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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDEN DEI,{ R TION
<br />I hc.6)'.,1m ud.r FulD of F.jory thd I m clmpl 6tm rlr C.dnci6' l-a.e llr for rh. f.llo*!u r.{n tsa?011.5
<br />tuind an P.ofshn Cod.) Any C ) or Cdlny rhih rcqur6 ! Fhi ro odrud. a, 'mprorc d!tursh o(tsin dl
<br />dtu(G, Fir ro ir. Bffic .L r6+n6 th. +dtd 6r iu.h Fmn b ltk ! r'sEd dtotd ini lE or dE is li.os{ I[lsd
<br />to tlE FrriiioB of rlr Conrrxroar Lr.r!.d Ij* (clrqrd 9. (oin1ftm! wnh Sdio. ?0(o otDrBin t df rh.8di.< md
<br />ProfBi.nr Cod.) or rhn E or rlE s doF thd.6on ad rhc hGa for rh. .llS.d Adplion Any riohlhn.fsdhn 70rr 1b o'
<br />rl'pl'c! for a Fmh iubjRB !h. .9pli.el io r .ivil F hyofnor mr.lh!.li\. tuodcd dollai (1t00)
<br />l. 6 osn( ol Ihc ItroFny- or f,y .'ntloy6 *ilh $a!6 &r rh.n $k .omtE!s! ion, \ ill &l lh. \rort dj r& (Bru. . nor
<br />i rdd.ro,Td.dlor$1.(seTl .llusin6sMdP:'ofsioB(on. lhc (nnrradois l-(d!.li* dod nor $tly ki dtr o(E ol
<br />ln. I'trrEl} $ho t{ildro qrovBll!r@n. anj $ho do6 s.h*oi h mclrorh6dfo!lhmu8hfiisorhFo\nmpl,,v.d,
<br />Frord.n rh:r su.h inForddr ft nor mrdi^l or olrarn aor sL ll h,r6q. rlE tliHin* tr irF.rt@r n ar *ihm...)6
<br />orsr{,ltioa rtE oto( t\]'ltd *rllhi\. rh. hdaofF.\ alhdrEorslrdtlfr{h.ittorinFo\.th.F)rE)lorrh.I[,lrrk.f
<br />l. B orG of rh. FoFry. m .lcluii!.lv ..ffi,rs $th li.6s.d co rL'16 xr odtud ilE F.l.d ISfr 704.1, lt6ffi
<br />drl Eokir Co& Ti.Comdrol.! I 'c.* t.!* &,6 Nr +plr !o .uF ofl,oFlt slF build! 'nrordrhda'n..nd rho @ffi3 for 3!(h F.F<s {nh. (t ko(r) li.dr.d pumar r.lh. Co,nr.croas L..g b*)
<br />I m.rdF und.r sdrion B & P(' [n rhir r.Mn
<br />UAAIEIiI:(AMIEITAIIA!
<br />D[ClAtArIo!
<br />I h6lt, .firm und.r F.rhy of psjury orc oflh. follo$ ins d.clsal ioN
<br />I h!\. ed will minr.h. (-dilK!r. of CoMt ro S.lf-16urc lM $od6'&np6En'on. a p6!ftn foi br Scrkh r7(x) olrhc
<br />lrlv Coda ror rh. Flollm. of
<br />'h<
<br />w,t fM {tih rh. Fnn i! isu.il
<br />frt,. ", * U, ."t*. **r-' (nnp@rnn rEuru., 6 Bru&d It s<ii,n r7m orrh. kbo. (ird., ror lh. FroIrM. or
<br />r* qqi d rtEh thu Fnn s &!d V\ rorl6 oqrrgln 'NUm. (m in F.kt numb( !c,* fi,rnnvrrzr<" M, Cg- l
<br />-,trrN ,h,,: D9b-5a- lzt+,,.r.s 1;-t - 11 ,
<br />I cd ily thal m rh. Fntrn'dnr. of
<br />'h.
<br />*rl for shich r hh p6 6ir is issud. I shall nol mploy any pd$n ,n unr" matrnn
<br />$ 6r,'b..om. brd tolhcwortn rotrrpsfllion l.$sofc.lin'm'n. ind arK rhd ir I sh.uld b.com. srhr(l b rlr
<br />$oil6.omFNrionIIornotriofS.clionltToooflhclitFr(od..ltl[ll.ronh*ih.ompitsirnrh.ElnnisnN
<br />IIARNINC Failu,. r(, sr. \orkc .omraMiin .o\d.8.6 trnl.$ I'n.
<br />^nd
<br />sldl srhjd u dplow n'.rnn'nil Ftrhir Md
<br />lh.usnd d.ll6 (tl00,0(xr), i. ,:Union k, rh..on ol comFMrior d,ru*B ii tro\id.! lor rfi.
<br />lr
<br />'nrdd Md dkrE*t ac
<br />t')
<br />I lE!,r+ rmm u.rts pd.h) dl Fiurr rhd I m licaE d ur& FD$ion of(lBriq e (offiis *irh s.<hn 7000) rr Dn sion !
<br />of rhc l\6iIB ud horBi.N c{'&. En my la.e 6 i. tull aor.. di.fifti
<br />I Eq* rrm un& F[lly of Frur-. thr rlE ar oi.n ciir. lcdirg .gtrt fo. th. Ffo'ffi of lh. rql frr {hrhrhitFnir i!
<br />isuql (s6 1097. cir c)
<br />1..&'3 Nm.
<br />affutalfDt(raaa-ua!
<br />I h6r}lt riimundr pcnally ofnsrury onc oath.lollorina d(l alnrr
<br />I).mnlirion Pemirr^sh.sbs Norifi(hlkrn l'.dnal Reruhrnrns ( I irl.r0.,'M6)
<br />R.qoiEd ktd oatloliftlir
<br />I cdiry thr rlE fdrarl nsuLr$6 r.s-dins ctBros r@v.l e n,l {?lictbk !o rti! F.in
<br />I .qriE rh, I hfrc rad rh! +rlt.lirn !d n{c lhi rh. .borc 'nfondhn ir .ord I !g- to @nply
<br />ordiMfrB .nd Skt. L.q! Gh II( ro t!
<br />lhnr nErsRn FoFd, for i6p.dFn
<br />rd h6.tr rdtr,r r! (F(drn 6 of rhit ( n'
<br />Appll.rnr or Bdl Si*n.lor.L
<br />^J',')-)--
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Framinq
<br />lnsulation/Energy
<br />Drywa ll
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />)Dcn'r,-1t/r$/h ). t r-)J_<rAl
<br />FINAL J
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />(_
<br />,(r\.(i\. ,C.:(C rnc.i?\n,r 2Oa %eZ'.
<br />D.e {ltt | 1.7,"",,..,.- /T
<br />,,,*.,*,, .uy'^, rn,,,t,,..,,rn,,
<br />I
<br />Shear Wall
<br />I
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