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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS O\,NER BUILD'II DELCAR TION
<br />I hd.t, .rm und.r F,Iy of Fjury $al I d dmfl fioo lh. conlrrclo,t l.i..n* Llw for ltc fou.sins r.en (Sd.roll.5
<br />B6,nd !d Pmldioo Cod.): an, Cny or Counly whkh rcqon6 a psDn lo .oIdtu( .116. irFor., ddmlith or t+.n oy
<br />{Mue Fir io nr iwe ilo r.q'ic lrt @pltln fo, sh Frtr to fr!. r'8it d n.aml lhr L o, iE ! li.du.d B!$.,r
<br />ro rh. Fvbbd 6l t,E Co.r,Etr! L'6!.d Lls {(tl.pis 9, Comlrdos *ih sdion 70{0 ol Divnirn I ot dt BolilB !d
<br />Pbasios Co&) or rh{ h. m rlE i! amp{ rhc.{rom .rd fi. b6! for lh. dkg.d addiotr. Any violdbn olsclbn 70!l.t b, uy
<br />appli.er lor r Fmn rlbjars lh. lppli.dnt ro ! .ivil pn.hy ol.ol noE thm fiv. fiundrcd dolldr ($500)
<br />-1.
<br />! orc olrlE FDFly. m my drplo)E $nl *.*6 s ll! $L @oFdi.n. $iI&fi.wt-ddEridei d
<br />ndrd.d d ofidld fo sk (Sc.7O4a, BsilB !d PDfdbc Co&: Tl'. Conmr{'3 Ltd& lr* &< d +Ply lo - otrB of
<br />ih. FoFty s lE &ikh or inqn6 rlEEtr ad rlE dG sh m* hiMll o, h€rllor rhmu8h hit or hs oB 6pb'6,
<br />provid.d rhd luch inl'womt e mr id6d.d ol&.d lor ek lf. howdr.tn. hrildins or iflF.mt L FE wilhin on. )o
<br />olcorpkiotr dE Oud &iBs wil, hrE dE hr&! of Fo\i,{ fir ll or ,E dn ml hdd o i'r'FDt 0E FDFty 6r dE p,poc ol
<br />L s @E of rh. propGiy. 6.r.l6ad, corE.liis *nh liGed .oturloE lo co'8ru.l llE FFI (Sq 70'1,1. &EiB
<br />ed PEi$.n cod.: Th. Conlrtloar Lic.N l,w do6 nol4ply to sown6 ofpreFn, wh. build! or iBprcvd thqon.
<br />&d $ho co .t r! for $ch FljFr, w'th . ('o,nMo(3) lta!.d plBuln lo llE codhdd'i L.cE bw).
<br />I h ddd undd sd.. . B A P.C. lor lhu la)n
<br />Dit.: Oin6:
<br />lUl8trE8l:l;QMtDlSAITA!
<br />DECIJXAIIO!
<br />I hsa!- .lfim und6 FuXy otFlu r- om ot rh. lollo$ !B d..l&dirB:
<br />I h.vc srd will minrrio a Cditurlr of CoMr !o s.lf.lsur. for *(kdt .onrp..srion, s Fo!i.i.d for bt S.nhn 1'700 ol rh.
<br />Lbor (b&, for lh. Dalonndc. of $. @it for whi.h rh. ldmn i! is!.d.
<br />-lh.r..driu inr.i, ro.ld .mFMion iMe s Equrcd b, sar b. lTm olrh. t bor Co&. ror llE Ffolrm.or
<br />rht sorl tr*h.hrhaFmn .omFldi,r 'nllJff. (ri, rd policy nunbcr tc:
<br />t )
<br />\"\2.rt-. tR.-
<br />t carify rh.l in lh. Ffolrl@. of fi. worl f shkh thn Fmil n isu.d. I ddl tot dph, dn, F$. in ey ,llllE
<br />$ &rro b..om.3uq{r ro th. mrld'.otrpcilrl ion l.ve ofcllifodi!. ud tgr rhll ifl rhould tE om.3ubict lo th.
<br />q.ortd oiipolniin pr.rtiod ol Sarior 17(rO ol rh. Lilq Co<!, I lhrlL fr"ihwilh orply *nn ltb* F.rtioN
<br />WAINING fntu. b se wl6 orp<stion o\'619. b uLetuL &d rh.ll sbF x 4ploF lo mi!.| FrlE t d
<br />cnil n6 up ro .m h6&.d lhoudd doltd! (tlm.om). h .Jdnion b tlt .o! of conFddior tl&rs6 B prov'd.d fo. tlE
<br />Sdon 10?6 of llE llbor Codc id.d.nd ltorr.y t fd.
<br />ll1z.iot
<br />I h6.by amm unds FnaXy ol pqjury rh, I m I of CluF6 9 (@@i.B snb Srlion 7000) of oilirio. t
<br />of Ih. BBins sd Pmlsio6 (irdc, dd myli.d* a i.lull for.. dvl.ficl
<br />3 ro>lQ "b4
<br />l?.lr . I oo_tr.cr\t
<br />colilallcllo!..LBlllglcExcr
<br />t ha!i, .Irm uda Frly otFjury lh{ thd. . . oos.trcioi lading isdy ror llE Ffffi. of dE ffir tu lnth lh. Foi !
<br />isu.{ (S<. 1097. Cil C )
<br />aPPr rcat\T nrar reATlorl
<br />t hd*y lfm uldd Fulry of Fjury oE of th. follo*in8 &.1& hE:
<br />Ddmhion Pafii!-Ar!.n6 tknifrcriE F.da.l R.elLri,B (Tnb 40. P.n6)
<br />-R.qui!d
<br />Ldra of I'loiifi.rn!
<br />-l
<br />cdiry $t lh. fd6rt ESulIlioD rB.dins EbBloi .@ov.l a. nor tppltrbL lo lnn Pmill
<br />.rZr - '6 ,1" t t-. ,*i ,fii .pplx.q dd d.dhr lh. rtorc hfodion ! .ndi. t rsrc lo @mdy win rr c'ly ..d cool)
<br />FbdM6 ,rd Su. lrq Eh4 rn hrrldEe odruclF r nd hc.t y MlDdz (Felldir6 oarhi! Cny .od Couty lo dnd l+on t[c
<br />at v. nBrion d pmfdy for iNp<.lion pupos
<br />Appllon! or&6r shn.(u.e
<br />e6
<br />:>^L
<br />l) 12-r (,
<br />o
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu lation/E ne rgy
<br />Drylvall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL 7Jt lla).L//(4/,/
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />tlia r Addd.
<br />-
<br />UFER Ground
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