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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OlTNER BtII LDER DEL(-ARATION
<br />I hscb lmrm ud6 Fnlhy of Frur) rhd I m.t@t, fmm th. Codr.do6 l.rcas le nr rh. follo$ins r@n tsd 70.rl5
<br />Ilc'nar art PrcaGirn ( qr.rr Anv Citr or County. nhict Equud . tEhn (' .otrrtud. a. img.ore &rhlan .r r+.t xt
<br />nrudsc Ffi ro ns isl[mc. rto (quc th.4dtsi tu su.h Fmn h fik. ri*n.d (d.rrdn lht lE o. stE a lic.t!.d IrEun
<br />ro rh.,rovilioN olrlE Conra.ror\ l-ic6s.d Ls* t( hll't6 0. ('ommcn.ins $ilh sdhn ?ujo of Divisior I ollh. ll!trinN sd
<br />Prl6htu (irk, or rhd h. or 3lE ir.roF lhgctom dd llE tGn r.r ir. ,lkfci .rcnBF. Ar) r i,hion ofsc<rion 70rI5 tl D!
<br />spplic.ni to! i p.mir rubjdr rh. .ptl'ca to a.i!rllcn0lryoafrr nor.than fir. hundr.d dolls (lsoo,
<br />L d osffi of th. Dm!.ny. q hy @plolG * h "ts6 6 rhcr $1. NnFBiior *{l d,llt *{,r tn E rulc ! ml
<br />in|drj.d or ofrdcd for d. lsd.?041. auind 4d Pr.fdhN Cod. nt ( nntslors Li(6. llw rhs n ,rpl, ro M o"rd of
<br />rlE rmFly r lb t!il& c iqm€ dEd til *lb &! rd $ut himlf or h-*lrs lhmust hn d lE om .npbyq.
<br />provid.drhlrru.hinFoffirEmli.nci.d.fiE.dil.5Llf.lb*-q.tlrhiikti,Btri4an\qE nsB*nfiinMta
<br />ofompldior\ ih. o\,E Blildc f,i! h.v. llE h,rdd' ol F!!i,v tlli h. o' th. dit d tt,ld or inF!\t tlE Fltsty for $. F,Fr .l
<br />l. 6 oem oarh. Iilrqry. h dcl6n.b.odr.tin! (nh lkas.n.oi.*loE lo Nllrud rlE FoF.r (sl.( ,o{.1, BGitB
<br />!n Pl si ('oJ. Tn (ntudor'r Lico. Lls &B ml .pply lo s ou6 orrmFri! r lb boildr or iiprc\6 rhaon.
<br />ud Rho mlnB.ri aor such Fojdl. Nirh . (.!'nraronr) li..Eril puBulil to lh. (o.'l,.tuis l-t . llw)
<br />I m.r.nrtl unds Sdrn .l] & l'l( li)rrhN,rnson
<br />.,".-x'nrr}tt;ttrulururaruDlgtlAllq!
<br />I hsdry !0io u.d.r Funt olFjury orc ofth. ftnb*nu dcladbB'
<br />I tdc rrd trill ru|l'lrin i Cdrff,!. ol(tngr h sdf.leE fn sort6 m,i{EEd.tr c ForiLd ,ot t! S<cliot l?00 of rh.
<br />I lbr ( ir! nr rhc psfo.lr@. of rh. ert t $tkhrh.Fmn u isu.d.
<br />I h,\. and will maim.in sorl6 .oFroFllrn !EuEt.. 6 r.qutrGl l^ sd iln 17ir) ol rh. l..tFr (\d.. for rh. Ff.lM. ol
<br />th. sorl for shicn rhi! D.rhil i3 isud. My sork6' conDdsltsn iNwM.. cani( 0d Flicy numbd t.:
<br />l..ditrhrl i. rh. Frfolrlre. otuh. $.rl fotsiahrhirFnir i. is&n.l.h.llml dploy o, pd$n in!n, muB
<br />$ ! ro t .od $t*rr b fi. *r 6 @mF!dio. h*. ol( llifomir. d {B lhi if I.h.uld b..or st al loll!
<br />rortd' omFsrion povtioB ot s.crion :\700 oalh. tirf Cod.. I lhrll. fonh]'nh condy *nh lhor troviriod
<br />ltARNlNC Fritu( ro s@ \.rta' omFdhn 0!6'3. ir unhwtul. t d .hrll sbidl e aplotu lo cftnn i Fulb .nd
<br />civil fin6 ut ro or hu.dEd rtbu$d rkrllc ltl0o.mo), in .ddnior lo lh. or .a conFMhn. drusd d Fo1il.n lor llE
<br />s<ri.n 11076 oarh.lr{Dr Cod.. inr6.r ed.llotrEy r f6
<br />nUU,"rr,!
<br />urfdtlDlolr&tggB
<br />DIUJAAIP!
<br />I hftby.mrd u.d6 Frhyof Flu, th.t I m licds.d uftjq FlvBio..l(r'trrd 9 (cohmoci.s Bilh S..l{n 7m0, itDilision l
<br />of rlE &!r,lB ud IrnrBbB cod., dd m, ltre k in f"ll f.rc,n dld
<br />collla!&lla!.1llDl!9AcEllr
<br />I h.lllr.rmur&rr lly or pdjury ih, rhq. ir r orEMbn ldiins !sd! lor lh. Fn tffi. .lr,E $.rt irr ntih rhk Fni it
<br />i$ucdlsd 1097, (iv c )
<br />arrulA fDlglsarlo!
<br />I dn rtrm u.& rEnlh! oa pcriun oE of lh. follotr ins d<lffd i,6:
<br />Ddolnid. Pdmirs-Alt rorNolilicatrcn F.dErl Rrsuhrinr (Tnl. 40. I'.n6)
<br />R.rltrn.d lrtd of lk{rtuirn
<br />I .d i6 i hi lh. Ldd.l t.suhr$E Etrdins slEec
<br />'
<br />mr sl ,. Fr q'cli..$k ro rhit I'tr d
<br />,l!\. nrorirnrtl tr.t,e'!\ h, tr*lEcrr[ l'u'lt\1
<br />,pp,n.un, ,.-,.i*n"u." I trrrr I
<br />n*.U.* - ^" ,r,n, f , )(
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<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 t l*,t lt t V,{a lba
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />4
<br />lnsulation/Energy
<br />Flood Zone Certif.
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