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BUlLDING- INSPECTOR RECORD
<br />SITE-WORK ID/SIG.COMMENTS OWNER AUII,DER T'Et,('ARAIION
<br />I h6*r lnim unds p.ndr, ol p6Jur- lha I e adnpl &on rh. (o(,ffn6 t.tre l,* aor lhc ft'Uorrd r.en fsrJoll I
<br />BBinB ,rt Prf*ion C6d.): Ary Cnt or Coudy whi.h rqun6 r pcEn lo olnrucl. !ls. inFoy., rbmlish ot lFo{ r*
<br />{tuddi Fi)l to irs ism.. .Lo roluiG lh. +plicul fot Mh Fnn lo frI. i lisn d !ri.l@l thi lE or . is lksts d ptB.n
<br />ro rh. FovBirB o t tlE Comrsror-! Lk..!.d t w (C1upld 9, Comtrins rnh S.dion 70OO ol Dvnhn 1 oa lh. Buins lnd
<br />Pmfsnrnr (-dL, or rha ll d slE L dnF rhscf,om rd rlE b6i3 lor rlE llhcd.rdnprbn AnyrbLrhnofsdion70115b!uy
<br />{tli(d nr ! Fhi rbjclr llE lp?lnur ro s civil po.lry ot mr frn. rho lir. hun&al $lla! (lru})
<br />l.B.$cofrlEFoFrt,-my.nplorcshhqrg6stlEi$L6nFd.n.*i[d,ilt*stindEtuGi!ml
<br />i d'&j n oltqd rn sL (Sa 704J. B6it6 &d P,otsn6 Co& tL Codsfi'r L(.r rls dE ml +pl, lo & orG of
<br />rh. FrId) r'ts hi ior ngD\q E@ -d shd6*t umrl hirolf or h6*1,or llmwt hn r hd ommplolG.
<br />Forij.d ltu *h nIFEET! E d -rdrLd d ofiEd lor rt ll lhrss. rh. tlrldlB or irgliqEr i sld \inn m )d
<br />of orpkitr rtE (\M Build wi[ lIw llE hrld of Fous lhi lE 6 JE dn hl hild r n sott dE FDFy for tlE ptpo. ol
<br />l. .i o$c of rh. FoFrr, m.rclsiv.ly contr*rns s'irh llcsbaj.o,udou b Ndrud rlE pmr<l (sd 704.1. 86!6
<br />url Aotusxo( od. ThcGnrredo.s Licec kw do6 mr lpplyro .*n6 ofFotEl, *ho blilds or inprevdlhaon.
<br />.nd *lx' cod,a.l! lor $ch FDjdr qilt. ConRlo(s) li..rual p!B@l x' lhc(in{rdor'! l-i<qe lrw)
<br />I a'h.r. r undd sdrn)n
<br />l)ite O*n.r
<br />\o&i[B.rgrttrNs J!)!
<br />D!:(r &t-lllrt
<br />I hoch) alliiin utrJs porlry.l IEJury on. ol'rh. follNirr ddlar.r(nrs
<br />, hov. dxl s ill mainhin a Cdifrar. ofcolgt ro s.lf-lNu.. an *0116' $mldsd nr.. B r$v'd.d lor by sdrion l70o of rh.
<br />I itrr ( \r!. ntr th. Ffo.r@c. otrh. vo* aor rid rh. Fnn a au.t
<br />I h!r. snd will m.im.in $ortd comFEr6n iEmmc. E RtuEd t') S6rFn .t7m of rh. Irb.r Co&, aor llE FfM. of
<br />rh. sll for rhsh thir pdmn t isld My sul6 snFsrio. iw8..ffi !d Fli.t n!6hd e
<br />.l t )'^,+tr Itr
<br />t (.n'tyrhd i. rlEFfolMc of th. r'o* forqhxhthnFnd s Bor<t Idf,ll ndphtoyF$,ruymd6
<br />e 6 ro b.oE sb<1 ro rL so.t6'mnp.tdio. htr ofc.lifomE xrl *E rhd if I i$uH baom elr<d lo rlr
<br />*o 6 NmrE&rFn rrrririoB of S<r6n -t7m ofth. t!bo. (.d.. I trll. fdhe trt 6nDly *nh lh* FBi)B
<br />W]\RNIN(; lrlud b R@ s{ 6'omp.dion (td.rc
<br />(n'l n.d uD t' ok huD:t.J rhorqnd &ll{s (1100.(()0). in
<br />5610. :1076 of rh. ldor ( ode hr6.s ad alonEy s fG
<br />rd io €iniMl lEEhi6 ud
<br />'on,
<br />d.nMr6 s rroridcd rff rh.
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<br />IIIIITI.DIAuIAA(:rcADI(]Ja^IITT
<br />I hd.by amrm und6 p.nahy ol prjury lhd I dn licds.il undr Fovni.n ofChlrns I (coomocins snh sdion 7000)oaDivision l
<br />ol thc ltusinBied I,NlsioB Codc. dd my lror a h full tu.. ed.fiRr
<br />lolu 3rb
<br />G hqTfr Tc+rq Aqw Lszr.^
<br />!!]tlltl r ll(,\ rr\r,r\(, \(.r \i 1
<br />I hdrtt .ftm uidd Flty of Fjdy dd lhs. ir . 6.rmbn bnru .stry for llr F nft. of $. "dt tur f,tich rhi Fni it
<br />is.d (SG 1097. Civ. C.)
<br />AITLICAtsLDICIJSAIIAd
<br />I h.6r ifh ufllr p6!hy ot Fru.y o( of dE followins ddhd ir.r
<br />l>frnrrn Pmire^ltBror Noxlic{ion r.rlnll l.8uLt i,N (T'rl. 40. Prn6,
<br />R.qun.n lni6 of No{ihction
<br />I c61rf, lnd rhc lcddalrcsulitoN E{ddinB dtBros rdRMI r. nor 6pr,lrabl. lo ihB pmJcl
<br />l.drlyrhd I hlt. ro'l rhisapplrsrionaldstatelhd th.k,n sronrd I ir'.rt).o d! trirh all( (! and('(nnrr
<br />or tlnM(d {tu1 Srrl. l r$ s r.hl inA lo tulding .on51ruc1 !!rhtr,. rqrMr.Lr6 of this (-ily Md Counlylo drd trFn rh.
<br />rlxrr tr'mrtrr({ f'oltny li,' tsl-..rion
<br />1Dl,lio 'ror lr0rri[tr !x' r I l-z'v
<br />, - 9l4flt
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUlnsulation
<br />Roof Sheathing [t/0,'R >. >d 4-(rF,tr.
<br />Shear Wall ta
<br />Framinq
<br />lnsulation/E nerg 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 />FIood Zone Certif
<br />FINAL 17/,/-7 ,u//9
<br />Certificate of Occupancy 77
<br />Notes, Remarks, Etc
<br />DATE
<br />D.,,, L,(14
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