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BUILDING. INSPECTOB RECORD <br />SITE-WORK DATE COMMENTS OWNER BUTLDET DELCATArI('N <br />I hcrcby uf[rm und.r Fn ]ry ol rErjury rh, I m .knp' f^rn rlE ConBo6 tNnf, bw lor dE folbpi.S lEon (sd.7oll 5 <br />Busin.ss 4n Protiirion Cd.): Any Ciry or Counry *ntl r.rtuiEr 0 rmil r. conrrru.l. alrcr, impor!, d.mlish or Epon any <br />nNdur. Ifltr ro ih issuarc., iho rcqutcs lh. lpplicul lor rlch Fmr i. fik ! srgn.d ilrcd.t lhll h. or srE ir lir.nrd purum <br />to th. pmvnions of E Conrocrorr Lkc6-d bw (Chrprcr g. Cootu i.! wirh sccri'n 70q) ol Divili.n I or lh. Busics dd <br />P,ofcsrionr Gldc) o! lhd lF or rlE ii cr.npl rhd.iioh 0.d rlE h.rn ror rlE .llc8d .rcn{rion. tuy vhlrrion of Scdbn 7o-r I 5 by .hy <br />op4li..d ,or r Fmn \ubj.{c rlE rplli..nr io r civil Fnh y of ftn mE th.n fiv. hldrql &,lh,e (15u,, <br />I. * d*er or rlt I'oFnr. or ny .oployar uilh *.3.r ti lllr s,E o,r{End in oill & dr *qt !,n dE (dM ir mr <br />inrcnd.n or olT.Ed for .k ( Se 7{X4. Aurift$ Md PrDffirai! CuL TlE C..rdor'r l-rctrc liw &xr n .pply t6 !n oekr .l <br />rh. t,nlEny whl tnikk or nqhB rr.Nn!, sri *ho.kB rhh *'.t himrcllor h..rlfo. <br />'hmu8h <br />his o.lE. orncmploylca. <br />proridcdlntrr iuch nrrmEmnls m ml inlc .n o.olIcrsl fin {l..ll how.rcr. rlE htrrLti.8 or itrgrokmnr i$$ldwilhdonc,tu <br />ofconpkrx,n, rtE O*ncr Auill.r willME rtr hr&n oaF*irS rhc h. or nr dil B h{iu or ll{rcr rh. ptr,Fn, for dE I,urlnsof <br />lnd *lx, o rkG for iuh l,mF(B w[h. Conturorls) l*.n.d <br />;:,:7W <br />I h.Bb' rlrn unJrr p.ulry of Flury om ol rtE fol[r'inr &. <br />I utc dl will nsinriitr , C.nirrlrc or Conc.r to Sclf l n$.c tu Rtrk.s $orFo$ri(,n. $ Fovilcd for bySdhn l?u) olrrE <br />Ljtxr Cdc. f.r lnc ncrlormrcc ol rhc wo lbr which thc psmil ir rssucd <br />I hru lnd r,ll .htrrrtrr *orkcr\' (nl*trlrron <br />'n\urnrtr. rirqumd h!Sc.rtr'n.17(xIofrfu lrtxn (idr ntr rhc ncrlo@mc I <br />rh. rork n, rhrh rhn rrnnir '\ ^\hl I\l) sorlcn oi{[nsron rn\uram..M UrlFnf,!nunb.rr. <br />-l <br />enily ihxr itr lhc FrfornEmc ol'rh. work for which rhN,rrnrir tr issucd. I shnll hr .nfloy any p.Nr r rny tun..r <br />yr A b l^L h rhi t, rhc $o,l(i (nqxnvrion [sr ol(,liinrtrid. ord 03N rhlr iI I G)uld t {am qhFr n, rhc <br />ro*d! d ryxnsrhn rftvlrir6 o( $db. 1700 of rhc trh, ('od.. I {ull mrpD wnh lb! DrovtioB. <br />l! obFr dipt rd ro oilinol FElir .d <br />)r.oqEnsrioL d.mg4 ! FDtn.d lor rn.ivil fiftr u! b or hu,nr.d rrEu{,rl <br />S(tDn 1076 n,rvt trr Cork. h'crc{ <br />".,* 1/zE /z I/t <br />."**ft' <br />ree!6"r, <br />urlrt&lllQr <br />I h.rby ilrB und.r FEny ol Frrry td I d liro..d uti|.r rrviri{ of Cllpro 9 lonm*inE $nh Sdrbn 7Ur} ot Divirbn l <br />or itE BuriEr {rt PrDf*irB Cod...d dy li.E n h ftll n N an dlar <br />COISIAIJCIIIIUJAOIIEIGEICI <br />I lfE!, nrmr ui&r Fdy or Fir, rh.r tlEr i! . otarsrlo. hndnl8 r8.ry lo llr Ff.)lllre ol <br />'rE <br />wt for lhrh rnn Fnl i <br />i.rud (Sc 1097. Civ. C.). <br />AIIIIqAXI.IIECIdEAIIq! <br />I hodry.trmudd Fn.lty of Frrry or of E lollosin8 d.(Lnri.,.r <br />O.mlirirn P$ndl Arb$ror Ndrrk{ hn kn nl Rc$lntirnr (Tirl.lO, Pd6) <br />-Rcqutcd <br />l.tl.r of NolifEalion <br />_l &niarrh{r rhc rcdcru! Esul,rbn! ErudinS ushc{or rum,vrl cE mr q,fltshk to rhirtmFr <br />I cqlilr rhil I h.r! rcd tht lmli.ri'n !,n r.rc inftldion tcoRl l{t E b 6lPl, *in r[ CtJ, .rd &dy <br />_:'jrud:ordEmcr r.d srrr.l,s. E!'rin3 lo boildin3.onsl ,.urrDtuc rcprcrnrart <br />rhr. mnrtrtrrl p(,p.nv t,4Apnlicanl o. A!rnl Sitnslu <br />o e)2 a2/4tr>1tL <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/Vent/l nsulation <br />Roof Sheathing <br />Framinq <br />lnsulationi Energy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />lVlasonry <br />Pool Fence <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />.7 <br />FINAL //il/N ild,44 2y6 <br />Certificate of Occu pancy I <br />Notes Remarks Etc <br />ID/SIG. <br />-1. <br />as o[E ot rrE F,Fny, m cklnnkly o dri.! wnh lirnsd onx16 b ond.lcr th. F)F (56 7O+r. a6!Kr <br />anrt Et{.rd Cod., TIE Conlrlo. ! LEn€ L.s das mr {Dl, ro o ovH or pmFny rho blilds or in4.oEr rh.mn. <br />l! <br />Shear Wall