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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/srG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfl oorfuenVl 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 Requirements
<br />Deputy Final Report
<br />Engineer Final Report Prf IE
<br />Flood Zone Certificate
<br />l r.x ll I t:t
<br />s,r.t c c{3. :I 0,55e,657
<br />FINAL
<br />Certiflcate of Occu pancy
<br />Notes, Remarks, Etc.
<br />Os6'B!il&r Del(lion
<br />I h4ty $im lndr pcnrl9 otFjury $.t I d.rfrpt fm llc coiE&t6' Li.dr. Llw rd $. follo*ii8 .aoi G.c.rol I 5 Blliidi
<br />tud Pbf.3i6 C.tL)i Any Cily 6 Corny *hich quiB . pcmir b cmit!.r, illc,. inp.ov., dcmlirh or cp.n &y rouor., pritr ro iBirueq .lro cqll€ 6. .p?lior ad tuch Fhn io fit r ,iF.d rr.rfur d[t h. d rn. ! [enrcd puBuur ro d. p.ovhion. of rh.
<br />CmE .rd't Llc.nr.d l, (Clryrf 9, Con!*rclis ,ith Seri6 ?000 of Dvirim 3 of fic Butin.! ed !rcf.$i6r Cod.) o. rh.t h. d
<br />th. n .r.npi lt6.fin id $. 6cl. lr ilE rll.rd dntii@ .Any iolrtioo of s.c 6 ?0! I 5 b, sy iprli.$! 16! . phn ,ubj.cr !h.
<br />lppliMr to r civil p.n.lry of not dorc U$ tivc hwdr.d dolls (1100).
<br />_1, a Md of fi. prcp.fiy, d hy frploy.6 *nh wrld d rh.ir ,o!. cohp6!.iioq will do $. eorl lnd lh. !u!crur. ir nor iit.ndcd
<br />n ond.d f6 oL ( Se.7044, BBiB, rd Prof..!i@ Cod.: Ih. Conr.dd! Licdr. b* doa noi .pply lo s o*nd of rh. pDp.ny
<br />who buil& or iD?rcv.t tiqlu, ed who &B rah *dt hitu.la d hd.lf 6 thrc!8h hir o. tr own .mplor..t, previdcd thal ruch
<br />ihprcvemdt G nor inGndcd d ofidcd fd r!1..If, hoq.v6, thc buildl.B d ihprcv.tMr i! rold *irhih on. y.!r of coBpldio., fic
<br />OM6-Buildr willh!v. rl& burdd ofForin,ln.t h. or !h. nd boil.lor ihprcv. fn (n. ptrpo,.6lril.)
<br />_1.!anqof lh. prcF,lr, e.rcluivcly cormcrins *nn lienr.d ohc6 ro con rucr.h. proj..r ( S...,0.., Bu!in.!!&d
<br />Ptur.s.ion Cod.: Th. Contlctor! Licfrr L.q dod nor rplly to !I ai.r ofp,opaty who blildr or improvB rhd6n , &d *ho
<br />contt8clt ftr tlch pmj.cr! wiih. coibrdo(r licard puBuar ro th. conrmror,r Lic.ns. LN )
<br />_l m.r.o!i utrdd S.cri
<br />-8.
<br />& P.C. ld rhir EBon
<br />WORI(ENS COIIf'ENSATION DECT AR,{TION
<br />I h.r.b, .mm u.d.r p.nilty oa Fjury m. of rh. tollowins dclmionu
<br />_l h!v. sd will 6.inhia . Cdrilic.c of Cdrdt io S.l Nw. fd wdtd' cnpc.! ion, s prcvidcd for by S.ction rToo of rh.
<br />Llbor Cod., for rh. p.rfru@ of lh. qol fd whi.h lh. p.mn n iii!.d
<br />_l hi!. .nd *ill tul dn *dtd' .dtrpc.idd iBumcc. a rcquiEd b, Seno. 3?00 oflh. Lrbor Cod., lor $c p.rfm!n.. of lh.
<br />wo* ld phici lhir ptrit i! kr!.d My f,dkd' dp.nr{ion iuorMc. cuicr ed lolicy nuhb.' R:
<br />Pollcy Nuhba_ExDircr
<br />#dffi;;ffi;ld O.c hun&cd doll6 {t100)or
<br />.ofrp.intid prDviri@! ofSccd@ l?00 of$c llbor Cod., Lh.ll, fonnwnh)-)4-O
<br />WAITNINC Frilurc to !.NE wort6' cmpcmd@ cov.n8. it uo
<br />iird up ro o. hln(t.d thdr&d dolld (t t 00,000),in lddirion lo th.
<br />th. t$d Cod., hr@i &d .h@9! f.6.
<br />dM4q B fovid.d lor !h. S.ciion 10?6 6a
<br />LICENS'D
<br />'ON1RACTORS
<br />DECI AR,{AION
<br />I hdb, fid u.dr Fml9 of pajur, fi.r I 6 licmr.d urd6 provnioi o( Chlptd 9 (
<br />$. Bu!i.4 ra P.ofaridr Codc, dd my li.6!. il i. lull fdc. dd orer
<br />->(-(-
<br />I hdly tflifr u.do p.n.lry of Fj!ry $.r fift n r corrudio lodiis
<br />nru.d (S<. !09?, ciy. c.).
<br />for lh. p.rfdsn* oath. wdk fd which thn pcmir ir
<br />APPI iCANT'S NT]CL{XATION
<br />Ddoliiion Pffillt-&b6k! Nolili.nioi l.d.6l R.suhdoir (Tid. 4q PM 6)
<br />_ R.qriEd t nnofNo fic! 6
<br />!8c roconply *irh dl Ciry ud C@nry
<br />oirhk Cn, Md Cou y ro.nrcr upon rh.
<br />)L
<br />II I I
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