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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE rD/srG.COMMENTS OWNER BUI I,DDR DEI,('A RATION <br />I h6.q- aftrm und( rBshy ()f D.rjury lhsl I dn qcmpl fnm lh. ( onrdc1.R l.t@. tl\ Lr rh. follo*i+ rcmn (".* 70 r l 5 <br />B6ind dd P.of*a{n Cod.,: Aq Cir} .r (tud} *hah r.qun6 i trmn b (.nrrud. rh6, rmrror.. &n'lish or qstr d! <br />gNdd., Fbr ro i6 M.. !!o r.quic rh. q'pltsr tu t!.h Fn{ F 6L ! rrn d nd@r rht lE or.h. 6 l'..MJ p(ed <br />r. rh. ti.r6i6B ol rh. commrni Lic6*d l,w tch.fld 9. comf,dcr.B $nh SErn,n 7000 or ltivision I of <br />'hc <br />Burin(c and <br />Pmf.sioft Cod.) or lhdl h.orsi. ie.rmpl Ih6.nomMd th. bosis ao. ih..llc-s.d dmrxion An, violarenofs.dio.?0:rI 1 bt .n! <br />lpplicnl lnr ! p.mil lobjds lh. imlicul kr r (n il FMh) of mi mr. the fiE tund,.d &ll4r ( t5u)) <br />l. B o$16 of lh. p..pcn',.r nr.nplo)d sih qr*6 s tfi.ir sl.omFEnion. *il&,llE *qt d lr. surE i! N <br />dd& or olldcd ior slc (Sd 7044, a@inB Md Prol*iotu Code ll1c (t ntra.ror'! l]rd. h$ d.6 not .rply ro u ownr o I <br />lh. FoFly wh boil&.. !rF.!r6 rhsar an *h d6 sh slrt hin*lf or hnEltor rhmu*h hB or ha otrn mploy6. <br />Fo\ dcd rld sh 6F!rqci! n mr iiaial r ofiiid t $l. ll hr6q, fi. buill!f, or inrsqEr i! $U *'nhin o( r* <br />ofonpliia rtE o$k tt{itL rillhlr tlE trrbl oaF.fig $i lEor JE dd ml t!'ld o. irsoE ltE FoFry i{ rh.F Fe.l <br />l. BoqFofrhcprola). m.tclBnclyco r.clins sith hccE dco 8106 io ornetu.l rlE Fojd (S< 70rr, SGrl6 <br />&d h.fsir Codc I h. Codr.ror'. Li.oi. h* do6 rr.l,l) ro do$.6 ofFoFnr $ho ho'ldr or implo\6lhF6q <br />d who Ndd.lor $.h Ftrjds { irn . (-onrkonr llc.n*n ru,sM! to lhc (-onoclo.s l-ic@ t^) <br />I m (roF u.dn sdion <br />toatrE&t(aufrtsarl(]!D!(tlBAra! <br />I h6.b dmrm und6 F.rl'! of Fj'rr,- on.ofrhc a(nb\rnr &{lJ!lioB <br />lha\.ddrillmi'nr.,.aCdiak.r.of(i\nmrroS.lilNur.fM$ortds'.onn6rdon,arrrdallorhlSatunrT(nolrh. <br />llbor (id.. for lfic lFn,muc. o r ih. srk t(tr whi.h rh.ponir 6 irsud <br />I hlv. r,rl $ ill m'.r.i. $!rt6 .onpdExirr i!ue.. s rGtuE.d try s.no. l7m oaitE lrrtr ('odc. n). <br />'h. <br />pafollrle. of <br />lh. srl lfr \tit rhi! pdnn a i$.d M) *o.ld orpcddion iM;. @b td rblt! nuntE i? <br />CME <br />Poli.vNumb< ErpnB <br />I cdlirylh6t in thc pdlotfu.. oa$. w.il ttr shich rhi3 Fni n irr.d, I shall..r anploy rny pssn in rny hens <br />$ N ro b..om sbjct lo lh. *o 6'omg.cdion lr$! of Cnitomjt &t l8r thrt if I3lFuld b.cotu subj<l xr tlE <br />".rtd' @nF!.rion prnltioB rlSdir.lTm 6lrlF litbr Cod.. I llIll. tdh*hh ondy *nh lkE prori'n6 <br />WAXNINCT F.ihr. l. w. $!rt6' comFuion at6r*. ir urL$tu|, ud $!ll rtii{ e otqloF lo ainiMl Fmli! !d <br />cilil lin6 up ro ofl. nundr.d <br />'housrd <br />dolln (tloo,(xJ(), ir <br />s(riotr \u 7b o I r h. l.trr Codgt <br />.).k, {-\l-l 1 <br />D[od8allatr <br />I6taranu.ddFn ,of aslury thd I m lic.nqt u.d6 Fovkion of ( hlBse(.om,M(in8 *ilhSc(lrn <br />or lh. Eui'B ad Pn,fBsE Cork. ild ny h(e i m rnl fdr( rd.lTcr <br />t*-r\I I <br />I bo!t, .IIm ui&r Flrty of Fjury rbr rlE ir. or(rucrir lodirB Bdy tu tlE Ffo|ffi. of lhc $vt b, rnih rhi!,Etril it <br />ecd (Sa 1097. Civ C.). <br />AfIUCATfDECIJXI,UO! <br />I hnir'rIr6n unds pdrlry or psjury on ofrh. followins d(lrariont <br />ttmhirn Pdn3- JlEsls Noxlic.t6n lqi.rsl R.slldior! (Tnl..l0. Psl6) <br />RquEd Ldrd orn&{i6cdx{ <br />I rdifl rhat rh. Lrldal r.*ul.rioN r.!edm8 abdo. rm.!al d. ndr .pplklbl. n, this prerdl <br />I cslra! rhll I h!\.iod lhir q'nl'. 'on&dnd.rh.dlh.,h\.i.ln!r(ro..mt\ $ih.ll( rr! and ( utr(\ <br />ord'nanc6 ud Sral. litrr r.l!lin8 ro lt'ldi.S md (iJunrt ro ml( unn lh. <br />1+\-1 1 <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathin s <br />Shear Wall <br />Framing <br />lns u latio n/Energ 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 />Engineer Final Report <br />FINAL 4/,t'r/t-7 -*p4l <br />Certificate of Occupancy <br />\oteF, Remarks, EtcIIl{I LLq.ss to 11 <br />I x{g'rw, <br />'t::#"':i-::'ry(frqFmtuR nihe(prlno, I <br />I <br />I <br />I <br />Flood Zone Certif.