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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS OW ET BTJTLDEtr DEL{ RATION <br />I hd.tt rrm uD& Flhy ol pGjury lhi I r qd!f, 6on tlE Codrcls Lc.@ L.* fot llE fouowins lt&. (S€ 701Lt <br />Ituind .,n Prof6Fn Co<l.): Any Cny or Coudy *nkh r.qun6 a Fni lo oisruc1. tll6, imFov.. ddmlilh or Ep.n ey <br />irru.lue pm' to irs NUoc.. d.o r.!ui6 lh. +plicer for !u.h Fni to filc . 3,gn d nahal ltn h. or !h. i lroa.d pdud <br />ro rh. pmvilioB oI tlE Conlfubat Li€.nF{t Lw ((n pE 9. Comcncins wilh S*rion 7000 ot Divnion I oalhc gsiI4 dd <br />Pr.rBnn. Cod.)d $! tlornE bdmpr lia.noE Dd thc tGn tuln .lkg.d ddFhi Ary r ioldion olsdo. 70:! l 5 by my <br />rpplicd for . Fni $bjclr llE eplicutl lo ..ivil F![y of N m.. rha fiv. tui<tol &'ll{t {1t00) <br />-1.6 <br />Nn of E FoFlr, or Ey mplorc *'(h rasd a oEr 5L @trFMion. qill&) lll wt t'd llE nnnE 6 mt <br />inrarLd or olT6.d for rL {sc.70t4. BualB sd PbfBios cd.: Tn (o'nr..rorr LEc l!* &6 @t +ply lo u ow of <br />ihc plpqry wlb il& imFor6rh€tr ed *tn &6sh mrt hihrclf or h@lfor rhoush hi! or hd om nployc, <br />rroliddl thll3uch ihpmEMll & @r r,l6ir,.d orotu 6r eL lI.t {6€.lh. toilliry o. inFrh--c,@r n $E *rhh unc ya <br />ol.onq*ri,( rh. o*{a Builld *itl lEv. llE hda' ofpmvirB lti h. s tt d'd mt hlh m inFor. th. proFry tu dE F,Poe of <br />l. sorc of rh. FoFr), d 6ctBi!.1, codr-rtrB *nh lt.rE d.o rrlc lo odtul rlE Fjd (S- ?O!. ABi6 <br />,d hlliir Co& Th. ( onlrrcloa! LiccM l,r &,6 Dl !p?ly lo s o*.d of FoFiy who hikb or 6pbvd rh6o.. <br />&d *ho conlrxri l 3uch Foj<r3 wnh ! cod6.ro(!) lkd!.d p{Eur lo lhc codr.clv! l-i(@ ts). <br />I dr.rcrpl und6 S(rir <br />l&aaf,Ef,s:glluElrArla!DECllIAIl!'! <br />I ts.t, lmmuo&r Fdl, orFjury Drc olih. nnbsbe &.le.iioB: <br />-l <br />h!v. enwillnainrtin o ( ariarcar. of aoMr ro sclf-lNur.lor srldr onrpdltnnr, s tmvil.d aor by Selion 1700 ofrh. <br />llbor Code lor rhc Ffolrua of rhc uorr lor $tth th. pdnn b isuql <br />-l <br />hrv. rnd e ill mint.in *ofi6! .omFui)n 'Btrc. B r.qruld urq sqtb. l?m of rh. L.tor Co& for tlE FfolM. ol <br />rlE sort fo $ nth fiir Fmn ir iE d My 6td' mnpqEdFn nli,ltN 6i, tn Fky numtq re, <br />Pol(vNumbd <br />- <br />E(pE <br />-l <br />cqrify rhar in rh. Ftolrj@. of rlE wort for Etth thir pdnn n 6ucd I shtrl m! anphy m, F$n u ey nilffi <br />$ s ro b.om sutid lo th. rflt6'odFlrrion hs ofc.filolu !d +r lhr <br />" <br />I ilould tEom rrtid <br />'o <br />rlr <br />mrt6 onFsrior ForlEB or Scrio! 1700 of th. t Do. (-od. I idl fonNnh omrly *nh rhot F!\i!bB <br />W RNINO Fdluc lo srtr *o.t6 comFsion o!d!3 <br />.nil fin6 up lo onc huo&cd lhou$d dolla lll00,o0o), in <br />SNtiotr 11076 otth.ljb.r(irde i 6d Md rtlrmy 6 aG <br />".,,,1o-jcx.v <br />nEcr ur r(w <br />I n6!nt .rm u.&r FEhy o f Fjur- thi I e I'cd6.d un& r6vlii. of (1rFa <br />of lh. BBins ud Prlasio6 Cod.. &n my ltru b in tuU tor.. ad cll..l <br />(on]ffiins * nh scrion 7000) of Dlnion l <br />l, <br />( ols r RLC r t(l\ l l \Dli\(:,\(;t \( .| <br />I h6.by amnn und6 rEnlhy of psjury lh.t th6. it . oBt dion t dinS .gdcy for <br />isu.n ts{ 109?, civ. c ) <br />tunEn.c oflh€ work,or$h'ch lhi5 ponil i! <br />AtlllcANl.D[cLaEalla! <br />I lE*,yrnim md.r p.f,lhy ofpdjury onc oIlh. nnb*i.s d6l& nns <br />D.,nolilion P@nr-Asbdo. Nori6ol ion F.d6!l Rc3uLt ions Onlc 40. Prn6) <br />R.qurrrl tnrq of M{fu_dFn <br />-l <br />.dify tha $. f.d..d r.suhrioN Esrtnns ah6tG rm\ at d. m' q'pl$bt rorh!ptuF <br />I csliry rhrr I hrvc @d rhii lpplicarion nar l ure ro comply sirh all ( iry Md counly <br />ordle6 md sr,r. bH Eldi4 to hr <br />.lx'tr m6r'on d p,or.ily aor i6p6rion <br />oarhis City dd cou.ty rD ar( upon llE <br />,\ppri(mr o..r3drstdruF -,.,/QJe Z'Y <br />Set Backs <br />Formg/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUlnsulation <br />Roof Sheathinq /W r //l-Z//*tz L)E) ---uShear Wall 'lr -(, <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 />FINAL rr/ro//f E rUrvlfu-/A-." <br />Certificate of Occupancy 't I - <br />Notes, Remarks, Etc.