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BUILOING- INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII,DER DEL('ARATION <br />I lE t, .mm und( pa'.lly oa IEJUTy thd I a RdF fmm th. (ol raloR Li.6u Lis for lh.louosin3 r.&n (sd'701It <br />BGind ud ftofdFn Co&) Ary Ciry m Cou,n! \ntt r.qun6 . Fni lo oritu( .hc. i,pro( ddElisb or r9.n mr" <br />.ltucruc Fh, ro i!3 Bu.N. dro ,.+iB rh. At lta for ru.h Fmi k, 6k a dcicd sdd6r lnn E o. ilE ir licqs.{ pllsd <br />ro llE Fsvili.B of tlE Conrradoar l,i..tr!.d hw (clEpra 9. Comdcins wirh S..rion ?o)0 ot Divisiot.l ofrtu BBincs lnd <br />t'rof<ions (od.) or thtl lE tr sh. ir s@fl rhacnom ed rh. b.rt tor rlE .lLs.d d@ptioi Aly lioldio. o I kdion 70115 by D, <br />.!?li.dr ro.. pqnn sbrds rlt rrplkd ro . cilil Fdhy of mt mc thr nv. h!.rt.d &lla! ($m). <br />l, a 0*6 .arhc FiFdy. oi my .nploy6 v h wrs6 a rhcn $b cdmtaBalron. will d. ih. *orl d tlE nNc1rc ir n'l <br />id6&] or.fidrd for xL ls€.r0.1!. Bcnld ed PDfdbd aod. Tt Conlrrlo.! I jcoe ta &6 nor eply to e 0*6 of <br />tlr FoFry slrh lbtr rV.oE lnm( rn *h dc *n sort hi,elf o.lE*lf or rlNust hn ( hd oen.rnpk']G. <br />FoviLd rhn .ct inF!\qEr' d hr rrqd.d or oltud tor !L l( tF*nq, rE hrid'B or inFnl.trd ! $tl $ihitr ox )solorpldi',, ,E O*.a tilildd will h*. $. !(br of Fnvi.s thn h. or lllc dA mt hild or inFov. thc FoFy tu t FlrpFof <br />l. co{ffi of rh. rmFry, m dcl6irrb-' codr.dqa *!th tcqed con,..1os <br />'o <br />qlsrucr rL FDF (sa 7or,r. aGffi <br />.d Prois& ( o& Tnc Codrd.ii l-i.or. lrw do6 mr rpplt to u dwn6 oatrord y who h{ildr or ihDrov6 th66a, <br />&d *ho conlrEr! tu 3uch Foj.cl! wirh a Co 6clo(sl licau.d p!R@l lo lh. Co.t!.lort l-'.cM ti,) <br />I crdF un&r Scrr. <br />l).lc Onner <br />\t oRt(I: ras' coilPltNsa I toN <br />ol:(Lalauar <br />I n6.b\ .lnrnr und6 !.Mt! ofp6,u^ orcof rhc tolkx\ mr d(LTdhN <br />I h*. sd will minrtif, . Cdr ifxar. of Consr ro S.lal trlur. for "!rt6 comD.Nd ion. s rovid.d for q_ Sdrio. 17m of rh€ <br />t bor Cde for lh pdrolrj4. of ilE $.rt lbr *nd th. Fn( ii e.n <br />I har. .nd tr ill mlintiin $ orts .orFEll o, iNuranc., s r.quu.d hr s(lFn lr 7tu 6lih. htrtr cod., to. rh. Ffonn.B. o I <br />th. work ror shth rhir !66n ie iq6t M, wort@ cohr.nsr'o. i6urd...ni6 d p.li.y nunbr e <br />I (dift rhd i. rhc Flolrju. oarh. sorr aor shth rh$ FDh ir isu.d. l rhrll n aph) u! F$n ,n Mr mdF <br />r Blo bqoc tubrEl lo lh. *ort6'q'mFEion lru! of ( lhtoru- drd laE rhd 'rI rlbuld t ..ft suqd b rlE <br />Mdd coqEqrion prcvnioN of sdion 1?Ooofrh.lrEf Co<tc l rull, fodh"irh.omply urh rb* pmvllioN. <br />WARNINC Failur. ro su. sod6 rcmFN.lio. ov6.r. i unhwful. dd Jr.ll lubjc.l m Enploys lo cninn Frhi! dd <br />cnil 6n6 up ro oR hu H rh.usn <br />lidrion 10?6 ofrlE lrtu Ccia in'd <br />I'l .ddnion ro rlE con orcorpsshon. &rut6 a Fo(ictl f th. <br />I h6r6r lrfm un& Frlry otFlury $a I d lrcqsl undn Forisn n or()uFd 9 (..@c,ng *th Sdb. 7000) of Drnion l <br />ot lh. BBil6 .rd PmfsioN cod., &d m, lic.M b in aull fotc. !,rl .tI61 <br />/^-r-r <br />I (cech$ ! L\ <br />D.,.: !\:lrr A <br />I haby !mr6 u.dr F6lry oaparury tha thd. i! . @.3rtodbn tndinS ito.y for lh. pdfolrMc. oflh. srk lor *hich lhi! rEmn it <br />isu.d (!ic. t097. Cir C ). <br />ATILII:ABI.DESJNAITOT <br />I h6tr lrlm uid6 F rlry of Fjury om or rh. follotr'inB ddld.tion!: <br />D.molirnr. Pmnhr-Arbdor Noriicd ion Fcd.r.l R.SuLtioN {Tn l. n0, Pd6) <br />Ralui,oj ldE ot t{rifi.iih <br />I (d ily thd rhc fdldal r.gullr i,nr r+&din8 e\hrstx rono\ al d. nor 'U/rablc k, t hi projar <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framrng <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 />Engineer Final Report <br />Flood Zone Certif, <br />FINAL ra l/it (-'Dc i?i; :it 4 <br />Certificate of Occupancy <br />Notes, Remarks , Elc. <br />sl?1,1 <br />,al th! rylidrn rj er.r. rh, th. rh*. rnlntuFn E cmd Ilaldr,Lohd.*trhlll( t.nJ ( runr <br />,urh,r. r.F6ddr!6 of th! Cny Md (tunryto otd unlnlh. <br />Slt"-,-.- V\ttitt v' <br />3l3ja <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I I <br />I