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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNAR BUILDER DELCAR TION
<br />I lErcny rmrm oid.r F lry of Fjury rlEr I m .rrpr non rlE Contrrlh LLrM t r for rlE lolh n! Eu. (sd.mll.l
<br />Busi6r rd Pmrcsirn Codc): Any Cny or Cou , *hth ,.q!iB , Fmi ro oinnd. rlld. itrtrov., d.tuhh or ETln x,
<br />irulE, Fi,lo ill Lrw.. rto Equfts llE .ppli..nt for .Eh Frnn h 6L . siSn d rid.lmr $d lE d ltE h li.nsd pBsn
<br />ro rlE Fbvnbr. ot [r contr&ril LilrEd Lr* lch'prd 9, co8Eei.E sirh sdhn ?cno 6f Divili,n :! of rlE But'Es url
<br />Pmfcriions Cod. ) or rhrr ,E or tlr is .r.mpl rtEEfmm .rd rtl barir lor th. .lL8.d .x.qirn. A., virLr ion ol Sdhn 7ol I 5 by {,
<br />rpplk.n ft, r Fnn sbFds rlt .p?ltr ro I civil FEh, or hr ffi thi fit. hud,ld doll.r (l5m)
<br />-1,
<br />a owBot E FotEny. myr"pb)r.! wnh v!86 a rrEi sh 6np.nd.L *all{!o rrE *ut.nl Erfu. mr
<br />intcnddi oroFcr.d rDr ql (SE TOl,l Burim$ lnd PNf.sioni Codcr TL C.,nkdolr Lir.€ lrr {to.i,or +flyr. o*Moa
<br />tlE ForEiy *ho rliln or i!qm6 thdEtr En sb dG s$ Krt hinell or lEElf or lhruBh ht ( hd o*n .trphyei.
<br />provklal rhi trh hproffichr i i.d.d qolt rd tr qL lf.lbrE.trt iuig or irFiokEn h nld ranin m tdr
<br />of corphi,tr lll Ovrr Buildd wiU hrE tlE hrd.o .f p6vii8 0 h. 6. rh. di, n,t Iuild or invtur ltE trepdiy hr dE trlo* of
<br />-l-
<br />N osmr or0r FDFny. mcicturiwly (nralin3 *nh lenFi @nhr6 ro onrd rtE rmF (Sa ,Ort. BBims
<br />.d Eo6*.iih Cod.: Th. Conrturoa r Lftn* Lr* dc mr +ply k, i opF uf qopcn, who buildr M impbEs rhc.6n,lnd whu e mts ror lkh Fotcri wirh . Co'jElctdnr) li.rtrEd l!^ud lo rlt Cldr*rols Li.n* Lrw)
<br />-l
<br />hlE !n *ill minroin r C.nifE r. of Consnt ro S.lf'l.suE ftr *0116 otrp.nsran. a lrevn.d ,or by Serion l?m or $.
<br />Llbor Cod.. ts tlE Ffolffi of lh. md for wnth rh. pd il is isBd.
<br />_l now lnd *ill minlsin wortcs com!.B.lion ifturm., $ rcquircd by Scrbn lTm oa llE Ubor Cod., for lh. Frformrc or
<br />tlE r(t tu $hth lnn rEmn i! ir$.d. My !st6 € Fdib iN'lE ffir .,n lDlty mr6.r c:
<br />Crs
<br />Poli.yN!mb.r:_ Eiptci: ___
<br />-l
<br />ccdirythlt ttrlh. lcrlorrorc.oflh. *orl for *hEhrhis lEmir I i$Ed, I shsll flot.nploy.ny pc*on in.n, mtrcr$ a'o b.(m $6Fr ro rlE hrr4 onp.Mirn Lw.orcdilomi.,, ..r thdill Jsld b..om subFr bdr
<br />rcrt6 on{EMbn FlvtioB of S.a1i,n lrm ot rrE Lhd Cod., ! ddl. fdh*irh @rFly *'rh lh: Ifovnirs.
<br />WARNINC: FliluE to s@ *Bk R' codrFn lrion o!6i! i' uL*tul &n Jdl slbFd e .ryloys lo sfiiml rErllis id
<br />.ivil fEr ut ro oE hundEd rh,u$n dolhE (tt&.o@). in.dl'ri,n ro co( of comFndion. dm3c! B Fotil.d lor llEYilry;:
<br />I hcNbyafitnu .r Enuhyoltrriuryrhlr Lrn lic.nrn pmvnk,nur(-h{,rcrI(.n ntrn.oA*[hScdxr7UX)r lOrvtror:]
<br />of th. BuriBs ..d Pmf..s..s Codc. dn my hmr ir in tull forc .rn .fidr
<br />colisraltrtlNtlliDrlitilcDllf
<br />I hrBhy lflirn, un(l.. rEMllyoln(rjury lhxr rhc.c h !.otrslrudi('n tndina ulcmy tu rhc pcrttrroNc olrhc work tu *hahlhh |]c.mit is
<br />nsu.d(Se 1(H7 C,v a r
<br />AIILICAII.DESJEAIIO!
<br />I hdr6t rtrm roilcr Fmllt ol F,iry oE or dE follo*io8 d..Lnri.B:
<br />Dcmhbn P.rnit!.^$.ios NorifErlhn tuml R.luLlion! (TilL:O, P.n6,
<br />-R.quiEd
<br />L.ll6of Norifradh
<br />-l
<br />csrify rhrr rlE fcd.nl EsuLrbB E!.rdi.r $668 llmvd G nor..?lblL lo fiir Drcit1.
<br />1l ccnif, rh.r I lbw rld thir .Ipltrrioo dn r[rr $rr dE .tDE infondior it.ffi1 I .8r to omply wnh .U Cny rd County
<br />.!fiou rcF.Ediws of rhi Ci', !d L:.u yro.nt6ulbnill
<br />6r'Q' I
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Rool Sheathino
<br />Shear Wall
<br />Framinq l:* -z-r Hi-{t { i
<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 />FINAL 7 -a,o. z-t Ei-l tlr,-
<br />Certiticate ot Occu pancy
<br />Notes, Remarks, Etc.
<br />^:;"tl6Fi F*aZ::, I ,/,'DES.aAAIIiA
<br />I hcrchy orlnrn undc, ncnrlrynlr.r,ur) uk o, rhcJrflowrns JNldor!,n\
<br />L.ndcls Addr.s:
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<br />UFER Ground
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