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BIt,,ILDING. INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS Ows-Euil{s Dchntin <br />I b6.bydfm u!d.r perrltyofpajryt[*l u@t-tbmi[.Codrctort'Llmbvbrlf,obtbwig rer(re703l.5Bntug <br />ud Prof*bo Codr): Ary City or Cody urhir:h roquta r pcmil O oEtrucq rer, inpovs, rtolirt or rcpir uy ruuorg Drbr o it <br />isunoq rlro roquiro tho rppli:rl for ruch parnit !o 6b r rt*d ttrta ttrt ho s rtc i li:ild psud b tlo pmvlrbr ol tho <br />Conn.aor'r U6udI.*(Ch6a 9, CorulA siah Srcba T00OofDivLioo 3 of theBrlG. mdProfurbil Crd!)or lhethac <br />thc ir empt tbm&oo utd lbo brir fu tlorllegod renpha.Any vbbirm of Soctioa 7011.5 by lay rpplic.st&r r pcrtrl $bjcct th. <br />rppliom to r clvil pcuhy of mt mrc &u flrc h{odrd dollrl (3500). <br />_I, I ow of th. p.oFty, d Ey ooploya witt nga u tfcb dr onpontba, will do tlo mrt grd tbo rdu.arc b mt iltmdcd <br />or ofrocd for rlo ( SaTO{4, Buira ud Prclh.d.rut Codf, Th. Coltrao.'r Licar Lw doc rct rpply ro u ow of t[c poporry <br />wtto buildr or inprou thaoa, ud who dr mI rcrk himlfc hrrlf or tkough bl, ol lE m qploF.., fovldcd thrr nr1 <br />impr@scr m mt iotodod or oficrd &r de I{ bow, tic buildiag u bprwura L pld rylhb u yw of orphio4 ttr <br />Ow.Buil& *ill brvc tla Dudca of provin5 l}rr b or rhc rct bclld or ioprow for tt! Fupos oflh). <br />_I, s ow of rrE propaty, u reIuirly ootncirg w&b limrd cdrsbrr to eilfEr thr prcjrc ( Sa 70a{ Buhs $d <br />Prcfobn Coda Tio Coltn *or'r ll@ro hw do mt rg,ply to u ow of prcFty wto bildr a inpow ticru . ld wto <br />rcmrrAr for roci proja:r wnt r Cotraor(r) Ikrud pEud to tt Coltocbr'r Li(ru kw.)- <br />I rm acots uds Scctiotr L & P.C 6r thi rurou <br />Drts owE <br />WOTTMq COilPUTISATION DICI,/TN TION <br />I hc$y rtfm uda pouty of pcjuy or of th. btrowilt dcbsrtion <br />_I hrvo !d witl uiaeh r Cstifqtc of Coor.ar to Sclf-Itulro for mrtsr' onporrinq u pwidod br by Sctilo f TOO of th! <br />bbor Codc for rh F&t@ of t mrt for rfii* rta pmn ir Lood. <br />(,hrw rnd will mitbiD srto' @l4)orfbn hrnro, u ,lquid b, Sccloo ,700 of thr lrbor Codc for r[o pcrfunraco of tho <br />work for whi$ thn pcnit ir ilucd" My oqooba hsmoo onia ul pollry nEbc uc <br />s <br />Poliry <br />hudrod dollrn orls) <br />io ttr psformm of tho wk fc wl&hthir paun <br />of Crlibrn\ rad <br />i Lmrd Iridl oot oploy ray brlyouqrcrrb <br />ttowuto'thcwrto'oapcuriu hu rgr tL! ifl <br />!?0o ofth lrbor C@ I rldl, forlbrrith <br />t) <br />WAINIIIG: Fribrc to ,Gcd! wtd' oqrutfu omg! ir EbDft[ ud rhdl tQfoa u apfoyr o crlalael podrb rad oivitfDq up to om hudtld thouDd &llu, (tt00,qxr).i! ldditirio 0l0 6sof or[9oob[' &rugr u FwiLd forr!. Slcdo! !fr6 o!lh.Irbor Cod!, i0taqt.trd .ltoray! fa <br />lJcEtIsD CONTRAcTons DECIr\tATloN <br />I lrc.by eIErn uda porhy of pcfrry tlu I u llcorod lodr provirbo of Orpr e (6narc&g wth Slcbo 7(m) of Divibr 3 of <br />the Bqilg ud Pro&rrbE Codq .Dd ny lim ir h full foe lrd doot <br />Liffi <br />Drls <br />5 <br />t hscby rffm uods poty of pclry thrr ffimnco of rrrr <br />isuod (Se.3097, CiY. C.). <br />Iads'rNre: <br />wL br whkd rbt pcmir lr <br />NJ <br />ladc'rAd&c <br />Dcmlitioo Pcoiu"Arttnor NotEcetioa Fodnl_ Rrquircd Lr,,ar of Nqfiotioa <br />AI?LICANT'S DECITNATION <br />negnLtlrCIil.aO, PutO <br />I 6rify fut tb frdotrgulrtir qr,rlias .lbal,o. t@nl e lot.pplia.bL o 0tt lroj.ct <br />&d rbr.thrtll.rbor iufrmrtirn b comct I dlCtryradCoury <br />rboE Bdtbn d prcp.stf rot <br />to elE lpoa tt! <br />Applicilt d t86t <br />Pmiuem(prim): <br />hreby ualorizr <br />'))t) <br />Set Backs <br />Forms/SteeUHoldowns <br />Erection Pads <br />UFER Ground <br />SI-AB Floor <br />SubfloorA/enUlnsul. <br />Roof Sheathing <br />ShearWall <br />Framing <br />lnsulation/Energy <br />Drpvall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Engineer Fina! Report <br />Flood Zone Certif.t,l I t ----- <br />/tqk ?4t'l*za<3//5 //3 /fq4,t oK"7D t*Vl <br />/ <br />FINAL 4 ?/ztb.uJ#1 '?) /ru I /fl/4,/ <br />Certificate of Occu pancy <br />Notas, Remarks, Etc. <br />,4 <br />dK 5 l/e-Lry c<-2_7 -l <br />V