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BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS Oh.NER Bt'II-Df,R T'EL( RAToN \I hd.t, imm u.d.r Frky oa Frlory rhn I o.r@pt fir'i rh. codBroF l.(!G llr for UE folhsinS la,n (s6 7(rr l t Ir$in6! Md Profgion ( od.): Any City or (irunry shi.h r.rtun6 . tEmit r. co.rod. ah6. rmtrorq &mlth or Eirtr o] 3h'.11,., Fh. ro ire i(ue., also r<utd th. .ptlicMr for 3uch rqnn ro filc ! !i8..J srrldot rhar tl or $. i! li(dr.d rudoMr b rh. FrvlirB or llE ( onltroas l,E !L!Gl Ij* (Ch3,l6 e. ( onm.Ni.E *nh Sdion 7000 of Dnnhn 1 ofrn B$im &d Prot*rioN (nd.) or rh!| lE o..h. b .ronri rh6c6om ad rhc lrt6 lor rh. rlks.{ .r6FFn Ant vFLrr.ofsdnn 70!l 5lD.n! llolk&i tu ! Fmn rhjdi rh. .ppli.Dr ro. d il Fnrlrr df fru mr. ihM fir. hundr.d.lolla (l!m) ffi * .** t,n" ^*r. or my.mrro)6 q nh {aE6 6 rho' yn. $np.$n.n. ry,, <h .E Lvorr a rh. rn lu.i mr inld'dsl oro,T6cd lor slc(Sa.70{4. au!i.6!sd Pr.a*ions (,'d. I h. cont&1oir l.ic6. lrw d]c nor dpply to an oqn6 oa rh. rmtd) aho b!il& or in!no!6 llEotr ftl llF tloâ‚¬ 3n.h urt hin3.lf o. h6kll or rhNUBh hi. or hd oar mplot*. pror ir.i rhri .uch inlhlnEi. ft 6r dcd.d or oflird for sL lf. ln\6s.llE biUr{ or ntF.\.ffi ir hld ritm "E }rofN,'rhoc tlE OrE BoiBa rill lE[ rh. hr.Ln orFD]iry fir ll.rs&dn d hild or fi+..\. t F.Fit 6r ilE F,F&.i l. ns ou nr of lhc Fopql r. Nn qcLsn.lr $nn Etin8 tr ir h li.a*l .ontra.kns h (..$rud ttl ,roi.d (56 TolJ- tl{nn6 ani lhildrh ( od. lh.(htri.rorsL(dr.l.isdo6notaptlyroeo\nsof oprdl s ho build! or imo old rhd6n, 6nd sho co Ecrr for $ch Imj.ds wnh . ( onrrslo(3) li.crkn pun@r ro r l0.ro undd SalFnqeqn *r.)< I ho.hy inirr. undq n n!lr! of Fturyon. oIrh. nn[N'nS d(L!il I hN. lrj *ill Binr.h iC6r'fr.rcol(oe ro S.lf-lmr.ls tr 16 mnF.Mhn. a F.tiLd lor tl} Scrion lrur.f rh. L.lI ( .de aor rh. Ffolrll4. oallE qr ro *tth 'lE Fhn ! isEd I h,v. lnd s ill mrinr.in $.rt6' comp..$r ion iNuran... d r.rtund bt sd n . r70ir ol rh. t,&tr (ii.L. for (h. p66ruc. .f lh. $ork nn whi.h lhii p.flnit i! is.d My trorlca' .omFMrion inrum.rcdid dvl Fnicy nu6bd c.: mJ.d,rrrhr m rh. Fli'*m..irhc s rl|,tr$htrhrhBpsnrnsn cd.l rhiu nor dnpkydoyFsdn in dny md.d -$6k,tE<um.lubdh,rhcs.*6'omFMrtr'nh(rnl('iii'nn'd,5ndiâ‚¬Rrhd I lh.uld Edn.ruhr(r hrrE *nrl6'.ompqsriMpNririoNots.dionlTlxrolth.L.hr.('dl..linoll.fonhtrnh.onlplvsilhth.sI'orairni UARNING Faihft r. su. *ortd'coh!-diln e\da cnn fin6 up io oft hu'idr.d lnouqi dolh^ (11fi,.000), 'iS(rhn 1076.irh.kh.r( ., i 6d rnd dh6'. a6 ful, ..d rh.ll .ubjri dpL)6 !. {imin l Frti. lnd of .omFMroi, .lnnrr6 c I'o*lal ntr rh. nrOro",X I hs.t!) dmm un& Frh! of Fjuat rhd I 6 ksE d ur.kr Fn\ ir of ln OBir ud frotahE Co&. rn m) lre ir in tull n{.. n.lCn.F6 e l!1rn,tmiru rnh s<clrn Tmol drItrLii). r fq{2r'z/a/ calrua!](rarr[tltllclcl:!(r I hdlljy lmm uodn F.tl! of Fjuy lhd lhd. !. oMrudhn Lndhs.sfty for rfic Ffo,rrec ollh. trrt hr *hichlhn Fst u issuAl(SN :10q7. Ci! (-) artu(axlDE(JJS{lto! I lErtr a[]m und6 tlnrlt, ofpdjury on. ofrh. follo*int d<larirn'N. O.mohn)n P6mirs-Arh6ro! Norificdion F.d(il R.sulations (l nl..l0. P.n6) R.qu.d Lclls of M!'lrnion I .dr I rhd 'h. a.ddrl ..ErbrioE Elddrs sbe{.r rnn.l r. ror qtlirbk !o rha l!r.j..! ftk*r,:t*I lxnc '.id rl"\ rDt,licarun in{lnrr. rh rhc .ond I ir.er..omtlt$ h ill(ir! onl (-(rn'y qr.srdns of rhis( n) and Counlylo nr6 qrJ. 'h. rr.l \s 'rl.i u r, htriki'n! ahn. nt6[h.n pmFnt fd 'ntlEri.tr plrli c l. J:;:::ffix?4u(t -" -7124/11 Set Backs f4 -(Forms/Steel/Holdowns A 5u'l .4q Erection Pads 0)" SLAB Floor Subfloor/VenVlnsulation Roof Sheathing -r.tt/t LKQ lotl Shear Wall Framing lnsulation/Energ y 1Wt u'/ Drylvall 41,?,N FLTR /aq @t./tnt. Larn I nfrt b4-*e. fl-rLa â‚¬rown Coat /p/qt '-/o( Masonry I Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif i ,a FINAL D[&t',Wk t@) Certificate of Occu pancy No marks , Etc D 7 ,,.,",1111q1+ l.i.arc N0hbd: _ UFER Ground