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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS OWNEX AUIII)ER DEI{AR IION f . <br />I hg.!y llfm uidd Frxy nf Frdy r! I @ aar$ nln rlE co mG lioe Lrv for 0t 6ll0@ls .a$n (sd.7ollj <br />&Bi.o .d Prcadb. Cod.). An, Cny or Cody shth Equn6 . Fir lo @istu.r. .ld. iEFo!., danolirh or n9.ir xy <br />iructue Ftu to 'ts isumq .!o i.qun6 th. @lisr for tuch pdEn to 6L ! !ir.d rtnml thr lE or J!. ir lic6!.d pd! <br />lo rn. F.virioN oftlE Conlr..loi! Li.o$d L{w ((nipl6 9, Conhdcios vilh Serion 7000 of Divuio. I oflhc Busina rd <br />PrDfsioG Cod.) or rh.r lr d rlE l! ddF th-cfroa ed rh. b.rir for lb. .tkB.d ddFio.. Any viohrion olsalior 701 I t by uy <br />lpplrer for ! Fmh bjc$rhc.p?lic.dto.cirilp.ElyofmlEr.lhaliv.huid.ddoll4(1500) <br />l. B orc of rhc FoFry, 6 oy oDplotc rith s.B6 s rh.! ek ompqshn. \iU & tli sqt td rr ilErc a or <br />idarl.l m ofio.d fd eL (Sa.?o,rl. B6UB ud Pilfdi'd co& TIE Codr.r6 . lidE t w &c ml Tdy lo o orc of <br />rh. pNtary f,ls hlil& n ,rs!\s rlE@ !n *'ho d6 uh q,r hnGlf or hd*lf or rhmu8h hir d ha ow dnloyc <br />proridcd rh.l i*h intForqet! & bl ilno'd.d ffoitual 6r nL lf. lrw. tlE triitlra or DFlffil ir sld *irnh oc ti <br />of.omrlrio.. th. OM6 Buil& will h.v. ttE hrdar ofFovirB rhn lt or shc did ior hrld o. @F!v. 0r. FlFt 6r E F,poeof <br />l. 6 ow ofrh. !rcpcry. M Gr.lc.vrly co,nr*!u snh li.@.d.oddoE ro 6dru<l rh. piljal (Ss 7041, BuitB <br />ed Folsr ( od.: Tt. co.rdo l]..M Llu .k'6 mt pply ro u oq6 ot FoFry who bqild. or impr.vd rha6( <br />Dd wln @'rr!crs fo. sh FoJeri *nt r Coft.ro(r, li.qE d Frllld b lh. (n doir LioE L.s ) <br />i n.\.n,fr uide Sdrui <br />!!luiutS:(Q frls r1lll)r!rJ&ula! <br />I h6.tr' .nim und€ FEhy of Fjury oE ol th. folto* ins (|.(larliiB <br />I hltr Id eill EiIr.ii. C.rifEn. of CMr ro Sdl-lt'c lo. r!d6 @oFE i.ra FlriLd for h, Sdion l?m ofrlE <br />t kr Code for rl'. FflM. of rlE rnt tu fiin E Fii ir i$cd <br />I.d,!rhd in rh. Faolmncc of th. mtt for shEh rh! Fn't E B!.d.I !h.ll mr @pLy ry Fsn inxymDE <br />s a h b(.r tubj6' ro rh. *!116' coopoaaion Ls oac,lifodir {d !*E rh, ial nrulC h{om $bj€l lo rlE <br />mrla.ohFslionpmvilioNofsdionI700oflh.Irb.r('odc,Isltrll,fonh*nhondywnhthEprcvi!rc8. <br />WARNINC l;arlurc to s@ @116' comp..eion .ov.r+. ir unlawlul. ed !h!ll tubjct e @plorr xi ainin.l pdlis.nd <br />.iv,l 106 o! ro on hun&.J rhousd dolls (1100,m0), in lddilion lo llE coi of .odp.Mlioi. dt ii36 e prcvid.d fot rh. <br />rnr6d ed dbmc! ! fc Aa,td / Q7ec6Oy. <br />LL'L\a!p ( oi. I rt{ct oR <br />IITCAIAIIO\ <br />";.::""":'iAE;*q <br />aZ? L 3k*,*^o,'qeg <br />d6 rr)*s,12<._ <br />corirBucraxllDttc-dqMl <br />I h6.hy rmm undd p.nahy ofprjurythd lh6c t ! connrudion kndmg aldcy tuIh. pqfomonc. of!n. q lin whrh thB IEn'l ! <br />i.ruql(s6 10q7.Civ.C.) <br />Gds r N!o. <br />APPLIC NT DfCT ANATION <br />I hcrt, .trm un& paEny of prjuy oE .f rh. followin8 d.chrd e6l <br />D.molirion PdmiliArb6lm No'in.dion F.daal R.gol,!ionr (TnL 40. Pan6) <br />R.!uir.d Ldrd of Noifraion <br />f, rhd rh. f€ddal r.euhl{B E8Ed6g at6l$ r6mt.l t frr 4t l(ihL ro ih6 F)rcr <br />!r*,rfr rhd I halr ral lhn 4'olf,d n, an n I .8re ro ondy wirh .ll Cn' rnl Counry <br />brdiMft6 trd Sh. Lls Eldns t' hllo!ry <br />ab.v. nm,n'n!d p6pdy for Np..rion <br />.{pPl(r or n4.ntsiSnrrun x <br />Pernirft um. (p.lnu: ,a- <br />':#zx <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />ln s u lation/Ene rq y <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 />Enqineer Final Report <br />Flood Zone Certif <br />FINAL ?Jt<tlu 'rcr'' fta <br />Certificate of Occupancy <br />Notes, Remarks, Etc <br />I <br />I hdb, Im undd F llry ot rqjuy lhn I m I'c6!.d undq F.!!io. of OEF6 e tco'mtrin8 unh Sel irtr 7(n0, oa Divrnn I <br />of rh. Brin6s Md PDfdioE Cod.. !d ny lacN n itr full forc. t d .lT..l.