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BUILDING- INSPECTOH RECORD
<br />DATE ID/SIG.COMMENTS ()wNnR BUTLDER DUt,CAL4 r!()N
<br />I hcrchyrnn undrr ,f,nrlry i)f p.rjury rhi I i'n cxr Dr liu rh. (ir rNnna l-iccn{ l,aw kr rhc t,llosin! icrv{ (S(7{):ll5
<br />Btr\incss drkl Prdl.(\nrn C.{d Any Ciry or Counly which rcquir.s { plnnir n' ron{nkr, trlrd. n$ruuc. dcnn i\h .r rcnri rny
<br />rlru.rurc, frin n, ih nqnrncc. il\. rcqunc\ lhc rnrlicrtrl &r srch lrnnirt,lilc i $sncd sdcnt rhar hcor shc i liccn\cd PuAHnr
<br />ki rh. nmvi\i{'n\ of ih C.irrrcrtr r I-'..iscJ lrs lChrfl$ 9. ConnncNirs sirh Sccliotr ?(x10 of l)iviri{)n .l ot rhc Bu\nr$ rnd
<br />Pnncs i,).\ C(xft ) or rhrt h.or \hc rcrcn!, rhcrcli.n,M rhc hr\k lor rhcrlleScd cxcmpri{rn Atry !i,,Lrn'nofS..ridr 70:l l 5 bt rtry
<br />iftli. rilrnftrnusub|chlhc lmlic.nr ro {civilDcnrlryofnol nrorc lhm fivc hundrrd dolla^(!t(D)
<br />I.r\utri.rofrh.lln,Irny.ur y.rdoy.c\qfh*r!c\r\rh(n\rc.orNo\rrion.willdoihcso'kJrxlrh({ rutrsmr
<br />i c[l.d .tLrcd lir salc (S!r 7(]14. llusincs rtrd PmLs\i,n,r C{rlc -lhc C.ntN{tr \ l-i.cnsc l-iw docs Doi ltPly ro rn.wncr ol
<br />rh. ln,t^-ny *1tu hui \ or i'npmvcl rtErs . rfri Eho der sEh wrk h D\c lr or hc^clf or rh('ugh hi\ or h$ oqn . oyc.\.
<br />nrovnhdrhrlsu.hnnp'ok,rcnr\rrnori'.nlL{orofirr.llntrv[Il.li,lcvcr.rhch!'klrtr8orinprorcm nR,bsirhinonc'tr
<br />of.oNtlcri,,n. Ih. ouNr aui[cr willh{E rhc hurJ.n.l pn]ving rhrr tr or \hc Jxl mr hudd or irrrorc rlE Impcny t.r rl)c IurF,{ol'
<br />_1.r\osncrofrhcpn,F-ny,rrcrrlr\ikltcoirrrri'igsirhli(cn\cdrotrtr.knl.c.n(rudrh(tntcr(S.c7lll.r,Bu'cs
<br />rM lhni:shtr Cdd. Thc Conn.clols l-iccn\c l!$ rte\ nor nnnlyi, rnorn(r oi troNnt $ho build\.r iNfro\.s rhcr.on.
<br />nd x, cotrlmcrst,\u.hnn)J.d\wnhrCr h.ni\) lir.tr{i l)u^u[ n'rhe(inrrrr.ntr \ l,ic.n\c !f,*)
<br />I rnc\.Dfl unJ Sdcri,tr, .a &I'( ntrrhAtrn!{l
<br />Darc (hnd
<br />rtoRKI R\. ( I rNr Pr_Nsaii(,N
<br />DECIA.BIIION
<br />Ihcrch! iliirm una.r ncnrlly ol pcrjuryonc oIih. knk'snrg J.cl dn)n\
<br />lhnvca *illnrLnrairaCcni&rrcofCon{arhsclflnsurct]]rqorkr^'.or0(n\dridr.r(lr.vidctlfubysccri{)n.l7lx)olrhc
<br />ItrtxtrQxlc. itr rhc pLrfunromc ol rhc work t)rshich rhc pcnnir is i!\urJ
<br />rhc sork tur sh'.h rhis pcrnrir i\ issud I{yworkcF conrn nsilio insurrNccrri.r md |r,lit nun$o d.
<br />I.cnilrrhrr $rhc rrrl.nrunccol rhe *orI l,n qhi.h rh's p!nni t n\kd.l (hrlln.r cnrployun, Dct{of inJfy'n]nntr
<br />q' r\ki hc..mc \uhJ..r ki rhr sork.^ .o rftri\rrrn hwsofcrlifttr.ir. rtrdngEc lhrl iflshould tf,r. r sdhFd i,rt
<br />*o*ers $mncnsrlim nnvi\i,,n\ ofS.rri(,n 17(X)orrhc l,rh, Cndc.l \hrll. t)nh*ih cotrTly *irh rho{ Ilnrntr'i\
<br />WAR\IN(; lJ' ur. i, {.trr. N,rk.r\ .!nr|ttr\.(,{r ir.tut. n trf !1. ind shlll \uhj..r n rni/ ycr b flnnnal lf,nrllrs rnd
<br />dil linc\ ut, r{' oR huidr.d rhou\dtrd dollir (SllX).1D0). iI
<br />S.cri,nr .1076 ofrhr lrhtr Codc. rncrc{ rM anoirry'r lNs
<br />rh. co! ol comFr\ rntr,. dx rilc\ ir nn)v (l.d lnr rh.
<br />I hc(hy rfiinn und$ Fcrrky.rpcrjury rhar I rm liccnrt undcr lrnni\ion olChrpr& 9 (..'ntrf,rrn8 wirh SLrrbn ?(xxr) orl)ivi\ion.l
<br />of rhc Burinc\rJnd Pn,fcsn,.r Cud.. rxl mv li.tr{ (
<br />'n
<br />fullLRc inLl ciicl
<br />Itur.tyrfirnrDJor lf,nrlryollrrlurythar rhcrc i(r..n{rucrion L ingrlcn.ylarrhcffllanrrn.cofrhc$orklnrshirhrhnFrn,iris
<br />issucd (scc .l(n'7. ( iv C )
<br />Ixlld.f\ Nrnr
<br />E-tfuc ilD]:rllraAllllx
<br />IlNltyr nnunlcrlcnrLiroiprrjuryrrof ihci()lloqr gJ..lrrxridr\
<br />I)rnx,l'ri(r l'cnn \ \hr{o\ Norili.irir)n l;cncrrl Rogulrri,)n\ r'lirh.lJ. I'xn6)
<br />Rcqur.d lrric' .f Norill.I Dr
<br />_l..niryihrrrltlc(lcrrlr.gdlrtr,n\rcArdir]gr\h.iosisn.vrlrtrcnrr0nli.xhtut'rhi\pxrJtrr
<br />I .r'rir! rhxr I I'x!. '.n! rl, \ ,t)d.rr Ltr' rtrln htrr |,trtr[ru, A (oiic.r l rgrN k). f lnly wirh rll Ciry r ] C.utrr,
<br />orh rtr.cs trlSr[.l]ss rclilin! n) iltli',9.,hr.hy drhoriz.r9r.\enrdtrcs,,llh\ Ciry J Coodryt,c0rcr utFtrrhc
<br />rll)lc nrdrtrtrr.d IrR)|t y nr \F.nor ntrry'
<br />,\A ir nt or \xutsixnxh'n
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsu lation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Itrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Cenif
<br />FINAL /-L\,lt J16ol-(rr)
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />SITE.WORK
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