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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DE1IARATION
<br />I ha.t y i,Itu udd pouny of pajury th, I m d.nB fiDn ln Codrrdoa l-i.dg lr* fot th. bllowry @n (Sa 7011 5
<br />&rir6 .d Prcf6ion Cod.) Any Cny or Courry }h.h r.quic . FEi ro sdM. .is, urFott &el8h ot q.i, &y
<br />3^r.ru.. Fu to irt b.ff., .ho EqdE rlE .pplial for sh Fnn b fiE.3'si.d nr@!r th, lE or tr i lkqE d Fltlr
<br />ro rh. ,rovisrod of d* Coorsroa3 LtG...d Llw (Ch.F6 9, CoMfti,s wnh Sdion ?000 of Divi.ion 3 of rn BriB td
<br />Prcf6ioE CotL) or lh t lE or rl'. ir qdpl lh..6om &d th.6cn fol llE.lkBd .&!nid Ary vioLtion olselbtr 7011 5 by ey
<br />.Pplic6r lor ! Fnn $bjd! th. lp?lirnt lo . ciral pony of rcr mE Os fiv. ltu.dEd &'lld It500).
<br />l, s ow oflh. FoFty, or hy cnrplo)6 wnh was6 s rhcir $1. coop.noior wil! do 1,E wo en $. !nu(t@ b @r
<br />ilrEd.d or ofald tor..l. {Sc ?0a4, BNilB sd PsfsioN Co&r TIE Cotn.&lol! Ltge tts doB noi 49ly lo D oms of
<br />E Ellaly *tD hiLk m irsoE thdq dd who &6 Bn E.t ii@llor hEllf or thoui hi! m ls ou @Dloy....
<br />ForiLd rhlr sh imFrErEB e bt iddrH notu 6r st l[ E)w.lh. hritliry d aFftqd a h! siti'r * ]d
<br />ofotrpldbi! dE owE Builda Mll hat rtE hd.' olFovirg old h. o .lE drd mt hild or iEFIE lh. FDFy 6r dr p(rlos of
<br />-l.
<br />do*E of llE FoFr). d Gr.l6,*1, co.betd€ snh lkaE d.ol,rdm !o olnrud dt Flid (S<. ?Ora. &M
<br />&d hD6.in Co& In. Co tuoii LicN L,* <b6 tul .p9ly lo d oma oaFFry eho boiks or iEprct€ lhd@tr
<br />ed *ho N ri(t3 for 3uch Fojci! rith . ConMon3) lf,.d.d p6ud lo thc Codr!.ld i lr.@ t *)
<br />I m .rdF odq Sclio,-
<br />D .:_ O*tt:
<br />woRxrns'coMPE-NsaTtoli
<br />DICIdSAIIa!
<br />I lE.t't.rm !.dd FEtiyolFjur_ oe oarh.lollowoS {k lnrbB:
<br />-l
<br />h!v. ed will M'n|@ . C.nific.r. of aonsr b S.|a-INUE for wrt6 .ompdrdior a Forid.d aor by Setion 17oo o r th.
<br />L,bor Cod., lor th. Flol]@cc o f rh. @d l.r which rh. Fmir b isual.
<br />I hr..rd $ill ruinrlin *!116 comp.Edn n iMdc. s ..qunqj b, sdi,. uoo of E lltor Co&, for llE psfoffi of
<br />lh. $oll lor $hich rhir pamir so*6 ompo$dio, idule. @id nn Fliy nunts c
<br />.Zuv iQ \VOrt r-\fl{ b
<br />"r*,*,.0.r \J C 3BOuItolCol _*,*,j \a
<br />_l.diry rhd in lhc Ffolr@..orlh. worl for which rhB p6mn ir i*tu.d.l dEll nol dploy oy Fe. i. oy lllmd
<br />s B ro b@E sb6r lo llE $016 ospqEdior hs! of Crlilomir Dd +E thd if I CDUIC bcoE surEl lo 0'.
<br />wrt6' @oFarior FDrisir6 ofSE rb.l70oof th. L.b Codc I ndL adhf,rlh o'Dpl,v wnh $os prDyib6
<br />WARNING: Flilur. io w. rirl6'omp.Mon ut!*tul ed ihdl rubr.{ x oploF to aihind Frli! Dd
<br />.ivil fin.r up to on. hundr.d tkruldd doll6 ($100,0001
<br />Sdrion 30?6 offi. Lltor Codq i.rqd dd dronEy.. f6
<br />ion. dfluB 6 provid.d lor llEr
<br />5-
<br />I Mt rmm und6 pqElty of Frury lhd I m liclE d u.<rn noa(lupld 9 (e,ffiinS wilh S.(ion 7000) of Divilion l
<br />of rh. a6iB rnd PrcfsioB Cod., rn m, hGE E h tull forc nd.ltd.
<br />,-.*"*,'B L?3 LQ TI 1c 21c'2-? a\auu\c
<br />CA!$:EI](fiSNI.!!DAG.ACE!.CI
<br />I hsrby t,rm ur& F.ltyof FJUry lllr lhd i. @.r.u.r.n ladios.*e, br lt. F6rM of li. wt 6r wtitr fii FDi a
<br />is,.d (Se. loe?. Civ C.).
<br />Lndd r NM..
<br />-
<br />La.b . Adld.
<br />AITUCANLDECI.AEAIIO!
<br />I bo*r rtrrD un& F.Iy of Fjlry oc of iE follo*iq dahrdioul
<br />Daelib. P@il!-A$.t6 NoritE rio. Fin-d R.Auhri,N Onk 40. h6)
<br />R.q!@d trfl 6 of Nolificdi.D
<br />-l
<br />cqrit dli Ur t d6d ,!r!l!lb6 i.srdrs lrr.nor lqmvn e Fl Flt$L b rhi F!j.d.
<br />_l cqiry $a I tft lad rti. 4pltrrion sd !l.rc rhr lh. rhos infonnrion n .nrd. I .src ro 6n'pt wtt dl Cty .d Co!,[y
<br />odi@.c6 md Sct. lrM Eldn'B
<br />'o
<br />autbrucrcpr6stdiv6olrhBCilyedco! yto6tqu|r)ndr
<br />sbor. Mliotr d prupdly for 5-\)?&rAppli...l or AA6l Sitn.tu u)r+*..
<br />Y\4 r,!
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorfuenVl nsulation
<br />Roof Sheathing
<br />Shear Wall !^)
<br />Framing itflN q ftulo4 tu-"''
<br />lnsu lation/Energy '_ l' / ' I lri d
<br />Drywall qldet [trn/la 4qt
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar (qifit/d/lJl*4/b T,?X
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif.
<br />FINAL h/9/k W'I ?6
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />-+
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