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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNET AUILDET DETARATION
<br />I hd.l, .Irm undd pa.ny of pdjrD' fi! I e d6!9l too lt CotuoR Li.!e Lw for lh. fouo*iis la)n tsa.7oll.t
<br />ttsird rd Prcls6o Co<Ll: Any Cny or Coulry *nih r.qoi6 r FEi lo @ldrud. .n6, lip.otc .ttulih or re.r xy
<br />rnudEe Frr ro irs is.. .t r.qliB rlE 'ppltd for kh Fnil lo fik ! rEn d sdotEn lh! lt or lb. i! li.dldj Fr$,r
<br />ro $. t,evEioB ofrh. Codrreloir Lt6rd Llw (Chlprd g, C.mdrs wih Selion ?m0 of Divitior 3 ofthc Buins ed
<br />Pmfdionr Cod.) or rhal h. or rh. i! .rmpr thd.ton r.d rlE t8n for $. .ll.E.d .xdplion. Any vioktion ofs..1io. 703 L5 by my
<br />Eltltdt tor ! FEil3!bjci! th. rppli( t lo a.ivil p.Mhy ol ml norc lhM fivc huidr.d dolla (1t00)
<br />L s om6 of th. FoFr), or 6' dph'6 wth *rs6 s fid $L onrFGrFr wil & dr 6I tt dt sEw ir br
<br />itrotLd q oltold for.L (sc 7o4,a, BdiB Ed PrDf66d Co&r TIE Colrrtld t tiag Ue doa d +p'y lo s ow ol
<br />rlE FoFy vlD hril6 d !i+..6 rhaa !n wb dc rdr m* hiG.lf or nd!.lfo' lhDu3h hg d hd om mPk',q
<br />FoviLl thd rucfi inF!ffi E d ncd.d troGld Sr..l I( f.vw. t r bildi,B d nFrEEr i! 5ld vrhin @ J-
<br />ofslpLtb.. rLO*G &idE *i[ h.EtlEhr&!olFDviry ll'i llmdE dn Et h]tld 4 r4.oE E FlFiy 6rlt FrP...ol
<br />I, s M6 ofrh. FopEly, s cxrlosiv.ly contrsclins vilh li.4.n conrratu^ lo oNrod rh. Foj.cl (S(. ?044. B6'.4
<br />and hoi*ir Cod. Tn Co reloi ! l-'(tu. l-!! do6 mr .Pply to s owns o t propgly who b!il& or imPrcle rh6on,
<br />rnd u ho cotud! fM such Foj.{r snh r Conlra.ro(, ltos.d ln6@l ro fi. Cotudor3 l-tCM Llr)
<br />I m .rmp( undd Sarbn
<br />-.8
<br />&PC lor rhirren
<br />D.I. Ornd
<br />1l'ORKFRS' ('O]TIPENSATION
<br />OECIjEAITO!
<br />I hd.Ilr .l li.nr und6 !.oally oa lr;ury on. of lh. lollo*ins rj(lu nrB:
<br />IhrvcrdwilltuinldnrCdrific.ofcoMrroS.lf-lNor.forwortdcompaEdkrn,6Fovid.dlorb,Sclionl70oolrh.
<br />tltd code for rh. Ffffi. o l th. @d lor *'h(h lh p6n t itt!.d
<br />(&'"* -o - , -.,- *d6' .omFMmn iGffie B '.q!E d b, sdnn 17oo orrh r,bor co<L. ror rh. FrM. or[.--: ?il
<br />-l
<br />cdiryrhd in rh. FfolM..oalh. wort for *hkh lfiir pshil i! i!u.d, I slDll nor dploy ey pdon in &y h&ra
<br />s u to beoE rubEl ro th. &116 onpaldio. LB ofc.lihrra .d leE tl*i if Lbuld htom sbjel lo 0t
<br />m 6 otr'F!.Ibr FDyiinE ol Sern n lT00 ofo. rrld Codc l tt lL fGthwnh dhdy vnh dnt FolBioE
<br />wARI'ilNC: Fnhr lo g@ *!rta 6q,.r!iion ova.B. ir 6L*tu1. .!d fiI $bj{fl E @PloF lo siniDd F.rb td
<br />cEil frn6 up ro oE hEd,rd rlb6ld &'116 (tlm,oo), nr dCdbn lo th. con of @.rp@diotr d!i.g6 6 Fovit d for tlE
<br />('o.L. d6d od drorrE, t \*,.*t +\u-*uI9t
<br />u(r$I:!lllLl&l!1.98
<br />DLu"l&\Lal
<br />I hcby ill'ui u.dd Fulry of pdlory thx I m lic.trs.d lndd Fovirioi of Chs$a 9 kom@inr *irh S..lion 7000) ol Divitnrn I
<br />of rh.ltsinB dd PFfBioB (id., e'd ny la.M ii in tull ao.e !d.llel.
<br />'1r**rr^ b
<br />x-,. r /'4zt
<br />48{t87
<br />,"",.*,- ( o6*\\.", -irdfl".^'r
<br />CONiIf,JJCIqNIEUITIC.AGIIS
<br />I hdb, .mm u.dcr Fmhy oa p.rjury ltd rhd. h s comto.lio. Lf,ding aSdcy lor thc Ffoll@.. ollh. ert aor which rhi! Pqmil ir
<br />illocl (Sd.1097, Civ. C ).
<br />Ltndcr'r N6.:
<br />ta.ra! Add6:
<br />AITLICAII.IECId8dIIAN
<br />I hdd, .,Im un& p.nllry ol Fjury o.. of rh. toll6$ in! .LcLrd bnl
<br />Danolirion l6nirs-Asb6td Norili. ion F'.<tq6l R.srldi.n! (Tirl.40, P!n6)
<br />Rcqlt.d L.rld of Notilicllio.
<br />,-l .d rf, r h! rh. a.d6.l r.suldi.N Esadbs st6rd l@vd d. nol ql?litbk lo lhit FoF
<br />fltcar6 rr[ r rst raa rru !!pl('rFn !n rrtc rhd 0r.bo!. rrotub. i! coE.cr I l*ra io o'91) * irh.ll cnr.d counrt
<br />dddltr6 ild srd. t s Elrr{ ro hlrldq coldndbll dd hc.t\ rdlbru. E!.dttr6 of rh! Cd! !d CqrD lo 1iq qFi llt
<br />;;:::ff:,."' ,TEnl,l- ,+Vr4 D.. rptlza
<br />f P.mkdmo.(pr,n,,: 1.r.<e.cF Rrut
<br />--
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorNenUlnsulation
<br />Roof Sheathinq
<br />Shear Wall WFraminq\-16- ?t v,!tl[0,\
<br />In su lation/Energ y U ,4,
<br />Drywall 3-z+-A k-ht\\
<br />Ext./lnt. Lath
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enaineer Final Report
<br />Flood Zone Certif
<br />FINAL s-21-20 YJl(c)l
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />Brown Coat
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