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BUILDING. INSPECTOR RECORD <br />O\TNf-f, BUILOER DEITA&ITION <br />I h6cb' llIm unLr,En tl} ol Flur: thi I m dmF non E Cdr.d6 Lnru L.s' for lh. tollo*68 r@n (S- 7011, <br />lruind r,'d Prold,o. Cod.): A.y Cny or Coury *hich EquiE I p6hir lo co'!nru.|. tltc. inFnve &rclilh n, r+.t 6v <br />3tru.lur. Fr{ lo ir! isuMcq ds Gquir6 rh. !p?[sl tur tu(h IEi.n $ nlc. !i8n.d nddd lhd lE or d'. b licm.d t!8'.i <br />ro thc FovilioN ofth. conr&ld'r Li*hEd hw (Chrprd c, CoMocins vnh serio. 7000 of Divitio. I of th. tlrinar id <br />PmfdbE Co&, n lhd L or !h. ! .rmF tlE.film ud lh. h66 for tlE dk*€d d@tioo Anyviohknofsctbn?011tbra, <br />lpelrc.rnio,!DqmnrubF8th..lphculroicrrlp.Mnrofmrmc E n\. huitL.d tbllB ($@r <br />l. B osF of rh. Fopdtr. or my dpL)6 {nh *!sd ! iEn $l. 6mF!ihn. will& ilE *st tn dE lritrE i mt <br />inrdid.d o.olIdcd lor sL (Sa.70{4. BuiB ed [i.fdbN Cod.: Tt cotu..rMtLidELlw&,6full?lvrouowof <br />rh. FrFly wh. bil& or 14$6 ttE6( t d *ho dG sch w* hid.lf or h.*ltot ltEush hi! or hq om mdov6, <br />Fovid.d lhd ru.h inFo!.En! @ El i 6ncd d o'lad lor nL lf, tDw. lh. hlilcnu or inryovoE it $ld withii oi. ]a <br />oa corptrall! oE (xc &ril& wi[ h.E ttE hFln oaFti,g rhr lE d tI. did d hn! d nrr.lw lh. FoFq S( dE FrroE oI <br />I. s ow of$. Eolqry. D q.l6i(ly cotudins s nh [caE d .odtrld ro o.drlEl lL r..i<r (Sc. ?04!. hBi6 <br />.!d PtDbid Codc Th. Conh.roa, Li.e Lry d.6 Dt .pply lo e o*na ofFoFty *ho buildr or idPots th66i. <br />&d who ontftr! for ruch Fsj6i! with ! Conlrdon3) lk.E d PU6@n lo th. Coilr.crd 3 Lt6E tr*). <br />lvoRlirRs' ( oalPF-fisA rloN <br />DECIATAIIOIi <br />I h6.by !firn rnd.r Fndhy otFjury on oflh. followins Jdld.rtuN <br />I hlvc and *ill roi.rdn i C6tiaE.lc otcotrsl lo Scll-lNuc aor wrtdt .omp.hsrion, E Foviddj lbr bv scrion 1700 of thc <br />L.bor Code lor tt! Ffolffi. ofth. m* tr "itn lll. Ft( . a.cd. <br />-l <br />h,tc.d $ ill Dirrtin Nr*6 .orF!a6r iffic B rcquiEd by Serio.l7m oldE 1.b.. Coda l th. Flo{M.ol <br />rh. mrt lor *hich lhL FFn it iti.d My wo*B' cotrpaErbn iEl]]s. ffit !d polky n@h6 c <br />Polic, N@bq:-ErPi6r <br />- <br />sdion t076 of rhc lato code h16.i dd .tu r.y'r a6 <br />uL!L!!rlt,I].t <br />-l <br />csrity ri.t m rtE FfolM or E wort td *hi.h rhs Fmt ir N.rl I t]illbr mploy xy Fsn uDtME <br />$ 6 ro balE $b..r ro rh. slr4 omFsrion lrB of Crlito r.. d+Ethi <br />'f <br />Lbuld bcoft $bcl lo 1,. <br />sorl6' comrEslion prcsios of Sdioo lT00 of llE t br Coda l lldl aonhw h onplr * nh rbr Pmvittr6. <br />WARNTNC: Fslu. lo s@ wortd mnpqBaio. .o!oac. i! unlawful. ed lhrll .!bFt e 4pk''q lo cimirul pqrltb dd <br />civil frc ur 16 on. hundEd thou$ld dolls {I|OO,OOO), in addnion lo thc con of .onp.Ntion dd.ad a pr'vid'd r'r rh' <br />I hcby .fim undr pdihy of Fjury rhd! I m lic.N.d undd tiovlaon of Chtrr6 0 lconmdci.s udh SElion 70@) ol Die i!i.n l <br />of lh. BNinB Md lhfdioB Cod., &!l dy li..M n in alll fotc. dd.1161 <br />1,,.1 {?? <br />o",, tb- 47 -18 .-,-"-,\ <br />coNilal]cr&u.LllDllc-ac[l(I <br />I hd$r arm !n&r rEnsly of Ddiu.y rht fid i ! cotErudi.n lodliE tsocy tu lhc F tu(. oar h. s.rt lor rt.h rht Fnn i! <br />liuqr (Sd 1097.( ( ) <br />AllU(AIiLOrtilJSA:UAB <br />I hd.hr !trrm ud6 rErhy orFjury oE of th. folk wiq d.(l[.l nN: <br />Dnrclnbn PmneAltds l',loliftdid. F.dE l RBuL!ioN ( tnL 40. Ptn6) <br />-, <br />cGrifo lhlr thc Ldd.l r.3lLlioN EsEtinB ab6ld rdov.l d. rcl aPPlic.bl. to lhi! plojer <br />-l <br />cdit rhd I h.!. rqt l,h! g?lt.lio!.n iac th! 0E.tbv. inbr,tib! ! ond I .€Elo otrPl, rilt dl Cnv.d (-oulv <br />oilin.lE &d 9d. lr$! cLng b hild'8 ooi^dir.. .d hq!t, adorix t ?rsrrn6 of ihit Civ &d Co@r, lo d. r+t 0. <br />R.qun.d tnr6 of N.{i6crnn <br />.tnr. lmlfnol p.olEn) tor udp<rrn <br />,\pplir.or o. Agr i sirn.lure <br />rrrnril.(nrm((prn ): /? g <br />SITE.WORK DATE ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUlnsulation <br />Roof Sheathino <br />Shear Wall <br />Framing <br />lnsulation/Energy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Itilasonry <br />Pool Fence <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Enqineer Final Report <br />Flood Zone Certif <br />f l *rq,\ |allt <br />FINAL I q e*b-{ tv\OY-a' A <br />Certificate of Occupancy tt <br />Notes, Remarks, Etc <br />tr,I- <br />z-ts<,4 <br />/,- 23-L8 <br />( nrq: <br />o.r../o-Z <br />L.nid , Ad&4: <br />-