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BUILDING. INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS OWNET BI]ILOER D6I-'ANATION <br />I lEcby lllm unda p<ulry oaFiury 'n I s crmpl non ln Conl,rcros Lic.nB ttw for $. lollo*rr r.en (Sc 7011.5 <br />BdilB ai ProfBrbn C.d.): An' Cny or Couny whih EquG . Fni lo otdrucl. rid. ihFoc ddmlith or rE t ey <br />'tM@. Fi,r ro 'i' iMo .eo GquiB dE .rpli.d aor si FEn lo 6L r lisn d nrald rhr lE o! i. a lt.t!.d Fed <br />h rh. ForilioN of ttE Conrrrd! L@.&n ttw ((1u9rd 9, Com4ins snh Sdlioo 7000 6f Divirioo I of lh. AsilB ed <br />Ptuf*iod C6d.l or rhi lE or rh. n dhB ltEdon ud lh. b.ri! for tlE !ll.s.d q@,lion. Any violilion of sd irn 701 I i bv sv <br />.rplicd for r Fnn eb,6lr rtE lrplk ,r ro r oril FMlt of mr mE lhr liv. h@d.d d.rla ($m). <br />-1. <br />s olG of lhc Fop6lr. or Ey dployG wilh *!g6 s lh.n eh comFBdioil. *ill & tlE wt rd llE n El@ t ml <br />imad.d or oII6.d lor sl. (Sa 704!. DuiB ed ProIBioB Cod. Th. ContrKloa ! Lt* lrw d.6 nol 49ly to m oms ol <br />IE FoFry *tD h,i!is lrqor6 Ebr od who &Eedrh,t tiIElro,,E*lf or soush hn G hd orr dPloyG. <br />p.o*Ld rhd kh nnFDffi E br iird.d do&!d lor et l[ br6s. r hlildlR n lqDrqGr u $ld rrh! m )s <br />of@npldb.. tu Ovc ttuiLld wil llw d. h,&r oaFows thr l! d !h. dil d hild or inltDw 0E FoFV 6r E F,Fcof <br />-1. <br />s otrc olrh. FrFty. o achsndy d'rrllus *nh k6s.d otud6 ro mdrud tlE FoF (Sc 7041. AdlB <br />,n hlkii Co&: ft. ( o,tdor ! La.@ r,* d€ mr 4i9ly b o o* K of FoFry * lb bsildt o. imFor6 lhq6( <br />.nd who @ntdi for $.h pojdrunn !Codrsclo(r) li.d!.d pcMr ro rh. Conlr.cror'r Ladk l.v) <br />Im.r d ur&Sd0n .n&PCror'hi!,g$n <br />D.l. Oind: <br />\ry(rRxEiLi' ( ()niPENs^rloN <br />DECI Air(l lON <br />I n6.b! amrn unds psDny af trlury or ofrlE folh* <br />'ne <br />&rlsdrE <br />-l <br />harcad{illmal,nai a Colincd.ofco,mt lo S.l Bur. aor wor[n.' conP.nslion. c Forid.d for by S<lnrn .1700 o r rh. <br />l:hrr Code for th. pqfotu. of Eso.I aorwhi.h rn Fnn i Gu.d <br />-l <br />h.E Dd $ nl roidtlin N*6t corp.Bdion iBuffic s Equn.d by sdiof, l rm of lh. L!6or Co&, aor rlE Ff{,M. of <br />OE Ert fo. *hich lnt FDh i! isel My wlo compqBaion i@d...eid ttd,oli.y rmbd d. <br />qHuQt\t(t <br />-l <br />.dit $,1 in lh. Ffol1rm of llE worl f whkh$nFnnisinu.d.IrhilmtdnPloy&yF&.inMynu6 <br />s 6 b h6cor $bar ro rlE wltd onipdri.r L* olcdrijmq &d cr lh. if l .rbuE ba.ft i.<tollE <br />$ortd' @Eldelbn provilioB of sar io. 37m of rh. tit r (_dle I CEll. t h*nh ohplt wiin 'h.- ForirioB <br />WARNIN(;: lailu'. ro sE. work4'compcrEd <br />cirrl fin6 up ki oh. honlrql rhou.d dolla (l <br />co!6asc ir ula*tu|. Md s$all rubjdl M odoF rc mi..l <br />ii7- : r, 'r,.in dd'rio. ro rh. .or of onll.Ndi{,n, <ld,asd B rro <br />srrpn 1076 ofrh. tttor (-od.. hrsd <br />c <br />lrf,(lr&uur <br />I ha!b,.rlm un& p6 y orFjury Oi t e liEd ur<Lr FDlirion of Cn ,ls 9 (6ffii.9 *in S<iir ?000) otDna.n I <br />ol rb. BEiIB &d ProfdioN Codc rn sy lkd& Lr h tull lord ed.tt .r <br />ct0 <br />calslaul]ra!.rIdDll0lq!!.s <br />I 6y rllm umld FEhy of Fjury lhn fid a . Nnrtu(nn l,iin8 .stry for tlE psfolr,e. ol rh. stl 6. *h{h $n Fi E <br />i$u.rl(se 1097, Civ. C.). <br />AEU(AM.ITECBAAUqN <br />I h.Sy .trm udl6 pddty of Fj,ny oG of rlE follo* ins .hch,nbN: <br />oqnohion P@ir!-kbdor Norilictrion Fcddrl R.sul iotu(Tnl.40, Pal6) <br />R.quir.d lilaoaNolifi ctlbo <br />-l <br />cd <br />'ry <br />rhn lrE fcd.6l EguldioB E8rdins ctdos l@! !l uc .or 4pli<tbk ro rhb troJ€i <br />I cdiry rhd I l!r. r..d lhir in nar. rnd fic ahor c <br />'n <br />roldkrn ir .oddl t rsre to.onply trnh dl (-ir md Cou.r! <br />otrlur{a.---^6 rnd sr'i. tr*! Eldi,B ro ldi,B .odnrri,tr .rd lEA, allhriz r.Fg.di!6 o llhi! Cily d Cod! ro ra lpordE <br />rtn!. nE ioErl F.Fry fd <br />ApDll.inr orAENt sianrr <br />Lu++W rcbcln <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subfloor/VenUl nsulation <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 />-.-\ <br />FINAL t.-7 -tct V;tMr,1<?4-21-/ <br />Notes, Remarks, Etc. <br />Certificate of Occupancy tt <br />rtlr3/r: <br />I <br />=