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BUILDING- INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS ov6-Blild.t D.(L.ai.n I hd.bt.mrm !.dd p.rhy of p.rlury rhr! I rn.x.md l6rh ih. Conrrdor' l-'c.n!. tr* for rh. iillo*'iS ra.on {s 7o1l 5 Bdr.6. .rd Prdft.lnn(on.): A.yC y or Counry whi.h rcqurB . p.rnn lo odrucr. .hd. rhDrelr. dcmlBh or Ep.r .ny llrucrE. Fb. ro irr BruB.. .ll. r<und lll .,r9li..l aor ruch Fmn ro fiL r li8En lrtl.mnl thr h. or rlE i li..Md prql lo rlE p{.ritiou of th. Co.r.dort Lrc.n$d tr* (Ch.prr 9. Conm.ncrng w h S4r6i 70aO ol D'v'.'or l ol $. Bu!n6! r ProaarEB Cod.) or lh.t tE d rh. n.r.nF rlE.6Do md E Lrt ao. ttE .lks.d crcdplir. Any !Fl, bn of S.dirn 701I 5 by r^y rppli...r aor . Fnn rubj.ct! llE tnpliont to t civil p. lly .f ml mor. th& liv. hundr.d dollts (i500) l. r o*E.f llt Fop.n'. m .rcluti\.ly conrdina *nh Ir.B.d.o.rdoR 'o.od.!d rrE FoF ( S( 7044, Buhd rd Fr.a.sion Cod. 'rh. Contrdor'! LEtu. t w do6 nor rpp\ 16 ii o*..r of propdr who bu 'ld! onhpror6 ihaen . r.d who conl,.clr ror tu.h pro,.ct $nh r ( onk&r G) I'<o!.n poBud lo rlE Conrrdor ! l-EnE l,* ) I rh.r.mpr trnddSdhn \IORKEfS ('OtrTPENSA IION DI]('LARA'IIOI\ I hr.h\ rfinm trndd rMh\ olF4tr,r orc oarh.loll.r 'n* d(lrrllrN I h.*.nd *rlr dimrr r cdrifE lC orcoem lo S.lr.lBw. for slt6 @rp.rrb.. r proldod for b, Sdbn I70o of rh. I ibor Co&. lor rlt ,.rfomN of th. worl for *hi.h rn D.mil it irrud. I h.v. rnd B'll d'dt'n *ortdi 6hp.BrFn 'n!unE., u ..qutr.d l8 Ser on ! ?0O ol ih. lrhor Cod.. tor lh. Fraormnc. of rt wod for *trch'hBp.rnn tr Bru.d My *ort.6 comFNr6, mlmne.rir tnd Flicy numbs.rc: P"'k!\dnbcr cbTfu>Q/a5 i Ihir Krnn n d mr hclnnpld.d 'rrh. n.rm uforOi.hund.d l.rd'[ rh n rh. pdn)mft. olrhr sorl nn rhrh rh'r Fmd n NWd. I:hrll mr.npb] in) Fr)n in rny mn.s $ r n, tEsn,.iuhrd6!h.s,lds.on,p.nernnL*oICrl'fornr,rndrlrEthl'flrhouldb.(om.ruhj.ct'::Y/WE**-',:',;::":'iigry WARNIN(; ll'1!r.ro saur.*ort.B conDlBlton cov.r.g. n unLuful.lnd !h.llru ioF rommiD.l p. hi6tna ciril B r'..vAcd fo. rll S<rhn 1076 olfin6 up lo oE tu'nr.d lbu..,n d.,llc ( t 100.000),h ..ldilion lo tlE.oi ofcoIp..elb.. rh.l.bor Cod., ,nr.r6r ud rnorrcy! fc ul:E!,tlDladraallaaii-0[(JJSArr0! I h.r.by lmm lndn p. hy ol pdjury 'h.r I m lic.ru.d undn pr.vn6tr .r Crrprd e (6mn.n.i.t *irh sdir. 7000) or DivBbn l or rh. hBias..d P6I6.h6 C.d...rd 6y li..E n i. tull for...nd crlftr -" 4,*/,E au2; I hcb, lmm !.dd ptulr, or pnju.y rh.t rhft i! . codrtu.tior Lndin, .g.By for ri. isu.d(S< log?. Cir C ). orrh. *od nn *hrch ltr p.mn ! AISIICANI-IDCCJ.^aIIAI l).mohion P6m{}Arb.llos N.tific!'ion l.d.rrI RquhioB I rnk,r0, P.n 6) R.quir.d ldrdof Norii.dion I G( iry rhrr th. Li6rl r.suLr ilB r.r&dry d66lor mr.l & mr tpplicrbL ro rhit pmjcr I ..n{y rh.r I h,\r r.rd thn.ppltrlnn.,n $.r. th.t rlE.borc infor lion n.orc(r I.3croor9ly}ith.llCnyInCou,'ry ordi ft6md Srr.lr*...l.li.3 l. b! ildi.s ..Brru.rhn.t.r.rr6orarn.s of rhi! ( ffi",;:rcu?, rami,,..mm.(pnn,): f(,'\e> 5- utcT "i'lJ; Set Backs Forms/Steel/Holdowns /o/4rr -Ala wdYA Erection Pads UFER Ground SLAB Floor Roof Sheathing Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Report Engineer Final Report Flood Zone Certif. I FINAL blp+/t6 ob-Ja> Certificate of Occupancy Notes, Remarks, Etc M \WP51\Perm(-lnspectron Foms\Burldrng-rnspecron Reco.d.d@ 03 31 06 l. B o*F .r rrE po!.ny. .r ny .oployd wnh s rs6 r lt.n lot comFnllion. uill do lh. uort Dd tt rlrucru. i! nol i ..d.d or ofI.r.d ror sl.I Sd ro.4. Eur6!.dl P.of6!bn. CoA. TlE Codrdd r LE 6. trq do6 m'.r?t 'o.n o"E olrh. Flr.ny wlD h(i&rr or inFlrâ‚¬ ths@n. rnd *lh dc .uh *ort hi,Mlf orh.*ltorihrou3h hi!.r h.r own.f,phyd, proriH thrt ruch impro!.|16it !r. mr fl.nd.d or.lI6.d for sk ll hor.vd. rlE b{rldirg or iiFrovooi tr F! *nhi. o( ydr ot.onpld ion. ilE ()$E-A{iEauillh.wtlEtlrd.nofrr.ri.ath.lh.or.mrb(ild.rinpro\tfo.th.porporofuk)Subfloor/VenUlnsul.