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BUILDING. INSPECTOR RECORO
<br />SITE-WORK DATE rD/srG.COMMENTS
<br />Set Backs -)
<br />Forms/Steel/Holdowns \ ,,t/.v.)
<br />Erection Pads N
<br />UFER Ground )
<br />SLAB Floor 7
<br />Subf loor/VenVl nsulation )
<br />Roof Sheathing r.n
<br />Shear Wall T,
<br />Framing (l2\voZ
<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 i \)L(15
<br />Certificate of Occupancy I
<br />Notes, Remarks, Etc
<br />()\\ \t.R Bt .Dl:R trut_( aR,\'I t(l\
<br />I ffi, .,fm !,ia Fmn) of pdiury fid I d .r@F frDd llE ( 0lll,..16' tf,or t * for dE tolo$irs l6n (S< 7011.5
<br />ttuins od Prefdion Cod.): Any Cily or Counly vhich rcqutB c pdnn lo corBitud, !n.. imF.v.. ddnolist .t ra.n ay
<br />sru.1c.. Fin ro irr ir.lee rL E+i6 UE irplier fo. sh Fd to nt . si3'rd 6El $r lE or lt a li.!s.d F,idr
<br />ro thc prDunioB of tlE ( onr.d 'r Li..nEd t!* (Clut,ls 9, Co@fti.8 *nt Sdtbn 70e of Divisioo .r ot lL t!di6 &d
<br />ProlNioN Cod.) or fi,l h. tr 3lE L .rcmrl that&om md th. b.sir for lh€ .lLscd .ro.Fion Any violt{iodofsclion 7011.5 by.ny
<br />.,plicur forrFnn $t*rlrln !p?li.&rro.cirnFrh,ofrcr rEDo ftr. hui.b.d rk'llts I$m).
<br />_1, s or@ of rhc FFry, or m, oplorG wnh *.g6 6 rh.n mk @nFsdiol! will<b llE *dr od l,t. ftudE i' ml
<br />iddxLd n otrEd 6r rb (Sa.?04,1. BdilE ad ftDadnd Cod. Tli Cdrrcld r Lit@ t4 &G mt tply lo d o*G of
<br />th.Fnpqry who hi6 or inqD!6 rh@ !d eho &E *h mrt him.lf or hdlf or llmush hi! or ha om @dorc.
<br />Fovid.d rhd iln inF$q!6! e El insd.d or 6rE!d fr,r rl. ll tnse. tlE trilriB 6r triF&.,1d ir Fld wihn w )u
<br />olotrpldiotr fi. ()*c hilda wiu llElL hda oaFDri'ls tli lEqtt d'd,Dr hild - in!. ! d. FtFry 6r thc FrDEoa
<br />-1.
<br />s osE orl,E F!F1). n.r.lan.ty codrrnc $nh li.@l.odrdo6 to odru.r ',r Frixl (Sd 7ol.l, &. B
<br />drl PDli.ih Cod.rTn. Conlrlcroit Licd. Lrw do6 nol lDply lo d o* rd otDmg.iy who brildl or ihpor6th6on.
<br />dd s'ho @'n,(3 ror.ucl' Foj6G *ith. Co,r8ro(,lrq!.d puR@ b th. Cod,.cld t Li.@ l,s)
<br />_l @ .rdpr und6 Sc.liir_, B. & P.C. for lhn ttMd
<br />lr .: Otk
<br />!!]8tr!8s:.cIlu8ElsAl1o!
<br />DECIJAAIIa!
<br />I hd.t, .mm lndd F!t, of Fr!r1 oE ol lh. tollotr in3 &(ls!rp6
<br />_l hrE.n willmid.i. I CErifrd. of Co.gr ro S.lf-ln!@ fq slrldr' onrFqrior\ 6 Foridrl to, by Sdtio. l?m otrh.
<br />lltor Codc ru $. Ffolffi. 6f E $dl for qn.h th. Fmi i i$Ed
<br />I hrv. .nd will hlimlin mrldt comF.Mrbn 6ormc. s r.rtut d b) sc' iot ll70o of !& t bo. ( od.. for lh. Ft1fu. of
<br />onFEnior rdul@..!rir *l Flky.!mbd r.:
<br />/tr/tt0I/a
<br />_l .dr
<br />'ry
<br />lhn in r& Fldlr114. oa$. $o.I aor r hrh rh,r Fmi ! is.d. I +.ll ml @pk', oym^,*s G ro lEoru rubjGl ro rh. worl6'@opsslion b* otcllilomi.. &d +E thdl if I stFuld beon $tjer lo rh.
<br />r! 6' @npd!.riotr F\nioE of sdion t7m of rlE btrr Cods I tlEll. fonh*nfi sr{,ly snh ilb- FviinB.
<br />waRlt{lNc: Frilu. ro I@ *ort6 omlaldn. @vnis. n u.b$ful, !i rh.ll $bF m onplo}E lo (diDl Frra .,n
<br />civil find up ro on. hutr&Gd thousd dollB (t100,000), in addi6n to lh. cml ol comFulion, deasd 6 pbrid.d aor rlE
<br />i4qri.r 1076 of llE L.br (id..
<br />I hd.5y .rm untld p6.hy of psjury lhd I o licqEcd uads pmvnon of( h.fls 9 (.omd. in8 wilh S.dirn 7000) o
<br />or rh. t\8trB nd Pruf<ioB (-o&. rn m! lk.e i! o tull forc d .nal
<br />b p?l(L7D
<br />l(q
<br />I hsdy .rI@ utt<td Frt, of Frry Or rt@ i . @'.Mbtr hnins *dy tu $. p-folrllre of rtc wl
<br />'oI
<br />*nd! $ii F6a b
<br />is.d (sd. 1097. civ. c )
<br />AIIII(AdLIIOJAAIO!
<br />I hd*t 0rm und6 palll, olFjory on. oflh.lollowins delsalion.:
<br />t).trDhFn Pmil'Asbdrot tJorifqrion lcjsrl R.tulrirN lThlc 10, Pdt)
<br />-R.qun.d
<br />L. 6 of NolificarN,
<br />I .d iry ihd rh. t .ldil r.Buhrn'a Gsedins dtEslos rdnoral ec nol tptl'.abk h rhir F.]d.
<br />-l
<br />c6lit rhn I h-. @d rhu qflEnDn &i !r'!. rh, tlE itN. intulMion 6.Fcl I l*ra
<br />ordined Dd St c liws dni'E ro buiunu .od^nnJ( an hdby .utlmd. t.Fs'ldi!6 o
<br />ro oDrl) {nh.ll Cn} lnd ( od,_
<br />Irhsa t ,.d ('ounir ro ora uF,n
<br />'lE
<br />^,, tt/t/r!p.nt for iNp.dbn purF6
<br />Appllc{trr or Agorl Slgnrlurr
<br />-Jv"ny4:,,1k:-
<br />An;lAl
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<br />L.ntl.f ! Ad&B: _
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