f..k .l EBuldbN Eardin8 lt6lor lqmvJ m nol +pli..bk b lhi3 Fljer
<br />lk,r,*, n* *r*.Br.t.n nd i,r.lnr E.toE i!6dbo..orcr I.8E ro @trpry with dt cny.ld coulry
<br />odilm6 d sbr. lr*. Eldi,B io b!,ldin8 .oofudio( !t rE.t'y dh r€F6ddi!6 o f lhi! (ily dd Couly lo 6ls upon llE
<br />drtrr frdlionaj pfrdy lo 6par6
<br />-.,v- **?/\t'pliL,nr r' .rx0r si,:nrrtrrc
<br />/4 /<, e/
<br />II
<br />Dtdlflt
<br />Erection Pads
<br />Flood Zone Certif.
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