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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE I srrd COMMENTS
<br />Forms/Steel/Holdowns \,0 ,rrtd)
<br />Erection Pads rtx9ry
<br />UFER Ground lv\ - \*qo/
<br />SLAB Floor
<br />SubflooriVenUlnsulation .,..-\
<br />dtw+tORoof Sheathing D-,,
<br />Shear Wall ur
<br />Framino -rb)
<br />lnsulation/Energy Ll tqhr4d.tI -,t/t,/Drywall
<br />,,, )Ext /lnt Lath ,.|at r4n.,
<br />9tBrown Coat
<br />')Masonry | -t- I J\
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif.
<br />'.r1,vq0!4*ra,ttlv gMY 6)
<br />I ut
<br />\,tt^^-.1.,vb)FINAL 0
<br />Certificate of Occu anc
<br />Notes, Remarks, Etc
<br />O$ NER BUN,DI'N DETTAR TloN
<br />I hEby rttuh urdd p.Dny oa pdiu.y thi I M s@pl lit o l,t co ndoE L'cdF lru. ror ih. f.llo$iry rd. (S< m,i t J
<br />BEin6r ud Profdion Cod.) Any Cny o. Counry wfiich Equn6 a pani lo oBrtucl. .hE. imprcG .lotroltfi or lq.ir m,
<br />srructu.. r lo il! isue., aLo Eqund rh. lppltd for tu.h lqmn b fi1. ! tisrcd tldomr rhd h. or CE i lic.Bd PUM{
<br />ro llr. FvirioB of 0E Coir,*6i tient d t w {ClEpla 9, ComtrinS *kt Sdion 7O0O ol Dili.ion I of llE BUIi< &d
<br />Prcfsrd Co<t) d rh, lE r J!. i! ad'r lhaliDE ed lh. hcit for dE dk8.d ddFion Any 1 ioldiotr otsdbn 701 I 5 b, e)
<br />4?la!d for . |Enn sqd! tlE lpplicol ro . ovil p@,nt of mt mE $6 liv. hund.d dollB (troo)
<br />-1.
<br />s ow ofrh. Prtrp.fly. or my .mplo)6 wilh pas6 e lh.ir &1. comFrt ion. will & lL won !d !E n 1@ i ml
<br />iflod.d oroFscd for sr. (Sc.70,1-4. Buin4&d Profcaios Cod. Tn Colllncroa!LtaeL!*&6nolqPlvloeowoa
<br />rb.FDFry wlb t il&d inFlEdE@d.n $tD &6sns fiirolf or [d*lf orrl,lusn hn or lE o€.tnptv€.
<br />Forii.d lllr ul, iEp$qffi ftd irdr&lqo,rqld 6. -l. l[ lDt6q, r h dry iqotqrd irnld *in-E )d
<br />ofcu.pkin! rlE OsG ltiddd ril lEw th. hd6 ofForts lhr rE d !h. did d hild or i!+rott ItE FEFtv hi 0t F,FE ol
<br />-1,
<br />$ osd otth. Fopdy. m .rclsiv.ly &orad 'n8
<br />wiih li.a!.d .onErloR ro co6h( dE Foj..l (56. 7044. BBii6
<br />Ed PrDt in Co& Tlr. conk.dol3 Licru ttw &6 ml tpoly lo D o*nd of Forcly who h{ildr or inpror6 lh6@..
<br />ed sts @dld fn $dr FDixrl *ah. Cod.r.ro(r li$.d FEtd to th.(-o trcld!tict *)
<br />I m.rad unrla sd6. .a &PC lorrhi!@n
<br />D.r.: onrd
<br />}a86E!S:(AIIIMATX]!
<br />DEClASArlo!
<br />I ha.ty.nirm un<b pddr.lFlrr' oE oalh. folloq i.3 lkl[trF6:
<br />-l
<br />h.E Bl si ll Minlsin i Cdlifi.li. of Co.hr ro S.lf-lM. f(tr q*t6t c.nrpasrior, 6 Flvd.d ro. by Selrn u00 of lhc
<br />Llbor ftdc. n ih. p6fom&. otlh. *ort tor *'hi.h lh. Fflnir t isu.d.
<br />-ln
<br />!..nd$ill inrlh *o.Idr .onF6lion iMlffic. s Equi'rd Ly sar ion !?00 of lh. lltin ( od. for rhc Ffolrrec ol
<br />rlE f,lrt fn f,'hth lti! rdnn ar isd Mt wrlo onFEircn ,'!ltffi. ffi t'd pottt m(tE m:
<br />t_
<br />J
<br />L
<br />-l..dify
<br />rh.r in tlr Ff.l]rw.of lh. *orl ror *hth thi! Fnn ir is!.d. I lrll ktr dplov 6v Fsn i rv m&F
<br />s s b halm $Urel to llt FrL6 o,rFdion L*: of Cdiaom'.. dd.8E rnr ir I 3buld tE.e $ti{ b llE
<br />so*6' o6p€s.!io" Fny6ts ofs..rio. :1700 of llE l!ta, ( qL I tBlL fodts h ot9,r- *nh rh.r provtioN.
<br />WARNING !.ilu. b su. eorkd' cooigoul@n oe.6!. n lntlwtuI. d .hill 3ubi{l u @phF lo simiml Frhi.s od
<br />ro on. h!trdrcd rhousd dolld ($100,000). in.'jdilion ro rh. cosl of mmP.Ntn'n. d@gd a rrovidcd f.r lh.
<br />sdrh. to76.frh.lrnr( oJ. inrdd.nl lnd
<br />llrlaltu&)
<br />I hq.by.mm undd pa y of F.jury rhd I d licdEd mdd Fovilion of (18fl6 9 (comfficina with ScdiJn 7000 ) 'r Divirion l1
<br />of rh. B$ind sd Pmi<io6 Cod.. nd ny lk.N ir h full loc dd.fid
<br />ozo
<br />tof L?//b;fu/ ot*t<t*t i;N P4q?
<br />(l)li[8llclu!..LldDllGlc
<br />I hglby.ffm undo p@.ny olFJury lllr dE u. ontrEibi bntBlsdy tu E FflM. olllE srt for f,htn lhi! Ftli a
<br />iscd lsr 1097- Civ Cl
<br />L.rYld t ALkb*
<br />-
<br />ATI'JCAtrLDECIAAAIIA!
<br />I nodr.nmu.dd rEnalty ofFjury oEof rlE tollosins d.(Lr tud
<br />D.mohnrn Pdmits-Asbolor Notitlcation rbld.l R.Buloiion! (1 ill. .10, Pan6)
<br />-Rat0ir.d
<br />Ldrq.tl'lorifid$
<br />-l
<br />cd'ft thi th. f.n r.l rcBulu6B r.s-dios ltbdrd rm\ d -. mr slobk hi rhir Fri.(
<br />Icdilyrh l halc rcrd lhis lnpl'carin B (.r.rharlh..br.rntomrahonrs(ond IaAre1,,.onrlly\YirhallC vudCounS
<br />ordina6c6 drd sralc lir$odtucrion. md hs.hy lulhori2. .cFenll ir6 ofOB cir, dd Counlylo olq uF.ltE
<br />!hor. n6rkrnql pmFrr fot
<br />alrli.r or tdl SkEluc
<br />P. t *",-.Oa"1,y'
<br />rcl-E/tb
<br />'lJdntlilrtW
<br />IEtriZI
<br />r'EIr
<br />Ia
<br />Set Backs
<br />t*l t4 -r
<br />3o- 1Z npra,...LLL
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