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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER IUILDER DST,CARATION
<br />I tE by rrm undd pqul'!. of Ddjury rhr I m adDl &oe rlE Codxioc li.@ t * lor E follosiry leD (56 701 I -r
<br />B6'n< di P,of*ion Co&) Any Cry or Cody *hah r.qui6 . Fhi ro ordnf,1. r. iryro\t ddDliir or rq! ry
<br />fti.i@, Fu ro nr illlftc rh6 r.quiE E +pli5r for rch Fnir ro filG ! i'srcd nroMr rhi lE or dE i! lrq!.d poBr.,I
<br />to rh. provisioB of $c Coir..t6ir Lkd!.d Llw (Cn,pla 9. Cohmocug wilh Sdbr ?000 ot Divirnr I ol d'c 86in6 ed
<br />PofdbB Co&) or rh.r lE d nE ir dcn r rhs.tom sd rh. bdit lo.lh..lLs.d 6@Fb. Ary vi.Ltion ofsdrion r0ll.5 by es
<br />ip?la&l lor. FnI ot'cr! rl8 .rpliol ro. civil Fr!, of mr mR ihr lir. huni.d rrrll&! ($m).
<br />l. s oM6 ofrfic Frpdrr. or my €nrlo'6 wirh {,!96 a thcn FI. compdalrion. gil do thc "ut d'd E nrudE i mr
<br />idEr,.d or off6.d for 3d. (Sd 704.4. BBi,B ed PbrBbB Codq TIE Cotudor! LkG l,w d6 ml !p9ly lo M.*E of
<br />lh. FoFly $lh h,ilt d insoE drEar d *ho dE ch wrl h,ellor h*ll.. rl[DuBh hit .r lE oE stplolq
<br />Foedql rh.r st fiFEErtGmT dqi.ddotuEt n et lllu6E,t&h dla d inpwGr ir-ld *ilfi @ r-
<br />or.orpkba llE Of,n6 Bril& will lEw tlE hdta of Founs dld lE or rlE <tid hl h,ild o, mFDE ,rC FDFry 6r dE Frpo!. ot
<br />l. 6 ow ol rh. ,lDrEry. d d.lGitrly .omftlDg *nh li.atr d odrdm ro otu llE FoFr (56. 7ol.l. tllm
<br />,rd hrftsimCod. Tt. Codr.doli Li.@ llw dod frx 4?tylo e owtrs otpmrEly uho build! o, iop.o!6 th6@n.
<br />.f,d who or Ecrr tor such proj6$ wilh r Conlm.lo(, lrca*cd pur.u,n ro rhc (bntridol! LicaM L!e)
<br />I m .rdpr u,r& Sdion
<br />uaB5!!l.c!)!ll!!sarl9!
<br />DECIIAAUAX
<br />I ho.t'y lllm unda ,@ht or Fjury oE olrlr follor'in8 r!.d.rdioB
<br />_. 1 h!v. ad will rlinrdn ! Corifi.aic of CooFi ro S.lt-lB!rc for MtLd onpdrior,4 Fovij.d lor by S.oion l?00 of$c
<br />rlhr codc tor rh. pafolrrec ol rhc w fo, whi.h ln. p6nn i!it Ed
<br />YMh.'. ..d *nl n.di. rorr6 c.r,Fd.ri6n iMrNq s r.qurql br sdio. 17oo or . ubor co&. ror thc Ffonlec or
<br />th. voit for whi.h thir ponir ir iu.d My mrl6 ompallbD iNffi.csis &d Foliy ndbd h:
<br />,-,', Au-c f ic cn t--, zeltr<L.
<br />PorqNuEbqk c--Da (, ol-3-*,'*, 1.t/L/Zala
<br />l.diry${ i. th. Ff6ru.. of th. s.rl for s'hi.h lhi! Fmil i! isu.4 l.n!U hl @phy !., Ftun in uy oe.q
<br />$ 3 ro Saom sbj.rr ro rlE ucl6'@np.t'!rbn L*r olcrlfomil di.gc inr ill 3holki haom riF( to llE
<br />mrta smFB.r n. portEd ofsdsn l T00 of rlr Lrbor Code l trll, fdn*nh enplr f, irh
<br />'hos FoviioB.
<br />WARNINC: Flilurc ro cs. s.t6' cdmFNdion .or.Ee. i3 unhwnil. ud !h.ll rubjEl d dploF lo oinintl Funit ad
<br />.nil lud op lo onc nudrcd rho@d doll6 (t100,00o), in iddnion lo lhc corl of conp.Ntiorl &tus6 a provid.d fo, lhc
<br />S.drcn .\076 oirh. ht , Cdr., i .d. d .brEy s fc Ua,7C So,,, 2-t2- lc>1o g gqslt I
<br />LiFNSED coMrR c'roR _
<br />[lclllaua!
<br />I hdrUy .tfft ur.b F.iy ot Fj!.y $d I D [@..d u,r& Flvbbn olctlFr 9 (@MuB snh Sal.n 7000) of Dtbba ]
<br />oa lhc BuiE.rd PEfdioB Corlq d my lt@ n in tull foe rrd.lt.r.
<br />,,*.o, (1O !ko* NMrq:c1)31 5 Q
<br />o,.,2 -Q -2 a2 o .-,."*, X v i ,r In t (a 1a r
<br />Arfu(INrDtcldlallo!
<br />I hdlby.trm undd Fr.ly ot Fjuy oE of lL follou itr8 &.LtalFB:
<br />D6tun!hn Pmir3-A.hdo! lk ifErbn t.dd.l RcgllaioN (TirL 40. Pin6l
<br />. . .R.q!n.d Laro of Notificdio,
<br />I cd'8 lhn lh. t dqJ r.suLlioa Ess{os .b6lot @\d e mr +plkrbL ro rhi! F.F
<br />Vt*^ify rhar lluv.rod rhi5dpplicart,n dd sr.r. rhd rnc dhov. i.lomrdion is.onRt lasrelocomplysrrhrllCltyand(ounly
<br />oidrEN6 &ri Srrr. lrvs rl&i'u ro
<br />!bo* nElion d FrF y for iEp.d
<br />buildins .ddtucrioq r 1 rurhoriz. r.!.6ddir6 ot rh! Cny 6d Coury ro dt6 upoi tlr
<br />\ptli(rnr'r^Aor SiRnitur.Kffi t)i. (vCrrSa 9
<br />h,, Lll:Lt7 O
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA/enVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />hrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif.
<br />I
<br />lt -)I
<br />FINAL qArh),-t.t-Yt 7r 7t 4le,e lza DtyfZa*&)
<br />Certificate of O
<br />Notes, Remarks, Etc
<br />CONSTRUCTION Lf.TIDIIIC ACFNCY
<br />I hotby trIm u,rlq Fdyof Fjuryfir rhd. i3. odnribn rrdinB.gay 6r rh. Ffollle. of tL uo.t for rt*h rni' Fni i
<br />s!.d (Se. 1097. Civ. C.)
<br />L.nda'! Nm.
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