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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS owNEll Bllll-oEn D1:LcaRA'l'loN
<br />I h6.tn nm.n, nid( poall) or pcjury lhar I d.\@fl 6.r. rh. conrtdo^ t'c.E l,\- aor lh. ro ."i.s r.e" (sd 70ll 5
<br />Bl6rn6s rxj Prol6ron (ird.l: A.y ( [y o. counry whi(h r.qutr6 a p6mil k] coBrtud. ah6. ihp.ot , donolish or r.?ot any
<br />slrudu.. rio, to i'! Nuuc.. al56 rqun6 rh.0ralicel lM suct lFhil 10 lil.. sisNd 316l.I@! lhd h. or 5h. is liccE J PlNel
<br />rrt rh. rulirio.r of rlE Conrerors l-'co*d hs' (Cfi,Ind 9- C.nno.'nr snh SfrlNn 7000 ol DNisi.n I of!h. ABi6r lnd
<br />PFlsn ns CoLt )or rhar h. or sh. is.rchfl rl'6.liod ed rh. hsL for rh. all+.l.rd n,n Any vidruonofSrdion r0ll 5 by an,
<br />al'llci for ! pdrrl subj(u rhc amlicad ro acivilp.nalrr"of.ot trtrtr.lho li\c hundr.d dolle!(S50Ol
<br />l, 6 Nn6 of rh. ,,oFry. oi ny .mp,orB w h was6 s lhetr srlc codFEfln,( $nl r!. lh. sotr dd E rnr1E s mr
<br />i' 6ddl nr ofrd.d for el. (Se. 7044, ttu3i.e ed ltof6sior ( od. Th. conlr4lo.s t,icaM L$ tlo6 iol .pply to dn o*id oi
<br />rn pmFrr wh. tuildror uqm\6rlEotr &d f,ho.!E(n *adr lriNclror h.Bll..tn'ulh hi. orhcoe! mdo!6.
<br />prordcd rh.r tu.h 'DF.remt' @ nr 6ror&l orofid.d ntr da l[ hosa6.lL hrillnB o. tr Folod ir r,ld *irhin om ]a
<br />ofcompl.{6n. rh. (r.6 Buil-lq will hav. $. h!d.n of Fovro8 rha h. .r sh. dA nol build or mprov. thc FoFry hr lh. Frtlhe of
<br />l. 6 oNno .r rh. I'op.ny, e a.lNr.lr" .ont*1inB s{h n.m.d ro.ldos lo roldtu<l rrE FoJ6r (se. 704.r. &strr<
<br />dnd PiiaRro. Codc Th. CoilBclois l,ic.ns. l,aq do6 nor apply Id e own6 olpbp€ny *ho bo il& or imfmv6 lhrd'i,
<br />,rrd qh. .onrdds aor !u.h FoF.rs $ . conr6.1o,!s) li.6al tu6Mr rorncContrrdoas l-ic.e hs)
<br />I {'n.\.mp! unJ.ts(rn'n
<br />".,,t1/rLl (
<br />I htr.bt ,,nnh 0nLl$ t)drlr\ oi pqnn\
<br />I h.vc dd $ rll m!'nrai. r t dirici(. . f consor u self.lNtrc for s.116' (onqn$ron, I Fo\ kltJ lor bt Scl ion r?00 o f lh.
<br />l,ah)r (','dc. ror rhc rEfof,ndce 6ath. $rl lor $hrh lh. nc'nir b Lssucn
<br />I h.1. .nd $'ill m.intain \Nrlc ..mFNrni 'Nurd.c. 6 ..quncd urL sdr krn l7n0 Dr rn tshtr (t&, forlh.Ftulruc.of
<br />thc $orl lor wfiich lhis p.nnil n isql Mytr rk6 convdsslion insur6...iair id poli(, nunbdEc:
<br />! (d"y rhar in rh. pofodam. otrh. r'orl tu $hi.h ln'r p6mi! is issua.l. I $all el dploy .ny pd$. i. oy mdffi
<br />R' 6rob..on sublel 16 rh. *.rL6 comp6s0lion la*s of ( olifomh. dasrdrhal ill ihuld b..om. slbF.t toth.
<br />r ollqt roEFerion pNvshs of Sdion l?L$ of lh. libor Codc. I $all. fonhulh comply wnh rMF provilnrN.
<br />tiARNlrc: F.rl!r. to su. {Gl6 .nmrFMlhn cov-os. i! olr\ful. Md sh.ll subr.d s onphtE lo dmiml Falis..d(rrl ,ii.\ trp i,. . hrnJ,. lh.usrtrJ dollrri (tr|0U1,, h Llfk'n h lhe (osl .f (rnlxrsrhn, dmaSs d\ pN!i]<d fd rh.
<br />I hftb, lrm uidcr FrXy or Fjur, lh. I m liGBl undd For irion ofct4'la 9lco'nMinr s''lh Sdbtr ?0001of Ditision l
<br />of tn. Ilusins dftl Pofdh6 Cod., r'd my lks. B i. full aor.. &d.lfer
<br />CONSTRT]CIION LENDING GENI-Y
<br />I hs.b,lllu m undd raalr, of rrJury lhd rhd. s r coNru.tio. LndinS lsdy for lh. pdfomd.c of rh. aork for which lhn Fnit s
<br />6!u.C (Sd :1097. Cir C )
<br />atfl.lcaNlDEcl,aS uqa
<br />I hdd'y.rlim undE poal! of lsjury o.. ollh. folhsrn3 d<l..dlioN:
<br />D.mohioi Psn s-Asbdo! Nonlicalion ltdd.l RcEuldioB (Tnl.40, Pan6)
<br />R.qutrqt tdl6.tNolifarli.o
<br />I (d il} rh.l rh. i.dcral , crtrhrn ft elrdnr! islssk* rdn.\ al e Nr applciblL lo rhisr(Id
<br />n.lfu I lgEro 6iply siri.llCityod Cou !EF6ddi6 or rh8 ciry od couity
<br />'o
<br />o)r '4oi 'lE
<br />- ^,. rl /r//t
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulalion/Energy
<br />Drywall
<br />Exl./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 />ld: fl, /so:lo r$9 'rLalh,trd
<br />Certificate of 0ccupancy / /V\J
<br />Notes, Remarks, Etc
<br />w(s
<br />!IZ
<br />a->
<br />,17 ,r--
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<br />FINAL
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