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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.os6-Build6 l)r.l!6lior
<br />I h.cby rffi'n unds p. lry ofp.rlury rh{ I rm.x.mpt form rh. ContrdoB LE.nr bw for th. aotto*mg r.sn {s 70}t t Bsir6i
<br />.4d Pro,63irn Codr): Any ( ny or County which Equir6 r pcmn ro @Ettoci, rhn, inphv.. d.mliti o. r.p.ir ry jru.r@, Fior lo n!
<br />n$.N.. .ko r!q!t6 irE lppli..tn for 3sh Fmn ro fiL..'serl llx.lmt t,Il lE or sll i li.ed pu66r ro th. povirioB oalh.
<br />connicldi L,..B.n L,* (Ch.prd e, Comm8'n, wnh SdEr r0oo ofD'vs6n 3 of E Bu'n6r.(t Prof6lioN Cod.) or rh.r h..r
<br />.h. i. .rdF th6.liom .trd 0E b.!t for rh..lkr.d cxhplion Any viohr ion ol s..iio, ,01L5 by lny lpplic! lot. p6nit !ubJ..6 rlr.
<br />.pplk.nl ro . civil Frhj or mt mr. th& iiv. hurtr.d dollD ( l5@).
<br />l.downdoalh.prcp.ny.oroydploys*nh*136srh.irFk.oop.Nrb..*!Udoth.r.o.!nlh.(nrt@irmrinrcr.tcd
<br />or olfd.d fd .L l S* ?0r.r, BstEr ..d Prol6t.N Cod. TIE Co.itdor ! Liee tr* dod nol lpply lo .r owrcr oa rh. pDpdy
<br />sh. b{ilrh or impror€ rhnor. &d uh. d6 ruh rort iiG.laor h6.tf o. thmuih hir or h6 sn Gnptoys. p.orid.d rh luh
<br />ihpror.m.nt! &. nol i.t.nd.il or o,Id.d for rL l( how.v(. rh. bril{tint or hpmlmd i! sB *nhin oE y* o,N'netdion. rlE
<br />Owffi.Build6 q ill h.v. lt hrd.n or prcyi.8 th.t lEor llE nol hrild or mPlo$ ror rlE purto. ol eL)
<br />l. B owF ofrhc pro6ny. m.t.lun.ly conlEdinr *iih tic.ed cod8$n lo coBrrucl !h. Fojdr ( s.c 7(x4, Bdi.dt hd
<br />lmf*hn Co.L Th. Conhdoir L'c.ro. lr* do6 mr .pply ro .n owFr of propd, sho burtd! o, r6prov6 rtEron , .nd *ho
<br />@nttc8 for rlch prorEt u hrconr.cro(rl I'cdrd Duru.ni ro ih. conr.dois L..Mlrs I
<br />I e .r.mrr und- Sdion .B aPC forlhi.t&n
<br />\TORKERS COMPENSA'IION DE('t.ARATION
<br />I h.r.by .mm uidd,E lry or Frjurv orc o f ir aolh$inr d(lDri{B
<br />I n v. ud will minr.in . C.ni6c.lc oacoMn! ro S.lf. r ur. aor *ort.6 .omp.ErF., .t prold.d lor br sRrbn t Too or th.
<br />llbor (t d., for th. poforui.. of th. wort for $hkh rh. p.mir i! irtu.d
<br />17oo oflh. uhor cod.. for rh. r.riorm,n.( ofth.
<br />\-
<br />I Iiit !..ltn n..d ml b. (ompl.r.d
<br />'frh. p(irl is lor ih. hundr.d dolliB lllU)l or l.!sl
<br />I..nifyth.r 6 rb. pdaotur. olrh.*.rl for*h.h ihi Fmn it
<br />b..rm. tul'r.n lo ll,. E.l6 @mp.n!r6. Lwr ol ( .l'foru, .id .
<br />omD.urFn D.o!rbE ol:i..lri r'00 orlh. LlE)r t'od. llh.U,
<br />',,, -tl/t 9 /tl ^pph o<
<br />o^*n,ro (u... 1..o,\dr'comp.urren co\..sr tr unL*ful .d rh.ll rubret .n .hpbFr
<br />iiM up ro oE hu,i,.d ih6q.d dolh6 (t
<br />r,E l.bo' cod.. hr..6i md.{orftv . 16
<br />I oo.Ur).in ddn ion ro th. .o3r or.o6p..$l 'o.. dt cir.d Lrrh. S(rri 1076 of
<br />',))")t,/r€/,o 9r
<br />1
<br />t'oxsrnt'r-rtrrl r elo[*c nctlt r--
<br />I tK.by.lfm uidq Futy orFjury tbt ttE. E. coBlrsrid Ldina.,csy fo, d. pdfodK oltlE rct for $hkh lhi. pdbit i!
<br />ntu.d (S&. 1097. Cir. C.)
<br />Attuga!.ftDtcuaaloND.mlhb. P@ie A.b..r6 NorifEr ion F.idl R.suLlioo ( I itL rl0. P.n 6l
<br />R.quiEd Lx6 of Norifslion
<br />)'-^
<br />r,-.,,.
<br />rhlt (h. f.d.ml r.BulrtbB (t.rdhg sb6ro!.m\.1 r. mr.pglr.bk to lnit Folrr
<br />,c infomln,n n coE cr I lrrd ro compl, wilh.l! Cny lnd Coury
<br />ilrdi ft6 ind Srd. ti*r b' iulhonT. r.pre.l.lr\.t ofrhB ( ny &d (-oory fu d!( uDor llr
<br />ibor. nr.mhn.d pnrp.nv fur
<br />I)9 /
<br />rt/t 7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenVlnsul
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<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 ail rqlt{_-.ffi/\arulA)
<br />Certificate of Occupancy II vs V
<br />Notes, Remarks, Elc
<br />-)
<br />M\WP5l\Psrmil-lnspecton lding-lBp8clion R..od doc 03.31 06
<br />COMMENTS
<br />t lcfNsED collTRAcToRs Df,ct,/tf,aTtoN
<br />I h@6t.rm u'n6 Frn, ofpsru] rl{ I m li.!d.rl u!il6 Fovirion olch.ptd 9 (oM.ncinB rirh S*rion ?orJO) oaDilnion I or
<br />0. Boi:B r'n EIlf6rbB Corr.. .,!d 6y lk.B L in tull loE .,'d.flfri.
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