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BUILDING. INSPECTOR RECORO
<br />SITE.WORK DATE tD/stG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulalion
<br />Roof Sheathing 12.-lo -lq J)"5a11 0v)
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<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 />Flood Zone Ce(if
<br />FINAL /-21- zo BL:{ lt,
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />,d
<br />I
<br />O\INET BUILDET OETTARATION
<br />I hE U .mm trrdcr Falry oI pdjury rh.r I m ddfl ftud rhc Conrr.lo6 l.i.de ll* fo. it folLwirS r49n (56 7031,5
<br />BsitB 0d Pmfdln Co<t ) Ary Cny or Colry *hah r.qui6 t Fni to @dnat. 8ha. i,',iDre d.mlilh or l9.i xr
<br />rltuduc, rd kr il. is!@cq .h! ,.quir6 $. ql?li.ml for luch Fni ro 6L. sign.d rt.laml lhd h. or 3h. i lics!.d p@rn
<br />ro rh. Frr6bB otrlE Co rIrdr Lra!.d Li*'(cl|prd 9. Comn'4o! *ith Serion ,000 ol Divirion I of tlr ttcilB ad
<br />Pbadiou Co&) d thr tE or !n ir.xdpr rha.6om !d rh. b8i tor tlE dl.8.d qonFion. Ary vDhion of S*rion ?011.5 b,dy
<br />lrplioit for ! Fnn ubjd3lh. lpplicer to . cilrl F Iyof tul mr.th.n lit. nundcd &ll4 ($m)
<br />l, 6 orc ofrh! IIoFry, or my oprrta *nh w.86 a thd rL omFdbn. uil & tlt *qi a.d rL lfudr a d
<br />i aidl ot oF6!d tor uk (sc 7014. BailB &d PDr*i66 cod.: TIE codddi LkdE L.w &6 ud +ply lo e ow of
<br />th.FrDaiy *ls tliki or hF$6llEol! aid who dG irrr 6.t( hirellor na*lf orrtu u8ihntrlEosqtll'h]6,
<br />FoyiLd rh. s.h inqhGE$ @Dr idd'dd doi&,rd aor sl. l( holaE, rlE hrirlEg d inglvaEI n $ld vihin.rc )r
<br />ofconplabl! r O\m Builda *iI l6E rlE h,&n ofFtrsr{ thi lE or slE dil d hitc or iiprot dE FoFly for ltE Frgoi of
<br />- l. s orG of rh. IlDFry, e.rlu'r.ly.otuanis snh lrcaE d codrdon io olsdd tlE FDj.ll (Sa. ?Or!. BNIB
<br />.,rt PNftsnn Co&: Th. Conl*rorr Lic6i. Llw.h6 @l lpply lo e outd ofproFly uho b!il& ot i6pDv6lhGEn
<br />!d who ofirl. tor ch Frj{rli unh 3 Co dro(t) lrdB.d r,6ud ,o ilE coMols Ltae L!*)
<br />10.!opr trnJq Sdtrn
<br />]laaf,lBl:saurElrArra!rEclatallo!
<br />I h6.by s,tim u.da FEnt ofporury orc ol th. folloqins d..Lrd bB:
<br />Ih.E!n*ill i .in. Cdifd.ofcoMr ro S.la-leE for w 6 onpdBnion. B F!!id.d for byserioi 1700.fthc
<br />L$or Coda tu th. Ftu Dry. 6f
<br />'h.
<br />ert for wli:h th. pcni a isucd
<br />I iu\.and will'uin'dn w.rl63 c.mFdnion iM!M., a
<br />(h. {o f.r *hich rhir Frril is ie.d My *orld omFB.l
<br />Equird by Sarbi 1700 ot dE Lr&or Cod.. fo, tlE Ffonpffi:r-ac"t-'"t'-
<br />"'* lL4'20,*,. .Slays Comp
<br />P.h.,Ndn,h.r, Fqqqor2
<br />Tyrs
<br />! c6litlh{ in lh. rdfomec. oflhc wo tor rnrch lht p6i'l i! ist.d. I .htl nor oPkJy lny p65r in ony mend
<br />o B lo hdo@ sbj{rt to 0E wL6 @npcdi,n bs olciilohia sd *r thc itt slbuld b<o@ uqd lo rlE
<br />w*d' ompsB.rio. FlnioN .ascrion I700 .aih. l.bor Code I dEll, fodhsnh onply wnh rhoe p@!i!ioD
<br />WAnNINC F.iluE lo su. rort@' conFErnn ov6.s. is unhvtuL ed .n ll rbFr E aDploF b qn n l FEIB dtd
<br />civil find !p ro onc hundr.d lhoMd dollG lll00,Oo0), in addn,on lo th..o3l ol ion. dma86 a p.ordrd aor lhc
<br />Srrl.n 11176.trh. I4-r Cod- mrdd'.d
<br />,.,*-l?'-q rq
<br />!r!1r !!i1rM\
<br />I hery dmm ond6 p6.hy of FJury tnd I o licd!.d urdF Fmriln n pf,Chlprd 9 (codMcing srh sdio. ?00o) bloiliihn 1
<br />ol th. BdIB ed Itofec co& !d my lt@ ir h tull for( dn .r[d
<br />,,.."..",.-, ?3q,.,.-E;E{.*.*=.* q56tq3eZl4E[s€-F"\,*'
<br />I heby lmm uda ps'.h) of Fjury lhd lhd n i @n,ltuclion *rdatu .8@, for 'h.
<br />pdfolMc. of th. w ft,r *nEtftn Fhn E
<br />irq.d(S< 104r, Civ. C.).
<br />AfII.TCANI.DfJ:TJIAIIO!
<br />Ihd 'y.ifih un tq p6.hy of FJury otu of lh. f.llosins d*lraaoc
<br />Doelnio. P@near6.nd N.nadbn F.dd.l R.tuLrb (Tnk !0. Par6)
<br />R.qrir.d Lals of Nori6.nn6
<br />I cdit rhr th. t dd.l qlhbB qidiis abd6 lomr.l & rbl eiltrblc lo rhir FDirt
<br />(Ilf t .or,$ rrre t r'.. -a u..!dd6n,n rr. rllr th..t r blbldh. ir.ornd. t.arc ro ohdy wih.I ciy ud Courry
<br />onlidn.6 &d srar. lls Eldin! ro bui[in! .odtu.rion, d hdcby dulhoilzc r.a.ilhtr (_'ry!nd(iunrrro! G trtxrn lhc
<br />iborc tm'nn d plopd! lor iNFdipn DurM
<br />^**,^*n"-'.a-.,*{f.Q2f
<br />Pmh*mn.rp.,tro: 4 Fraqk Yaeqye z-
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