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LrUlLDlilG- INSPECTOR RECORD
<br />COMM NTSSITE.WORK rD/srG.O*NER AUII,DEN DEII-ANATloN
<br />I h..rty irm uids Funy ot Fru!., rh, I s .rmti tlm rh. (-.drd6 l-r@ |,tr for rlE follosns .6n (** 1011 J
<br />Bdrn6 t d Prc(3$. Co{.} An} Cny or Cou y shrh Equr6 . Fnt lo co(llruci. .116. rf,Fo\. &ftnBh or rqEtr u)
<br />3lddEe Frx to ir! isucc. .k r.qut6 rh. qplrer tor ruch Fn lo nL r ltftd 3ri.fur rha lE or !h. . h.mrn l!r$d
<br />t. rh. tinviliod ofrh. Conlkfi'! l.ic6s.d Law (Ch!r'r6 9, (i'mmtri.s *irh Sarion 7O(x) ol Divisirn I oflhc ll$rN and
<br />PnrsnrN Cod.) or rhlt hcorrh. n.rdpr ih(.from md rh. hi!'r for rh. al l.s.d .ronpr i. n Any vioLrion or Serion 701 I t by any
<br />aDnli.d! f6r r Fmn subjd! rh. ippli.anr ro a civil p.nalty of.ol norc rhu fivc hundrcd dolles (t500).
<br />l. a o{E of rh. FoFry, or m, mphtE snh *.s6 d rncv $L onF.si.n, *ill do rlt $ut ild iF tu@ it mr
<br />iddr:!.d G ofiE d fq sk (S( 7l!.1, BoritB xd Prlfs.B ( o& Ih. Comdc r li.B l,$ &!6 d +pb lo u osF of
<br />rlr Fqdy {,lE tlild' d "rfro\6 ihaotr -d s h. d(E sh {rnt h@ll or tEr*ltor rltroqh hn or lE otrn mpht€,
<br />F.rilalrhdMhimFltglrBchrddd.drolkdtuqtllln*E,rhhl'HtrrordqorqEriildrrlm"*!-
<br />.l$npka E O$a &,tlq u h.* rlE hrdor orFri{ rl- lE or iE dd rcl lBild L! rr.ov. $. Formr- 6r tE F,FE or
<br />l. 6 orvnd of th. Fopdy, am crclusiv.l! conraclin! \vnh li.6r.d conrd.f tu ..nnnd rhc rflid ts( 7014. ltNines
<br />and hrEsir Codc: I h. C{nlm.rri !.ic.nrc Laq do6 hor.r,t'lt h motrtrd oI rror.ny (ho builds or inrpn'ls rh(d,i.
<br />and \ho codDds for.u.h Foj.d r wnh a Conrddo(n hc6r.d puGunt rorh.(nnt(oir I rcN l!tr)
<br />I rr.\dnF ufild Settun
<br />D.r. Oitrn
<br />noRxffs coniiEiraa rN
<br />Dt(lraarox
<br />I hd.hy aflim undq p6.lty of r6ru, r-, on. ol th. tollos inr d..l,itnrB
<br />lhrtcddqillruin!.in a( dincalcofcoBal to S.lf-lB E lor *.rk6 omlmsrio., a I'olid.d for byS<ln)n uolr.l lh(
<br />lltxr ( d.., for lhc psfo'rlr{a_-.c oaln $orl aor qtkh llE p6ini! ir bro.n
<br />Ih.\€..d$illMi.in$odd.o.rp.s.!i,.'Bu6(iarqun.dhS<rhnr?(rjofrh.linrCo&,aorrh.Fforitjm.oI
<br />llE {ort ad rnah fiir pahn u isld M, sdtd' .omFudhn r'wa..sir in Fl.! .umb.r ft
<br />,, " S\a+eGw
<br />,,,,., ",,,,,,.,
<br />qftll{oq4 tzlrfl-y
<br />I cd1iry lhal in lh€ Ffomm.of lhc wort tor which rhir Fmir i. isu.d I slEll nol mploy.ny p6$n in lry mund
<br />*r a tu tEo@ iubFr ro 'h.,olt6 (nFEd'on lr{: or( llifomi& d lsc rhn 'f I ibuld tqoE sut*rr rorlE
<br />r{rld $n{reii.'n t,!\ thB ol s<! il. 1700 of rh. li&, cod.. l tlll tdlhq (h conpry r ith rhos F\ i.i,6
<br />\+ARNIN(; F.ilE lo su. qnrl6' onFsbn m!6.3. a mlNtuL .nd sldl suhF M dphF ro oiniMl Frhi6 r.d
<br />.'v'l fin6 up lo oc lustd lh.uend dolls (t100
<br />'n,.ldnrn io rh..d of comFNlion. d!m*B N FoId lor !n
<br />ItEgStArIon
<br />I hd.b, amm undd pddhy o I Fjury rhd I m licdrd u(td p.ovntun dfchat rs 9 lcohmdcins tr irh Sc.tion 701xll or l)^ iion .r
<br />of !h. ttlrB Md Pof*NN ( od.. d my ltoE i in tlll foc !d clT6t
<br />,.,.*..o* C-10D"''firr-
<br />cadiraitc1laltrEdDtlc.A0r!(r
<br />I h@by .,Irm und6 FEhy of tsjury I h.l ths. is . sN tud 6n Lndinr a3try for th. pdfomm. o f th. *ork for f,hich lnn p6nil G
<br />isuqi (sd l0!7,cn ( )
<br />Affu(aNfDligJtdr.lQ!
<br />I hdd, illm undo D..!li, of FJury orc ol rh. lollonrs d.rtsrr ioru:
<br />l).'nolrtnn P.mils-Asb.sr.! Nor'lic.rion r'.dsal Rcsulaiion! (Tirl€40. Prn6)
<br />Rd|un.d lni6 of fLni6.ri)n
<br />I rd '! rh.i rh. r.d<rl (sul'im6 Esrdins stdor rmn !l e. m! lariEabL t, rh6 r,ojd
<br />l.d'l) rhl" I ha\cr. rhnnml'.dnndn3rar.rhd rh.!r\\. rl.rdF. 6..rAr I rrr-h comp[ trnh !I ( t] ind ( o!ir\
<br />onlm.frd rnd Srar. lrsr r.ht,qt ro h('ld'ry.odrudsn-
<br />.h\. morn'n.J proFny tot
<br />,\DDlicrnl trr porl Signrltrrr
<br />PLZ
<br />'*'\Li;;"'-"
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />S u bf loorA/e nUln s u lation
<br />Roof Sheathing
<br />Shear Wall
<br />Framin g
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />[\,4ason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />En gineer Final Report
<br />Flood Zone Certif
<br />flilaw ituatr n6a*4 -(
<br />FINAL klr6 5.m UZflt6l\
<br />Certificate of Occu pancy 7
<br />DATE
<br />Set Backs
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<br />4/t41-CX
<br />TN
<br />Notes, Remarks, Etc.
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