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BUILDING- INSPECTOB HECORD
<br />SITE.WORK DATE tD/stG.COMMENTS OI{'NET EUTLDER DELCARATION
<br />I lEEtiy .rrm !n kr Fn Iy or D..rt, $rt I d .k.rpr fion rtE ConldoR Li.nr tr* for ltE lollotitrg @en ?S.c 7o.l I 5
<br />Buiincs '8j Prorei*hn C&lc): Any City or Counry whkh r.qun r a lrmil to sniltucl. rhd, idlDE. &mlirh nr EFn sy
<br />dMW. t br h ik irsu,N, lte Equicr rlE mli6r tu sh IEmr ro 6L r 3tftn {ndr. thd lE or rl!. ir lirren pu.d
<br />io rlE F!!nkr.. of rlt Conhrd.r Li.lnxd Lw (Ch!pl.r 9. com*-i.B eilh S6lhn 7000 ot Divni.n I of tlE Bu:im$ od
<br />Prcfct*hnr Codc) or rhlr tE or slE G crcmpr rls.fiom .d rlE b.tn rot 0E .lk8cd .r.nIri,n. Any vi,h'bn of Sdb. 701 I 5 by ey
<br />rpli.r.r ror!lEm hFk rrE rpplrri l. rcivil JEEtyorml mE lh.r nv. tudr.il drnLE (l5iD)
<br />-1.
<br />Lr ovmr dt rh. pnrFny, or my cmprrFs srrh *!sc! .r rlEir $t cnip.rsrbn, wdl&rlEk*.rndEtue aml
<br />u..rlal G oficEr! for rL ( Sa 704a. ABiB3 ud Fbf.rri,n! Co&: TlE (ntuol. Li..nc bw .k'.i nol spt ly lo & o*ftt or
<br />lhc pn,pcny who toirds or ir{roEr ttmn..,t vh. d(B rxh s,i( himrlf or lErslto, rheu8h hir d lt o*,.r?r'}t6.
<br />provid.d rlui ruch n4.ocr \ e nll irsncd i,ofi.rEd rr Ek litbffi.0rt iBin8 d ing.Emd k 5E v nm)s.
<br />ofonplxiE ltr O*Br Buil& *i[ hlE tlE hrd.r o, pmlin8 oul L or {rc dil mt t{ild or in mE tu pDFny ror rtE Frps or .
<br />-l,
<br />aso*E!.tr,'c pmp.nr. rmci.lu.ivclyco'nrlcrhs *ilh lnttr*n codEdo6 ro onrM rlE FoF (56 roL. ButuBl
<br />rn Ao6*rs Co&: Th. Co.rftro Lk.nk b* do.r mr .n 'ly ro o owrc. of rrcFn y rho buildr or ioprowr rh.rtutr
<br />rnd pho onr,rrs Lr skh p..j$h enh r G).td!(s) lk.n*d pllu.r k, rlE Codndm\ Lim* L!*)
<br />-l
<br />d .r.npr ur!d.. sdrio,
<br />D.1.. OIG
<br />1!!).BII}]II5:!!)II[EISTIIIAX
<br />IrI:CLIX.IIQT
<br />I h.,.h) rllirn, utrJrr p(nrlr!ollxUurroro olrlf, lnl[)wtri! J..lxrx!nr
<br />_! h,v. ri eiu di .in . C.niIEI. otcuent ro Sclr-lnlur lor rork6 $np.neri,n, s FDvid.d for by Scion l7(D of llE
<br />L,h, Gxlc, ro, E p6f(rmr. or'h. kd td $lth rh. pdmn b i$u.d.
<br />fl16* ""4
<br />*,rr *i"*i, *n,kc,r' .otrp.nrsrnn in\uEftc, !r Equi'd b, serio. S?00 or E L,bor cod.. ror ft Frfotu. of- rrr rrl f( rhrh rhn Frnn a trcd M, *0116 ftnpcMb. hsre! cmr .,n polr, numtd G
<br />v,a<.+-
<br />p"ti.rt,-t*,, PN uvc l5r 76 o
<br />-E
<br />ti*, ot4/or/+2-oL2-
<br />-l
<br />ccniiy rh4 in thc !.rforllsc of rhe *o* ror whth rhis Fmn is nlucn. I sh.ll @r.r?loy.oyFmn i. uy lmE
<br />o ! ro b.oft .!bFt ro rlE wt6 @,p.r!!b. Lw. of C{irmi !d {r lhd if I .luld b.cor $bFl ro dt
<br />m,t6 @!V.noli). lDviri,e of Sedon l?00 ol rtE Lrbor Cod.. , ndl fo.rh*irh orlply ,irh rho. pevirion.
<br />WARNING: tuhE ro s.@ wr.R o.rpcMirn om& k uf,L*tuL u'd rldl {bi( ! drpbF b cirid Fdi..,n.id nc up ro oB hud,rd rlbu!.,!d d.lLE (llm.ooo). i! ddiri,n ro dE co{ of orp.Bli!tr d.m8* s pmvi.!.n for llE
<br />Serion 1076 of lh. tjbor Codc, inrcrc{ Md rtllmy'r f*!.
<br />D,,M/2-?/Ll ta,*r,fr.Sse-A*yn-J
<br />IJCEUTED-ClMlACtrlf, /
<br />Dpq!d8a:[a
<br />I hmby smrn undd l,.mlty of FJuy thrr I M liBicd !'d.r Fo$tion of Ct grd 9 (ollmrint w n S.a]rbn,@, ol Dnnio. ]
<br />or iE BuiBr .,n PEf.sioN Co<h. !n mr litr n b tu toN {d ctl6r
<br />,*.* cn*, D./C lo LirM Nuhr, loztdLT
<br />D.t ,-8!t)1zrzl--- c-l,-t* o fa.aAc- tI o **yt-5o)atL--
<br />sLllflalJglll)ltLEllaii-&GEdll
<br />I l*Eby rfiln u&r Flrxy of Frrury thi rlE is . 6.rMion L'din! $.ry tor dE lgfolrrrN of E srt rd whih fiir Fmi i!
<br />nrtcd (sc 109?. ci! c.)
<br />APILICIIILDECIJB{TII]!
<br />! hrd', dnm uBlcr Fnllr y of Frj!,y o.c Df thc fdLeir3 d&luarrins:
<br />D.mlition P.rn[sAsbcst* NorirEd.n FcLDl R.gahrions (Titlc tlo. f.n6)
<br />-Rcauircd
<br />l.rrcr of l.liniadrpn
<br />_l cciily ihd rrx iid.hl rcSublions cA.rdin8 &rh6kx rcosval ec not ipllicrblc lo lhL ,,mJ.<.
<br />p-o,ty rtu t r* *"a rrri, ljDlrrDn !d d.rhd ln. ithk inromElion is corel. I e8rc lo coq,ly rilh rll Cnr a.d Counry
<br />ordn!n(1 lnd Srsrc Lre! (Lrins !o tdrld
<br />'na
<br />codddEn !n EEby rurtDriz EFE rri8 of ln! Cn, lrd Co!d, ro cnl6 uFh rl!
<br />.bow .6ri)n d I'rcFny fd in Fclbn porroer.
<br />Applionl o. Aldl SIrMloE *oO1tt/s-L
<br />P.rn r( rre rDrrni),--t 5Ja W
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />I
<br />FINAL 7lz|l"t Dfr(Jr:f7
<br />Certiticate of Occupancy I
<br />Notes, Remarks, Etc.
<br />1
<br />T-Bar
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