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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns 'b'2t)llbatlzl i4d\
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry lt /'^ -,: .t- / - i] -a---,Pool Fence IFllH u9'ru rc.o'c-/&
<br />T-Bar I
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />I
<br />*r'v.*/t:FINAL (d'il
<br />Certilicate of Occu n
<br />Notes, Flemarks, Etc
<br />OWNE AUIII)ET DELCAR TI(,N
<br />I tn try alfm ud.r F..lry of pcrrry,ur I m.r.ipl lrom llE Cdrf1m Lj.Bc L., lor t& tolb*n8 r$n (sd70ll.t
<br />Blrim( .JIl P$L$bn G,.t ) Any Cny or aody whi.h r.auiB r Fnt' h .mrd, rk6, urpmE. d.mlish or r.Fn Ey
<br />ttuturc. rmro it !rum.. !l!o Eluir! rrE q,plE.nt for sshF. n,liL. sisEd rlar.Ml lhir lto.stE klien*d pu u!
<br />lo thc Fovisioas nl ft (ontBctr'r Lienkd hw (Chq't.r 9, ConrEminS with Sation 7I)00 ntDivnion I ol EBuriEsmd
<br />Pn,f.$ions Codc) or rhlr rE o. rh. k .r.,irl ltrefrom un dE bGn for llt slkscd ercnl|)rion. An, ri,hlbn ofsdbn 701 I J hy uy
<br />rndr. lor ! p6nt {tj6k rlr .II,lr&r ro r .ivil p.rlr, 6r d mE lho fiv. hu r.d dollrr (51u),
<br />_1, .r owr of rlt F Fnr. ( n, .nShF< earh *.t6 a dEn sk oqEn .rbr *ill & dE krl rn {E stlrs . d
<br />nrddGi dofi.Ed tor rL lsa.?o44. AutiN.rxl Prol6ii,6 Cod. TIE C(ffdt Ltre t w ilxs ri rFly lo d ffi o,
<br />rrE FDFry *tb triti or qrffi rt.6tr .d qh. d(s *n Ert hilEll m h.rclf q rhEud nir r rEr.Pn.nphy6,
<br />pRrvil.d rhnt such trFmdrftd in..d.d.rofi..!d 6rsb.l( hosEc. fE tnitlinr d lr!ftwn! i1$H qahinm )at
<br />ofon{lcri,\ tlE Oew aui!.r vill &h [F hrhn or tmvin8 lhlr lt or rlE dil rn blild .r Lr$6k t E pbFry for dE Itr In: or
<br />-1.
<br />s owE of rlE I'r''Err, u.rcll\irly cdin roS *iti lim.n (drd.n
<br />'o
<br />ode rE FlFl (S€ 1041. Bulils
<br />.tn E Gsir Cod.r Tt Conlrior'! LilM l,*.loct mr +ply ro.n.*E olF,rdry rh. huiur or inpmE. rhasn.
<br />rnd *rr or8it rd *h FDi{3 *irt r Co'rrrrdn Lrtu d purd ro 't C.drrfu\ taE tr*)
<br />I rm.&nF ud., Sdhn-, B. & PC. fd lhii Eq,n.
<br />D.l.r _ Om€r:
<br />worxrqs' trrrliPrrriiifuN
<br />OECI4T^DTA
<br />I ltrcby .mm u'ni Fulr, or Fjury ot or rlE ron'wn8 d..hdb.t
<br />h-* -*r,^--.Cd'rrdc.rcon..r to s.ll.lM lc N a onFrE lbtrr! trviLd fd byselnnl7morrlE/ L.ln (iia for dE Ffullrm oI rlt *di lor rh{h r,E pdnr 6 s!u.d
<br />\-t hlw "na
<br />wrll rornrrrn wnrkdr' conp.nstthn rBur.rc, s Eqund b, S.crion ITOO 6r.h. Lrbor Co&, ror rh. pc.rm. ot
<br />)tE qn* rfl *hkh rh! D.mr r \$.d My smlf, Nrrrnuion r u'tr. ss rrd lbky numlv r.
<br />)(;
<br />7G FIND
<br />C /(fr
<br />_1..d'fy rhal in rh. Frtormr. of tlE *orr tu Bhah ltn F.ni i! rsu.d. I slkll mr.ntloy rny Fls,n sy lMF
<br />v' Nro ltom suhFlr rD rh h*6'corqrn{rion Lws orcrliromia. intl rgE lhal iII s,nuB rE<ont tuhitr ro rtE
<br />wortdi conqr.s,rion povhb.s of Selion -Um ol rh. l,hr C,i.. I tulL ron hqirh onpl, *irh rtos pmvkions
<br />WARNINC Foilurc t, <uE wlsi.on{Etrsli,n cov@sc k unlr*f!|. rn shrll subFl tn orplorlr ro simirol FEIicl rnd
<br />r. om hurnEd ll,uwd &'Uqr (illn.dl)). in *ldirsn kr ion. drd8cs.r rovil.d for rL rtr*L.ho. c..l.. 'yrr 1n ilftrt rd
<br />- >17 Ap?r*L
<br />llltcLAEaIlQ!
<br />I lrrhyrftmund.r n ntrlryolp.rjuryrh l r l .ctr{l undd mrviln ol ( lrilrLr I (conmncin3 w hS\-ri,n70(x)r flrvri($ ]
<br />ol rh. Ausimslnd l'rolcsi,,n\Code.sJrl n'y lirctr{ irih full lntc drlcllNr
<br />]/o+))e>-
<br />l :]L c.'r.*t..
<br />qNIIBII ONIINJ$j.AIjENCI
<br />I lIEhy rmm undd lrnalry !r|Erurylh.l lhcE k r consruclion Lndans.s.ry rd rh. p.rlorM. orllE uork lor *hih lht Fmil t
<br />ils.ai (sr. l(,7. Crv C L
<br />lrfti.r i Nrm:
<br />AELIIIINI.DEII.ASAIIII!
<br />I hftby afirm undcr pcnolry otncjury oft ofrh. r{'lbwnr8 d(lr0rions
<br />D(mhi)n Pcrnir! A\l$iN NdifE riotr F.ds{l R.BoLr io.r (TirL 4{}, Pd6)
<br />R.liuEn td'q ol |{rifrllim
<br />_l diry Od
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<br />rd.nl EllhriB E8d,tli.3 .tlBs ,!mvd e mr .rrliilL
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<br />rh6 pmF
<br />u,^fi *,, **,^orni lmli rion.,n{lrcrhd IhcrhrEinli,mrn)rir.odrcr Iag(r'.olrtlye hlllCilyrnd(bu.ly
<br />onlinrNr nd slat. trw\ El n*robuildi
<br />bt mnrioNd pn,r.ny tr in
<br />%.
<br />'***-:'bzv
<br />Jt-ffifir-
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<br />llev.0t]-07-2015
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