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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFEB Ground
<br />SLAB Floor
<br />Su blloo r/VenVln s u lat ion
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />t -)A ,l
<br />FINAL u tM21 'ffi
<br />Certificate of Occupancy ll
<br />Not R rks, Etc
<br />o alt I
<br />OWNEI BUILDEA DELCATANON
<br />I hrcl', .,lrn uidcr F[I, ol F,t, |ni I d .&nl, 6,on tlE Coddon tirn€ ljw for llr lo&'r'ha rsr (S.r.ml I 5
<br />Busin.s d Prolcssion Cd.): Any Cily or C.! y whah Equic . p.mil lo oB'tu-1, r[d. nr{,o6. d.mlilh or tF, ,
<br />srNcrE. pri'r ro ir3 irsumc. 6110 Equirt rlE ut plicur for ruch Frmi r. nh ! {gn n nl!.Enl lhl lx or slE i! li.n!.d pus.rl
<br />ro 'h. Fovtir of tlE Conrd 3 Li.lnsd L.q lcll.fld 9. Commir3 vnh Scrion 7@0 oa Divi.iD I or dr autiF.s .ld
<br />Pmf.srhN Co&) d th.t lE d nE n .r.s!fl rnftfilm rd tlE h.rn for rh dLs.d cr.nprnn. an, tiohion ofs.rlbn 70ll.J 6y.ny
<br />rpnli.u for ! p.mn suhjeft rh. rt ,llicani lo ( civil pctuhy of nor fr)E lh{ fiv. hundr.d doll$ (1500).
<br />_1. r m, D(oE Folqr, d ny cnpblcr snh ragn ( rlEn $l oqEMbtr willrl. dEkt.d dE rlrEc ir ml
<br />inr.nd.d or od.Ed tor r]. (Sa.?0,{4. A$ircs .nd Profc{ioN Cod. TIE C.nrrror's Lirn* Lrw (lE. d .Cdy b owBor
<br />th. F)Fry *ts hndJ or inprsB tlEoE a,i sho dE ur' M* himElf or lErclf or lhmu3n nis d. lE. own cnphJt$,
<br />Fovitnrt.i sh ir+ro6Erfu c Dr -Iod dotuEd ftr n!. ll hom€. rhc birr4, if,p.wnd ir sld dhh m )d
<br />of ol?lrir lll oeEr Buitla liI hr dE h,dr ofFvlt dr lE 6 tE did
<br />'br
<br />hild d qrE dE FrFry ki tlE FIFE ol
<br />-1.
<br />a @Er or rlE Fr9dry. m d.bliwly o dint rnh [er-n mdd6lo onllrEl llE FDi$ (Sc 704,1. BEiF!
<br />r:n h!frsin Co&: Tlr Conrclor'r Lk.* L.* do6 Er .ppty ro o osE o, FlFny rho bIilr or imroH dE6tr
<br />md who snrod! for ru.h prcF.r*vnhr Conh.lo(O li..n*d losu.rt ru tL Conrrrrols Li..@ Lie).
<br />I e.Enl, urld Sdi,n-. A &P.C lorttir llen
<br />D.l.:- Om.r:
<br />--
<br />roafE8s:.cturEsarlq!
<br />DECIIAAIIO!
<br />I hcEby rltrm u.d.r FEny ol Fiury oE of llE folbwaS &flnriid:
<br />-l
<br />h.E.ri *ill mhrrin. CarirEd. of Con-.r ro S.lf.lns lr ,qt6 or+.Eri,( u Frv'd.n rd b, S€rir.l7m otrlE
<br />rrt.r Grd..lor E Ff(m ordE wt fc rhih tlE Fmil a i!sd.
<br />-l hrE Md will mindn rort R' .o,p.Nli.,n ills.r.. 6 FquiEn by S€lion l7(D of tlt L.!or CnL, fd llE Ffllijre of
<br />dE wt ld whih thn pEtu ir iqi.(t M, rat6' @rFMion iffi n; rn polty m'd.i c:
<br />-l.cnifyltul
<br />in thc lIrlormN orrlr *ork li,r *hich rhn pcrmir ii issucJ, I lhrll mr.fll,loy any Fr$n in..y nurr
<br />$ r o tEm $bF o rrE eatdr'onpodDn LB nr cdilomt. .,rd {r lh.l il I rlnuld t @r flb,.<! ro lli
<br />sltm orFnsrion |trlvtbc ol Serbn l7m of rlE ll!ry Cdq I rla[ nnh*nh 6'rnr, wnh i,b: pEtno.s
<br />WARNINC: FoiluE ro *.. r Mrlds ompcrslk tr coknrc t unhwtul, snd .h,ll subj.d .q)loF.lo fininrl FMhas.nd
<br />cMl ri..s up lo oN hurdEd lho!{d dollB illoo.fiDr. in sidirior ro rlx co{ of.on{Ensrirn. ilrm8.! B pori,.n for llE
<br />SalDn 1076 ol rlE L$or Codc. iDr.r.r .rl .l(mr'r ls
<br />- ,tpplldr:_
<br />-
<br />uc[&tED-c0Nrtaqraa
<br />DECUAAITItr
<br />I lEcbr .frm !nd$ p. lry of F+ry rhd I !m lien*d und$ Eovirhn of Cb,prF 9 (drnftrcinS rirh S<rb. 7ffi)) ol D,vtion J
<br />of rtF Busims rnd PmL$ioB Cal., dl m, li.ns ir in tull for {n.flal
<br />.(tN(TRII('TION I PNDnI(: A(:FIIC'Y
<br />I lEEb, dlrn und.r Fn lly or r.iu,y rr'.r le " . ontlrxrir Ua;r +*y r"t rr. p-r* or dE wtri for wtidt fin F L !
<br />issud (s( 1097. civ. c ).
<br />A.EILIIIINI.DEIIdTAEA
<br />I hddt 6ltm unb Fnlx t of F1.,, oE ot rlt rouosin, d6cLrrnn.,
<br />Dcm,tithn Pcrmilt'Arlt(or Norific.rion Fcdc6l Rcg!hrhns (Tirkl(), Pd6)
<br />_R.auiEd lrndof t5lifdn
<br />I.cnilirhdrrhcltd.fulrc8ulllionr rcSsdrng !sb.(o\ ..,&vrl nrc nor q'plic,6lct, rhi\ pn'F.r
<br />_l .$ity rhd I IEE Ealltn rjrli.rt'n dd nrl. rhi rll.how inrddtr s (tu I .rc ro omdy *nh r[ Cily rd Coody
<br />oiditutuc! lnd Srri. tlws ELrmS ro &ilding c.nIddio., lrl lEEby .urh)rir rcIxrEnl.l iEr of lhi! Cir y !d Co!n, ro ..r( uFn rtE
<br />rh)lc nEnriomd l|tr pcnytu in\pdrioo p!,po*s
<br />Appli..nl or Aa6i SiaEluF
<br />llem rfr nF(Drlnrr:
<br />at'l
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