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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<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 />AI
<br />FINAL i-zz->t I
<br />Certificate of Occu nc
<br />Notes, Remarks, Etc
<br />OWNI]R B!II.DF,R DEL('ARATiON
<br />I hsct^ rflim und6 pd.lty of Fjr.y rhd I m cronpl ion rh. ConhcroF l,icnc l,wlor rhc nnhwin8 r@n (**70115
<br />Buind! rnd Prctsion Co&I A.y Ciry or (.onr'' {hi.h r.q!n6 . Fmi ro consrud, .16. iiFovc dotulBh or rq!tr uy
<br />rrudr., trmh n! ee...tr rq!,c E q'r,lr&' for uh Fmn h fiL.llli.d rd.lmr rt lEorrlE i! lr6E d FeDi
<br />ro lh. FovsreG ot rrE Conrrerm r l.kasd lrw ((tup(d 9, (irmftin8 $dh S<rrn 70{0 ol DrBbn I olfi. 86118 &d
<br />Proa.sion. Cor!.) or rhar h. or rh. i! .rdpr lh6.nom Md rh. b.!ir tor rhc .ll.8.n .imFtun Any lioldrhnofs..rirn 70.!l.t by ey
<br />dppliqnl aor ! p.mn $hja8 lh. .mli.mr ro r .ir il p..alrr ol ('l moG rhe fi\ c hun&.d dolls (1500)
<br />l.6o{ffiofilE!..Fiy,dmydrylo}G*nhr.s6BtlEnsLompoErhn.siu(l)rh.tratrd0EturE.mr
<br />id.trll or ofincd ror sk (S(.7Orl. BGil6 sd Pr.f*irE c.d.: Th. codrdo.! Lk.e lrw &6 rcl 4?ly io o oms of
<br />lh. Fop61y plrc hril&.. in r!!6 rhaE( md wh6 do6 sh wn fiindror n6df or thmust his or h6 oM mployG.
<br />provi&l rn.! !x.h ihrFr€rEB G tur irad.d or o,H foi -t. l[ hoqE., th. tlitltu or np.o\ffi ir -ld wih,..N ]-ofmnpldi4 dE o'^G axjBn will rs* rlt hldor of FDliry rl! lE or tE dit d boild d ur!.or dE FDFry 6. rh. F,FE of
<br />l. aoEn6oflh. pmp61y. m.rclNiv.lycomr.crms wnh lic.tu J co,[EcloB lo construd rh. projdt (S(. ?044. tJGrns
<br />r.d PrlL.ih Codc: I hcCo atoar l-icG.ltw &B mr {plt to o o*nd.ftmFny sho b{ild! or ioFov6 rhn6n,
<br />!.d NIF odd. am ruchFj.{. enh r Coddio(3) lrdr.d puEusi rotlE Condd r Lile L&)
<br />I en.rmpl unds Sdion
<br />D.l.: Orrd \ oRKFis ( ontPFN$t on
<br />DE(IJ!AI]O!
<br />I hd.tr( rmm undd ,oBlry or pcjury onc ol th. nnh$ ins d.rh.ri,B:
<br />I hr* lrl *ill @inl'in ! Cdifr.r. of Congr ro sclf-IEur. for $0116' .onFMio.. s Fblid.d for b, Sdio. i700 orlh.
<br />bb.r ( (r. fd lh. Ffmc orlk *ut for trti<h rlE Fmn ir BU.n
<br />I hrv. and sill ma'ilorn *0116 comlEN.iio. iMr...., .r r.rtutr.d b) Sdon 1700 of rh. I xbor Cod., for lh. pcfo'rrre. of
<br />rh. sorl (rwhichrhn Fmil it isuol My wortsr' comp.Nd n,n iNorMc. c6ri6 dd lEli.ynumb6 @
<br />c** etlQqst lpJs T.ANLO cQt-.< g$OY
<br />pori.y Ntrmb. L:f,^2C 9116,2 0 r:rrtr* I / |7 0>A
<br />t ccnify rhd ir rh. Faolrffi. ofrlE *ork lor rhthlhs Fnn ir isu.( I rtlll ml dploy xy F$n in oy lME
<br />$ 6 to b.rotu etirl lo lh. Nrl6'mnFdi). L$r of cniaomir ,,t Cc rhd if I .lbuld bco@ uti*t to ilEIoit6 omrd.lnn pmvtbB of Sdb.lTmoailE t bor ('6dc l dbt!. aorlhlth@6pll rnhthocFoviiio6
<br />wARnlNG: [ailut lo Ke wrl6 mnp.n nion cov6rg. i! u.l,*tu|, .nd 3hll subj.d o nploF ro cini,ll FEht dd
<br />.iril lin6 uF to o.. hun&.d lhou$d dolls (1100.000). i. .ddni.. ro th. .o, of .ompcMtion, drnrBd B proid.d for thc
<br />sdion 1076 ofot linrCod.. inlqcs ! dlonEy 3 fc
<br />*-
<br />r ( dllffrfi{ral rl,r( r ()lr
<br />ur(t aular
<br />I hd*y lltm uida Fdy of Frury lhi I m li.qE d udr p.trlirhi of ( bFd 9 (o.rllEi.e *iih sdb. 70@) oa Drir.n I
<br />ol rL Uci:B r,n Pr!ftsbB Cod.. !n nt ltoE i! h tull toc .d.il<r
<br />5 ricc s.Ntrn,b.r \ r->< r,t <,r 4 I
<br />1t/7a/rL ,4i-Tp,.) c'o;r)t\Ll|\,,o) 1) C
<br />coNSIllUcTI(rN l,rNDlN(i A(]T NCY
<br />I hRt') .rm n.dn Fulrrof Fjur) thar rnq. ir. i,drudion kr.li.* +ft) tu rh. Ffo,rM.. of ih. *orl fo. {trkhrhn tEmii .is.d rs( 3097.cif ( )
<br />I.nd6i N.m.l
<br />AftucadltIic|J8rIlll!
<br />I hdltt irm u.dd pdrh y oaFjury on. of lhc fouou'ins d.<Lrdnrnrl
<br />D.mlit,n Pmi3 A3tBros Norilicltion lidol R.tuhtiod (r hl. 40, PM6)
<br />R.rtun.d tnrq of Nd'ftnnn
<br />I cd ify nd rh. lirld,l ..Buh n,ns Esddi.! Nr6los rcnoul irc nol appl'cabl. kr rhis l'or.t1
<br />J.drry ihn , hlr c rad lti lprlrlrion -d <d. rhd fi. rh.. . infoMirn i. .o6d I d!'( t'(nnph \ irh ill(-ir\ ,trJ ( otrnr\
<br />ordilld6.nd Sbi.lrtr: Eliinrt to tuldrrB con!,n hd.t, Mh.tu. rqr6ddn 6 olrhir cnt ,i ( ou.r! ro 016 qb. trE
<br />.fx)!.nornn d FoFny fo nsFcin'n
<br />Anpli.rnr or,\[.nt SI,rnrttrr.
<br />:84,..M<4a24-
<br />,o,,,tl/7411c',
<br />II
<br />wililt -,,,-tr/tZrrla
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