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BUILDING. INSPECTOR RECORD <br />r: <br />SITE.WORK DATE ID/SIG COMMENTS (rlVNllR ItUll.lll:R I)lil.( ARA I l()N <br />thuclutc, lrfr,r lo (s issudncc, lls tcquilrs llE dpplrcuil tirr such |rruut tr lilc r srgt(d rldctrrnt lhat lE or shc a lrctsrl lursurtt <br />rlplicrnt Iitr r lurnil sul)jc(ts thc ul,lllicunt to r(lvil pcnally{rl not nnrc tlHn ltvc hundrcd dollas ($5{Xrt. <br />suk:). <br />-l <br />attt cxcnrl)t undcr Sccliorr_ ll. & l'.(', lirr this t'c.ts(,n <br />I 1...... <br />lV( )RK l:las' ('( )N I lfl :NS,t'l'l( )N <br />t)E('l.ARA l'loN <br />I lrcrchy ull tt tn ttttrle t lx:nalty ol pctlttr y otrc tll llrc krlkrwurg rlcular.rl r()tr\. <br />l,ulxrr Lixlc, tor llrc lrcrlirt'rnlncc ol llrc work lor whrtlr tlrc pctnrrt rs rssrrctl. <br />tltc wotk klr wlttclr llrts pcrtttit ts lssttcd. My wurkcrs' eorrtpcnsiltl()u lnsuriltr(c cilnl('t trrtl lxrltt'y trunrhet urc: <br />('au tt'r: <br />l'olicy Ntttrth.'r:l'.rprrcs: <br />_l cciily that ill lhc lrrli)r[urrc (rl llE wuk li)r which this lrrtrlit ls rssucJ. I slHll nril crnploy arry lrtsorr lr arry nhurrcr <br />sr $ l(, bccolN silhFcl k) lhc wortqs'conllxtrsalxnl lilwx ol ( rlthrnu. uril rSrrc thnt rl I should l{(oilN \uhF(t trr tlK <br />workcrs'qtrnlEtrrilltrilrprovNhn$olScclrnr.lT00olthcl,alxrr(ixlc.lslull.k,flhwnh((ilnplywilhlli)sl)rovNnnrs <br />Scclkilr .l(l7o 0l tlrc t.atu ('ulc, i[lcrtsl ltd attortrcy s l!cs. <br />4....t1,'....r. <br />l.l('l,lNSEl) ('( )N'l'R/\( "1'(, l( <br />l)l.l('l.ARA'l'toN <br />ol' tltc llttsutcss utrl l'tolcssi(,ns ('otlc, irxl nry ltccusc is in lull lirrcc urxl cllt'r.'l <br />I .ie cnsc C'lass: - _-I i.....r.,.Nrrrnlxr: <br />I1,..... <br />(l(lNS l'Rt,(-l'l(rN l,llNl)lN(; A(; l.lN('Y <br />issucrl (Scc .ll)97, ('rv. ('.t. <br />Lcrrdcr''s Nlrrrc: <br />Lctttlct 's Arltlt css. <br />A l'l'l .l('A N'l' l)l,l('l .A Rrt'l'l( )N <br />I lrerchy ullitnt un(lct' pcttirlly ol';^*r jur y ()nc ()l lhc lolklwurg rlt:e lurullorrs: <br />l)crtxrliliorr l'crtrrits-Asbcstrts Notilicatiort l;crJcral ltcgtrlatiotrs ('l'illt:4(1, l'arl(r) <br />_-_- l(ctluut'd I.r:llct' ol Nutil-rcalnrrr <br />-l <br />tctltly tlrll llrc lltlcrullcgul.rtx,ns rcFirtdinS lshusl(!s rctnr)vill.u('n()l apgrlrtalrlt'to tlrrs llrrrp'ct. <br />---- I culrly lhnl I hivc rcdd this rPplfutk[ ul rtrtc tlEt tlN !h,vc irlirrtutkxt ts (([r(r. I ol]N k, cutIly with rll ('iy rtkl (iixiy <br />rlx)vc nNnliuNJ pr,lErly lix ulslEc(r[ puqruss. <br />Apgrlicrurt tlr Ag(.nl <br />l'crrtrilcc lrlnrc <br />l)ute:_ <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Su bf loor/VenVl nsu lation SI <br />Roof Sheathing /42;efr 7 <br />Shear Wall <br />Framing <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 />Enqineer Final Report <br />Flood Zone Certif <br />FINAL l,/ , lZl\fr)gQ-ts tJelUdZ)7 <br />Certificate of Occu pancy <br />Notes, Remarks, Etc. <br />.)n <br />a <br />-