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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNI,R BUILDER Df, L(AR TION
<br />I h6.b, arm und6 p6!ty of trjury th! I 4 .rmfl ftod ific Coitrlclb4' Lic.n.. Lls fo, rhc follo*nle l.Mn {sa ?01 I t
<br />Bcul4 r'd Proldin Co<Ll: Any Cny or C@ny \nrt r.qui6 . Fni lo o,utud. .nd. nlProre ddmlit or rqn &'
<br />ntudrq FFrro ili E !G., r Equn6 rh. rpplicer for$dFmnro fi|. ! rlgrEd nddol lhdlEor3n ! lrd.d p@rln
<br />ro rh. |toyiiFB ot tlE Contrddi Li..ned L.*' t(1u,r6 9. Comcins shh Sdi6n ?0m of Dilnior I oa lh. Bai6 &d
<br />PbashN ( .&) or th{ lE d iE ! amF ihd.nom dd ilE bsli aor rh. .llq.d dd,rion Any rioLlbn of S..ti.n 70ll t !rd}
<br />.lplicDI for r paDil rubjclt lh. qrlicul lo . civil p.Mhy of ml mor. th& fiv. hundrcd ddll6 (t500)
<br />_1. a om6 oflh. Fop.ny, or ny onplorG *irh wrs6 a th.n bh comFBdion. eil & ih€ *sl od llE ntud@ i! d{
<br />iddi.d or ofis.d t( Elc (Sa.70r,1, BolilB ed Pmfdio6 Cod.: TIE codr.dr-' lide l.$ &E d +dy to o ouE of
<br />rh.FDpdry *,n ho & or i466 0E6tr rn *ho d6 kh N.t hirellor lErlror
<br />'hmu3h
<br />hi! d lE oq d!9lor6.
<br />rovidcd rhd r(h inF€En c d i ad.d or otuld ror $l. l( th*Rd, rtl hrildq or in+r.!€nd ir Dld qnhb oft )a
<br />olGtpLlia llt OsE Suil& vil llE ln hrdat of Flri,s thl lEd,lE dd (, hiiB or iqro\t 0E FoFry 6rtL pl,D(Eof
<br />_1. a o*c olth. FnFry, @ achliEly .onrd ils i nn k<B.d .o.rdor ro NMrud th. FoFl (56. 7Or4, &atB
<br />drd ttDtulioi Cod.:'rh. Conr.dofr Licd. L!* d6 nor q'tly ro o o\nd ofpropd, wh. buildt or improv6lh6on.
<br />md {'ho olll-$ fo, sh FDFt3*ih. Coddontl lilE n FlRd to rlE Conrcld ! LaoE l^)
<br />_l e.lofl u.da S6rioi_. u &Pc aorrhir r@n
<br />l).t. O*nd:
<br />$oru(ERl ('oMPf ,,isA1loN
<br />DESI,ASAII9!
<br />I hd.hy .fim ur<lq pdBhy otFjury om ofrnc follo*ins d..LrarioB
<br />-l
<br />h!rc ed rvill @i.rain r C.nifi. . of (tngr lo s.l{-ls!r. fr wrk6r qrnrpdrlrion, d pmvid.d tor by Sdriri l70t) of rh.
<br />L.tor Cad., lor lh. Ffo,lre. otllE &rr fd \ltrch |fi. Fnn ir s.d
<br />_l h!!c rnd will minlain wo*.6 .onFoldion iNmR.. a EquiBl by Sclion l70O of lh.litor ( odc. tu t. Ffolr11e. of
<br />Or *trt f *ti.h thir Fmn k iD.(L My *std. onp.rd[n iMar cei' -d Flty nuibd ..:
<br />Mt+
<br />I cdiryrh.r h rh. Fformnc.olrfi. work for whkh rhn Fnn is iriu.( I $all nor npl6r r., pr$n i. !.y mm6
<br />$ d lo hdotu 3utiar ro rh. wld' 6rFBai6, Ls .f Crlifome &d r8E rhd iI I rlbllll bcor $bid to rlt
<br />ro ss comF@rM lro\'tsna olS..rhn tTm orrh. lrtor (ui., I th.ll. fonh*nh coniplt $nhfi'- ForsrcB
<br />WARNNC riilur. ro su. *ortd' .onFs.lion cov6+. U unlt*
<br />.n nn6 up ro om hlr&cd thoBad {lollrs ltl(x).([n)- in ..ldilion
<br />sdion 1076 of rlE llbor Codc inr6.n ud !ftoEy ! f6
<br />dl luhj<r e dpl.y6 h dininil [Ealli3 Md
<br />con of @6F6,rio.. da gd a Forn.d tor llE
<br />zlA /2rt9
<br />I hg!l, alfm und.r ,qElly o rFJury rhd I d li€rs.d un&r Fovsion of Ch.Fd 9 (onmling rnh S.dion 70(l{J) ol Drv!{n 1
<br />oa lh. Bsin6 !d PmfsioN Cod.. rd m! ltru ir in tull foE !n.ttcl
<br />/)8e 2
<br />Z(6 1 wtl c-"*".x=
<br />I hdlby .rm ur& FrXy olFrry rhi rlE ir . @larudioi lodiis .rc, to. D. Ffrlll:lE 6lllE "!* br *hth rhit Fia a
<br />s!.d (s6 1097, civ c )
<br />ArrlrsNltEclaSalt0!
<br />I hdlby .trm onl6 Fod' of Fjur oE of th. tolt'$ ing &.lsdbB
<br />D.nolni.. P@ns-Arh-lor Noiific{iotr f.dEol R.Suhlnrns ('Ink 40, Prn6)
<br />-R.qun.d
<br />tnr6 of rlonficdn.
<br />I cqriry rh, rlE rEddrl r.8!!rid ESrdir8 ab6io. rmlrl 4. d lpplrc.bE lo ltis p.q.cr.
<br />PG.-'O,n ,
<br />"*.-,n!
<br />lpel..IE!.n nr!( rht tL rbolc inroldir. ! cold l .cre h onlP|} *nh .rr ( n, lid cod,
<br />ordEncd ed Std. L.B Eldms ro hrld'ns coneruCro( d hotty adtFrt EFqdrdiv6 oflhi! Cny dd Coudy rc a!. lFn tlE
<br />." -,* ,;*;:;:::'x":ya -" zteJpr?
<br />p@.r,m.,pri!,1: >< ?€fleic * c+zoltr
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handrca p Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certrf.
<br />FINAL ?.-lt-lcl 2c-z)
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />'-T-
<br />Pool Fence
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