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BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS I ls.t'y rffirn unds r. hvofpsJlry rh.! I.ma.m lorn rh. Cohhdo6' l. '..m. t * lor rh. follo*'nSrasnis 7oll.J BBi.* bd Profsrion ( od.): AnyCilyor(o!trr, whi.h r.qui6 i p<nir ro c.alfu.r..hn. inprcv.. d.nolirh or r.p!t..y slruclur.. Fior t. n! irtux., rBo ,.qun6 lh. .polic. for 3u.h p.ftn lo filc r lan d rur.nEln rh.t h. .r llr i lic.Bd p!i6r r. rh. pmri3b6 of rhc(o rrclor ! I 'c.B.d lr* lcll.Ba o. (omm.Nm8 *dh Sd.n mm ofD'rubn I oarh. A6'n6itud ftof6rr6 C.d.l or rLt lE or rh. it qcmrt lhr.non .nd lh. hst aor th. rll.t.d .r.mrlrn ny vio ld r. or Sftrio. T0S l .S bt liy rppli.r.t tor . Fnn lubj.clr r lr .ptlic. lorcirilp..rltyofhlmr.lhr6v.huidr.ddolLR(!i00) ,, a o*E of rlE Foltny. or h, mployd snn tr .36 s rt!.r ek conp.urio.. *nl d. rlE *orr t.d rh.,ME. ir mr i cnd.d o, offd.d aor$1.( S* 70a1, Blrkr.rnd Prof.!!'o.. Coi. Tt. (ontr.do'! l-rc.6. hs d.6 nor t,ply io .n owr oarh.Dmpdy eho blild! or imph16 rh.m...rld *ho d.6 lah u6* hiElf or hd*lf or rhmurh tn or h( o*r .nploy6. ,mra.d $.r !(h iBprcv.mnlr .r. mr hr.n<!.d or olT6.d for !k li lbe.\d. rh. hilddg o npro\ftd i!-ld$nhrnor tdof .onplaEn.lh. (^\F Blndd *ll h.v. lh. hld.n of Fo\ in3 thd lE or llE m' I'ul{l or inpr.E aor rh. I'url'.r of r.k I _- 1, s owF olth. pFp.ny. tn .r.l!!iv.ly c.ntdina $hh li..d.n codrdonro oBrru.r rlE For6r I S< 70{1, A{in6r &d Prefdirn Cod. nE Codr.doar L...! lrw dc mr .r9lv io .n ord or FoFty vho tirBr d mproâ‚¬ rtF6n . r'n who e.r.dt lor rch p.oFdt !trh . Co.krdor$, l!.dE d puBum to th. Cont.d6f, L..nx bx ) I m.r.s!r und.. S(rron woRt(ERs ('oMPf NsaTtoN Df(-l-nR TloN I h(.br.mrm ud- p.ulty oftt-Joe.E oftn aolhnt.t dcLrriF6 I hrr. ,nd will h.itrrrin . C.nincl. of C.Mnl lo S.l[ rmur. ao, *ork.B' .omp.Mr b.. .s pror 'd.i for hy ser6n ]l?m or rh. Lllor (-od.. for lh. Ffomft. of rh. *orr for ehi.h rh. Fmn t ururd Ih.v.rd wrll rur.lrr *ork.rt @mp.MtDn mtrur.m.,.3 r<utr.dbyS.d6n3?0Oolrh.trh.rCod.,fo,!h.p.rloinr...olrh. *o,t for whEh thBFrntr B Bs!.i My *orlar' 6nr..r' bn 'ntur.rc. ffia !d poli.y numb.r E PolicyNunbd: Erpircs (ftnki.n E dmr h..ompld.d rr$.Fnn N ror(h hurir.d dolLa tllml orkll I c.nify thrl inllED..fo!m!nc.ofrn.*orl lorwhichihi! p.mi! t n.o.d,I .llnol mployrny prlon in iny mlnnd ro ato lE m. $b)d !o rh. *orl* coB!..rt bn L*r ol C. hlornq. tnd .rrd rh.! ,l l .hout b..6m 3ubJ<r ro rtl. work6' :::.".-," "::r*[:K" "##],*ffi .., *-n - ." " u ri.6 up ro oN hu.dr.d thouund d.ll!6 ( tl 00,fi1o).in .ddrr k h ro rlt con orcomp.nslFi. d.tusd ! pmrd.i for rhc Sdinrn !076 of rh.lrborCod.. rnr.r6r.nd!trom.v'!f.6 t1(E!$L(ANrM(rAgi-AtCtASAuQ! I hd.by.mm u.d6 p.rhyof Fiu.y rh{ I m li.cn..rl uidd previtD. orCh.pr.r I (cono.n.ins sirn Scn,on ?(]O0) olDivilinn -i of rhc lt6in$ &d Prorc.tio6 Codc, rnd my lic.N. ii in tull aorc. &d.rccr. Vefutrce I hd.t y rlIm uda Fdt,.fFiEy o{ rc i!. o6rr4rb. L,!ug .ac, fo. tb. Ffolrl,.@ of 0E *o.l n r,hth rhir Fnn n i.!.d (S<. 1097. Civ. C ). AIII.I(ANI.:-IICTAAAIIAN lxtulnioo P.rmiti-Alb.tlo! Notificlion Fcddr I R.*ultrioB (TnL,r0, Pd 6) R.quftd ldr6olNdindi.n l.diryrh.rrh.r.dr.lr.tul n\.rr.3lrdi4Bb6r(xr.movalrr.norlprhclbl.rorni!pojdr l.dit lhr' I h\. rod rhil +rl,..rion.rd .r.r. rh.r rlr.bor. infoml.i B.or.d. l.sr6lo sdply uirh tll Cny rn Counry ordrMmemd Si . t,r! r.llrins ro hildin8 ..Brtuodn. md .h)r. m.nrioncd pror.d, f.. insp.ct lurhori. r.p.enrnn6 of (ha Cny rd County to frr6 uDon rh. Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subfloor/VenUlnsul. Roof Sheathing Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Report Engineer Final Report Flood Zone Certif FINAL 04t"il9 --6 6-arv--bA Certificate of Occupancy tl\J\ Notes, Remarks, Etc MlWP51\Pemrt-hspâ‚¬clion o.lns\Burlding hlp6ction Recod doc 03.31.06