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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII.DER DETX R ']ION <br />I hd.4 amrm undc pdalrt of p6jur, !n{ I er.r.mtl nun rt Contrdos ljc.M L.q ao.ln. aollowin3 ..MI.(S(.701I 5 <br />Uusin6s aal Profsion Cod.): Any Ciry or Counry whNh r.qutrB a F6f,rr ro connru.1. 3116, iDprotq danoliih or B?an &y <br />srtouu., pri(tr ro ir! istr c., al$ ro.tut6 rh. rtplicer nr ruch Fnn b nb r r8n.d sr0rool thnl tE or sh. ie licm*d puuud <br />nr rhc Forismru ot tlE ConF&rlat l.rc8d bw lchipr( 9. Coma(in! $ h sdrio. 7000 of Dililior 1 of lh. BNins dd' <br />P.ol6iom Gd., or th.r hc or sh. 6 cimo rh@from . th. b6L for rh. .ll.8d .rdnFion. Any viohlFn ofs..lio. 70! L5 by ey <br />.rplica rornFm subjdB rh. agrli.mr ro aciv'l F.llrrotmr mr.lhd lit. hundr.d&lltds(1500) <br />l, 6 owna o f rh. IxsFny. or m, .nplor6 wilh !0!6 s rhcn arb compcnsxon. $ill do lh. $nrl ed l!. ende s Rn <br />mtdd.d or ofla.d for elc (5€.?04.1, IJurinB ud Ptuldsioni Cod€r Th. (hnlreln s Li.dr t-a* do6 nor rpply $ o ow.o of <br />IhcrmFly vho t{ild, or E{rtr16lhmin. dd wtn &E uc[ $.* nin$ltor hoElforlh,oush his (r ir.\T.dploy.6, <br />t oviddl rhr' suci mFl6l1d ec Nl indddt oroiiidl nx $L l[ hoss6. rk tl&]nu o nFoldM ir $ld wnhin rE ]6 <br />ofompkrErh.O*MAuiBEsillh!r.lh.hrdaolFoBqal1I'h.o.slEdrldhriHorimpro\.$cFlFryfo,.FrFeof <br />l, arosn6ofrh. pmFir. m.{luslKly rontodin! s h l'..ns.d c.ntrr(nn' &Brtud rl.. Fol$r (Se. 7L!.1. ltrNnR\ <br />ed Pnissir ( odc IhcConlractm s l.iccnsc Lr\e do6n.r.pplyto arf*nd.rpropcnyuho bu'kh( 'mrrovdlhdsn,and sho (nrrrk ror su.h roj.rs s h a (.onrBdolsl h.cnscd tnBurl x,rh. (i)ntadois l.i.cn* lr*) <br />I u .ropl utrdr Srtion *...K'S'iry*' slrq\zot\-raElirls:catlt[tr IlatDIi(l.lISIIxl! <br />I lEcby alt utrdq tbally of rsjury nnc ol th. loll.wias d(larixoN: <br />I nar. md $ 'll mrintsln ! Cdlilicarc ofc.Mr h S.lf.lNur. for s{rl6 c.'nFB.lrofl, 6 Fryid.d tor by Sdioi 1700 of $c <br />litr' cde for rh. pdfolr:m. .rrh. *dI lor {'hich rlE Fintr 6 isal <br />I tav. .nd \r ill hiintarn *0r!6 comprrearion iBuran(.- a cqun.n by sNhon.l?0{ 6aih. trlxtr (ndr.lor th. ps(nn ...a <br />rh. sorl for rh$h rhis Fmil ir Liiu.d. My sorl6 .onrpdsd ro. iNurd.c .di6 e{ poli.r .umhd e. <br />Pohcy Nu,nb(: I:rpn6: <br />Dd,.*rrtn* .,n. -a"m.c. of th. sork ror $'h(h thB Fnd is,su.d. I shall nor mrhy My rren,n any ded <br />e srobco'n 3ubjd ro rhc $o{s'$6lx@rion h$s.f ( dlifodin, dJ.sErhar ial sbould qLorD. subjdtlo Ih€ <br />so*6 o.op@cdion tovtioN oIsett'n I700 olrh. hlu CNla I snnll tonhtrilho,npl, qith rh.s prcisioN <br />WATaNINC [.ilur. to sur *o 6' Nmpaslion corcrdsc is unlawtul, sd shall subjdr m opl(']e ro qininal Fulris ed <br />cril fr6 up lo of,G hundcd rhoumd dollm {t100.fix)). rtr addn'on lo rh. &n of.onp.Nrnli, d,nDs.s s pmvidcd nr th. <br />o". '5 nOrU-,.,X <br />I t( uN\tl) (oNTRA(',tok <br />Dl(]"1-Brllol <br />I hat5y arfDr und6 FExy ofrqju.y rh l m lico!.d uf,d6 F.viiio. of( h0rl6I (omdcin! wnh SElion 7000) oflrivision l <br />ol rhc B6inB $d PmfdioB Codc. dd dy ltoe i! i, flll for. ..d .nc<r. <br />CONSTRUCIION LENDINC AGf, !\CI' <br />I hs.6r ailim ofll6 tHall' of p.'lury rhd lh* n a mnsrtucr nn ladins asd(y for $. Ffolr,@. .arh. $or* for s hi.h rhi! Fnn ir <br />6u.dtsc 1047. civ c I <br />L.ndd s Nfl. <br />APPLI(ANT DOCI-,/IRATION <br />I hort, anm u.d6 Frhy ot p<jury oE ofrh. follDs itrg d.(lanrioB: <br />Dqnohion Pmtu.Arb6roi Norrf(dlnn F.dd.I R.!ul, ioni {Tnl. ,10. Pan6) <br />R.qun.d Idta olNoi6coiion <br />I csli& lhll rh. icddsl r.suldiora E*edilg ah6td em\al u. dl appllc.blc ro lhi5 polc1, <br />t{I .dit 'h.t I h.\! @d rh6 rppltd ion !,il nd. rh.r E !bor. f rof,do. !.orer. I qr ro (nnpr, w,rh aI cny !n ('ourt <br />ord'ndc6ed Sr c La{3 ELtins io toildi.* .oNructon. srj n(.by aulhoru. rcrnMlarir6 ofihit Cny &d cou.ryro ird qbn tn. <br />sliq\t0 tl <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <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 />Enqineer Final Report <br />Flood Zone Certif <br />FINAL tth4tt a Sna\rrl bt D.*oatl <br />Certificate of Occupancy I <br />Notes, Remarks, Etc. <br />-D <br />,;;; ..,::;];:.;;].,: xw <br />"rn,i,{ <br />trrn,ri,, n!, * VZ),,- <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I