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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNl:R BUILDER DETI'ARATloN
<br />Ihs.t\lrtrnurdFully,rfFju.yrhdIm.r.nF&!nrh.(onlr&loul.t.El.qtulh.rolL*i,slaJn(Sd?0rI5
<br />a$'n6r dn Enl<b. cd., A.r" cny .. Coudt shkh ratun6 ! Fnn lo codruct. .ts. idFolq &tmlih or redr m!
<br />shdu.. Ftu ir r isu c.. il$ r.qrr6 rh. qdad for such FEr lo ,iL ! 18..d srddmr $, h. or rh. k licoEd ruNUn
<br />rd rh. Fovi.ioN otrh. cont..knt Li.. .d ljw ((-hrUd 9, (on,D.ncin! $ h s.clion 7ur0 oaDivhio.I olrhc 8sin6s .nd
<br />PmfdioN Co&) orrhll lE or slE 6 crmpt lhdcfrom o.d th. bcln lor th. alkr.n.ranpr'oi Ant lioldiooofsal[n 70:l I 5 bym]
<br />@plicet tu ! p.n r subjclr th. tppliclnl lo t o\ il Fuh, of Nr mE lhd ft. hoftlral &lla (15001
<br />I, 6 oun- of rh. ,,oFny, or nr, .mploF6 s h e0sd s rh.ir e,l. comp.root Fn. { ill d.r rh. uoilxl rh. 3tfld u. E nol
<br />iddrldi or 0lT6.r! lM $L (S( 7o4.r. BuioN ed t'rol6irN C,rL l h. c.nkki..s Licru lj*' do6 ndr !ppl) h d o*fr ol
<br />rh. FlId, slr)h l3 m i,r'aFE rlE6r rn ub dE un s!* fimklror lr'*lf or rhtuah his or lE otrr od(')6,
<br />Fovddl rh such mF.\tu! !. m( ddrtal or olT.d ror $k rl l$tr6a, rlE hilrqg or inqu\tld B $tl\ ihi. oE ]6
<br />ofcomDlcl krn. lhc Gvn6 Builds wnl hlvc lh. hda or I'urrs rhi hc or lhc dd nor build or nqm\r lhc Flr,oly fot lh. FnF,* or
<br />L E oue of rh. rroFry. m .rckn.lt codrd ins $ h liccrkd codrdoG lo codrucl rL pmF (sa 7or-r. BG!6
<br />a [\.Eshn cod. I h. Contrcktr 5 Licosc l-aq' doB nor apply k, M ownd ol p.opdy $ fio blilds ot mpmvd rhdq'n.
<br />and trho conl'rtl for such Fojdr *nh, contad.( s) lt6Et{ ouRwl to rnc ( ontrxroi. Li.@ Ir*)
<br />Io.ropl u s sdi,.
<br />Drt. (hner:
<br />laariE85:grufi:lsalro!uigllarar
<br />I hr.b).m.m undd ,..alrr .f Fjlrr onc .a
<br />'hc
<br />lolL\l.t8 d(lsrlotr\
<br />I h.\. !d sill
<br />'E6lain a Cdrf{.r. of Cdnsr h s.lal@.1o. $1trlc onF6dion. N rrolil.d aor by s<ton uoo of !h.
<br />t hr ( ode td rlE Ffffi. of lh. urnl ror n'irh rh. FEn ir *!a!
<br />, hav. and srll mr'nrai6 $0116 co,np.Barbn insurrnc.. s r.qtrrcd by Ssr it)n 3700 of rh. lrt$ (ixl., for rh. pdLmanc. .l
<br />rh. *uk for whrh lhb pdmn ir Kd My trorlsi (omp.$dion nrurN. luF t*l F1l(t numb.r .
<br />I catiry rh.r
<br />'n
<br />rlE Ffotrl@C ottlr *.rr for $h(h rhar Fm n M.d, I J l mr dFhy u! pqen m dl nmF
<br />s B ro hcoDc aulrd lo rlE $$ 6'onFgnion l.e! ofcdifomn. ind ts6 lhlr ifl th.uld beom. sqd ro lh.
<br />trort@'conFsrio.provirirEofS.dionlT00ohficltborCodc,l!6ll.fonhsnhcomplrwilhlhoeriotisioB
<br />wAlNlNC: F.il,e ro $@ $rkd .omladion $r.6r. i! sL*tuL .,rl ddlsubrn d o,lphln ro dmml FEni! ed
<br />cnrl nnd up ro oc hund!, rhounld dollB (tlm. xrl i. xldnion to lh. cd orconF6.rior <l,,ue6 a Fo\d.d for rlE
<br />s(1on 1076 ofrh.t h.r cod.. inrqtg ud drorEy rf6
<br />ulrMqcqllaAcrua
<br />u,lclAf,alla!
<br />I tdby amm!nd6 psEltyolFJuryrh6t I m l,coE d u.dd Fnvirion of( hapt6 0 (conmdc,ns with Sdln.7qx)) ofDilkkt l
<br />of rh. Irsind dd ar.fd$B ( odc, sd Fy IEN 6 r rull to,c. !n .ftdl
<br />(a!flaucrl(lNrt;lllldc]cl;Ncl
<br />I hsrby .ftm un& FElly o t F)ury lhd rhd. ! t .odtud.n Lnduu .eftt f.t rh. Ff.,lrl8. ol rh. rlrk for { hih $n IEni s
<br />is.d (tia loe?. (-iv C )
<br />AIITICANLIIICI.A8AIIg!
<br />t hdlby.JIm unds pdrlry of pdJury on. olrlE folbwin* d(lmri,nr:
<br />l).mki,n P.mn$&bd$ Nonfic.lioa F.dal R.subl{G(Tnl.40, Pd6)
<br />R.qur.d t!16 of Nolifrcdi'n
<br />I c6 rE $d rlE t dqrl Esuld ioB G*&dins atdor romr al r. m{ <pl(!bL b rh6 l,sl.d
<br />Icc1'lyth l na.rodrhis r ,lr.rion 'nl $ar.rhd rh.ibv. inn{in ion irrotrd.l r*ran'(omplyrv hall( ir}.6d('oonr)
<br />od,mnc6 md Sr.rc,iws r.brins u hrildins .oNrtud ion. dnd hdcby durlnniz. rq,Mtaln6 orrhE Cily$! ( ounry kr drd uF)n rh.
<br />r. nHlon d pop.nt for iBlErnro prrp(c
<br />Yppli.rnl or asml slsn.lure \
<br />"p"-r,--..rpa"r, -f#;'N+{ N6 uzEN X" ot/ra,4e
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lns u lation/Energ y
<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 />Flood Zone Certif.
<br />/'t\
<br />FINAL Lf-l7.lk v-L.il1
<br />Certificate of Occupancy l_/
<br />Notes, Remarks, Etc
<br />U FER Ground
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