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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE tD/stG.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln sulatio n/Ene rgy
<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 I \ 10\rq NAfiC)
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />O\,vNER BUILDEi DELC NAION
<br />I hs.t, irfd uidq Fsny of Finy lht I r s.npl fren tlr Codn(d lf,c.4 L* fo, rhc folbsrB t@! {Se 701I t
<br />auitB od Prol6b. co&l: Aly cn, o, Coudy *hrh r.q!n6 . FEi lo @dtud. .16 inptlve d@litt or rqu o,
<br />tu@ Firro ir. i.lr.E..1o rquGllE +pliln td*iFdb nL. tic!.d *rdE! rha lEor tE it !kd!.d FBurt
<br />ro rlE ForirbB of tlr Co.lr.e r Ln .!.d L.w (clurr6 9. Com4irS sht S6lio. 7O0O ol Dilnion ] of llE Bsi,B dd
<br />Pr.ldioN Co&) or rlEl lE or rn L qarF tlE trom !d rh. bGi' fo. llr .lLe.d adFrn Ary riohaon oaserbn ?01 L t, uv
<br />.lpltd fo, . pdni rubr*t rh. .t?li@l lo . dril Frlty ol iol mrc $r filc hutdcd &lld {ttoo).
<br />-1,
<br />6 o*rd oarh. ImFny. or my €nplo)B ,th *.gB B lh.n $k compqtstlion, will {b rh. lort sd fi. 3M@ k mr
<br />i ad.d oro,I6.d for slc (S{ 7o4,l, Bui.d sd P$asioN Codc Th. Conlru.loa! Licou tlw Lh6 nor @lv {o e oue of
<br />rlE FFry u'lE b!il& or !lp.ov6 tlEE( tid wh. d.6 tu h $sll hiN.la ot h@lf.r thhulh hit ot h(.M .t+lnrd.
<br />providcd tlur *h dFt€lEB E d idod.d r olIqld fttr gt l[ tb6s. dE hlillilts q unFnv.!ffi s Dld w u om ,6
<br />of oipldioE ltE ()*c tul,c w ns dr hlddl olFlulB llt lt or sh. dn ml hild or iqrcrt tlE FsFiy 6t llE FrF.ol
<br />-!.
<br />s ouE of rh. FoFrr. e dcl'Bi\dy od.*lds *nh l'.68 d 6iE 1610 o'ritd rlr FoF lsc. 7014. Arffi
<br />sd Arkt Co& rh. Co.k.dn'! Li.@ k* iro6 mr.rplylo d 0*6 olFoFry $ho hoildtor 6protdth6o(
<br />ud *'ho mturr fo. sh Ftrid wilt. Co'rr*o(!) l.d!.d Fl,lld to lh.cdndd's Li(de tr*l
<br />I n.rdd unda sd'dn .B &P('forrhisrNn
<br />D.t.: . O'n.r
<br />rroR(rIIs; a(rMPENSarroN
<br />IECIdSAIIA!
<br />I IE B lmm unda Fd!,oaFiuryon.oflh. f6lh*ns.kle.rioB
<br />-l
<br />h,E -d sill ,ld.b. (difttl. of CoEr to Sl-lM frr sqt6t 6mF.$ria - FDliLd for by Sdio,1700 of tlE
<br />L.t . cod.- f( th. FfltM. of dE *ut h, *tth llr Foi b 8Ed.
<br />-I
<br />hr\. r.d will m]nrlin wortdr o,4.Mio. iBltrq s Eqlircd bt S{rio.]TCD of rlE l,l'or CodG. for th. Ff(fuc of
<br />th. Brt 6r *tEh lh! FBn n &d. My *qto onFEdior ilEilJt. @i6 nd polty ouebd ,.,
<br />Policy Nunrbd
<br />-llpt€s
<br />-l.qlirythc
<br />i. th. Faotrucc oflh.*orl lo. *hkh rhs Fmn i3 n$cd I th.ll mr dtrplo, uy pq&n o aylffi
<br />$ s to b.com uhar lo ir wlld omlqlrio. Lu! of C.lilod( !i +r lhr if I llbuld b<oe $Li,6l to tlt
<br />mn6' or@dnn lioyilaoE oasdion l7m otllE ldor Coda I iElL 6r Nnh otql) *nh b- PtnvitbB.
<br />\rARNnG r.jhF lo gw wda' @oF!rii. oy6.ac ir oLwftl. !d .hrX ebid e adoF h aimi.d porb ad
<br />cMl fi!6 up ro oE hud rhourn &Ir! tllm.om), r rtdnion lo llE on ol @nFdioG &rrs6 a F.rit.d r.r r
<br />Sdrio. 1076 of ElrtdCo&i dd..d.ndrty!ld
<br />uc[lllDsgNrBAllol
<br />DECIdIAI]O!
<br />I h*by amrn lnda porlry of p6jury thd I o lic.N.n undd ltlvirion oacttlig g lcon$r4 'ns
<br />$nh sdion 7000) of Divition l
<br />ot rh. Bdin6s antt hlfsioN Codc, a.d 6t lk@ i in lull aor. ed cff{r
<br />slllraucllll!..tllDllc.6cf[cl
<br />I hs.by rlfm un<d FrEty of Fjury rhi llE. ir. edrudion lddins cdy for rlE pcfro€ of $. err 6r wtth lhir Foa a
<br />is$.d (sr .!097, cir c.)
<br />ArtlJLll[rlltllsArlo!
<br />I horb, .lt!. ur& pa.Iy ol Fiuy oE ol0t follo*irg d..l,,rioN:
<br />D.mhEo P6ie^$.rq tiorifEdbn F.datl R.sulrDd (Tnk 40. P.n6)
<br />-R.quitd
<br />L.rl6 of N.aftriof,
<br />-l
<br />cd i8 lhd lh. tcldl r.sul,rmc t Brd'ns sbElot ,mr.l e mr +PltlbL ro rh! FnJ*r
<br />ro @mpl, with .ll Cny ..d Cour,
<br />I thi! Ciry D.l Couty lo 616 uFn tlE
<br />n.,-tl-22-tr
<br />1.ql,6,#lh.r.GJrhsio']l'(rr'ont, sr.r.rhdrh.ahtr.,trlomr,'.n6loEd Ia*,(
<br />rdutrr6y'dsrar.l dq!Elarn*to b{,ldrx.odtudi.r eJ ha.bt outho* rFBHroh!6 "!b.\Eld iliFi v,., N * ), 5,,,<:_r*-Apprid or
<br />^sdrshn,run 2,/ , - -Pmncur.r9,Gt, Jle 'u "qZt
<br />COMMENTS
<br />L(!Mllumbq
<br />l,.ndci3Addrd:
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