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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
<br />I ha.lry !trm u,&r porXy of pqJory rhn I m a.,E( e.o rlr Codddd Li.mr L.* for rh. folbsin3 Edon {S< 7011,5
<br />Iruin63 and Prof ion ( od.): Any (ity or Couniy which r.qutB . Fni lo oldrud, .Xa. imPror.. drrclth or q.it &t
<br />nru.l@, F.i, lo tu iBtlle .to EquiB llt Tdi.!,'l tor *h FDn ro 6k. ri8n d ilitul lhi tE or $. i licar.d prur
<br />l. lh. Fovnio6 of lh. Conlrrctoar Lrc.r!.n t,w (Cl!F6 9. ColMdcing w(t! s<ri.n 7m0 ol Divirbn I of 0t BGilB dd
<br />Prof<.6 cod.) d rhd lE r iE i qqt9l oEGfioE .d 0E bc6 ao. th. nLS.d doFbn Any vbldio.ofsa]lbn 70115 by &y
<br />.pplirlnt for . Fmn lubjdl] rhc rpplicMi ro r .ivil pd!h, of mt mr. thr fivr hund.d dollas 1t500)
<br />,. 6 oM6 of rhc poFnn or Dy dploy€ *hi wrs6 d tlEi nk mnFlii'c *iU d,llt snt in tu $EiE ! rDl
<br />idod.d orotrs.d for sL (Sc 7044. BNiE od PmfdioN Cod.: Th. co, r.cld t Iic.R L.* &6 rcl @ly ro M 0*,6 of
<br />rlEFrFty sho bilal or,!ssE E@[ &d s.t (tE nf,h *ql hij@lf or lE$lror llEust tn d hd o*t gtrPlo]@
<br />Fovidqj rlul s.h !rF.r.iEd! emr hl.rdd olI6.d nn r]. lf. hor6d. th. builtirs d lrFol.lffi it 5ld wntE . )d
<br />or.upldin\ lh.o.rE &!tb fiU IEE EhdaofFo\i,B$ilEdtrdndhlusi'iFortdEFoFlyfmllEF po*of
<br />-L
<br />6 o*G ol$. F.pdy. m .rcluri!.ly rcdrd h! s nt hcd!.d.ofrdoB to odrud rlt Fq.rl (sd 704'1, A!!B
<br />.,n Fokrr Co& Thc (-onl..dtr t l-i.@ bw r!.8 nol rp?ly to u otr',< of propdy *n build. or improvB thdo(
<br />r.d who edd! for rEh Foj.cts *nh i Codrrro(., l.dB d Flllls ro rh. Conr.ddi Lite Ir*).
<br />_l m.rmg un& S<r
<br />\
<br />l ( I \R\ I l(,I
<br />I hd.6, rmrn und.r FEhy ol FJury oe of lh. folh*i.s &.l&.tioG
<br />-l
<br />hrtt ti will mid.h. CditEtr. of Coe{ ro S.lLlM. fd wto o@.n .li,l. a F!\iLd aor b, Salio! l?00 otlh.
<br />Itbor Cod.. lor ti. Faom&c. o f th. m* for wnict ln Fnil it isu.d.
<br />-l
<br />h.v. and will n.inrain wo rr'conp.Gnion iGllls.. c Gllild tr Sa-lon l7ll0 oflhc t,ho. Od.. foi lh. Ffo.]1e. ol
<br />rlE srrt lor {hih ftn FBn s isrd My lglat omFMion ilru&c cri, drl FlN, numb.i E.:
<br />Policy Nub.r:-ErPiBl
<br />-l
<br />.anify lhlr in th. FaolM.c. ollhc work aor whan rh's psnn ! au.d.I iEll nol dpk'y uy F$. '. a, raE
<br />$ s b bcam $bi6l lo lhc wrd' 6mFdt. L*! of cdifomi( ud teE $d if I J$!ld b6om ubd lo dE
<br />{od6 cohF!.rio.posioNof sdion l?morrh.l,bor cod..l lLll lodhetn onpry * nt 116 tdriri,B
<br />WAIININC: F.jlm ro sur wrt6' codFsrioo cor6ts. B dl,wtul. ud 3h.ll tubjd a dplots lo qiDind pdBnb Md
<br />.nil 6nd up ro om tun&.d llDB&d dolb! (1100.0m,, in ddhion b rlE.os or i... d.'D.c6 B Drord.d lor tlE
<br />I ndb .rrm !.d6 Fulty o t Fju! lh, I m licd6.d rnvieior olChlrnd 9l.\Jmmtriry wilh S*rion 7000) oaDivnion:l
<br />of rhc aurin6r rd ProadioNCod., an (y li..@ n
<br />'n tu!|ture!d.llc'
<br />c0ltIBucIla!..L[lDLNc-aGEAcI
<br />I hdrtry tffm ur& Frry of Fj!r,rhr E ir. odruclion bdnls ag4y 6t lh. Ffolffi. of rh. $.t 6t whth fiir p6hir i!
<br />is.d (56.109?, Civ. (.).
<br />AIIIJ(AILDEIIJAAIIO!
<br />I hod, dlm uid6 p.n!lr, o f Fjury om of rhc follow'.8 d.(hr!l io6
<br />Ddmhion ParneArb6ror tJoriaad io. Foi6d R.gol, bs (1 nb l0. Ptr6l
<br />-R.qui'rd
<br />Ldr(ol Noif6l..
<br />-
<br />I cd'ry thd rh. fdldrl r.gubl irN rc8rdi.s Nb6lN rd.rtl e. .oi iptlic.blc k, lhn PFj(1
<br />I.ctiay rhd I hlvc 6d lhir lpplicdion d 3lat.lhd rh..bo!. intomdion s..ft*l.I !8r- lo enply with.llCh,rd Counlv
<br />od'mm6,rd Sd. t$. Eliilf, ro bu,ldi,B cotrdi.riotr nn hd.5y EFerd ir6 oarhn Cil, !n Cool, ro 6rc upon l,E
<br />ihn. nKi trwJ f(,pdy itr irstrLrur
<br />,,.,"\D-18- lb
<br />r(
<br />AppliL,nr or Agflr SiBnrrorr \
<br />h<Li
<br />Set Backs
<br />Forms/Steel/Holdowns Jlc*hzr a4)
<br />Erection Pads t.
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<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 />A\
<br />FINAL l- tol B-\)+)Q,l
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />I
<br />l- l.
<br />sdri,)n 1076.frh. r,htr aod. inrdd Md
<br />L.lrid , Add6
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