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BUILDING- INSPECTOR RECORD
<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/VenVlnsulation
<br />Roof Sheathing 9/rt/zr
<br />Shear Wall t
<br />Framinq
<br />lnsulation/Eneroy
<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 Beport
<br />Flood Zone Certif
<br />I i
<br />FINAL nlnh,LO ta.
<br />Certiticate ot Occu n
<br />Notes, Remarks, Etc I
<br />OWNEX AUILDEN DELIANATruN
<br />I lrchy .ltm und.. p.hni, ot F.r[, th,' I m .r.nry rren rh. Co d6 Li!.€ ti* for rL foll,whg G.rtr (sd.]0.!1.5
<br />Buri.cs ]lld P.of$sion Cod.): Any Ciry .r Counry which r.qun r I Fmn ro on{rucr. rlrd. in{)ov., d.mlirh.r EF.ir uy
<br />shxrw. Fix ro 'r! i3rutd. d{ ErpG! r,r .Oplidt fo, qh p.d !o nE.3,8Bn {d.c rhrl lt or tlt i li!trsn pu{rr
<br />ro lrr |,UvnioG ol LIE (:onrr.rols l,icnscd tlw (Ch.pl.r 9. Com.Ninr *irt Sc.rion 7000 of Divnion I of rlE AusiEs! .nd
<br />PDf.sionr Cod.) r rhr lE 6 rlE t crctrpl rhq.nom ,rl l,E h.!ir lor ft nb8.n .rqrhn. tuy vblrtion of Se:rion 701 I J by Dy
<br />qTli.aot tu o p$mn subj(a rlE appli.inr kr . civil Fmhy or mr mr
<br />'h!n
<br />fiw huftjr.d d.nh^ (S5oO,.
<br />-1.
<br />* owncr orrh. Fl lEny, or mt.,ploF- qilh w.8., &i lh., $L oftFndbn. sll d, ilt *dl {d rll rfue t n
<br />n'lq.!.d o. oficrrl ltr * (56 701,4, Bori*s .nd PDfc$i,tu Co&: T,E ConLEld r Licns trv do.s nol q,pl, lo e owftr or
<br />'hc
<br />Fpcny wlD hoildr n inpo6 llEG4 !n vto d(6 rr$ s* hirelf or lEBl, or llFoBh hi! d hd o*n cnpbF.r,
<br />tiovii.d rhr .uch u.fnivcEr& d Nr ht.ndcd d otfdrd Io. ,.L lf. tbw. ttE h{iEin8 or inDroEE t $ld lllinom )a,
<br />of orphm dr OqH Auitld wil lrE rlE hldd of F1MS drr lE u {E dij rd toild d !+rok ilE rfrFly rd lh. FIFE of
<br />-1.
<br />B oqK olrlE FrFny. m.rctutiEly o'rrsins *nn lttnr{.!'rEtd lo onr.d rrE Foitr (sd 7044. BUrKrd hrft*i, Cod.: Th. Contrlo* l-i..nr. trw dEs ml +ply lo u own.r ofpmpcny *ho buildr or imtmE lhl@n,
<br />rid wb @d.ds lor trh FDtr$ rirh r Ca'i.r1on, li!ftn F[qd ro 0i C..r.(qt LEiE b*)
<br />I m.r.mpr w!&r Setbn , B & P.C ror rhi! EN,n
<br />D.l.' Orn.r-
<br />-
<br />IIIBf,EIa.IIUIBSAII9N
<br />DEII.68AI1ON
<br />I lE r-6y tmm t.ds Frly ol Fiury or ol rhc lou,whi &.lr..lbc:
<br />-l
<br />h.v..,ri eill flinlin r CcnifEl. ofconsnr ro S.lf.lNuE Im so sr'om{rtrlnion, a Fovi.t d for by Seti,! l?m olthc
<br />tlnr CaL. for E FrfdELr oa . r6rt rfr *h.h rlE FEil ir kun
<br />_l lIE.,n rill minr.in *ort6' onp.Nrio. iraft.. s EquiEd by S6rbn l70O 6f rlE t$dr C6d.. t6r th. pdflllrlm or
<br />th. work lor phkh lli! Fmir it Ls!'r.d. My *orlqr' orF.lB.lhn insllrrN dr .,n poh, nuob.r fttL
<br />Polt, Nunjtr. -
<br />1ii Ll+
<br />12 3lt L1
<br />-lenirylhlrinrlEFrIornEolrlEsortfd*hthrhisFminn.d.lrhrllnrcinloyrnyF$nin&truEry, x ro kr.r sbFr h rh. hA6 omFMbn hur or c.,'lohq, rid .8R rhd rl ! sllrld b.q'r tultr<l hJlE
<br />hrIR o,nlEnqr bn f6v6x,n( o' sd Dn um ol rh. t hrGi.,I dulL rodh* hmrFb * rh rrh* i'F\ r,on!.
<br />WAnNING: Fi,tuE ro rff wt6' ortEMi.,. o\sr!! ir un!.Erul .,n ndl rubFt u crllt|bF ro oirisl FErir rd
<br />civil fin r ut ro om hundEd rho!$nd dollss (llm,mo). in lddnion lo rhc cosr of oqrnerion, drtuscs a rnovd.n ro. r|t
<br />sl{rnn :1016 or rh. l rrtr cln inr.ri. x
<br />ui 9 z13 1 <-r
<br />.I ?
<br />z3 /22
<br />HeLl.- lr< z
<br />DECIIIAIIO!
<br />I h.rb, .rm lnbr Fany of !..Fy lnr I e lie,Ed udd FDvnin of Cn fls 9 (oltmriri *ith Sdrbn 7@0) ot Divitb. l
<br />or llr A!ii*.r (d PDf.$ionr Cod.. .trj ny lic.M k ii tu! fo@ aid .,Ier.
<br />5,/,'',,',#*-
<br />*N",,b,, t o')iZl
<br />-lL-<"et-c
<br />CONSTAI ICTION I FNITINC CEN(A
<br />I lEEby lfr"nundd F llyof Frirylh.l rls. ir. @6lnt!bn L'di.s "g.r, ror
<br />'lE
<br />pdrornft. olllE *ort lor vhih ltir F.nn n
<br />Nrucd (s.. l(})7, Civ C ).
<br />ATILICAILIIECIJAAIP!
<br />I lrtd,y !trmr o.d.r Fnllry da pcrpry om of rlE tolbwinS &.b-rionr
<br />D.mlirr,n PrnirrArh.{or Ndifi.{bn Fd.r.l R.8uld$ns ('l'illclO, Pd6)
<br />-Rcqutcd
<br />L.llcr of Noriicalion
<br />I cdily th.r I h.E rcld rht .p?tidion ud sr.r. lhar llt !h.r inrurfrrin n .otfu I rSrE ro mftly wrh rll Cny rn Cou.r,
<br />DdiMKi !d Srrc Lrus fLritrs ro blilrtirs conqrucrhtr ud hcrcby rurtbriE rcFc* div.r of $r Cily rnd Countr ro cnld uF)n rE
<br />I rMiryrhd ih. (.dcrdl EguLr[ns EgudinB $b.sros Em,v0] oE mrrrplMbt ro ltir ImFr
<br />,\ppli.lrl or A*.rl SiEMI (Je,l-r 0r n, A//s/1
<br />I
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