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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNEN BUILDEi DELCARATION
<br />I hadr' .llm Mld pa.It of Fj!,y lhn I n adpi toi dr Comtdo6' Ltow t$ ,or tlE followil8 laln (SG 7011.5
<br />Buri,6r !d ProfdEn Cod.): Any C y or Coudy *trh rcqut6 . Fm, ro odtucl, rlls. mprolc (,aellh ot l1?.n uy
<br />1rumrc Fbr to il! isuec, .to ra$t6 rlE +pli.ut for !u.h Fhn to fik. *i.d tladEn thd h or rlE i li.d!.d Fe.d
<br />ro rh. FtrruioB ot fi. Co rdot L.d!.d t * (C1Dfl6 9, Co!m*i.s rnh Sdion 7000 of Diyi!i,! I ol dt 6qiE !d
<br />PDi*ioG Cod.) or Ih.r tr q rlE ir .rmpl rlE froo dd llr hdlir ld lh. a]lcsal q6Fion. a,] vioblhn of Sdbn 701LJ by dy
<br />!ppli(&r for ! Fnit lubjdr rlr @plicol ro r ci\ il p@hy o a@t mor€ lho fi!. hundr.d dolls! (1500)
<br />I. s o"c of thc rroFly, or my dploy6 w'rh *!s6 a lno $L smpauion. $ill &, $. q,l &xj llt lrn ce. br
<br />i.Exr.d.rolra.dloreL(sd.7044,a6in6ddPmfdio$Code'li.Contdor'3Lir@l,wdoBml.pplylo6ou@or
<br />rh.FoFry rh. hrlkh or nq!\€ tlE@ rn *lI' d6sh Nn h@lf or lErllor rhmoeh hit d lE om ddoyc '
<br />Fovid.d d uh ,lqo\ffi ft d !rs'd.d q dH tor sL. ll lEFs. l,iE boib,S or inp.orqEr i 5B *ihin ae )t
<br />of conpLtu. tlt Osn6 Buildlr wiU hr( tlE hrdo ofprolau thd lE or d. did ml hoild or mFow th. propd, fo. tlE purPos of
<br />L s o*ffi oarh. prop6y, s crclurvcly conlticl inB wtrh lKdld codr!.1d6
<br />'o
<br />6Nrud th. FsJ.(l (Sa. ?04.1. E6rB
<br />!d EDtu ib Cod. 'th.Co.ksror'i l-i..ro. tiw do6 mr.pplylo down6otFopqlywto build! or inpro6 thqo..
<br />ed $rh onet for sch FDj.rlr wnh ! Co'rr*o(i) lic6E d Fru!! ro rh. Co r(.is Li@ L.w).
<br />I en.r€npl undq S(lnnr .-.l| A l'( nr rl'Ls '$!rr
<br />()ind
<br />uaa :&5:caurE!!afl9!Uigrrl UgX
<br />I hd.t y r,fm s& Frhy of Fpry oE ofrlE follo[E3 &ib.lFB,
<br />_l h!v. dd will roi.tain . Cdrificatc oacolMt lo Sclf-lnrurc aor work6 codpasdio., a Fovidcd f.r by S4lion 1700 ofln
<br />l&, Co&. fq rlE Fl6lrra. olrtE s.I fd *h.h
<br />'h. Fn i 6u.d
<br />t9'",. -o *',, ."'","'" -0116 codp.Brr'a. Gdm... s r.qutr.d by sEr$n rToo orrh.Irbor codc, ror rh. Ffolljec or
<br />rh. sorl lor uuh rhit pcf,( ! qad Mr so.ld omFuod Eulfr. ffi, rn po[(y n@ba E.* LtWr&
<br />"...,*".*wA'ld.l1Aq,552:7dzb 0.,- [D l 2l
<br />N9, .-,rr,n", i.,r,. por.,im.c orrh. *o aor which rhir Fnir ir isu.4 I thtll oor @plo, oy Frs.n r uy mNd
<br />$ Brobromsu6rrofi.N 6'cooF6rM lr*! ofc.lifomi..nl rgR lh, if I lhould haod $b6t lo ttE
<br />mrt6.omFMrionForiEBotsdnnlT(rooldEllbdcod..l!n]lfdi*nh6nF!*ntfiorFouirioa.
<br />w RNlNc: Failuc lo Bu. worlq compaldion covr.8. ii unhwtu!. Dd rhdl llbral e dploF lo aimn'il Funt ed
<br />c'vil fin6 up to on. hurncd rhou$d &lla! (1100.000), i, rdnnhn lo rh. cor oa conp.Mlion. d&$s6 a Fov'4.d fo, rh.
<br />li.rion 1076 ofrlr tlborCqr.. i d.nd dkny.!'i f6
<br />DECIASAnAtr
<br />I h@by lmm uid6 F.aX, of Frlury rhd I m licarat u.dd Ftrvnion of ChrEs 9 (comMcd* wnh Sdion 70m) oa Diliiio. 1
<br />oa th. BGi6 &d PmfdioB Cod., dl m! li.e b in tull for. drl.llalc to Q111s6
<br />,r.," t+Lq L\af
<br />calsrBu(]lo.tt-Ll:liDllclcElcr
<br />I hcby .mrm uido p.,ary of Frury rhn rh6c ! i (.stu.lion bndirg l8dcy tor ih. psfotrlffi. of Oc *srl for *t'th thit Fnir i!
<br />islcd lss.1097. Civ. C.)
<br />Lrrrld . N.rc:
<br />AIIII(AILDIi(IJAAIIII!
<br />I ha!6t rrlm und6 Islhy oI psjury orc ol rh. tollowirs ddb,al{nt
<br />Dnrch.n P@nr-Albdor Ndiicdi,n f.d6rl Rc3uld.B (TnL.l0. Pan6)
<br />R.qun.d Ldrd of Noi6cdlion
<br />-l
<br />cdiry ft. rh. Ldcrl Esultri,N Errdin3 lbdor lgmv.l e ml +ti.rbL lo lh! Foixt
<br />hG .-,0 ,a , *. -o ,* lpeltsrbi .rd {.t. rha llE .!ovc inron ,rbn . cold. I .sE ro sndy wnh .u cny.ld coudy
<br />odiffi6 ud Srar. l,*3 rcldry ro hrildin*tul[rn rc!..sdir6 of thir Cnr !,vj Couny lo dnd i4on rlE
<br />at !. mdrion.d prolHy for
<br />^ppli..nr
<br />or ARdr shn.iur.
<br />l,rnnn& Nn.Iprnrl): N \bai"
<br />\zOzl
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<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 Lhela J,A +7c't
<br />Certificate of Occu n
<br />Notes, Remarks, Etc I
<br />,,,r,.+ 2q L\
<br />Flood Zone Certif.
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