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BUILDING- INSPECTOR RECORD <br />SITE-WORK DATE rD/stG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loorA/enVlnsulation <br />ngRoof Sheathi <br />Shear Wall <br />Framing <br />lnsulation/Energy <br />Drylva ll <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />De puty Final Report <br />Engineer Final Report <br />Flood Zone Certif. <br />A)2 <br />Certificate of Occu anc <br />Notes, Remarks Etc. <br />FINAL <br />OWNUR BUILDSI DEL(ABATION <br />I hc.tt rfim und6 F..!y of Fjlry $a I m aopl frcm rlE (onlr.cloE Ucos L.w 6r llr following la)n (S6.701L5 <br />BcuEr ed ProfBrn ao&r: Ar) Cn) or Cod) rhrh rcqu6 r Fn. lo odM. .ha, mFuq &Dlai (u rq.! &) <br />ilIu.ruc FDr b tu *ftc. ils r.quG thc +prrsn ror uh FEn to 6k. rlsrcd ,io6r rhd h fi. h li.d!.d Fqd <br />lo th. prlvtioN oa tn. Cont Eld r LKlntcd L$, (Ch,prs 9. aomfting wnh Selion 7000 of Divirior i ol lhc Buiird dd <br />Prcl6.ir6 Co{.) or rhd lE d.lE n .i.ripr lhcrfioi .d rlE tGir tor rh. ilks.d q6iFio, Anyrhhrir.ofsdbn?0115 br ry <br />+plkd aor . Fsn lticrt rlE pli.d <br />'o <br />r ciril Fdty olmr @E rh., fiv. tun&al &'Lr. (ltOO) <br />_1. a oMd ot$. trotElr, or ny dplorG {irh wig6 a $.i el. onF6.rio.. *ill d. tE vort a.d tlE 3lfflE ir ml <br />iddrj.d ororfEal tor sk (Se 70.14. Bui,B u{ PbadioN ( dt : TIE ( olrrrcld! Lk* L.* dB mr arly to & ow ol <br />rhc FoFry rtb hikb u ir+or6 tlEa rd stn d6 rdr trsI hllelr d lE*laor rlmuan hE or lE os!.!rpt ,!q <br />FoviLdlh.l s.h irFor€Er! E td i dd.d doiH turt.l( ho$6u,lrE hlit|ltg d ir+.orqEn ndd wihj.d td <br />of conpbiol! llE O*rd BoiLb wil hlw llE hmtr ofFtrvllg lhd lE or stu dil nol birikl or mFbR ttc FDpaly au lh. ,trpos of <br />_1. a.\c of rh. FoFq, @ a.lcivcly oI{rrri.s rnh hco!.d a,nral@ io @nntud rlr F.F (Se 7044. BlBtrr <br />srd ltDGsih ao&: Tl.Conlr!.lo.r l-icdcLas dod noi arplrro 6own6oaprcp.ny sho buildror improv6th6on, <br />ed sho odEll for ruch prc}Il! wirh a CotnE ro(, lico*d puBulrn to fi. Conr..rol3 l,t.a L!*I <br />-l <br />m derll n d6 Sd <br />D.r.: 0*16: <br />1ronfi .fs. (linrm s^rloN <br />DEqI4AAIIA! <br />I lEqr{ .frm undi rEuhy oaFjury oi..t rh. folb$i,s d(hrir 6: <br />_lhr\.&d*nlmi.i(r('6rifrtr.ofcblqrros.lfiNuEtor*ukdtconlFnrlio..sForir.nforb.vSdirnI70rJotll&t bor Cod.. tor rlE Ffffi. of rlE rst fut *nrh 0r Fnn a i,.ucd <br />k4 h.!. ud { 'll m.inrlin w.rk.tr comn N.rion rNurmc I r.aon.d by Sclion l?00 of lhc Llbor Codc, Ior lhc ,oaomd.. of <br />rlE $* tor whifi lhi Fhil a isE L My wdtd, oDpdsi. i@ffi ffir ad polq .ufttE e' <br />I <br />lnv tE$n ,n f! mmF <br />$ a to b4om. &bjer to rh. MlId'.omp.Bdion LB of C fomi!. md+Ethd if I .lsuld beomc 3ubjEl lo lh. <br />wori6'comF!.lionF.vtioBofSdlionlT0ooflh.L.btr(odalnrl.fonhwithcomplywntlb*FDrnioB <br />W RNINC: Flnw ro su. *!,ld oi06aon rcrsls. i! urlNfr,l rd ilull tubr.d a orphts ro siniMl Frli. .Id <br />civil lin6 up ro oE hu.d,.d rhoulod &116 {ll(x).ooo). in rddnioo ro rh. con of cooFMridi. d@e6 - ForiLd for th. <br />. s*rKn 1076 rrh( liF c({.. or6.n u'l rnoB <br />' rr -,"'1 r <br />\fr.,,. t /zt /t? ^***,. < //l-,-/, *ffi*/ <br />I hehy lrm undd FBlry oa pgjury lhd I m licELsj undJ rr.. son ot Ctug& o tr"nmm,nr * h sdnn 7'r0o) ofDiviri,rn l <br />of rh. adiB &d It lBrbB Cod.. rn m,lidB ir in tullao(r-d.lTd <br />X,:.:f)yzgTv{ <br />Vr I <br />I hdrt y .llm un&r FdD or FJry 'ha 'lr. i !for rh. Ff(ffi. oa ih. trld fr'r tri.h rhi! Fma a <br />ire.d (se. 1097. cav. c ).t nd.ir Nu. _ <br />aflulaul.D[cBaA!0! <br />I lErb! nIm lndd FEhy of Fjuy oE ol E aolLf,ing d.rLrdioN <br />D.mlrio. Pof,hi-Albdor t{orifr.'ion F.ddrl R.8uldio.r llhl. .10. P[!6) <br />-R.quircd <br />lrlE of Nofi 6crb. <br />-l <br />.qdfy rha 0E toda.l nauldia ,!8rdi!e .!.n6 '!o\'.1 c bl {pli.hL ro rhi! FoF. <br />-l <br />c.rify thir I hrt. @d lhL +plk.rion ad dl. rhrl lh. dov. infomdion L c6el. I {,16 to erply *it .ll Chy &d Counly <br />odiE.c6 !d Sldc l,ss rch'ua lo ( !n hdqr.Loutho,,c EFendir6 ol rhn (-n, dnd Coont, ro 6ta urEn E <br />.bor. rH!io..n FrFny fo. <br />de'k-, <br />\*.,-auu 6 ^,, r /t,y'r <br />jraltz,t <br />LV tJ4'v <br />'7 b tloo o {51b t? / *e"-? <br />L.trln'r Ad&B <br />I