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BUILDING. INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS
<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 />Exl./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />--'1-€:rl.-FINAL t/o4r*2rr'4d
<br />Certificate of Occupancy (,v
<br />Notes, Remarks, Etc.
<br />OrE.thildd l}(lerrion
<br />I lE.by.mrn u,xld F ty ofFllry rhr I.D.x.mB form rh. Conr.do6 Le.$ tr$ for rlE follo*q ..$. {5 7or l.5 Brina
<br />tnd Poi.sionCod.): Af,yCily or Coury which r.qut6 r Fmtr ro @cirud,.lrn inprotr. d.molnh o. rcptu uy !ttu.t@. prior to it!
<br />i$@...1,..!qui6 iE rrpl(.nt ror ru.h Fin lo nk. ltrd n.ltrir rhrl ltordr n k.Gd puull ro rlr FDTBEB of rh.
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<br />3h. i! d.nF $d.nom rd tn. b..a aor th. .lLs.d .r.aflion Any vhldion of Sccr ion 701 I 5 by uy rppli..d for . p.mn !ubj..b rlE
<br />.ptti.d ro . ovil Fuhy of mr mE thn nr. nu!d,.d dolla ( $m)
<br />L a o{F of rh. F.t ny. or my .nproyG * nh *.a6 a rh.ir $k .omp.Mrbn. *ill do rh. $ort !d rh. iMu. . mr id.!d.d
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<br />who boild! or iEprcv6lh.ron. r,'d who d6 rEh wo nimrlf or lE*lf or lhroq! hit or lfr orn chplord. prcviLd thll tuch
<br />ihpmv.mlll! u. tul id..d.d orollsd lorrk lf. hor.E.llt hildiry or iBFor.d n old vnhh d rr of @mpLtbc rlE
<br />Ov.d- 8!ild6 *ill h,rc {h. blrd.n or provini rh{ lE or rhc mr t ild or inpo!.lor rh. purp.r olnl.).
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<br />Prcf.$io.Cod. Th.Conn.doar L'c.hF tiw do6 tut.pplyro rn6e*rofrbprty wh6 b!'ldror rnprovd th.mn, r.d who
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<br />I m.\.rryt u.d( Sdion .ll &P( lirrrhsr.an)n
<br />l!al$Bllar4ll;Nlarr}!.-0l;c!.a8arll]!
<br />I h.r.by.mrm und.r p.ulty o f Frju' on. of rh. aolhwin8dsLrrbE
<br />IhlvclndwilldritruinrC.n'6ot.oacoutrltoS.lf.ln!ur.aorwo.Bcomp.Mllon,rrrov'dcdlorbySrto.r?ooofth.
<br />t bor Cod.. for llE F6l m. of lh. worl lor rhkh lh. Fhn ir itru.d.
<br />4 "* -, *,, **". -",r.B ohp.N.on ,nN,rm.. r!
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<br />cqutr.dbyS.ci6n !700olrh.LborCod.,forrh.!.rformnc.oath.
<br />@ulre oE ad Dol(y ,@bd\JLA
<br />,".,*-"o.,WL {7,)Z--2 Loea )
<br />(Tn! r.clion E.n el h. coopla.d ifl,E Frmn tr fo. ()tE hund(d &116 ltlool or Ls)
<br />I .diry rh.r in rh. p.rf.rmft. ofrh. rork ror *hth rhi! p.mi i!
<br />b...m rubld ro rh. 6rtdr ' oftD.Nr.n Ls ol Crhtornr, .nd rg
<br />ome.nsno rrc,u,lD ofs(!ion lTco orrh. hbor (bd.. I rhtll
<br />-,. pfLo)t J ^***, (
<br />wenrtrd r.,tl.ro KU,.s,t conp. rFn.or6s. a
<br />lin6 up r. on. hundr.d rhoMd dollB (110o,000).in.dd io.ror
<br />|h.Irto, Cod., ds4 td tdoimy ! fG
<br />u.L*ful, .,n th.ll luqd .n .mploya ro
<br />h.(oiof comp.m.rion.d.
<br />ITCI;ISEI(ONIAACIOAIDEC!3AAIO!
<br />I n rby.ltro unds p.uhy otFJury $.r l6l'c.N.rl uldd Fornio! or(hpr6 9 (..oi.n.ins rnh S<nFr 70o()) otDtran.l of
<br />rh. AGin.slDd Prof6sioNCod.. rd ny lic.B.is in fullaorc. ind.fi.d.
<br />,.,-,rn- | i(- l,^.,+2//of 14 F...
<br />( o\s ll ( I l()\ I I \Dt\(; \(;t\( \
<br />I hd.by ! frm undd p.Mlly of n rjury lh.l ths. i! t coBtMthn kndins {.ncy for rn p.rfomnc. of th.
<br />i$u.d (Sc !09?.C'r. C )
<br />AIIIlcAtrI:ji.IEclAIAITO!
<br />D.nohioo PmnrArb.nor Norinclaoo rcdol Rcrul.rioN (TirL40, Pr.r 6)
<br />Rcqun.d Lnrc of NorirorM
<br />lcdiryrhlt rh. f.d..rl r.8lLrions r.rsdintab6ku r.mov.l.r..ot $plic.bl. ro lhis Drold
<br />I cdit rhd I Mvc rcld tluslptli.rrnnrnd iifomrrfl i3 comrl. I irrc lo.oflpl, s'rh rll Ciry.od County
<br />ordinrncF ind Srd. ta+!r.lrhnx ro l,u'l .urhoriz. r.r,*m.t,r6 orrhi! Cily..d
<br />rb.!. mcdDEd p.oFny for iEI'.<l
<br />v-,r)Z o /-
<br />FntrEElilding-l.Ep€clion R..o.d.do. 03 31 06
<br />DATE
<br />Brown Coat
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