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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER AUILOEi DETI RATION
<br />I lE ty lftrm undd Dcndry oiD€jury th l d .impr 0!n thc C..r&ioE Lic@ Llw lor lh. follom3 ren (Sd.7oll.J
<br />Bui.d .!d Prol6rion Cod.) ,{ny Ciry or Coun, which r.qun6 r pcmn lo onlldd, dld. ioprov.. drrclarh or lq.r ey
<br />lrtud8. Fu lo ir! it.l@q .&. rcqlna rh. lppliol lor sh Fnn lo 6L. sbn d nrffil dli lt or tt b lrqu.d Frirart
<br />ro llE FaBioB of 0E Conmoi3 Li6!.d Lr* (O!.f,6 9. Co,tllmi.e wih Sdbn ?mO of Divi:Fn I of rlE AciB rd
<br />PT|BDN Codc) or lh.l lE c {E i qcrlpl rffion !d th. b6i! for llE dL*.d daFio.. Ary uFhbn ots..ib! 70115 t, ey
<br />dppli.lnt aor ! Fmn rubjet! th. applicanl ro ! rivil p.nshy of not doc lld fi!. bund,cd dollat ($m)
<br />_l. a olrE ofrh. FFlr { my mlplot€ qit w.ga a th.n FE onFlE ion. *rll & iE *uI rd tll rrude a br
<br />in.'.ldl or offdld r( d. (Sa.7Ol.{. B{.ir ed P,of6bN Co&: TIE ( ol|r-rdt Lite la &6 d +pt b o osE of
<br />rh.p.orEry *lr hrll or mF.r6 dE6r rn rt. d6 sn wn hrla or ,Erlt or lraug! hB d ha oen nnpro)'6,
<br />Fo!*!nl lllrt !u.h if,Fo\Emr ft e{ id6d.d or orq.d 6r sh. I( E)Ea. tlE brillt'E o. itrFDEEn i! $ld silhin oc )6
<br />of.anqldiotr th. O*trs tloits wil lEw lh. hrd6 of Foii8 th, h.or,h. dil nor htild o. irprcw $. FtrFly tor E Frposof
<br />l. s ow ol rlE FoFry. m dclBiEly @ftIlru wirh lkcBo, (onr.t6 ro odrud tlE FoF lsd 70.14. Bai,E
<br />eld hlhe Co&, Th. Coffdoatr Lr.e Irw &'€ br .ppl, to a os nd olpoFry uho brild, or idprov6 lhdoq
<br />md vho 6nidr for luch pr.j6r! wirh d Coirxro(!) licoEd pu6urr to rh. Conr6.rof! Li.# tlw)
<br />I m.xmpl u,r& S*lion lr & PC for lhts..a)n.
<br />a0a8E8[.co trElrArro!
<br />DICIASAIIA!
<br />I hscby !m,n und6 pdlhv ol Fjur, oi. oa lh. huo*os d*lE ioN
<br />-
<br />I h.vc.'d will tui! m r Cdifra. of ColEn lo Sdr-lM. tu *qrd oftq.Mioc ! FoviLd lor by S€lhtr l?(lo of llE
<br />L$or Code for rh. FfolIGc of rll wt fd *tth rL Fiir . isu.d
<br />I h!v..nd will @inl.i. sorl6' conFN.rion iNuuc., B Equncd by Sarioo 1700 ollh. trbor Cbdc. fo, rtE Ffoll1@. ot
<br />rh. *orl lor *hth rh! Fm ir iB!.d M) $orka! ompsuion Nure. w ni pol.y nMbr r..* Awuf*^ Z.{r.c\n
<br />*,.,n,,o, 4o-6g!{f-[ff ,,,- \? -9\ \ 1
<br />t.draythd in rh. Ffol1M.. oath. w.rt for whkh rhi! p6il ir iru<n, I lsall.or oDloy lny F&n rn e, .mnq
<br />$ 6 to tE<om rlbcl lo llE E*6 strpdsdion hu orcdiroti!. !d *c rh, if I Jrlld
<br />10116 compou.riou FrruhE ols€rDn 1700 of tr I.!d Cod< I ddl, fdh*nt o
<br />$ARNING Feltr. to he wrn comrEMion m\d!3. 6 unbstul. rd sndl
<br />civrl nn.s up lo oft hundr.n rhoMd &rllm (1100,000). in addilion dnlsd 6 proud.{ ntr rh.
<br />scxon 1076 ofrh. bh)r Cd., inrdrsr Md.lhrEyi ac
<br />I hs.bt rmrmun,i( Frally or lnlury rh lni,
<br />of llr ltustr,es 'l Pmf6$ECodr. tu mvl
<br />qI(.onntr(on! s h S.(l(r 71x)0).il)nr()n r
<br />,"*.*, C'3 01
<br />,.,". \? r4 ' \Q
<br />I hd!b, .ffm udq pq[hy of Fjury thr rhq! t . od
<br />isucd (56 109?. Civ. C.)
<br />Lr.dd r Nam..
<br />!*c) lor rt Ffl)lll@.of 'h.* l6r$t*hrhiFDi it
<br />6IIIICAILDECI.68AIIA!
<br />I hoq atrm und.r po.lly olFjury on. of rh. following d(brdionrl
<br />D.nolirior PmiG-Arb6ros Nol'ficdion Fql6d R.sulll iod (Tnl. 40. P.n6)
<br />R.quud Ldrd of Norrlrdin
<br />_ I .d' ry rh.r rh. fcddll r.srl,rioB n*dJinr sb6tG rmoval e nor ipd$bL ro rh! pni-r
<br />I c.t ily rhn I h^r rad ths ll,plkd irn drj 3r!t. rhd th. .tF 'oh
<br />i! coEcr I i{r '. comply gnh lll Cny &d County
<br />ordin46 d'd Srd. L.{r Elr,B ro boild'is hoB. rq6.rriiv6 ot $a ch! od couly lo dla lFn tlE
<br />,botr Mrpi.d FoFry fn ftp<iion
<br />,\tlpli(tr',1 or,lgrtrl Si*urnrr ^, l? lL'lq
<br />t u,o !Z_
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUlnsulation
<br />Roof Sheathing t2-t?- ?3 b,f ,ro)
<br />Shear Wall
<br />Framing
<br />lnsu lation/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 />Flood Zone Certif
<br />FINAL t\s\'?t),Rrl"l('.lr*b"7
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />I
<br />o.,. \Z' \2 - \ 01
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