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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall ,A\
<br />Framing t*Jt- l\i .lt {tc'
<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 />En gineer Final Report
<br />Flood Zone Certif.
<br />FINAL 2-27-/7
<br />Certificate of Occupancy \=
<br />Notes, Remarks, Etc
<br />O\T'Nf,A AUIDER DEII'AR TION
<br />I hddy rafm un& Fulr, oI Frury rlli I m d6pr 6os rhr Cotn[.Itri l-ic.n!. Iiw for rn lolLwins td)n (Sc 70] L5
<br />Bcin* and Profsio, Cod.) An, Cily or counry snich r.qui6 r tEoi to @nntu i rnd, inqor.. rl,blirh m lF.t o,
<br />nruduc rior to tu i!w, .Lo Eqd6 llr +did aor Nh Fnn ro fik . riaD.d rraE{ lhr ll or JE a licq!.d F,o!r
<br />io $. F.6ioc of dE Conrtu ! Li.!tr!.d Lr* (Chqlrd 9. ( onmd(ir8 $ nh Satio. 7000 of Dirili.1n I of rh. BBind Dd
<br />Pmfdioro Co!.) or rh.r lr d dE n ckrpl rbqcfron ed rh. bai! fM ri. dlqqt .rmFhn. Any vi.hrion ofsdnr 701 I .5 by iny
<br />applicur lor . Fmn rubjds th. .ppli.6l lo . civil pmhy of mr mE 'hu liy. hururd d.'ll6 (t500)
<br />_1. 6 o$ffi of rh. FoFny. or mt ddorG $nh $136 a rh.i. $1. omFlEdtu[ wiD do ,E Nrl dd lh. tnrlw ii ml
<br />intod.d or olrdaj for eaL (56.?014. BailB sd Pmfaliod Cd.: fiG comrlcror'r l,iw le &16 mr +pl, lo a oYc ot
<br />rh. FbFty *h. hil& o ir!..rq irE@o, .d $l'o d6 srn rnrl hi@lf or h.elf or dmuSh hL d hd ow mplo)6.
<br />ForiLd rhd Mh inFordffi E d iddrLd orofi@d lor $]. l( t(*@, Lh. liildiig or ihFordMl L sld wilhin onc,6
<br />of.onpkira th. Owns Buil& *'ll h.vr ihc hdln of FlviI{ thd lE or Jr dd 6r hnu oi mFo\r rlE FDFi, 6r dE F,Fc ol
<br />L a o{c ofrh. pr.pq!y. m.rcluiv.ly cotudin8 trnh li.dlcl.o rdo6 ro otaM rh. Fllcr (Sc 7fi{, It6!6
<br />od fr!to nCo&: Tn. ( onkrdoa! l,ictu l,* &,6 mr $plylo a os'nq of FoFr| rho b{ild! or inprc\d thmn.
<br />ed $ho .ondr fd rxn F!i{3 rith . Corrfto(i) la.nr.n pusu.,rt lo rh. Co Bcrrl LicG Lrw).
<br />_l @.rmfl u.dd scrio..
<br />\oaagSs:(ouEBtAlq!
<br />DTCLANITI(,N
<br />I hd.by lmnn und6 polhy of pqjury on. oflnc lollo*m8 ddls.rniE
<br />I lEv. &n s ill minrlin . ( diaE . oicol$t b S.ll-lsurc for &rl.n @nD.n!0tnn\ s provid.! for bySdto.l70o ofth.
<br />li$ c[lt. Lr rh. p<fo,I@.! or rhc wort for *rri.h rh. Frnn i! isu.d
<br />_l h.rc ..d $ill tuinrtin wdl6' .!op6.rio. i6uft.. a &qurcd try scrion 1700 of th. bb.r ( od., for rh. psfomm ol
<br />rh. *orl hr shicl, lhn Foir i! isu.d. My workd. @rpardrcn nsue. crir rld polty nuhbd ..:
<br />-l
<br />cdiry lhlt m th. Ffor1@c. oarh. work tor whi.h Inis psiir $ i.ru.d, t .16ll no( mpb, m, pde. in .ny nffi
<br />$ ar to bc.on rubj..! ro th. wort6 onFsion I!*r of Glif.hir .rd .8r lh, if I nDulC tE(oe sbdl lo llr
<br />${rld onpdMi)n Fovirio6 of Sdlio, lrm of dE trtltr (irla I nrU. tonh*ith comply wiih lho* p..vi3ro6
<br />WARNINC: Flilu.lo suc *orld ompssarion cov@s. i! unlautul, dd rhlll subr..r d dphla ro dininit FEhis rn
<br />ci!,| fin6 up lo orc hun&qj tholMd &lls (ll 0001. in rddnion ro rh. Nr of.onF6dioa d,rB6 6 F!!il.d for tn.
<br />sd!r.10?6 orrn lrhtr ccL rr6d r,xl
<br />l.r[L\4.\Ll9r
<br />I h@by dTm !o&r Futy oaFjur, lh.r I e krBd un<b Foliion ot oEFd 9 (offiiqt wnh S6li.. ?000) or Dn uDn l
<br />of rlE BsiB an Profdio6 Co<!, !i iy lao& it, tuI rorc !d.{f6r
<br />6
<br />/a 8,
<br />colualllllolLturl! c[lc}
<br />I hdtb, arm u.dd Frxy of Fiur) tha th6. ir r.odo.lion ldint i!o.y for th.Faomd(. orrh. "ork tor trtEh rhir Fni| a
<br />i.ru.d (Sa 1097.( iv C ).
<br />attlJtall.lE(liSAllll!
<br />I hdib ttrd uddd pquty of Fju r. oc of llE rolb*ds d.cl,,n t a
<br />D.mhtFn P6miteArb6ror Nolincd ion Fdldrl Rc3lld iont ( rnk 40, Pan6)
<br />-R.qurcd
<br />I Grrn of Nor,frrii
<br />_l .qr,ty thd rn. IcJsal r.tllsrroE rqedir8 6lEro. rmn al !r. nor q'?lrabl. to
<br />'hs
<br />p.oJC1
<br />_l cdri6 lhd I h.\. r6d lhE @pla.r n arxl sr!(. rhr ih. atr,\. tr,Io'n'11trr, i\ (fnc-'t lrurt'r.iIi y trirh.ll ( ry !.d (bunrt
<br />) &a ( ouit ro 616 qr,n rlEo'Jtr,rr(ts rtrd Slir.l i\s 'chl'n! ro .lnhrn,c rq'6sndn6 o f rh6 ('n
<br />ahtr. rMt.n.rl proFn! fo.
<br />,1ptli.rnl u. 1E6r Sitniturr .7/,)-;/[ </V
<br />zz/tz/t
<br />Erection Pads
<br />*r.pzz/ze -
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