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BUILDING. INSPECTOR RECORD SITE-WORK DATE rD/srG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Roof Sheathinq Shear Wall Framing lnsulation/Energy Drylva ll Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif. A. FINAL t-e- 11 I.U{r0 Certificate of Occupancy Notes, Remarks, Etc OwNER BUILDER DOt-iCAnr{TION I hgctir ilEm und6 pd.t, oa Fjury lhd I d .r@pl fiom rlE Comr.<!d Ltru t $ 6r r fdbms lB'n (Sa 70! I 5 asiB .d Proa6b. Cod.) Any Cny or Coulry stth r.qut6 . Fri 16 @rrdq dt-. inFoe dqnolGh or qnn uy ,M6r Fior r. iE iw.. dto rcqun6 lh. .prli(d for.uch p6ur b fiL r 3i8n d nnGml lhn lrlr dE ir lk.B.d Fmd ro rh. Fors66 ot th. Conlr..tq ! l,ienr.d L:w (clrF6 9, Cotuft[g *ii Sdion 7000 of Divition I ol ,t BdiIB ed PmfdioB Co&) n rlEt Ir q ir b a6qr rhd.6om od rtE bGir for rlE dh.d qoIption. Any viohio. of Sdrior ?01 I 5 by dy .!rli.{,r tor ! Foi 3ubjel! th. .pplksl to r civil pdlly of.ol tuE fie 6!. hun&cd dolLtt (1500}. -t, B o*G otrlE FDrary. d ny 6rpht6 rnh $.96 s rh.n sk..mFsdioi. *i! & 0E *trIad rE rruciw n ml iddLd or ordtd for d.lSE.?044. Buind ed Pmfeiiod Cod. Th. Conlncloi ! tk.u l!* dG not eply r. o otm ol rh.pltlqiy vtr hil} m i,rE!6 thdan !d *tD &s $n s* nini.lfor lEElf or llnDush hb o nc on mDloyq Fot i.Ld thd $cn iBFffi & ml irdrLdsoltsql6. d..I( lssd6- tlt tuiung or inrFwaih ir $B sithin oe )u ofotrpk b( tfi. o\^rd Bdlla s{l hrv. ilE h{dd! oaFrrnB rk lr !&dn d hiBo. dqlt ttE FtFr} 6r EF,Po-ot -1. Bown or r Fpdty, md.l6iwlyoddrS rnh li.o!.d com-t@ lo mn6M rlr FtrF lse. 70,14. tlaI6 !n PDisir cod. Tn Conr,..lof r l.i..e kw &6 mr r9pl, 16 e o*na olprcFly who huld! o. i@prov6 (h66n, ind uho coolr!.$ adsu.hFi{! wth. Codtuo(r) lt.B.d FlEsr lodE Codi.dd,li.@ l^) I @ irmfl !8ld Sdl //u,l ?" DECIJSAIIA! I h6.!y illm uid6 porny of Fjury of,. ofih. followin8 dclddioN -l nN !d *'ill Minr.i. . Cdiar.t. ot ColEt lo S.lf-lNurc fc qnl.r onrp.nEln'n, s Fsvitl.d fot by SEI ion .l?00 of rh. ljbor Cod., aor th. Ffotu. o f th. wort aor {rri.h fi. Fmn i! 6u.d. -l h^. .nd Bill ruintjr *0r[.6 con{tstln n isurlocc. s ,.qun.d by sdrion ]r0O of rh. Ld{, Cod., for rlr Ffolffi of th. *orl for *nkh fiL Fnn b isrd. My wtd' onFlriin itutr. sit rd Flt, nudtE ,. Erpi6:- -l cqr!ry rh.r in rh. Fhlrj@. of rtE so.l lor trl*h thir Fmil i! i$!.d- I thtll Nr nnploy any !G$n in dy @6 $ s ro b..om. slbjdt b lh. vott6'comFBlion las otcd'fom6. dd.sr rhd if I tlEuld b6oc sti.d ro rh. mrt6' onFBdion Fo$ioE orsâ‚¬ron l?00 ofrtE lrh{ code I rlEll, fo,rhsnh otpl} sith rh6e FovitioB. w RNTNG F!il@ ro s@ mrkd' comFEdior covdrsc n uhwtul. t d lll slbid u 6plo)q h ainml Frli. !d .ierl find up ro oG hundr.n rhou$d &,lls (il@.000). rn tddnio. lo dE d of GonFElnr.- d!r.s6 6 Forildl fo. lh. Sdrrn :1076 ofrh. Lrt . (-odc inldd .r!d.rt(]l6 3 f.6 Drl.:_ _ __ !f4JJaAr,t0! I hdl6y .lfm u'xld p6.ty ot Fju.y th. I e licq!.d u.& Foyiion of chlflg c (snt6n,s wnh S6tb. ?00o) ol Divnion ! ol E B6i,B dd PDlsioN Co&. a'd ny lkcB L in tull lo.c. nd dfcl LicN CIrs - !0!EIAX(Jlq!..lf!DlIlc-6GE!(I IhdltD m udd Fulry ol FJory lhd th-. ir s mnrrudior lalins isdcy for fi. pdfolrMc. of lh. wrl tt. whth lhL lEmn i! is!.d {Se 109?, Civ. C.) APPI I('ANTNE('I AEATION I hddry lfm undd pdlhy ol pdjury onc o f rh. followi.8 dclmrmBl Damhion Pmns-Albdrs Nol'ncdiin F.d6il Rcsuln66 ( Irl..10. Pd6l R6iuncd ldr6 of Nditrdbn -l .oriry thd th. lcla.l r.ruhlioN Esrdi4 Gb6loe Enovol ar nor iptlicabL ro thit Frj.<. -, (dit rhn I lIw Ed thir .+?la.lb. rd s,l. rhr lh. rt E infonn lroo i, cotdl I aSrc ro comPly wnh .U Cny a.d ('oumy ordi,e6 ud Sr c liq chliig to boildi.g corstudioi. rxl lE by ]nb@ EF..6nriv6 oafiit Cny rd Co!!i,lo drd !ro. dE .b.v.6rio..d FDFiy ltr iBpdion F4oGtl App,,o orA.o,sh,,lE :L*t"1an1." rlLriel ^" al/2y'/I Pm.erm.(pnno, d' II Subfloor/VenUl nsulation