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BUILDING. INSPECTOR RECORD
<br />SITE.WORK bATE.ID/SIG.COMMENTS OWNt:R Bt]ILDER DELCARATION
<br />I tkrcb, afltm uftcr FMhy oi l.rjry rhal I en crcnrB h,nl rhc (i'nrrr.nA I itrny li* ntr rh. tu1|,,*trrt l.i! rs( 70.rr 5
<br />tlu\ines ,ni Prolcsion Corlc) Any Ciry or Counly whi.h r.qum\ r rrnn t) .otriru.r, alr.t, trnmvc. &nrnnh ot rn!tr lny
<br />{tu.furc- pritr t, ih nsukc. dl$ r.qu,ms rhc applisr ntr \u.h Fmnr h fiL 0 !!mJ {arcNnr rhot lE o, \: n l'.rtrRal ru\un
<br />lo rh. pmvirions of rhc Conlrlclors l.ic.nrd li* (Chrntcr 9. Cornrmii! * h Sr.ii, 7(XX) ol l)iv^( l ol ,h. llu\irr.{ utrJ
<br />P(nt$n'h\ Codc) or rhr h .r shc icxcror th$chnhund rhs hlnr Lrrh. rll+ .rc.{,rirrr Aryvi'lnrrr.fS.ci,n70rl1hyrny
<br />(Iplkrd Iofu pcirnn {hj(n llE {plicrnr n' a .ivil p!tulry ol B'r trrm rhrn ,i!r hu trdtd ilolldr\ I lSlD)
<br />I. I o*k. ol rh. pmFnt, or my .npbFcs rirh w08ci .s rh.t q,h onlEn{lk,n. }ill do rtE e,,rl &xl rrt ou1& n r
<br />inrc,rdcd oro,lcrd ri, $k (SE 7O{4. Ausirc$ ud Pn,tc$htr\ Cu]. Tlx (in r ttr r l-icis bw d,r\ n lpDryn)Mnsrcrol
<br />rh. tioldy ub hoildror in+$6 rhdbn. unl wh. dr\ uh rlll hrnsclr.r h..{lr d rhn,uih his nr h.r o*n.ntk,tct\.
<br />prnvidri rh'r \uch iryr.*mdrm mr inkdk orofis n)rs5 ll h,ftld. rh.hortls3or mFornrd n{,Ll *iih'ntrrt ).{
<br />ol o,ipblbn. ltr Osrcr Builds *ill haE rlI hd.n ol pn,vins rhd tI or rh drl r, to,U r rl,.k rtE F,Fny ntr rh. FrIn{ ol
<br />_1. N oqmrolrh Fotrny. m.r.lu\ivrly.odrklirA $irh lic.h.d rudrucrfi t,.oNru.r rlr |Fr]co (Se 7lrl.l, Bu{'r$
<br />ml h.k\airr CDd.. Th. Co.k(toai Lac.s. L.w d6 mt apnly ro.o orrcr irpn,pcny *L, bu'ldr or,n9i(,v.5 rhdtr
<br />and *h Lnflrn.ls for {!ch ImFk *irh r Clrtua.n(O li.N.d purM tu rlF (irfikroar LNnc lnw)
<br />I amcrcmlr uBlcr Ser
<br />n()atrE&rg)llfrri:i .Ilal
<br />IIIOJBA.IIO!
<br />I h.rbr rflnh u.dcr Fnahy rf FrJJ!_ .k nl rh. tt,lkrr or .k{Lftrk r
<br />I ha\r rn * 'll tuniain a Cd,f.ar. of Co.rd n, S.lf l.!!r ld solld{ $n{En{rln. r( Iiorasl litr ny Sd (n' l7(lr ol ltr
<br />Iilv (inc. tu rlr. Ffolrffi.frhc *rxl itr $hth rh. Fmir i\ i1u{
<br />_l h.ft 'd will tui.rin wd,r6 srp.tr{rhn inrur.r.. ar Enln.d ht Sdb..Ulx, oa tlr l,hn (.ln . tu r& Frorme. or
<br />rlx knl for *hth rhn Fmr is ir$.d My sork6 e,n{.rd;r i.arfr! enE .rn F,li.y nuhls 4
<br />Ir.diryrhlr,nrh.FrLlmtr.ofdE*ortfnrhinrhsFrmiririlsh:i.l\h.llr.r"h,lntFrvnm..ytr.Br
<br />s 13 io tE<-r sur,rrr ro rlE @tqr on{f,nsrion b*\ oac,liftdi,. {.J,!tu rh{ 'l I \rrrld tEtom rul'Fr b rtr
<br />$0*6 otrI{I.eli.n pDvnnnr oa Sdk n 1700 uf rh. L,h, (.'.n . t rhlll. fidhrnh $.{ y * trh thre r vKi'nr
<br />WaRNING Fiilurc !D quc wdL6' onlE.srhn mrrn8. tr unLwrul ri dEll $6Fr in rrihFr nr Mnml FNiB rd
<br />.ivil fim< ut| io oE nur En rhousrn dollu (31 ).llxrr. in &u i'n r, ih .on or ronFnqr()n. d.ma.r .r I, Yilsl itr rlx
<br />Scrhn l{176 or ilE L.lnr Crd.. inicd ' r fty\td!
<br />utEN5t;Di:1ltir&$roa
<br />DEgrr&UUX
<br />IhcEbyafitnu cr Ftulryuf p.rrur, $4I m lkrMrl ldd F $ion ol(lur{d 9lcomrui.3 siri Sdi'n TtiDr nf l)t!!l,n I
<br />of lh. Busi6\ 5d Pmfc$i'ns Cd., !r'.t ny la.n{ 6 in tuU ioc !,i .arrtr
<br />CI)ISIBIICUI]NIEIII|IS.A{jEITqI
<br />I h.ruby rntrfr nBj.r p.nalry of Frjury thll rh6c is o connrudi). L*1in8 !t.h-'y tu rh. nclforutu. nr rhc uork l trhrhrhn Fnna F
<br />nsKd (s6 .1(J97. civ c.l.
<br />AIIU(ANLIIECIABTIrI0N
<br />I hr$yrllmrundcr pcnalry olFrrury uk ofrhr lnlk,wnr! d(lxr i(rN
<br />Dcnn'lirn,n PcrnrirrA\tE{os Norilicarion ljcdcnl RCEUI!riinr\ llir[ 4). F,'n6)
<br />R.qund tltrcrol Noriljcdion
<br />1..'rilyrhrlrhclldcrrlrcguhri(n*rcgrni',!r\l.no\r.nn'vrx,(,Ixt)fl.nh[(,rlrr!t'r.t(.r
<br />I rdiiy(hrr l havc rcrd rhsaptlicdi(nanl{!rcrhrr rlrc uhtrc itrrlmr i{tr, i\.orNi l ata{nr.o rdyqihrLl( irytrtr(l(-, y
<br />ordinrn.c\ dnd Sldc b{s rclriins ro huildins con(nrli,'n. ufrl hcrch, trurhni/t rcprc\cirrt!r\ "l rhis (lry rn,l( r,unry r'.nrct u,rtrrrtr
<br />rhrc mnr i(,n.d I,n'ptny for ins,nrn,n lutssci
<br />\DI,lirnnr or,t!ctrl Si[n{lur.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsu lation/Enerqy
<br />Drywall
<br />Ext./lnl. 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 tft/A xfrx
<br />Certif icate oI Occupancy
<br />Notes, Remarks, Etc
<br />( rrrr
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