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BUILDING. INSPECTOB RECORD
<br />COMMENTSSITE-WORK DATE IDiSIG.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulationi Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lt/asonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Ceftif
<br />[.o> )4lt7 lg-ru,tr'€r/FINAL
<br />Certif icate of Occu n
<br />Notes, Remarks, Etc
<br />OWNF]R BTI!LDER D}X-CAR 'NON
<br />I lrrohy rflnn uMcr pcrlliy ('f Frjury rh.r I am cxcnfr ftom Ihc C.ntx.t,n l-i..trt kw f{tr rhc tuU.wirg rcx$n (Sc''70:tl'5
<br />BxsinN\ r Pro,cst,n C.dc) Any Ciry or C.umy qhi.h rcquitcs I P.nnir ro onsltucr. alrfi. imnrovc d'nmlnh or rcprn dy.
<br />irucru,.. prior ro irs ksuarcc. ako rcqriE. lh. q,rlicant Ihr slchFnnit lo filc! siEncn {lrmnl rhar h'or shc h liccn{d Pusurnl
<br />lo lhc Ptuvi.n rs of r,r ConrBck, l Licc.scd Llw (Chlnrd g ConDelring wn[ Sccl ion ?(xn ol Divhion ] or rh' Bus idcll rnd'
<br />Pi{'L$io sCodc)"rlh,r h.orshc is cicnrP[hcr.fr.n .Dd rhcborh f{n rhc lcScd crcnrPrnrn nyvio] ionofScclion?0'rl5by'ny
<br />apflicnnl l'or r !.rnn subjc.N rh. afpli.a tbacivilPcnunyofnor rorc rhm rivc hundrcJ doilan (3500)
<br />$ owncr ollhc nrol(ny. or nry cnrlo)tc\ sirh w.8cs rs rhcit v,lc comlf,trsdrion. *illdo tlt qork drhtifl'Nrcnnol
<br />irrdxlc{ orollcrd for srlc (SN70,11. Bxsincs d Bnlc$ioBC(ilc IhcConrEcttr\ Li.ctrk Lf,w (1..\ or rl,flvn)xtro$ .' fl
<br />r lr pml.dy who huilds or in{fl,vcs rrEr@r. u who des ruch sn* him\clr or hcr*ll'or rhnrulh hh or hcr o*n 'mpbrccs'p","ia"a lr,or .,.t in,r,o\tft.b {c nol inrcd.rl or ollctd nn sb. lf. k,sdcr' rhe huitliu or ilnlmrcflEnr is v' withir' nnc Jtr
<br />;rcoryLri , rhc ONE Brikt r rill&Nt thc tudcn oi pmrins rhd tr or shc dil nor huill or itpolc rhc Pn,Fnv ior rhc l[4be of
<br />l. r{owncr,'irfu t.Nnr.onrcrclu\ivcly.on.ding sirh licci\cd.onrrlctr! nI (nrdnrr rhc nnrFci (Scc 7(}" Bunnctt
<br />r Pdc\ifl(hdc lhcConrra.ktr s Liccnsc Lawdot\ iorrl)Plyio nno{ncrofln)rcnv$h. hnrldsor imPtrrt\ihcrcotr'
<br />,nd who conrrrch r.r.u.h pojcchwirh, contndon\rlkcnscd lursuatrrL,lhcAnnr n,'r l-iccnsc Lrw)
<br />I xNer.nrlr rtrJcr S(ri,rr
<br />',&c,-.t:1wo)18 <,^--
<br />DECI.dSAITON
<br />I h.r.hy !l6rm undcr pcn,xy of pcrju.y oN orrh. rollowins dslursri.trs
<br />-lh3vc
<br />dt $illnuinlaiouC-.din..rcolCons t) Sclrltrsur. io. *o,kc* conrycnslrt,n 0s folidcd forbvscclion lTlnofuhc
<br />bho, Grlc. ibi rlE !q |orm(te .f rhc work for which rh. Frnir is issEtj
<br />-lhorcandwillmrintai.workcn..rrF.Dsarioni.suBncc.rsrcquircdt'vSerio.lTtroolthclntDrCodc.Jirltcp'rr'n'Enccorrhc work tuwhichihistcmn i\ isacd My *o.kss dlmFtrs,iiotr in\ura&c.Micr {xlrolicvnnn$cr m:
<br />-ExPnc':
<br />Gtccnltyrlar in Urc p.*orNnc.olrh. w.rr lnr whictlhir p.rmt r hsucd.l dDllnor cn]Plov rnv P'son inxntmMnq
<br />s Nbr*.onc htcib rhc atrkcr compcnslrion li*\ oacrliti'rnin. lld xercc thal itl \hould b..oN slhrcrbrhc
<br />*.rk.^..nrEnsnrionrn,vkiotrsofScclion:lTtDofrhcL.tsrCfrlc.l\hnll.fonhwilhcomplvsithlhosrmvisions
<br />WARNINO: Fiillr. lo Nurc worlc^ (onpcnsirior covcrusc is unh*tu|, ad nrall subiccl !n c'nlk'rr Io siminn n''!lrit" Jr'l
<br />civil nnc\ !P b on. hundlcd rholenil doll.N (SlOo.uD). in 0ddiiiotr k' rirc.os oi.omPcnsriio . drmBcs a\ r'vi'lc'l lhr rltr1
<br />:'-Ui#ir* """"1-"t?"4 + C"* -"*ffi*ffi-
<br />Ihcrhyrfli.nrundcrpcndryolp.rjurylharlmln.n$dundq!r'ti\holChoprcr9(.omrcncinEwirhsccrk'iur)rnrDivti'n]
<br />ol rhc Bu\inc$and Prcacs\idrr Codc. nnd my liccnt i\ in tullf{tr c xl.fla.r
<br />coNs-l Rll(lTl()N LENDINII A(;ENCY
<br />I h.r.hyrllirnunde!I.nrkyotpcrirylhri rhcr. istoniru.rion h in! r3cn.v ir rlt plild rMncc ol rlt s'rk htr *hirh rhn lfrmil h
<br />ks,crl rsoc lm7. Civ. C )
<br />IJtrdcis Narrc
<br />-ATTL.ICANfDIIELABAIION
<br />I tEtoby firmutrdcr |Emlry.l l^_rtury onc ofthc f{,!1,)wir8 dcclariri,,nl
<br />Ocnx)lirnr lcnnirsAshcsros Norifi.driotr lticrul Rc!uhrion\ (Iillc 'r0. Pd6l
<br />_Rcqund llrtc. oa Norilurion
<br />-lccnilrrh,r
<br />rhc r.dcrrl rcslhriois rcSddins ishedos rcnDvrl uc nor lpdicdhlc b lnh PmJcc'
<br />t4 .cd ity rhd I h0vc rcnd rhis .p!ltari()n uxl {ar. rh rhc ah)lc innmdion iscorccr I dSre to omPlv wirh all Ci! v snd couorv
<br />; n,rs ind sllrc bws rhr ini io huildinp &nsru.tio.. ald hcrct'y,urhor iz! rclres ur ivcs or thn ci v 'nd
<br />counrr ro enrd upotr rtc
<br />16 G*, er-..1r
<br />G pzle
<br />Pool Fence
<br />I .r,J 1',\ ,lJ,c.\
<br />-
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