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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS O\T'N'I' BUII,DEf, Df, LCARATION
<br />I hcrcb, dlllm u ddalr,of p.rju,r_ rhdr I @.r.mpr fNm rh. aonkdo^ l-E.@ tjw tor th. followin8 r.Mn{S6TOllJ
<br />It!!in6r rJ Pruisio. (-od€lr Ahy (-ir, or ( ounly $ fiicfi rcquiB , pqn( ro conntucl. ,116. rDp@G dotrolah or rF6r ey
<br />ss'Ec Fitr h tr3 isec. .t{ Gqun6 rh. apr Eanl for ru.h Fmn ro nb . s,!n r! raldEl rhd lE or slE i, koE d nlB l
<br />rr) rh. pr.vKioN oi'rhc ConrEror's l-iccnsd L€$ (Chaprs 0. Cod6.n(ins unh Sdrion 7000 oa Divirhn I oarh. Busin.s ud
<br />lhfGions Co&)orrhal h.or3h. c ci@fl rhc.6oo ed rh.h66 for I h. ,ll.!.d .xanE nln Anv rioLliod ofs.nit'n 70:l I t br o!
<br />alrric!fl f.F r pdr( obl413 rh. .ppli.mr to ..ir il p.Dhyorml m.. rhan fit. hund'.n dolla lt50o)
<br />l. d {sns nlrlr FoFnr. or 4t.mpldtc *ih $as6 s dr.r $L (nry€oidDn. $ l &r rh. wtL ali llE nnde B mr
<br />, od6l .' olldcJ lorektsd 71x4,lrosiKsd Profdiod ( od€ 'l hc Conr,fitr 3r,k.Mt $ do6 Nl applt h M o\r@ of
<br />rlr in'Fd, wtF hri!&oi nnthr!6 rh6{n. ml who d(E s$ "rn hiN.lf or h$.lror thrcusfi his orh<.*rdpl.r.q
<br />pror id6l rhht such ihprordrFrs @ ml i'{dd.d orofTsql ror e].. Il lr)*r€. fi. hritm{ or imprortffi it sld rntm on. }w
<br />ofconpLro.. $c (xd anilr6 will h,!. llE tEL!.tr oI FsrilB $t hc or slE dil ml hlild or inForc lhc Fo,Ely lor rlE F,Fs ol
<br />l. ar or rq .ltlE nmrd). m .r.lutirly c.nlracrns $nt kssal (onlr&1o6 k\ codrud th. Fold {S( 7or'r, gGilB
<br />.Bl th)is(nc6dcr Th. Conlricror's t-i.dsc Law d.6 nor $!lyro er owns olprop€ny vno buildt o rtrov.s lhos6,
<br />drd rh. co frts fo. such FoJ.ds srh
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<br />( o'nEh(s) licdd puB@r !o th. C.nt d.rsl.icfflj*)
<br />I i .\cnrpt undd Sclil,n Il & PC ldrh6 r.son.
<br />lrtr.i - Oir6
<br />WOR(ENS' (ONTPENSATIdN
<br />DroJaauo!
<br />I rb.by amm unla Fulr! of !dr!., oe of rh. follo$r{. ddl'-dio6:
<br />Ihav.dd wiu minBin. C61ilic6l. of c6Bor t' S.ll lBur.fo. \wrld conrlr$dion.6 Foid.d for bySelnrn 1700 oflhc
<br />l,h, CdG, for lfi. Ddfollle. of llt qlrt for *tEh llt pnni u su.{
<br />l l,ar. and Ull nr nrain { orl6s- ro p.B n,. iNurdn.., rs ratutr.JbrSr-li' !?($olthe LlhtrCoJc, ntrrlklEtumm(cof
<br />:rc'nrl lt.,-rAih rhtrFnn s su.rl M\ \ 116 q,mp6et',{r rNu,rcccd'o utF,l() nddln a.,*. 7 ra-nckEs
<br />,'.,"..,.,.*'iZ)D > zZe€{)'r-fi.k f li{ Izo
<br />I ccnity rhd
<br />'n
<br />rh. pqtonMncc ofrh.\orl tor shrh rh8 Fnn i! ir5u.J. I rh,ll rur mpL! 8ry Fqvr. r !n, duF
<br />e 6 16 lsom. subJcr io rh. \ ortd' .omFMi,. hrs of Cdhromia. and asre rhar 'f
<br />I $ould b..nft 3u!rd to th.
<br />N.rt6 ron$.Bilion pruvilioBotSqtiotr l?m olthc t bor ( od€. l dull, ronhqitl dJnply sith lltts PmlisioB.
<br />W^R lNC. l:arlxrc ro curc ss*6{ mhFEa'oi coEasc B u.hwful. d{ rhtll $bjd e orylo}s lo oinml Fuhi6 dd
<br />.ivil 6n6 up to.nc h!ftt.d lhorBnd dollB (t100,(x)0).
<br />'n addil ro rh. .., 6t $mFern4 d.m4.s a Drolid.d ror lhr
<br />::'iJtr1r4:
<br />DlclJEdrg!
<br />! h...1', amm uido Fhh,oaFju.yrn I m [c.N.d und6 Fortrln orchaPld 9 (.ohMci.g $nh Ser$!,000) ofDiYBion ]
<br />.r rhc ncin6 Md PgEguNb
<br />(i dc. a n\ l'..'Lsd N n fi'll li'rccrklrll..r x 3t?
<br />) t 1t't
<br />co rrarcuoxrENulcjrc[l(l
<br />I h6.by 6m!n unds pc.sh, of p.rlury lhd lha. is !.onrdruc1Fn Lndin! lgtuy fr rh. pcfomd. ofth. q'ott lor {hicnllie pstt i
<br />isu.d ls6 l(n)7, Civ. C )
<br />l.nJd-rNrm.
<br />ATIUIAdI-DIiCI,ABAIIO!
<br />I hdd)'r0im udd poaly ot pqjury oE or rhc follo$ 'ry ddlMtoGl
<br />D.motio. Pdmtrs-Astckx Norincerion l.d6sl RcruhrioN (l l. 40, Pai6)
<br />R.quircn rnrd otNdili€tion
<br />l .dlify rhd rh. fcn alrcluliri('tu Eledins sbdtNranovd e. ml.pph.ahl. lo rhit pmjd.
<br />I cdiiry rh.l I hnr. ral rhB dl,plk.rion a.d nal. lnal lh. dhn . rnlo,rraFn ts .or<l I .8.6 ro compry *nh ,ll Chy lnd Counl,
<br />ordi@r6 od srar.liqs rclnnn! ro hul.lins (oNrruci'on. ed hdchy.ulhodc r.ttsdrdiv6 ollhis ( nyed ( ounly to 6tq ulon tlE
<br />itn\c ndhrnd p@rEr] fd 'Bpdhi ndpog,/ ,
<br />;,.,.,",,.^,;,,.n.",.*gr ,M &A.- D.. tz/t*kp.mi,Ro.n.{p,roo:. l/A) B+,,F<-r."--
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framrng
<br />lnsulation/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 />FINAL tz-/7-2 -A.Jah 'gD
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />, | .fl^. NutrL.
<br />irq.",..,x K
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<br />Flood Zone Certif.I
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