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BUILDING. INSPECTOR RECORD SITE-WORK ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subfloor/VenUlnsul Roof Sheathing Shear Wall Framing ln s u lation/E nergy Drywall Ext.i Int. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL s\ltLlrr =f4S1 /,-ar^l4l) Certificate of Occupancy t | \JU Noles, Remarks, Etc (rw6-tluitdd D.clmtnn I ls.6_r .m.n ond( FEI!! of pdjury rrn' I rm.!.mpr forr rll (o.trdoB l,E6E lr* ao, rh. follor'ns ra3i (c 70r l 5 &B'na .rd Frof*ion('od.): A.ycityor Cou.r, whKh rqln t r D.mn to coNlru.l.rhd. inpro!.. d.nolirh.r r.p.i My lltudur, pflor ro tu irur.. .bo 'quu6 rh. .r?lic.nr aor D.h Fon io fik . sitcd r.raEn $r h. or rlE a lt.6.d poEut lo llE Frri3ioB of rlE Cont.ctor s l r.N.d L.w(Ch.prd e. Comh.n.'n8 urrhS.cl6n ?0oOofDrvtron I of rn. nur.6r .nd Prof6lbB Cod.) or rhlr hc or rh. ir .tmp' 'h.r.non rd rh. b.tn 6. th. .ll.s.d .rdprhn Ary \ bLrbn ol S<riotr ,01 LJ br ry rrglkd lor . p.rnh rubj.$! rh. +phc! to !c,vil p...hyolnol mrc un nv.hondr.dd6u.u(t50o). L a owM o r th. protdy. or m! .mployB * iln wr3B !r thcn $k comp.nsr ion, will do rhc worl md rh. 3rtu(ld. ! nor 'mdd.do, offd.d lor rl. ( S* 7Oa1. Aur'63 .nd Prof6rbns Con. n'. Conrn.rd r l.'..* trr .106 mr .rplt b !n of,ffi oa th. FoFn, who buil& oi impbr6 rh@o....d wh. do6 luchwork hini.lfor h.6.lfo!threlghhnorh.ro*n.,nrloy.6. prorid.i th.r tuch imphr.ftnr! .r. @i u cnd.d or olI6.d for rk li hor.!6, th. buildins or mprorcl6r ! $ld *irhr ok y..r of comgld hn. rh. Ow6-Boildd *ill tu!. rh. bnrd.n orprovln3 thll n. or rh. not build or improv. aor lh. purpos. oful.) ,, B o*icr or ihc prop.ny. d .rlulivcly conr.din8 shh li..B.d .onr..ron io .o6kud rh. projd ( S.c. 7C!-4, Aulin6t .nd Pof.si.n Cod. TIE ( onnrdoa! l-r.n* I.wdo6 rcr.ppl, ro$ow olDrordy *ho h{'ldrd mplorg rh.r6n. t.d *L cohr.cir lor ruch prold: *ihr Conr.cb(, l!c.n!.d pu^u.nr roth.conr.doas l-!c..t. tr* , I.m.r.npr unda S<rrn .1, & l'(-. nn rhir r..son .\TOR(TRS COMPENSATION DECLATATION I hdrb, .mm unda p. lry orp.rjur, on. oftlE aolloNns d(LnlrB _ I h.r.rdwill rui tir. c6lifqr. olcoeir ro S<la-lBur. ao, â‚¬r!.B .omp.Mr6..u profd.d for bv serDn !?morlh. ljb6r Codc,6r rh. pafomrcof rh. wort aor phich rh. Fmi' i! tlu.rl _ I hry. ind wrll d'n[h *orkii 6np.Mrb. rBunm., .3 r.qu".d by S.dbn ]7m ol rh. lrh., Codc, lor ih. pnforru... of th. vorl fo. *hah tns Fmn a Bo.d My wort6 onp.nqiBn Dur4c. si(i.,ld Flty n@bc r.. _l c.nify rn!' u rt Faolmx. of th. *orl for*hah rhnFmn u i$u.d.l rhrll ht.rtDLy.ny p.con h.ny m.nn-{ s ro be.m. rubrd 'o d! hrldr'omp.n{6h l,r. orcrl'rornr. rnl.sre lhi lfI tlEuld bslE lubJct to rh. mrls.' conr.ul{. lrornirN or li(lnn l70o ortlE Utx,r Cod..l rh.ll. ,.ni*irh.omply *nh enc*''y/ Y6wantlNc F]ru. ro 'cu,.*-t.. -.p.*'." -{,\r unr.*fur..nd rh.[' fin6 u, ro or hnnr.d 'lFot d dolLr { I I m,000 r.in .ddi hn rr$. (d ol .onp.Mr rlE lrbor Cod., ors6r.rd tnorEy r 16 ub,er M.mploy.r ro dini.rl D.Mhi6.nd.rvil i6n, {t!M86 a pmvii.d for rh. S.dion 1076 oa Ll(Eli,t[L(oxrB^(roas_uE(latalla! I kr.by .fiirh unds r'. hy o l pajurr rh.r I m li..6.d u.dr pm\ irbi dr Chrprd 9 (ormmcms s nh Sd ion 7({ro) ol Diritirn t ol rhc llusik$ ind Pml6rioN (od.. lnd my li..n* n m tuU aorc. od.fi(l ."."" (Cfu4 Vâ‚¬''4h^n.6 coltrBllcua!.tEdDjlcicr!(r I ns.by rmm undapdlly ofFrjury thi thd. i r (oBrtucrio. l..di.8 .s.ftt fortncpnromnc. drth. *ork ao.qhan thsD.mi! t itluldlsd 10r?, cn c) afttrcANr-iltcl.lraArrox D.mlhio. Pmdl^rb.aor Norifk.rhn r.d6rl R.suLlo6(Ink{0. P.n 6) R.qutr.d Irfi o 6f No0(..rion I c.nilrinr' lh. fid6.l rquhl io.r r.ardins rh6ro. rdorild. rct lprhcibl. ro rhn pKj*t I c.nrfy rhrl I h.r. rcld rhir !pplicrrhn..d sr.r. rh.r rh. rtnE inlornr.r(n B cod..1. I !ar< to conply qrth !llCny.nd ( ou.ty dd'or6.d srr. l,r! Gl.rilrs ro tuildiB coBr{dhn. Dd .urho.nccFlqrrn6 orrhb( irv rnd QuiU ro 6r. uF). rh. ihor. m.nlmrcd prop.ny ao.K'K,N M \WP5l\Psrmn.hspâ‚¬ctDn l6poclo. R4ord d@ 03 31 06 DATE Poli.t Numba __ Ernt.r: (Ttir rcclnn,..d ml b. c.mplcl.d ifrh. pdrtrn r r.r oiE hu.dr.d doll.6 lllu.)l or 16.l