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BUILDING. INSPECTOR RECORD DATE tD/stG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loorn /enUl nsulalion Roof Sheathing .olrt\?0 1\l' Framinq lnsulation/Energy Drywall Ext.i lnt. Lath Brown Coal lvlasonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif n\ FINAL Certificate of Occu anc Notes, Remarks, Etc. OWNET BUILDEf, DSI4AN TION I hftt'a .frrF undd poun, of Frury Od I @ .rf,F tln rh. ConlEdoB Li(!e Li* aor lhc (Jllo*o, ra$i (5€.7031.5 asina ad Pmfdbn Co<k): tuy Cny or Cody *tth Equc . Fnu lo @ii^rd. .la. tDFoc &mtih or lE.t &, nrud@ Fnr b it! isuq iLo r.quir6 rh. rppli.er aor rkh Fnn lo fiL . !i8n d rdBl lhn lE or ![. i lnds.d sE$.r ro rh. FlriiioE of dE Co Bc s Lta!.d L.* (Cluprs 9, Co.lffidg *th Sdio. 7000 ol Divirio. I of llE BUIE ud Pmf*'onr Codc) or lhn hc or rh. i! .ropr rh6cftoD md [s bi!i! for th. .lkg.d dmtio.. Aly vDhlio. olscrnd 70] I 5 by &y 49l!cd for r tmni ibjd3 rlE rrplEant ro.oril Fmrof k{ mErhm livc hunrtql d<,116 { lJ00). L s drc of th. FFty, or my dplorG wnh *.e6 d lhd tL @nFBarn, will do rn woll&drh.i.rr@Bml urdi.d or olla.d ld i.i. {s(.7o4,1, BNi6 &d PmfsEN Co&: Tlt Coffid t tx@ l^ &€ mr 4rt to e o*E of & FFr, *tb hrird - ing!\s rlEq id wno &E *h K* hor.lr or helf or rhmugh hir or ho oM mplo)c. p6vid.d rhd ruch iiFor!fu e 6r ir drLd dolT6.d lbr.L. U.l'ow. rlE tuildirg d inqoqEr it hld sinh * jr ofconpldbc rlE O,fr Build6 stt ht\! rL hrd, ofFovitq $a lE or tlE dd mt bnld d irp.lE $. FoFty tlr tlE purpoE of ._ l.6!\rc offi. F!pq!r. o .r.lunv.lt.otudin8 *nh lka!.d co donb onrtuc rlE Foixi (5c.704,1. &6dB dd F!ftse(.d.r Tnc Conrr-roir l,'c.M Lre do6 nor lpply ro d ow.s.aFopdywho buildr or iftprcr6lh6on. ed *ho .onlr*l! for t*h F.Jeit $th . CoiMo,l, li@.d puEun h lh. corrBrm s Li.@ Lj*) I m.tdpl uoda sqlnr UqatrEBs:coUfIllAIlO!Df(ldSAIIA! I hd.b .mm unda lErny of Fjury onc of rhc followln8 d..ldtioB: IhN..ra*r @int,h ! Cdrfd. olcotet to Scl Nrc for ert6' codtoslio.. B Fovid.d fDr by scrion r 700 of lh. hbo. Cod.. fo. rlr Ffollle. otrlE worl for trhkh dE Fmn ir isu.d I h4E ad *ill Di rin Borl6 (omrEddirD iffiq s r.qut.d br S..ton 17@ of rtr trh.r Co<t. aor E Ffffi. ol rh! *ort lor *,nEt rnii Fnil ir i$.d My s.rl6 conpaEd,on iBu@c. cdi6 ad pol(y numbq el -l cdrify rh'l i. rh. p6lor,j@. otrhc erl fo. *hich lnis Fmn i! su.d. I thlll tul dploy y pqen in o, trl.lG s a rc bd.ft ruq€l lo thc wrl6'mrpdEri,. b$ of Cdilo.nt!. Dd .gG thi rf I dboL taor $t cl to rlE trrt6'onFnsrionpmviri.cofSationl?00oallELlborCod..ld!U.aonhwih@oplywilhtlE*Ftviriod. *ARilNG: F.iluc ro ee wl6 oBFE ion @lqrsc 6 c.latuL di rdl abF a dlthF lo qidiEl FElb drd civil 6n6 up ro onc hundtld thouldd dolld (t100.00o), i. tddilior to th. .or of comr.rErrion. d6.36 a Foyit.d ror dt Scrbn 1076 ofrlE kL. Code ihd.!. !d donEy'3 fG t tfflt[Dl;alraagaa IECIJSAIIA! I hd!b, !m n u..Lr FEIry ol pojury rhd I M licctu d undd rrolnrn of chrlrq 9 (@,ll,:14i.g wnh lqlio. ?000) of Dii!6n l if rlr BuiB !i Pr.ld.B c.d., ei n' lic@ i n aull for. !d.ndr. (ottrBll.ro!.trdDllqlcEdg I 6y lllm ddd Fulry of porory $d lhe i5 a codru.lb. ladiry rgtry lor lh. Ff()l]l@. ot rE h.k tur $hth rhir FEi i Lsu.d (56. 1017. Civ. C ). AIIIJCAILDEqIdBAIIOI I hdrat.tr!6u,tddpout,of pquryocoaihc lolk'wD8delj.lio : DsElnion Pmi!-Alb.nor rlorifrdioo Fcda.l R.gulailN {Tnl. 40, PEl6) R.quiEd k(6 of tldiftiM I (drly lht rlE lorFtl r.*uhlioB .rs&d,ns dbcros r@\,1 r. .or qplictbk b rni Pfl'j.tl _ I .d'fy rhi I hrE rad rhn rpplkdion !n 3d. $r $. rhov. infomdioi ! ond I {rc to @ndy wnn rll Cily lrd (-ounly ordi.e6 ud surc llw! chog ro toildrg.oNr dio( rd lE.ty utlniz r.Felt,iv6 of lli! Ctt ad Coun,lo dc l4on tlt rbo\r IErion d FrFi, lG i'ErElhn Frp(G Appll..nr o. At6l Si3r.lrr. Pmllr nrB. (!rinrt: rynt I SITE-WORK (fi9 Shear Wall